Reproduction: Uterine cycle, menstrual cycle, fertilization Flashcards
What are the 4 phases of the uterine cycle?
menstruation;
proliferative phase;
secretory phase;
premenstruation
when does the uterine cycle begin?
day 1 of menses => degeneration of corpus luteum
When does the proliferative phase begin?
after menses in latter portion of follicular phase of menstrual cycle and ending near ovulation
What is the hormone responsible for the proliferative phase?
estrogen
What does elevated estrogen provide in the proliferative phase?
proliferation of endometrial cells;
increase in length and number of endometrial glands;
increase blood flow to uterus
What is the interaction of estrogen and progesterone in proliferative phase?
estrogen stimulates progesterone receptor increase on the endometrium for fertilization preparation
What occurs in the uterus at the end of the proliferative phase and into the secretory phase?
edema in the uterus
Secretory phase and what menstrual cycle phase are the same?
luteul phase
What characterizes the secretory phase?
endometrial cell hypertrophy;
increased vascularity;
edema
What is the principle hormone of the secretory phase?
progesterone
What do elevated levels of progesterone lead to?
thick secretion of glycoproteins, sugars, amino acids;
increases cell proliferation;
increases vascularization;
depresses uterine contractility
Describe the premenstrual phase of the uterine cycle
artery constriction => ischemia, anoxia;
superficial layer of endometrium degenerates => blood and tissue in uterine lumen
what are 4 phases of menstrual cycle
menses;
follicular phase;
ovulation;
luteal phase
When does the variation occur in the menstrual cycle?
follicular phase has variation;
luteal phase is always 14 days
Menses marks day 1. What triggers this?
decrease in estrogen and progesterone
What does a decrease in estrogen and progesterone cause?
loss of endometrium support=> tissue necrosis, arterial rupture => sloughing of superficial layer and bleeding
What is the significance of the follicular phase’s decrease in progesterone and estrogen?
negative feedback is removed => increase in frequency of GnRH pulses => stimulates FSH secretion for follicular growth
What leads to the dominant follicle?
one secretes more estradiol to become dominant => atresia occurs to others
What leads to the FSH and LH secretion spike during the follicular phase leading to ovulation?
Estrogen rises until critical point where it is positive feedback on GnRH to pulsatile stimulation of LH and FSH
What causes ovulation?
LH surge and high estrogen levels trigger ovulation
What happens to the follicle during ovulation?
follicle ruptures 24-36 hours after LH surge => oocyte resumes meiosis and 1st polar body extruded
What occurs to the follicle during the luteal phase?
forms corpus luteum => secretes high levels of progesterone and low estrogen
What is the purpose of high progesterone during the luteal phase?
negative feedback to slow GnRH pulse => LH and FSH remain low
What happens to the corpus luteum if no fertilization occurs?
luteolysis causing progesterone and estrogen to decrease until hormonal suppor for endometrium declines and cells undergo apoptosis