Gonads 2 Flashcards

1
Q

What are the fates of testosterone and where do they occur?

A

Reduction to DHT - male type phenotypic features

  • Prostate
  • Testes - seminif
  • Seminal vesicles
  • Skin - facial hair
  • Brain
  • Adenohypophysis

Aromatisation to Oestrogen

  • Adrenals
  • Testes - Sertoli
  • Liver
  • Skin - moobs
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2
Q

HOw is testosterone transported?

A

Blood
SHBG 68
Albumin 30
Free 2

In seminiferous
- androgen BG

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3
Q

What are the actions of androgens?

A

Fetus
Development of male internal and external genitalia
Fetal growth

HCG acts as LH and stims test

Adult
- Spermatogenesis
- Growth and development of male genitalia and secondary sex characteristics
- Sex behaviour
- Pubertal growth spurt
Androgenic effects mediated by oestrogen
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4
Q

Define ‘oestrogen’

A

Substance that induces mitosis in the endometrium

Eg
17b oestradiol
Oestrone

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5
Q

What are the effects of oestrogens?

A
Stimulates proliferation
Triggers LH surge for ovulation
Feedback on GnRH -/+
Osteoblast stimualtion
Metabolic actions
Behavioural effects
Salt and water reabsorption
Plasma protein synth
Vaginal secretions
Breast
Skin
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6
Q

What are progestogens?

A

Any substance that induces secretory changes in endometrium

progesterone

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7
Q

What are the effects of progestogens?

A

Stimualtes secretory activity in cervix

Neg feedback on GnRH
Increase body temp
Decrease NaCl uptake
Stimualte alveolar growth in breast

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8
Q

What is the HPT axis?

A

Hypothalamus releases pulses of GnRH

LH and FSH in the adenohypophysis stim to release

Act on the testis
Specifically
- LH on the Leydig
- FSH on the Sertoli

Leydig produce testosterone

Sertoli - direct spermatogenesis

Inhibited (in)directly by testosterone and inhibin

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9
Q

What is the HPO axis?

A

Hypothalamus releases pulses of GnRH

LH and FSH in the adenohypophysis stim to release

Then ovary stim to release oestradiol, feeding back on inhibitory
ALSO INHIBIN

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10
Q

Describe both the hormone and follicular changes during the early follicular phase

A

Follicles starting to grow, but due to small size they only produce little amounts of oestradiol, thus poorly inhibiting FSH and LH.

Thus, these massively increase and lead to increased follicular growth

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11
Q

Describe both the hormone and follicular changes during the early-mid follicular phase

A

All the same but now oestradiol increasing due to the stimulation of growth and oestrogen release of one follicle by FSH and LH.

This is facilitated by a positive feedback loop
- as it grows there are more granulosa cells, which secrete more oestradiol, which lead to more growth etc

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12
Q

Describe both the hormone and follicular changes during the midfollicular phase

A

now oestradiol is starving FSH and LH - inhibit

This then kills off all the other follicles bar the Graafian.

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13
Q

Describe both the hormone and follicular changes during the late-follicular phase

A

Keeps growing

Certain point of oestrogen concentration triggers positive feedback in pituitary, leading to massive rise in LH

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14
Q

Describe both the hormone and follicular changes during the luteal phase

A

Progesterone after egg hatching
- formed by corpus luteum

If no fertilisation, oestradiol, progesterone and inhibin inhibit FSH and LH and crash the whole thing, leading to period.

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15
Q

Whata re the 5 phases

A
Early
Early mid
Mid
Late
Luteal
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16
Q

What is amennorhea?

A

Absence of menstrual cycle

17
Q

Primary amennhorhea?

A

Never had a period

18
Q

Secondary?

A

Had them, then stopped

19
Q

Oligomennorhea?

A

Infrequent - once every 6 weeks

20
Q

What is infertility?

A

WHO - inability to get pregnant following 12 months of unprotected sex

21
Q

What causes infertility?

A

Pituitary failure

Prolactinoma
-inhibits LH and FSH

Testicualr failure

Ovarian failure