Session 2 - Hormone Stuff Flashcards

1
Q

What does LH act on in the male and what does it produce?

A

Leydig cells to promote the secretion of testosterone.

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2
Q

What are the actions of LH enhanced by in the male?

A

Prolactin

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3
Q

What are the actions of FSH in the male?

A

Acts on sertoli cells to facillitate spermatogenesis and produce inhibin

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4
Q

What are the three phases of the menstrual cycle?

A

Antral
Pre-ovulatory
Luteal

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5
Q

What happens in the antral phase?

A
o	LH binds to Theca Interna cells
	Produce Androgens
	Primarily Androstenedione
o	FSH binds to Granulosa cells
	Produce enzymes 
	Androgens  Oestrogen

o As the follicle grows, more oestrogen is produced for a given amount of LH and FSH

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6
Q

What happens in the pre-ovulatory phase?

A

o Follicle has grown, and is producing a high amount of Oestrogen
o LH receptors develop in outer layers of Granulosa Cells
o [High] Oestrogen positively feeds back
o LH Surge produced
 Stimulates ovulation
 Follicle size increases, collagenase activity
 FSH still being inhibited by Inhibin

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7
Q

What happens in the luteal phase?

A

o Remains of follicle reorganise into Corpus Luteum
o LH stimulates the Corpus Luteum
o Produces Oestrogen and Progesterone
 Progesterone prevents +’ve feedback
 Enhances –‘ve feedback
 Prevents new follicles from developing ( FSH)

o As the Corpus Luteum grows, more steroids are produced for a given LH level

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8
Q

What are the two types of action of gonadal steroids?

A

Determinative and regulatory

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9
Q

List five determinative actions of testosterone

A
o	Increase size and mass of muscles, vocal cords, bones
o	Deepening of the voice
o	Facial and body hair
o	Increased stature
o	Growth of the penis
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10
Q

List three regulatory actions of testosterone

A

o Maintenance of the male internal genitalia
 Prostate, seminal vesicles, vas deferens, epididymis
o Metabolic (Anabolic) action
o Behavioural Effects
 Aggression
 Sexual activity

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11
Q

List seven actions of oestrogen

A
o	Fallopian tube function
o	Thickening of endometrium
o	Growth and motility of myometrium
o	Thin alkaline cervical mucus
o	Vaginal changes
o	Changes in skin, hair, metabolism
o	Calcium metabolism
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12
Q

Give 7 actions of progesterone on oestrogen primed cells

A

o Further thickening of endometrium into secretory form
o Thickening of myometrium, but reduction of motility
o Thick, acid, cervical mucus
o Changes in mammary tissue
o Increased body temperature
o Metabolic (mild Catabolic) changes
o Electrolyte changes

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13
Q

What are the 5 anatomical parts of the female reproductive system which are changed during the menstrual system

A
Fallopian tube
Myometrium
Endometrium
Cervical mucus
Vaginal epithelium
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14
Q

What happens to the female reproductive tract during the follicular phase?

A
Steadily rising titres of oestrogen cause
o	Fallopian Tube
Increase Secretion, motility, cilia
o	Myometrium
Increase Growth, motility
o	Endometrium
	 Thickness, glandular invaginations
Secrete a watery fluid, conductive to sperm
o	 Cervical Mucus
	Thin, alkaline, conductive to sperm
o	Vaginal Epithelium
	 Mitosis
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15
Q

What happens to the female reproductive system in the luteal phase?

A

Action of Progesterone on Oestrogen-Primed Cells
o Fallopian Tube
• Decrease Motility, secretion, cilia
o Myometrium
 Further thickening, decreased Motility
o Endometrium
 Further thickening, decreased secretion
 Development of Spiral Arteries
o Cervical Mucus
 Thickening, acidification. Inhibits sperm transport
o Mildly Catabolic
o Elevates basal body temperature
o Promotes change in Na+ and H2O excretion
 With Oestrogen leads to net Na+ and H2O retention

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16
Q

What does the sudden fall in progesterone and oestrogen levels cause?

A

o The elaborate secretary epithelium of the endometrium collapses
o Apoptotic cell death
o Dead tissue shed as menstrual bleed.
o Spiral arteries contract to reduce bleeding.

17
Q

How is testosterone release regulated by feedback control?

A
If Testosterone levels rise:
o	GnRH secretion is inhibited.
	Reduced LH and FSH
o	LH and FSH are reduced further by testosterone reducing sensitivity of Gonadotrophs to GnRH
So Testosterone levels fall back

If Spermatogenesis proceeds too rapidly, Inhibin levels rise
o Inhibin reduces secretion of FSH by acting on Gonadotrophs

18
Q

Describe the pattern of secretion of gonadotrophins and gonadal steroids at beginning of cycle

A

o Oestrogen, Progesterone, Inhibin levels low
o GnRH secretion is released from inhibition
o LH and FSH rise, FSH more as low Inhibin levels release FSH from selective inhibition at the pituitary

19
Q

What causes follicles to grow?

A

FSH, followed by LH causes Follicles to Grow

20
Q

How happens if conception occurs?

A

o The implanted embryo develops a placenta, which secretes Human Chorionic Gonadotrophin (hCG)
o hCG prevents the regression of the Corpus Luteum
o Continues to secrete Oestrogen and Progesterone
o Supports early weeks of pregnancy (Until about 12-14 weeks)
o Maintains suppression of the ovarian cycle