The reproductive system (17) Flashcards
What do the Fallopian tubes have that help move the egg towards the central components of the female reproductive tract?
cilia- help ‘waft’
spiral muscle- peristalsis
What do we cut in a vasectomy?
vas deferens
What would cause an ectopic pregnancy?
- any defect in cilia or spiral muscles of Fallopian tube (can lead to infertility bc fertilisation usually occurs in widest part- ampulla)
- if fertilisation occurs further up–> ectopic pregnancy: as embryo grows- Fallopian tubes rupture–> catastrophic haemorrhage
What is uterine prolapse?
loss of tone of the pelvic floor (levator ani and coccygeus)
What is the arterial blood supply to the female reproductive tract?
ovaries: ovarian arteries (from aorta)
uterus/vagina: uterine arteries (from internal iliac artery)
What are the 2 main functions of the gonads?
gametogenesis and reproductive hormone production
What is the lifespan of germ cells in males?
- gametogenesis begins at puberty
- spermatogonia differentiate and self-renew–> pool available for subsequent spermatogenic cycles throughout life (continuous fertility)
- produce around 1500 mature sperm/second
What is the lifespan of germ cells in females?
before birth
- multiplication of oogonia to around 6 million/ ovary
- form 1y oocytes (primordial follicles) within ovarian follicles–> get suspended in prophase of meiosis
- some degenerate (atresia)
- at birth, around 2 million/ovary
by puberty
- <0.5 million/ ovary (due to further atresia)
What is the process of spermatogenesis?
2n germ cell
2n spermatogonium–> mitosis
2n 1y spermatocytes–> 1st meiotic divison
n 2y spermatocytes–> 2nd meiotic division
n spermatids–> differentiation
spermatozoa/sperm
in seminiferous tubules- move inwards as develop
What are the Sertoli cells?
- within seminiferous tubules
- has FSH receptors
- supports developing germ cells: assists movement to tubular lumen, transfers nutrients from capillaries to developing germ cells, and involved in phagocytosis of damaged germ cells
- hormone synthesis: release inhibin and activin, AMH and ABP
What are the Leydig cells?
- between seminiferous tubules (not inside)
- pale cytoplasm bc cholesterol-rich
- has LH receptors
- hormone synthesis: when stimulated by LH, secrete androgens e.g. testosterone
What hormones are produced in the testes?
- androgens (testosterone, dihydrotestosterone, androstenedione)
- inhibin: acts on pituitary to inhibit FSH secretion
- oestrogens (from androgen aromatisation)
What is the process of oogenesis?
N.B. in 2nd trimester of pregnancy, all oogonia develop into 1y oocytes- locked here
2n germ cell
2n oogonium–> mitosis
2n 1y oocytes–> 1st meiotic division at menarche
n 2y oocytes (+1st polar bodies) –> 2nd meiotic divison when sperm fuses
n ootids (+2nd polar bodies)–> differentiation
n ova
What is menarche?
start of menstrual cycle
What is the process of folliculogenesis?
- PRIMORDIAL FOLLICULE- contains 1y oocyte at birth
- becomes 1Y FOLLICLE- surrounded by layers of granulosa and theca cells
- mature to form 2Y FOLLICLE w/ fluid-filled cavity (antrum) and FSH+LH receptors
- MATURE FOLLICLE/Graafian/Preovulatory- forms halfway through menstrual cycle- 2y oocyte in cumulus mass
- RUPTURED FOLLICLE- 2y oocyte ruptures out
- follicle degenerates into CORPUS LUTEUM- secretes progesterone
- degenerates into CORPUS ALBICANS
How can we tell if someone has ovulated?
- measure day 21 progesterone and
- maybe ultrasound (presence of corpus luteum)
if corpus luteum–> must be successful ovulation
What hormones are made by the ovaries?
- oestrogens (oestradiol, oestrone, oestriol)
- progestogens (progesterone)
- androgens (testosterone, androstenedione, DHEA)
- relaxin
- inhibin
What is a theca cell?
- outer part of ovarian follicles
- support folliculogenesis: structural and nutritional
- hormone synthesis: make androgens- stimulated by LH (theca cell overactivity–> high androgen levels)
What is a granulosa cell?
- inner part of ovarian follicles
- hormone synthesis: convert androgens to oestrogen (by aromatase)- stimulated by FSH
AND secrete inhibin and activin (affect FSH) - after ovulation–> turn into granulosa lutein cells- produce progesterone (maintain endometrium) and relaxin (prepare endometrium for pregnancy)
What is the common initial substrate for all gonadal steroid hormones?
cholesterol
How does the Hypothalamic-Pituitary-Gonadal Axis (HPG) work?
kisspeptin neurons secrete kisspeptin onto receptors on GnRH neurons in hypothalamus–> secrete GnRH
- -> released via hypophyseal portal circulation in pulses to gonadotrophs in pituitary gland
- -> gonadotrophs make LH/FSH- enter systemic circulation
- -> these act on gonads to make oestrogen/testosterone (diurnal- high levels in morning)
- -> oestrogen/testosterone feedback directly onto pituitary AND kisspeptin neurons (mainly -ve)
What happens to the HPG axis in hyperprolactinaemia?
- prolactin binds to prolactin receptors on kisspeptin neurons in hypothalamus
- inhibits kisspeptin release
- dec. in downstream GnRH/LH/FSH/T/Oest
- leads to oligo or amenorrhoea/low libido/infertility/osteoporosis
What is the overall structure of the menstrual cycle?
day 1: first day of bleeding due to drop in progesterone- degradation of endometrial lining
1-14: follicle phase then luteal phase (potential pregnancy)
day 14: ovulation
then up to 28 days