Reproductive system Flashcards

1
Q

what is the difference between male and female mitosis ?

A

male have the parent cell -> gametes cycle during all their life. For female, it is mostly during fetal life : production of mature oocytes ends at birth, and then after puberty some follicles grow each month

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2
Q

how do the ovaries receive blood flow ?

A

from 2 directions : from the pelvis and the uterus

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3
Q

what are the different phases of the menstrual cycle ? Which one is constant ?

A

follicular - ovulation - luteal (constant, around 12 days).
Older women are more likely to have a shorter cycle

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4
Q

GnRH : type of hormone, how is it produced and where, how is it secreted, what does it stimulate, how are the neurons that activate GnRH called

A
  • oligopeptide (10 amino acids)
  • neural cells produce it in the hypothalamus
  • secreted in a pulsatile way in the anterior pituitary
  • stimulates secretion of LH, FSH, and HCG
  • kiss neurons
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5
Q

LH and FSH : half life, main roles and when are they secreted during the cycle

A

FSH :
- 3-4 hours half life
- stimulated production and development of follicles during follicular phase -> one becomes dominant
- higher levels in older women
- secretion higher in the first half of the cycle

LH :
- 20-30 min
- induce ovulation and maintain luteal body
- peak secretion right before ovulation

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6
Q

what are present in the two compartments of ovarian follicles

A

1) theka interna :
- turn cholesterol into androgens
- LH receptors

2) granulosa cells :
- convert androgens into oestrogens (aromatase enzyme)
- FSH receptors (also LH when diameter >12 mm)

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7
Q

how long is the process of ovulation ? what 2 other hormones increase at ovulation ?

A

takes about 1 hour

oestrogens and progesterone

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8
Q

oestrogens : 3 most important ones, steps in steroidgenesis, action on endometrium

A
  • estriol, estron, estradiol
  • cholesterol -> gestagens -> androgens -> estrogens
  • stop menstruation and help proliferation of endometrium
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9
Q

gestagens : 2 main hormones, role in general, what happens if fertilization

A
  • progesterone and 17-hydroxyprogesterone
  • prepare endometrium for attachment of egg (protrusions called pinopods on the endometrium)
  • if fertilization, progesterone increases to support pregnancy
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10
Q

what is the role og HCG in gestation ? (before and after fertilization) When does it start to go down ?

A

HCG takes over for the maintenance of the luteal body after ovulation. If fertilized egg -> luteal body is named corpus luteum graviditatis. HCG is an indication of the health of the pregnancy.

9 weeks : placenta is formed, HCG concentration starts to go down because placenta takes over.

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11
Q

what is one role of estrogens DURING pregnancy ?

A

growth of uterus

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12
Q

if the foetus is male, what is the process that impedes male androgens to harm the mother ? how else can circulating androgens be inactivated ?

A

male androgens (like testosterone) are neutralized by aromatase in the placenta.

Circulating androgens can be inactivated by SHBG (sex hormone binding globulin)

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13
Q

what are 3 signs that the pregnancy reaches the end ?

A

1) progesterone levels start to drop
2) fetal maturation signaling
3) sterile inflammation

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14
Q

what are the 4 hormones involved in lactation and their main role ?

A

1) estrogens : proliferation of mammary exocrine tissue
2) progestins : inhibit milk secretion during pregnancy
3) prolactin : stimulate proliferation of mammary tissues
4) oxytocin : expulsion of milk

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15
Q

AMH hormone : where is it secreted, what is its role (male) ?

A

Secreted by Sertoli cells, in the avascular compartment of the testis (95% of volume of testis).

It inhibits the formation of the Muellerian duct (uterus, fallopian tube, …) -> thus the Wolfian duct is formed.

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16
Q

What are the 3 main male androgens ? where are they secreted ?

A

Testosterone, androstenedione, DHEA.

Secreted by the Leydig cells in the vascular compartment of the testis

17
Q

why is prenatal testosterone necessary ?

A

It is important for the descent of the testis from abdominal region into scrotum (weeks 26-35 of pregnancy).

18
Q

what kind of receptors are on the Sertoli and Leydig cells ? What other hormone can the Sertoli cells secrete ? Negative feedback to pituitary ?

A

Sertoli :
- FSH receptors
- can also produce inhibin B (not A)

Leydig :
- LH receptors -> testosterone production

The inhibin and testosterone exert a negative feedback on the pituitary (less LH and FSH)

19
Q

5 peripheral actions of testosterone in male

A
  • voice (irreversible)
  • blood
  • skin (more hair)
  • muscles
  • sexuality