11.09 Ovarian Function Flashcards Preview

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Flashcards in 11.09 Ovarian Function Deck (33):
1

When does oogenesis start?

When does it finish?

Oogenesis begins in foetal life but it is arrested in the second meiosis.  This gives rise to all the primary oocytes. These are arrested in the first meiotic division.

It reassumes division in puberty when menses begins.

It finishes when the finite number of oocytes run out in menopause

2

What are the two major reproductive hormones for females?

Oestrogen and Progesterone in females come from follicular cells and corpus luteum
 

3

What is menses?

When the endometrial lining of the uterus sloughs off and begins the classic menstrual cycle

4

Describe the menstrual cycle

  • Begins at puberty
  • Interrupted by pregnancy (because the endometrium is retained for the embryo)
  • Terminated by menopause
  • Length of 28 days – cyclic process
  • It has two phases:
    • Follicular phase (Proliferative endometrium)
    • Luteal Phase (Secretory)

5

What is meant by the uterine cycle?

The same as the mentrual cycle but described in relation to the endometrium instead of the ova.

The uterine cycle:

  • Proliferative phase where the endometrium builds up to support implantation dominated by oestrogen.
  • Secretory phase dominated by both progesterone and oestrogen which secretes nutrients that are meant to support the implanted cell  

6

What are the female secondary characteristics?

  • Characteristics controlled by estrogen: Breast development and Distribution of body fat
  • Adrenal androgens control some female traits like Growth of pubic and axillary hair and Sex drive (libido)

7

What are the labiam major and labiam minor

Skin folds protect the sensitive area. No ascending rising bacteria particularly during pregnancy - labium minora and labium majora. With the anus at a distance

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8

What are the 2 major layers of the uterus?

The first (inner lining) of the uterus is the endometrium. 

The myometrium is the muscle layer that contracts and delivers the baby from the uterus. 

Both layers are highly vascularised

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9

Describe the anatomy of the female reproductive system

The vagina ends in the cervix (which is normally long, thick and closed which dilates and apphase 10cm to allow delivery of the baby). 

The cervix deliniates the vagina from the uterus which is connected by fallopian tubes to fimbraie (finger like structures). 

The ovaries lie near the fimbrae - NOT PHYSICALLY ATTACHED to them. This means the egg is released in the vicinity of the fimbrae and they "pick it up"

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10

Describe oogenesis occuring in the ovary in the context of anatomy

Maturation changes the oocyte to become mature and fluid filled for nutrition and that is what is ovulated.

Mature oocytes are ejected from the ovary (through a tearing in tissue).  The follicle is left behind and differentiates into the corpus luteum (and eventually dies off if there is no firtilisation).

 

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11

Describe the microanatomy of the a mature follicle

  • Surface epithelium
  • Thecal cell layer which responds to LH and are responsible for androgen release 
  • Basal lamina
  • Granulosa cell layer which responds to FSH and turns the androgens into oestrogen as well as releasing inhibin for negative feedback purposes
  • Antral fluid is important for nutrient supply

12

What is a polar body?

Either of the two small cells produced during the first and second meitoic divisions in the development of an ooxyte that contains little cytoplasm and eventually degrades. 

The genome is equally divided between daughter cells in meiosis of oogenesis but not the cytoplasm,

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13

Describe the three phases of the menstrual cycle (including timing)

  1. Follicular / Proliferative phase
    • Follicle growth in ovary (egg matures)
    • Endometrium builds up in preparation
    • Days 0‐13
  2. Ovulation
    • Ripened follicles and release of oocyte(s)
    •  Day 14
  3. Luteal / Secretory phase
    • Ruptured follicle transforms into corpus luteum in preparation for pregnancy
    • Days 15‐28

14

Describe the three phases of the endometrial lining (ie. the uterine cycle)

  1. Menses
    • No pregnancy
    • Bleeding from uterus as endometrium is shed
  2. Proliferative phase
    • New layer of endometrium in preparation of pregnancy
  3. Secretory phase
    • Conversion of endometrium to secretory structure to promote implantation

15

How does the basal body temperature of a woman change with ovulation?

Basal body temp of a woman changes very lightly during the menstrual cycle with an increase in temperature just AFTER the menstrual cycle. Useful in tracking ovulation

 

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16

Describe the hormonal changes that occur during the follicular phase of the menstrual cycle

  • The GnRH release causes a release of FSH and LH
    • Together they stimulate and support follicular maturation: antral formation to the point 1 dominant follicle is present
    • LH causes thecal cells to release androgens which negatively feeds back to LH production
    • FSH acts on granulosa cells to convert the androgens into oestrogen (using aromatase enzyme)
  • Oestrogen has a positive feedback loop to granulosa cells to make more oestrogen = increasing oestrogen levels
  • Oestrogen has a negative feedback loop on FSH and LH keeping them at tonically low levels 

This whole time, menses is occuring from the failed implanation from the previous cycle

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17

Describe the hormonal changes that occur during the ovulatory phase of the menstrual cycle

  • The rising oestrogen from the positive feedback reaches a THRESHOLD that changes the negative feedback on LSH and FSH into positive feedback
    • LH and FSH surge
    • Oestrogen also causes the cervical mucous to become thinner (in preparation for the sperm to be able to swim through)
    • Oestrogen supports proliferation of the endometrium and expression of progesterone receptors in perparation
  • This surge triggers ovulation to occur
  • Granulosa cells of the released oocyte release inhibin which quickly brings and keeps FSH and LH levels down to prevent another follicle maturing
    • Also releases some progesterone 
  • The follicle that remains differentiates into the corpus luteum and oestrogen levels begin to fall

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18

Describe the hormonal changes that occur during the luteal phase of the menstrual cycle

  • The differentiated follicle is now the corpus luteum. This means there is no more source for oestrogen 
    • Increase in basal body temperature
    • Cervical mucous becomes thick
  • The mature corpus luteum becomes steroidogenic and releases high amounts of progesterone
    • Progesterone receptors on the endometrium enable it to be maintained 
  • Some oestrogen is also released to maintain the endometrium
  • Corpus luteum also secretes high levels of inhibin to prevent FSH and LH levels increasing

 

Pregnancy = maintained state 

No Pregnancy = Corpus luteum dies leaving no source for progesterone and oestrogen leading to endometrial sloughing and a removal of the negative inhibtion on FSH and LH such that the cycle can start again.

 

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19

What are the causes of menopause?

What are the symptoms?

  • Ovaries cease responding to LH/FSH because there are no more follicles to respond and mature
  • Low levels of estrogen and progesterone lead to Cessation of egg development

Symptoms and therapies

  • Hot flashes and increased osteoporosis risk and vaginal dryness 
  • Hormone replacement debate

20

What is meant by the fertilisation window?

  • Sperm lives for 48 hours once it is released from the penis
  • The secondary oocyte lives for 24 hours (once it is released on roughly day 14)

 

This means that there is a narrow 24 hour period where fertilisation can occur

 

 

21

Where does fertilisation occur?

Fallopian tube

22

What are the steps of feritilisation?

  • Sperm capacitation occurs in vagina
  • Sperm swim “upstream”
  • Sperm reach oocyte in Fallopian tube
  • Acrosomal reaction􏰀 of digestive enzymes
  • Zona pellucida and cell junctions dissolve
  • Membranes fuse and sperm nucleus enters
  • Cortical reaction blocks polyspermy
  • Nuclear fusion creates a diploid cell

1 sperm + 1 oocyte = 􏰀1 zygote

23

What is sperm capacitation?

he process by which the glycoprotein coat and the seminal proteins are removed from the surface of the sperm's acrosome bysubstances secreted by the uterus or fallopian tubes of the female genital tract, thereby permitting the acrosome reaction to occur.

24

What is the acrosome reaction?

The acrosome is the cap structure of the sperm head. 

The acrosome reaction occurs when the sperm approaches the zona pallucida around the ova. The acrosome fuses with the plasma membrane of the oocyte and exposes contents like surface antigens and digestive enzymes that break through the egg's coating to allow fertilisation.

 

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25

Describe what happens to the zygote once fertilisation occurs

Fertilisation leads to a zygote which undergoes multiple cell divisions forming the morula (ball of cells). When this enters the uterus (day 4/5) it becomes the blastocyst with an inner cell mass (to become the foetus) and the trophoblast cell (placenta)

Around day 5-9 there is implantation (this can only happen if the endometrium is appropriately nourished). It gets buried completely in the endometrium because it needs the nutrients, oxygen and blood flow to grow and develop. Many don’t get to this point - 30-50% of successful fertilisations don’t get to this point.

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26

What are the 3 critical periods of pregnancy?

  1. Early Pregnancy (weeks 1‐2)
  2. Embryonic Period (weeks 3‐8)
  3. Fetal Period (weeks 9 – term 40 weeks)

27

Describe the early pregnancy stage (1-2 weeks) in terms of dangers to the embryo

= Division, formation of morula and blastocyst embedding. 

  • Not susceptible to teratogens
  • Susceptible to chromosome abnormalities
  • Environmental disturbances interfere with implantation

28

Describe the embryonic period (3-8 weeks) of pregnancy and the dangers faced here

  • Most susceptible to teratogens
  • All major organ systems present

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29

Describe the foetal period of pregnancy and the dangers present to the foetus at this stage

The foetus (defined as a foetus from 9 weeks onward)

  • Rapid growth
  • Physiological defects
  • Minor morphological abnormalities (as organs already developed)
  • Functional disturbances

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30

Genetic and Environmental factors impair foetal growth. 

What are some environmental factors impairing growth?

  • Multiple pregnancy (eg. twins and triplets get less nutrients)
  • Maternal under nutrition
  • Oxygenation (eg. high altitude = smaller babies)
  • Placental function
  • Smoking = teratogenic
  • Alcohol
  • Drugs
  • Exercise (either not enough or too much due to blood diversion)
  • Infectious agents
  • Environmental chemicals

31

Describe in more detail the effect of alcohol on the feotus

Crosses the placenta and the  foetus doesn’t have the liver enzymes to break it down and thus it urinates it out and into the amniotic fluid and recycles it. If the mother’s blood alcohol is 0.05 so is the foetus but it keeps rising.

32

How long before you can detect pregnancy from the outside (ie. baby bump)

Generally not until after 16 weeks

33

What are the major methods of pregnancy prevention?

Total abstinence

Abstinence during periods of female fertility (Cycle length, basal body temperature, cervical mucus)

Interventional methods

  • Barriers (condoms, diaphragms)
  • Surgery (vasectomy or tubal ligation)
  • Blocking implantation (intrauterine devices and morning after pill)
  • Hormone treatments to reduce gamete production (the pill)