Reproductive Physiology Basics (Parts 1-6) Flashcards
Describe the structure of ovaries
surface, cortex, medulla
- surface: connective tissue capsule covered with layer of simple cuboidal epithelium.
- cortex: peripheral part, connective tissue containing ovarian follicles (one oocyte surrounded by single layer of cells).
- medulla: central part, connective tissue with blood vessels.
what are the functions of ovaries?
- oocyte production
- steroid hormone production: estrogen develops secondary sexual characteristics, progesterone prepares endometrium for implantation, 50% of testosterone produced by ovaries before menopause
outline the process of oogenesis
- primordial germ cell mitosis in fetal life only and primotdial follicles arrested in the stage of 1st meiotic division until puberty.
- first meiotic division complete and second division starts after puberty and leads to release of one secondary oocyte in a menstrual cycle which is capable of fertilisation.
- second meiotic division completes after fertilisation of oocyte with sperm.
describe primordial follicles
primary oocyte arrested in first meiotic division surrounded by one layer of squamous pre granulosa cells
describe a primary follicle
oocyte surrounded by zona and cuboidal granulosa cells
describe a secondary follicle
increased oocyte diameter and multiple layer of granulosa cells, resumption of first meiotic division
describe tertiary/graffian follicles
Tertiary follicles, also known as Graafian follicles, are large, fluid-filled follicles in the ovaries that prepare to release an egg.
Structure
Antrum: A fluid-filled space within the follicle
Theca: A two-layered structure around the antrum, consisting of theca interna and theca externa
Zona pellucida: A thick covering around the secondary oocyte
Cumulus oophorus: A mound of granulosa cells that projects into the antrum and surrounds the oocyte
Corona radiata: A thin ring of granulosa cells that surrounds the oocyte
what are the four phases of the ovarian cycle?
- follicular phase
- ovulation
- luteal phase
- menstruation
what happens during the follicular phase of ovarian cycle?
- FSH causes follicle to mature and produce oestrogen (inhibiting development of other follicles)
what happens during the ovulation phase of ovarian cycle?
- an LH surge causes ovulation (follicle ruptures and releases a secondary oocyte).
what happens during the luteal phase of ovarian cycle?
- ruptured follicle forms a corpus luteum and secretes progesterone (and some oestrogen).
what happens during the menstruation phase of ovarian cycle?
- when the corpus luteum degenerates (forms a corpus albicans), a new ovarian cycle can begin.
what problems can cause amenorrhoea (no periods)?
- problem with regulating hormones
- problem with ovarian function
- problem with uterus or outflow tract
which conditions/drugs can cause ameorrhoea due to a problem with regulating hormones?
- functional: excessive weight loss or gain, over exercising, stress
- chronic medical conditions: diabtetes, sarcoidosis, renal disease, TB
- intracranial space occupying lesion: prolactinoma, tumours, cysts
- infection or trauma: meningitis, intracranial bleed, Sheehan’s
- drugs: glucocorticoids, anabolic steroids, opiates
- genetic: Kallmann’s syndrome
List some problems with ovarian function that can cause amenorrhoea
- hypergonadotropic hypogonadism: high or normal FSH,LH
- genetic: Turner’s syndrome (46X), fragile X
- ageing: steep decline in ovarian function past 35 years
- primary ovarian insufficiency
- chronic illness: autoimmune disease
- radiotherapy or chemotherapy
- infection: tuberculosis, mumps oophoritis