lectuire 5 menopause Flashcards

(61 cards)

1
Q

what is premature menopause?

A

POF

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2
Q

what are the ‘characters’

A

neuropeptides
glycoproteins
steroids

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3
Q

what are the neuropeptides?

A

GnRH

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4
Q

where is GnRH produced?

A

hypothalamus

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5
Q

what does GnRh act on?

A

anterior pituitary gland

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6
Q

what are the glycoproteins?

A

FSH

LH

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7
Q

what is in common with the glycoproteins

A

common alpha chain

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8
Q

what type of receptors are the LH and FSH receptors?

A

G protein coupled

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9
Q

common biochemical precurser for steroids?

A

cholesterol

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10
Q

what are the steroid hormones?

A

prostogens
androgen
corticosteroids

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11
Q

how do the steroid hormones start out?

A

acetate

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12
Q

where do the steroid hormones form

A

mitochondria

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13
Q

how do neuropeptides and glycoproteins interact with the cell?

A

receptor on cell membrane

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14
Q

how do steroids interact with the cell and why?

A

act on the nucleus because they are lipids

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15
Q

what does the hypothalamus produce?

A

GnRH

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16
Q

how does GnRH reach the anterior pituitary gland

A

blood

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17
Q

how often does the hypothalamus release GnRH?

A

hourly

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18
Q

when is the gametogenic potential established

A

foetus

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19
Q

which cells express SRY?

A

coelamic epithelium

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20
Q

what hapopens when there is no SRY?

A

PGC stop mitosis and begin meiosis

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21
Q

at what stage do the PGCs stop meiosis?

A

diplotene stage

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22
Q

how is genetic shuffling done?

A

meiosis

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23
Q

can folliculargenesis start in the sbasnce of hormones?

A

yes

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24
Q

how are the vast majority of follicles lost?

A

atresia

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25
what is the antral follicle characterised by?
antrum which is a fluid filled cavity
26
what is an oocyte surrounded by?
granulosa cells
27
what are the granulosa cells surrounded by?
theca cells
28
when is the oocyte number fixed?
3/4 months
29
what stage are the follicles arested at until birth?
prophase 1
30
what triggers the development of the folicle?
FSH and LH
31
what are the two phases of the ovarian cycle?
follicular phase and luteal phase
32
dominant hormone in follicular phase?
oestrogen
33
dominant hormone in luteal phase?
progesterone
34
what do theca cells have receptors for?
LH
35
what is the action of LH binding?
stimulates the synthesis of androgens
36
what is the action of FSH binding?
granulosa cells express the androgen aromatase
37
what type is the oestrogen?
oestrogen E217B
38
how is the production of FSH inhibited?
inhibin B released by the granulosa cells
39
what do androgens do?
cause proliferation of the granulosa cells and and the folicle gets bigger
40
what does the dominant follicle produce?
AMH
41
why does the dominant folicle produce AMH?
to stop competing follicles
42
what does oestrogen surge act on
granulosa cells
43
what does a rise in LH trigger?
ovulation
44
what do granulosa cells also make in response to high oestrogen?
progesterone
45
what does the follicle do in response to the LH surge?
undergoes nuclear maturation
46
what happens during nuclear maturation?
unequal cell division and most of the sytoplasm is retained in secondary oocyte second meiosis phase starts and arrests at metaphase 2
47
what happens when the oocyte undergoes cytoplasmic maturation
moves things around
48
what day does ovultion occur?
day 14
49
what happens to oocyte and follicle at day 14
it ruptures out of follicle
50
what does the ruptures follicle become?
corpus luteum
51
what does corpus luteum secrete?
oestrogen and progesterone
52
what happens to the luteal phase 14 days past ovulation?
stops unless pregnant
53
what produces adrogens in reponse to LH?
theca cells
54
what are the phases of the uterine cycle?
menstrual, proliferative and secretory phase
55
what is the proliferative phase for?
preparing for pregnancy
56
when is the endometrium re-epitheliased?
4-7 after the beginning of menstruation
57
when does the thickness of the endometrium thicken until?
ovulation
58
what hormones are involved in the secretory phase?
progesterone and oestrogen
59
what happens in the secretory phase?
secretory development of the endometrium
60
what are menopause symptoms due to?
lack of oestrogen
61
what does a lack of oestrogen cause post menopausal?
gradual rise of testosterone