Reproductive Physiology Flashcards

1
Q

How are primary oocytes produced?

A

Produced by oogonia (stem cells) in the fetal ovaries

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2
Q

When/why does menopause start?

A

When there are no more functional primary oocytes

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3
Q

What phase are primary oocytes held in?

A

Meiosis I (unchanged from fetus)

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4
Q

What is released from the ovary at ovulation?

A

One secondary oocyte

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5
Q

When does completion of meiosis II begin?

A

When sperm contacts the egg (fertilization)

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6
Q

What are the two phases of the ovarian cycle?

A
  1. Follicular phase

2. Luteal phase

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7
Q

Follicular phase

A

Where the egg & granulosa cells develop up to the point of ovulation

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8
Q

Luteal phase

A

Where the leftover bits of the granulosa hang around & secrete hormones (mainly progesterone) to prepare the uterus lining (endometrium) for a zygote

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9
Q

Characteristics of a primary follicle

A

Has granulosa cells which grow & secrete fluid + produce an antrum

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10
Q

Characteristics of a mature follicle

A

Has a full antrum

Shoots out the peritoneal cavity

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11
Q

When does the luteal phase occur?

A

After the mature follicle leaves the peritoneal cavity

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12
Q

What is a primordial follicle?

A

Precursor to a primary follicle

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13
Q

Primordial cell: histology

A

Flat follicular cells

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14
Q

Primary follicle: histology

A

Cubodial granulosa cells

Zona pellucida = begins to form, stays until egg implants (protection; shell)

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15
Q

How does a primary follicle transition to a secondary follicle?

A

Granulosa cells proliferate & secrete follicular fluid which forms intracellular spaces

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16
Q

How does a secondary follicle transition into a mature follicle?

A

Antras join together –> shoots egg out

Granulosa cells continue to secrete follicular fluid (makes a continuous antrum around the oocyte –> mature follicle)

Granulosa cells around the oocyte = corona radiata

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17
Q

What happens when the hypothalamus detects low estrogen?

A

GnRH is released by the hypothalamus

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18
Q

What does GnRH do?

A

Gets LH and FSH released from the anterior pituitary

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19
Q

What does LH do?

A

Stimulates estrogen production (which inhibits GnRH/LH/FSH release)

*This doesn’t matter at this point bc the primary follicle just wants to grow

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20
Q

What happens when the primary follicle continues to grow?

A

Makes estrogen which stimulates GnRH/LH/FSH

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21
Q

What happens when LH surges?

A

Mature follicle ruptures + egg is released

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22
Q

What does the leftover follicle do after ovulation?

A

Converts itself into an endocrine gland (corpus luteum) which makes progesterone –> tells uterus to get ready for a zygote

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23
Q

Layers of the uterus

A

Myometrium

Endometrium (stratum basalis and then stratum functionalis)

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24
Q

Layers of the endometrium

A

Stratum basalis: always there

Stratum functionalis: gets thick & accepts fertilized egg, falls off

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25
Q

Where do most changes of the menstrual cycle occur?

A

In the endometrium

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26
Q

What is the purpose of the uterine cycle?

A

Prepares the endometrium for zygote implantation

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27
Q

How does the stratum functionalis develop?

A

Due to the proliferation of the endometrial stroma & elongation and growth of endometrial glands (provides nutrients for the zygote)

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28
Q

Phases of the uterine cycle

A

Menstrual phase: loss of the stratum functionalis

Proliferative phase: growth of stratum functionalis, endometrial glands get thicker & BVs get more spiral

Secretory phase: secretion of food for a fertilized egg

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29
Q

Estrogen levels during menstrual phase

A

Low

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30
Q

Cause of the proliferative phase

A

Release of estrogen

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31
Q

What causes the endometrium to become secretory?

A

Progesterone released by corpus lute

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32
Q

How is the endometrium rescued?

A

Pregnancy!

Stops the degeneration of the corpus luteum because implanting egg & placenta releases hCG

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33
Q

What is hCG + what does it do?

A

Human chorionic gonadotropin

Stops the menstrual cycle + tells the corpus luteum to keep making estrogen and progesterone

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34
Q

Progesterone effect with menstrual cycle

A

Progesterone inhibits uterine contractions & disintegration of the stratum functionalis

35
Q

When can a fertilized egg implant on the endometrium?

A

A few days before or after ovulation

36
Q

Parts of sperm

A

Acrosome: head, contains digestive enzymes to penetrate the zona pellucida

Nucleus: haploid chromosomes

Midpiece: supplies energy for flagellum (mitochondria)

Flagellum: provides motive power for swimming

37
Q

Spermatogenesis

A

Stem cells (spermatogonia) constantly divide + undergo meiosis

1 stem cell = 4 sperm

38
Q

Components of semen

A

Fluid from seminal vesicles

Sperm from vas deferens

Prostatic fluid from prostate

39
Q

Seminal vesicle secretions

A

Makes up majority of semen

Secretions have fructose (food) and clotting proteins (allows for clotting of semen)

Prostaglandins (stimulates sperm to swim + uterus to contact)

Alkaline fluid

40
Q

Prostatic fluid

A

Acidic/neutral fluid that provides a medium for sperm to swim

Has citric acid (nutrient for sperm)

Has protein digesting enzymes (breaks clot so sperm can swim out)

41
Q

Purpose of bulbourethral glands

A

During arousal, bulbourethal glans release alkaline fluid intro the urethra to neutralize acidic urine & some mucus (so sperm don’t touch urethra wall) to decrease sperm damage during ejaculation

42
Q

Similarities between 2 processes of gamete manufacture

A

FSH stimulates growth of gametes

LH stimulates production of hormones from the gonad

Hormones produced by the gonads feedback on the pituitary to decreased production of gonadotropins

43
Q

What does LH stimulate?

A

Stimulates ovarian follicle to make estrogen & progesterone

Stimulates Leydig cells in the testes to make testosterone

44
Q

How does negative feedback of the gonads occur?

A

Sex steroids!!

45
Q

Requirements for fertilization

A

Male

  • Has to be enough sperm per mL of semen
  • Has to make its way up to the Fallopian tube

Female

  • Egg has to be in the uterine tube
  • Cervical mucus can’t be too thick
  • The endometrium has to be in the secretory phase for a blastocyst
46
Q

Blocks of polyspermy (x2)

A
  1. Cell membrane of the oocyte depolarizes (prevents other sperm from contacting)
  2. The ZP hardens (due to enzymes released by the oocytes) –> no more sperm can enter
47
Q

Where is the site of fertilization?

A

The ampulla

48
Q

Importances of the zona pellucida

A

So the zygote doesn’t implant in the uterine tube

Once in the endometrium, the buildup of fluid causes ZP to crack open so now the blastocyst can implant

49
Q

What makes up the future placenta?

A

The trophoblasts

50
Q

Purpose of the yolk sac

A

Source for early blood cells

Membrane for nutrient exchange

Temporary waste storage (produced by metabolically active cells)

51
Q

Where does the amniotic cavity form?

A

Forms in the ectoderm –> completely surrounds the developing fetus

52
Q

Purpose of the connecting stalk

A

Leads to the trophoblasts

Becomes the umbilical cord

53
Q

What does the ectoderm give rise to?

A

Skin & nervous system (CNS)

54
Q

What does the mesoderm give rise to?

A

MSK & blood vessels + lymphatics

55
Q

What does the endoderm give rise to?

A

Tube-like structures (GI, GU & respiratory tracts)

56
Q

What is the allantois?

A

Part of the yolk sack –> storage of waste

57
Q

What does the head fold give rise to?

A

CNS, spinal cord

58
Q

What does the tail end give rise to?

A

Sacral part of spinal cord

59
Q

Parts of the endoderm

A

Foregut: pharynx - duodenum (supply: celiac trunk)

Midgut: supplied by superior mesenteric a.

Hindgut: distal colon - rectum (supply: inferior mesenteric a.)

60
Q

Vessels of the umbilical cord (x3)

A

Large umbilical vein: supplies O2 rich blood from placenta –> fetus

2 smaller umbilical arteries: fetus –> placenta for waste

61
Q

Three stages of development

A
  1. Pre-embryonic
  2. Embryo
  3. Fetus
62
Q

Pre-embryonic phase of development

A

At the end of this phase, there is a tiny trophoblast

In the early parts of this phase, ZP is still present so embryo is isolated from maternal environment

63
Q

Embryonic phase

A

All major organs are assembled in this time –> organogenesis

Placenta is now much larger than the embryo & complete access to maternal circulation

64
Q

Fetal phase

A

Organs grow during this period –> histogenesis phase

65
Q

Problems in embryonic development

A

Major dysgenesis in organ systems –> caused by drugs on the maternal side

Thalidomide (anti-nausea pill) = interfered with development of upper limb bud (phocomelia)

Valproic acid (anti-seizure medication) = interfered with the proper closure of the neural tube (spina bifida)

66
Q

Problems in fetal development

A

Incomplete or abnormal development in organ systems

Microtia: incomplete growth of outer ear

Cataracts: lens are cloudy due to rubella virus (interrupted ion pumps within the lens)

67
Q

What is the decidua?

A

Stratum basalis + functionalis = maternal contribution to the placenta (where the blood comes in)

68
Q

What is the chorion?

A

Fetal contribution to the placenta (came from the trophoblasts)

69
Q

Purpose of the amniotic sac

A

Absorbs mechanical vibrations & helps fetus to strengthen muscles (resistance against water)

70
Q

What happens if there is too much amniotic fluid?

A

Can cause fetal distress during delivery

Can be caused due to diabetes at the time of pregnancy

71
Q

Purpose of anchoring villus

A

So the placenta doesn’t detach

72
Q

What are syncytiotrophoblasts?

A

Outer layer of cells that line the chorionic villi & separate maternal and fetal blood cells

Express very little MHC I molecules so the maternal immune system doesn’t attack

73
Q

What are cytotrophoblasts?

A

Cells that invade the maternal side to anchor + go into the maternal arteries

74
Q

What does extraembryonic mesoderm give rise to?

A

BVs in the chorionic villi

75
Q

What is found in the intervillous space?

A

Maternal blood

76
Q

Components of the umbilical cord

A

Gelatinous goo on the outside (Wharton’s jelly) = mesenchymal stem cells used to make MSK

Also fibroblasts (CT) and myofibroblasts (muscle)

77
Q

What is the source for cord-derived mesenchymal cells?

A

Wharton’s jelly (extraembryonic mesoderm)

78
Q

What is the source for blood-derived stem cells?

A

Cord blood

79
Q

Purpose of syncytiotrophoblasts

A

Cover + hide fetal structures

80
Q

Purpose of cytotrophoblasts

A

When trophoblasts invade the maternal endometrium, cytotrophoblasts will cover the SM –> allows for blood to fetus even under sympathetic stimulation

81
Q

What would happen if the cytotrophoblasts didn’t completely cover the arteries?

A

Fetal side: intrauterine growth restriction (not enough nutrients to fetus)

Maternal side: hypertension (preeclampsia)

82
Q

Maternal adaptions to pregnancy (x4)

A
  1. Cellular immunity decreases (must remain tolerant of paternal antigens)
  2. Increased blood volume and cardiac output
  3. Increased tidal volume (to increase CO2 loss: larger conc gradient)
  4. Myometrial mass increases greatly
83
Q

Positive feedback during childbirth

A
  1. Pressure on cervix
  2. Stretch receptors in cervix –> hypothalamus
  3. OT released by post. pituitary (receptors are found on myometrium)
  4. Uterus contracts
84
Q

How does the uterus wake up at term? (x4)

A
  1. Expression of lots of OT and prostaglandin (uterine contractions) receptors
  2. Stimulation/disinhibition of OT and PG production
  3. Decreased RMP (closer to threshold)
  4. More gap junctions expressed between myocytes