Reproductive Physiology Flashcards
What are the phases and days of the ovarian cycle?
Follicular phase (days 1-13) - Ovulation (day 14) - Luteal phase (days 15-28)
Which pituitary and ovarian events occur during the follicular phase?
Several follicles reach secondary stage, but FSH causes the dominant follicle to mature to a tertiary follicle. The dominant follicle produces oestrogen, which causes FSH levels to lower, causing degeneration of the other follicles, which are then reabsorbed.
Which pituitary and ovarian events occur during the ovulatory phase?
Increases levels of oestrogen peak and cause an LH surge. This causes the primary oocyte in the dominant follicle to complete the first meiotic division, forming a secondary oocyte and polar body. Follicle then ruptures and the mature oocyte is then released, alongside nourishing granulosa cells. Ovulation occurs 12 hours after the LH surge
Which pituitary and ovarian events occur during the luteal phase?
After ovulation, the ruptured follicle forms the corpus luteum. Granulosa cells in this secrete progesterone, oestrogen and relaxin - these inhibit FSH release to prevent further follicle development. If pregnancy does not occur, the corpus luteum degenerates and progesterone levels decrease - allowing the follicular phase to then occur again after 14 days. Menstruation (luteolysis) occurs 14 days after ovulation.
The upper 2 thirds, or functional layer, of endometrium is responsive to which hormones?
Oestrogen and progesterone - these cause the structural changes required for pregnancy
What effect does oestrogen have on the endometrium?
Stimulates endometrial growth
What effect does progesterone have on the endometrium?
Matures the endometrium
Which endometrial events occur during proliferative phase (days 5-14)?
Oestrogen from the dominant follicle induced growth of endometrial glands and stroma. Also causes thickening of cervical mucous
Which endometrial events occur during luteal/secretory phase (days 15-28)?
After ovulation, progesterone from the corpus luteum causes decidualisation. This stops the proliferation of endometrial cells, and causes it to differentiate and mature. Also induces glandular secretory activity - glands dilate and become engorged, allowing it to nourish a potential embryo.
Which endometrial events occur during menstruation (days 1-5)?
Decreasing levels of oestrogen and progesterone at the end of the previous cycle, and outgrowing the blood supply leads to apoptosis of the cells in the functional layer. This results in shedding, leaving only the thin basal layer.
What volume of blood is secreted per menstruation?
<80 ml
True or False: clots, ‘flooding’ into clothes, anaemia are normal for menstruation
False
What range of number of days is thought of as normal for a menstrual cycle?
21-35 days
True or False: Intermenstrual Bleeding (IMB) and Post-Coital Bleeding (PCB) is normal
False
How long do sperm live in the female genital tract?
5 days