The Reproductive System Part 2 Flashcards
describe the OVARIES
- secrete the FEMALE GAMETES OVUM
-
sex hormone - ESTROGEN + PROGESTERONE;
- ESTRADIOL
- ESTRTRIOL
describe the FEMALE REPRO LIGAMENTS
- OVARIAN LIGAMENT
- anchors the ovary MEDIALLY to the UTERUS
- SUSPENSORY LIGAMENT
- anchors the ovary to the LATERAL WALL OF PELVIC WALL
- BROAD LIGAMENT
what is it BLOOD SUPPLY
- supplied by the GONADAL ARTERY
- comes from the OVARIAN BRANCH of the UTERINE ARTERIES
what are the COVERINGS OF THE OVARY?
- ovaries covered by a FIBROUS TUNICA ALBUGINEA
- has outer layer of a GERMINAL CUBOIDAL LAYER
describe the OVARIAN FOLLICLES
- OVARIAN FOLLICLES:
- sac-like structures within CORTEX OF THE OVARY
- contains the OOCYTES (immature egg)
- FOLLICULAR CELL
- one layer
- GRANULOSA CELL
- more than one layer
what are the FOLLICULAR STAGES?
- PRIMORDIAL FOLLICLE:
- a SINGLE LAYER OF FOLLICLE CELLS + OOCYTE
- now enters the FOLLICULAR STAGE;
- VESICULAR (ANTRAL OR TERTIARY FOLLICLE:
- a FULLY MATURE FOLLICLE
-
FLUID-FILLED ANTRUM:
- follicle bulges from the OVARY SURFACE
-
FLUID-FILLED ANTRUM:
- a FULLY MATURE FOLLICLE
definition of OVULATION
- have the EJECTION OF THE OOCYTE from the RIPENING FOLLICLE
- CORPUS INTEUM:
- develops from RUPTURED FOLLICLE AFTER OVULATION
describe the UTERINE TUBES
- before known as FALLOPIAN TUBES or OVIDUCT
- receives the OVULATED OOCYTE
- usual site for FERTILIZATION
- completed covered by the PERITONEUM
describe the ISTHMUS
constricted area where TUBE and UTERUS JOIN TOGETHER
describe the AMPULLA
the DISTAL END OF TUBE that curves around the OVARY
describe the INFUNDIBULUM
- DISTAL EXPANDED PART OF OVARY
- contains FIMBRIAE—ciliated structures; creates CURRENTS to move oocytes into TUBE
describe ETOPIC PREGNANCY
- implantation takes in the UTERUS
- where IMPLANTATION AND FERTILIZATION TAKES PLACE IN UTERINE TUBE
- similar to APPENDICITIS
- look for PRESENCE OF HCG - HUMAN CHORIONIC GONADOTROPIN
describe the PELVIC INFLAMMATORY DISEASE
- spread of infection from the REPRODUCTIVE TRACT into the PERITONEAL CAVITY
- can cause SCAR TISSUE, one of the leading causes of INFERTILITY
- commonly transmitted by STDs
describe the POSITION OF UTERUS
- POSITION OF UTERUS:
- ANTEVERTED:
- INCLINED FORWARD (NORMAL POSITION)
- RETROVERTED:
- INCLINED BACKWARD
- can happen in BIRTH when PLACENTA PULLED OUT TOO QUICKLY
- ANTEVERTED:
describe the UTERUS AND FUNCTION
- UTERUS:
- a HOLLOW + THICK-WALLED + MUSCULAR ORGAN
- FUNCTION:
- RECEIVE + RETAINS + NOURISHES FERTILIZED OVUM
describe the UTERUS ANATOMY
- UTERUS ANATOMY:
- FUNDUS:
- the ROUNDED AND SUPERIOR PART
- ISTHMUS:
- the NARROWED INFERIOR PART
- CERVIX:
- the NARROW NECK that projects into the VAGINA
- CERVICAL CANAL:
- communicates with VAGINA - external os
- communicates with UTERUS - internal os
- FUNDUS:
describe CERVICAL CANCER
- fects around 450,000 women WORLDWIDE
- killing over HALF
- recommended for checkup every THREE YEARS; ages 21 - 30
- most common age group; 30 - 50
- use of PAPANICOLAOU (PAP) SMEAR for detection
describe a PROLAPSED UTERUS
- an UNSUPPORTED UTERUS that sinks INFERIORLY until TIP OF CERVIX PROTRUDES through EXTERNAL VAGINAL OPENING
- often due to OVERSTRETCHING + tearing of muscles during CHILDBIRTH
describe the LAYERS OF THE OVARY
- PERIMETRIUM:
- the OUTERMOST SEROUS LAYER (VISCERAL PERITONEUM)
- MYOMETRIUM:
- the BULKY MIDDLE LAYER consists of INTERLACING LAYERS OF SMOOTH MUSCLE
- contracts RHYTHMICALLY DURING CHILDBIRTH
- ENDOMETRIUM:
- the MUCOSAL LINING
- has SIMPLE COLUMNAR EPITHELIUM
describe the HISTOLOGY OF THE ENDOMETRIUM
- STRATUM FUNCTIONALIS:
- changes in response to OVARIAN HORMONAL CYCLES
- layer that is SHED DURING MENSTRUATION
- STRATUM BASALIS:
- forms a NEW STRATUM FUNCTIONALIS
- UNRESPONSIVE to OVARIAN HORMONES
what is the VASCULAR SUPPLY of the UTERUS?
- UTERINE ARTERIES:
- from INTERNAL ILIAC ARTERIES»_space; ARCUATE ARTERIES»_space; RADIAL ARTERIES in the ENDOMETRIUM»_space; STRAIGHT ARTERIES»_space; SPIRAL ARTERIES (stratum functionalis)
describe the VAGINA
- THIN WALLED TUBE
- the BIRTHING CANAL and MENSTRUAL FLOW PATHWAY
- organ of COAGULATION
- extends from BLADDER to the rectum
describe the LAYERS OF THE VAGINAL WALL
- made up of FIBROELASTIC ADEVENTITIA
- SMOOTH MUSCLE MUSCULARIS
-
STRATIFIED SQUAMOUS MUCOSA with RUGAE
- has DENDRITIC CELLS in the MUCOSA
- can provide a route for HIV TRANSMISSION
describe VAGINAL SECRETIONS
- VAGINAL SECRETIONS:
- acidic in ADULT FEMALES but are more ALKALINE in ADOLESCENTS
describe the VAGINAL MUCOSA
- near vaginal orifice forms INCOMPLETE PARTITION known as HYMEN
- ruptures with INTERCOURSE
describe the VAGINAL FORNIX
the UPPER END OF VAGINA surrounding the CERVIX
describe the MONS PUBIS
- fatty overlying tissue that OVERLAYS PUBIC SYNTHESIS
describe the LABIA MAJORIA
- has HAIR COVERED FATTY SKINFOLDS
- the COUNTER PART TO MALE SCROTUM
describe the LABIA MINORIA
hairless—lined by the LABIA MAJORIA
describe the VESTIBULE
small RECESS WITHIN LABIA MINORA
describe the CLITORIS (GLANS)
- ANTERIOR TO VESTIBULE
- GLANS — exposed portion
describe the PREPUCE
- the HOOD OF THE CLITORIS
- the same as FORESKIN
describe the GREATER VESTIBULAR GLANDS/BAROTHOLIN GLANDS
- has FLANK VAGINAL OPENING
- HOMOLOGOUS to BULBO-URETHRAL GLANDS
- release of MUCUS into VESTIBULE for LUBRICATION
describe the MAMARRY GLANDS
- MAMMARY GLANDS:
- present in MALE AND FEMALE
- only FUNCTION IN FEMALE
- ANATOMY:
- have around 20-25 lobes
- contain GLANDULAR ALVEOLI—production of milk > passes into lactiferous ducts and sinuses
- have around 20-25 lobes
describe the AREOLAR
the PIGMENTED SKIN that surrounded the nipple
describe the SUSPENSORY LIGAMENT (BREAST)
attaches BREAST TO UNDERLYING MUSCLE—PECTALORIS MAJOR MUSCLE
describe BREAST CANCER
- most common malignancy
- second MOST COMMON CAUSE of CANCER DEATH in the US for WOMEN
RISK FACTORS:
have EARLY ONSET MENSTRUATION and LATE MENOPAUSE
describe OOGENESIS
- DOMINANT FOLLICLES:
- resumes MEIOSIS I
- HAVE TWO HAPLOID CELLS;
- SECONDARY OOCYTE
- large cell - full of cytoplasm and organelles
- FIRST POLAR BODY
- small cell - no cytoplasm
- SECONDARY OOCYTE:
- arrests in METAPHASE II—they become OVULATED
- IF NOT PENETRATED;
- DETERIORATES
- PENETRATED;
- SECOND OOCYTE COMPLETES MEIOSIS II
- yields the OVUM into the SECOND POLAR BODY
describe OOGONIA
- (2n ovarian stem cells)
- multiplies by MITOSIS and STORES NUTRIENTS
describe PRIMARY OOCYTES
- develop in the PRIMORDIAL FOLLICLES become surrounded by FOLLICLE CELLS
- begin the MEIOSIS, stalls in PROPHASE I
describe FOLLICULAR PHASE AND LUTEAL PHASE
FOLLICULAR PHASE:
- period of VESICULAR FOLLICLE GROWTH (days 1 - 14)
- varies a BIT
LUTEAL PHASE:
- period of CORPUS LUTEUM ACTIVITY (days 14 - 28)
- always 14 days
describe PATHWAY OF FOLLICLE
- PRIMORDIAL FOLLICLE»_space; PRIMARY FOLLICLE
-
SQUAMOUS LIKE CELLS—surrounded the PRIMARY OOCYTE
- becomes CUBOIDAL + OOCYTE ENLARGES
- FOLLICLE; now called PRIMARY (1) FOLLICLE
-
SQUAMOUS LIKE CELLS—surrounded the PRIMARY OOCYTE
- PRIMARY FOLLICLE»_space; SECONDARY FOLLICLE
- beginning of PROLIFERATION OF FOLLICULAR CELLS—formation of STRATIFIED EPITHELIUM around the OOCYTE
- SECONDARY FOLLICLE»_space; VESCIULAR FOLLICLE
- have the CONNECTIVE TISSUE + GRANULOSA CELLS begin to CONDENSE»_space; THECA FOLLICULI
- formed early vesicular follicle when liquid is CLEAR
- ANTRUM:
- LARGE CAVITY FORMED when FLUID COALESCES—distinguishes itself from other follicles
- continues EXPANDING until ISOLATED;
- ISOLATES OOCYTE:
- has surroundings GRANULOSA CELLS known as the CORONA RADIATA
- sites on STALK OF ONE SIDE OF FOLLICLE
- bulges from EXTERNAL OVARY SURFACE
- has surroundings GRANULOSA CELLS known as the CORONA RADIATA
- have the CONNECTIVE TISSUE + GRANULOSA CELLS begin to CONDENSE»_space; THECA FOLLICULI
describe the FOLLICULAR PHASE
- stimulation of VESICULAR (ANTRAL) FOLLLICLES to GROW
- triggered by increased levels of FSH
- causes only ONE DOMINANT FOLLICLE TO BE SELECTED
function of GRANULOSA CELLS
- GRANULOSA CELLS:
- sends SIGNALS TO OOCYTE to STOP AT METAPHASE II
definition of MITTELSCHMERZ
The twinge OF PAIN sometimes FELT AT OVULATION by some women
describe the LUTEAL PHASE of the OVARIAN CYCLE
- ANTRUM filled with CLOTTED BLOOD
- remaining GRANULOSA CELLS and INTERNAL THECAL CELLS ENLARGES
- secretes PROGESTERONE and some ESTROGEN
- NO PREGNANCY;
- degenerates into the CORPUS ALBICANS (scar) in 10 days and be REABSORBED
describe FSH and LH role in terms of sex hormone secretion
- GONADOTROPIN RELEASING HORMONE:
- stimulation of FSH and LH SECRETIONS
- stimulate FOLLICLES TO MATURE — secretion of SEX HORMONES
- FSH:
- stimulates GRANULOSA CELLS - ESTROGEN
- LH:
- stimulates the THECA CELLS - ANDROGENS»_space; converts into ESTROGEN
- stimulation of FSH and LH SECRETIONS
function of PROGESTRONE
- PROGESTERONE:
- helps to MAINTAIN STRTUM FUNCTIONALIS
- maintains PREGNANCY
what is the THREE PHASES OF THE MENSTRUAL CYCLE?
- UTERINE (MENSTRUAL CYCLE):
- cyclic series of changes in the ENDOMETRIUM that occurs in response to FLUCTUATING OVARIAN HORMONE LEVELS
- THREE PHASES:
- DAY 1 - 5: MENSTRUAL PHASE
- DAY 6 - 14: PROLIFERATIVE (PREOVULATORY PHASE)
day 14 - ovulation - DAY 15 - 28: SECRETORY (POSTOVULATORY PHASE)
describe the MENSTRUAL PHASE
- MENSTRUAL PHASE:
- where OVARIAN HORMONES are at the LOWEST LEVELS
- GONADOTROPIN LEVELS:
- beginning to RISE
- STRATUM FUNCTIONALIS:
- detaches from the UTERINE WALL and begins to SHED
- have MENSTRUAL FLOW OF BLOOD and tissue for around 3-5 days
- detaches from the UTERINE WALL and begins to SHED
- DAY 5:
- GROWING OVARIAN FOLLICLES start to PRODUCE MORE ESTROGEN
describe the PROLIFERATIVE PHASE
- PROLIFERATIVE (PREOVULATORY PHASE):
- have RISING ESTROGEN LEVELS that begin to PROMPY the generation of NEW STRATUM FUNCTIONAL LAYER
- layer begins to THICKEN;
- glands ENLARGE
- SPIRAL ARTERIES increase
- layer begins to THICKEN;
- ESTROGEN:
- increases the SYNTHESIS OF PROGESTERONE RECEPTORS in the ENDOMETRIUM
- have RISING ESTROGEN LEVELS that begin to PROMPY the generation of NEW STRATUM FUNCTIONAL LAYER
describe the SECRETORY PHASE
- SECRETORY PHASE:
- phase that is the MOST CONSISTENT IN DURATION
- ENDOMETRIUM:
- gets ready for EMBRYO to IMPLANT
- have RISING PROGESTERONE LEVELS from CORPUS LUTEUM;
- have THICKENED MUCUS—forms CERVICAL MUCUS PLUG
- blocks entry of MORE SPERM, PATHOGENS and DEBRIS
- IF FERTILIZATION DOES NOT OCCUR:
- have the DEGENERATION OF CORPUS LUTEUM at end of secretory phase
- have the FALLING OF PROGESTERONE LEVELS
- can cause SPIRAL ARTERIES to KINK and SPASM
describe ORGASM
- accompanied by MUSCLE TENSION + INCREASE OF PULSE RATE + BP + RHYTHMIC CONTRACTIONS of the UTERUS
- do not have REFRACTORY PERIOD
describe FEMALE LIBIDO
- prompted by DHEA
- androgen from ADRENAL CORTEX—ADRENAL GLAND
- leads to production of ANDROGENS and ESTROGENS
describe GONORRHEA
- the BACTERIAL INFECTION of MUCOSAE + REPRODUCTIVE + UT
- caused by Neisseria gonorrhoeae
- spreads through GENITAL + ANAL + PHARYNGEAL MUCOSAE
describe SYPHILIS
- SYPHILIS:
- BACTERIAL INFECTION that is transmitted SEXUALLY ot CONGENITALLY
- caused by Treponema pallidum
- infected fetuses — can become STILLBORN or DIE SHORTLY AFTER
- SYMPTOMS:
- bacteria can invade MUCOSAE or EVEN BROKEN SKIN
describe CHLAMYDIA
- the MOST COMMON BACTERIAL STI in the USA
- caused by Chlamydia trachomatis
- can be contracted from BIRTH CANAL BY NEWBORNS
describe TRICHOMONIASIS
- TRICHOMONIASIS:
- the MOST COMMON CURABLE STI in ACTIVE YOUNG WOMEN in the USA
- type of PROTOZOAN INFECTION—easily treated
- SYMPTOMS:
- have YELLOW-GREEN VAGINAL DISCHARGE with STRONG ODOR
describe GENITAL WARTS
- GENITAL WARTS:
- caused by HUMAN PAPILLOMAVIRUS (HPV)
- the SECOND MOST COMMON STI in the USA
describe the DETERMINATION OF GENETIC SEX
- DETERMINATION OF GENETIC SEX:
- of the 46 CHROMOSOMES in FERTILIZED EGG
-
TWO ARE SEX CHROMOSOMES (other 44 are AUTOSOMES)
- X CHROMOSOME (LARGE)
- Y CHROMOSOME (SMALL)
- FEMALES:
- XX; each OVUM has an X CHROMOSOME
- MALES:
- XY; around 50% contain X CHROMOSOME (SPERM) + around 50% contain Y CHROMOSOME
defintiion of SRY GENE
- the MASTER SWITCH on the Y CHROMOSOME that INITIATES TESTES DEVELOPMENT AND MALENESS
- father determines sex of child
definition of NONDISJUNCTION
- the ABNORMAL DISTRIBUTION of SEX CHROMOSOMES to GAMETES that can CAUSE ABNORMALITIES in SEXUAL + REPRODUCTIVE SYSTEM DEVELOPMENT
describe TURNER’S SYNDROME
- TURNER’S SYNDROME:
- known as MONOSYGNY — chromosome XO
- accompanied with INTELLECTUAL DISABILITIES
describe KLEINTELFER’S SYNDROME
- seen in MALES—just has a SINGLE Y CHROMOSOME and TWO OR MORE X CHROMOSOMES
- more female-like proportions etc..
where do the TESTES AND OVARIES FORM FROM?
- TESTES FORMATION:
- begins in WEEK 7 FOR MALES—MESONEPHRIC DUCT
- FEMALE OVARY FORMATION:
- starts to develop in WEEK 8 for FEMALES—PARAMESONEPHRIC DUCT
defention of PSEUDOHERMAPHRODITES
- individuals with EXTERNAL GENITALIA that do not “MATCH” their GONADS
- due to interferences of NORMAL SEX HORMONE PRODUCTION in the EMBRYO
definition of CRYPTORCHIDISM
- the FAILURE OF TESTES to make their NORMAL DESCENT
- can cause STERILITY + INCREASES RISK of TESTICULAR CANCER