Reproductive Gynaecology Flashcards
TRUE/FALSE
The reproductive cycle is entirely variable, therefore it is impossible to predict onset of the next mensturation
FALSE
Although cycle duration is variable there is a fixed 14 days from ovulation to onset
What are the 3 layers of the blastocyst?
Embryocele
Trophoblast
Blastocele
What hormone stimulates ovarian follicle development and granulose cells to produce oestrogen?
FSH
What two things in the follicular phase inhibit FSH production (in order to cause atresia to all but the dominant follicle)
^ Oestrogens
Inhibit by dominant follicle
What hormone surges 24-48h prior to ovulation?
LH
What 3 things happen in the luteal phase post ovulation?
Formation of corpus luteum
Progesterone production
Luteolysis
What hormone in the proliferative phase of the endometrial cycle induces growth go endometrial glands and storm?
Oestrogen
What is the predominant hormone in the luteal phase?
Progesterone
What inhibits scar tissue formation in mensturation?
Firbinolysis
TRUE/FALSE
Glands and stroma in the secretory phase become more torturous
TRUE
What does post-menopausal endometrium look like?
non-cycling, inactive, thin and atrophic
How is the functional endometrial layer shed off?
As it outgrows the blood supply (the spiral arteries collapse)
What endometrial thickness in postmenopausal women would indicate that a biopsy is needed?
> 4mm
What is the average premenopausal endometrial thickness?
16mm
The corpus luteum function is to drive the ———- endothelium
Secretory endothelium
What 3 reasons make an endometrial biopsy difficult to interpret?
- Constant changes during reproductive life
- Changes due to hormone therapy
- Lack of clinical data
What are the two ways to get an endometrial sample using hysteroscopy?
- Endometrial pipelle
2. Dilation and Curettage
What 4 things is it important to check for evidence of on biopsy?
Endometriosis
Hyperplasia
Malignancy
Haemorrhage
TRUE/FASLE
The undifferentiated gonads of XX and XY are identical, can form ovaries or testes
TRUE
What 2 things do fetal testes secrete in order to stop ovaries developing?
Testerone
Mullerian Inhibiting Factor
What are the names of the 2 primitive genital tracts?
Wolffian duct
Mullerian duct
In Males which primitive genital tract remains?
Wolffian duct
In Females which primitive genital tract remains?
Mullerian duct