Reproduction: Uterine cycle, menstrual cycle, fertilization Flashcards

1
Q

What are the 4 phases of the uterine cycle?

A

menstruation;
proliferative phase;
secretory phase;
premenstruation

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2
Q

when does the uterine cycle begin?

A

day 1 of menses => degeneration of corpus luteum

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3
Q

When does the proliferative phase begin?

A

after menses in latter portion of follicular phase of menstrual cycle and ending near ovulation

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4
Q

What is the hormone responsible for the proliferative phase?

A

estrogen

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5
Q

What does elevated estrogen provide in the proliferative phase?

A

proliferation of endometrial cells;
increase in length and number of endometrial glands;
increase blood flow to uterus

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6
Q

What is the interaction of estrogen and progesterone in proliferative phase?

A

estrogen stimulates progesterone receptor increase on the endometrium for fertilization preparation

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7
Q

What occurs in the uterus at the end of the proliferative phase and into the secretory phase?

A

edema in the uterus

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8
Q

Secretory phase and what menstrual cycle phase are the same?

A

luteul phase

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9
Q

What characterizes the secretory phase?

A

endometrial cell hypertrophy;
increased vascularity;
edema

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10
Q

What is the principle hormone of the secretory phase?

A

progesterone

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11
Q

What do elevated levels of progesterone lead to?

A

thick secretion of glycoproteins, sugars, amino acids;
increases cell proliferation;
increases vascularization;
depresses uterine contractility

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12
Q

Describe the premenstrual phase of the uterine cycle

A

artery constriction => ischemia, anoxia;

superficial layer of endometrium degenerates => blood and tissue in uterine lumen

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13
Q

what are 4 phases of menstrual cycle

A

menses;
follicular phase;
ovulation;
luteal phase

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14
Q

When does the variation occur in the menstrual cycle?

A

follicular phase has variation;

luteal phase is always 14 days

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15
Q

Menses marks day 1. What triggers this?

A

decrease in estrogen and progesterone

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16
Q

What does a decrease in estrogen and progesterone cause?

A

loss of endometrium support=> tissue necrosis, arterial rupture => sloughing of superficial layer and bleeding

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17
Q

What is the significance of the follicular phase’s decrease in progesterone and estrogen?

A

negative feedback is removed => increase in frequency of GnRH pulses => stimulates FSH secretion for follicular growth

18
Q

What leads to the dominant follicle?

A

one secretes more estradiol to become dominant => atresia occurs to others

19
Q

What leads to the FSH and LH secretion spike during the follicular phase leading to ovulation?

A

Estrogen rises until critical point where it is positive feedback on GnRH to pulsatile stimulation of LH and FSH

20
Q

What causes ovulation?

A

LH surge and high estrogen levels trigger ovulation

21
Q

What happens to the follicle during ovulation?

A

follicle ruptures 24-36 hours after LH surge => oocyte resumes meiosis and 1st polar body extruded

22
Q

What occurs to the follicle during the luteal phase?

A

forms corpus luteum => secretes high levels of progesterone and low estrogen

23
Q

What is the purpose of high progesterone during the luteal phase?

A

negative feedback to slow GnRH pulse => LH and FSH remain low

24
Q

What happens to the corpus luteum if no fertilization occurs?

A

luteolysis causing progesterone and estrogen to decrease until hormonal suppor for endometrium declines and cells undergo apoptosis

25
Q

What is the purpose of the semen associated with the sperm?

A

neutralize the acidic vaginal fluids to permit sperm survival

26
Q

In preparation for fertilization, what hormone is released and what is its action?

A

estrogen is increased to thin the cervical mucus for easier transit of sperm to uterus

27
Q

Define capacitation

A

uterine fluid solubilizes the glycoproteins coating the sperm

28
Q

Purpose for capacitation

A

aids in fertilization by increasing energy metabolism, enhancing motility, allowing acrosome rxn at zona pellucida

29
Q

What aids in sperm movement through the uterus?

A

contraction of the female reproductive tract => mostly the uterus

30
Q

Name the path the oocyte must take to reach the uterus. What enables this process?

A

fimbria => infundibulum => ampulla => isthmus => uterus;

via peristaltic contractions

31
Q

How long are sperm viable after ejaculation?

A

72 hours

32
Q

What happens after sperm reaches the oocyte?

A

binds to zona pellucida to under acrosome reaction

33
Q

Once the acrosome reaction takes place, what is the next step?

A

sperm and oocyte membranes fuse and sperm cell contents enter oocyte

34
Q

What disease will limit the membrane fusion? Why?

A

Kartagener’s syndrome => poor sperm motility

35
Q

Define cortical reaction

A

occurs when membranes fuse and zona pellucida hardens to prevent additional sperm from entering oocyte

36
Q

Before male and female pronuclei fuse, what occurs to the oocyte?

A

undergoes 2nd meiotic division producing 2nd polar body and female pronucleus

37
Q

What forms the embryo?

A

male pronucleus and female pronucleus

38
Q

Why does an embryo remain in the ampulla for several days?

A

allows progesterone levels to decline =>uterine and fallopian tube musculature relaxes => easier pass into uterus

39
Q

When does the embryo arrive in uterus and implant?

A

arrives 3 days after fertilization;

implants in uterus 3 days after arriving

40
Q

Before implanting in the uterus, what must the embryo do?

A

develop a vasculature to aid in nutrient receiving