repro 4 Flashcards

1
Q

what is the graph of external female genitalia?

A

labias=protection
clitoris=pleasure
vagina=leads to womb

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2
Q

what is the graph of internal genitalia?

A

-vagina leads to uterus (womb)
-opening of uterus, the cervix

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3
Q

what is the uterus?

A

-the uterus is where a fertilized egg implants and develops during pregnancy
3 layers:
-perimetrium: thin outer connective tissue layer
-myometrium: a thick layer of smooth muscle
-endometrium: an inner layer (shed during period)

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4
Q

what are the fallopian tubes?

A

sperm swims into uterus and proceeds down the fallopian tubes (20-25cm)
-contains 2 layers of smooth muscle similar to intestines and lined with cilia to move eggs to uterus

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5
Q

what is the cross-sectional graph of the ovaries?

A

the ovaries produces eggs and hormones
-dense connective tissue layer covering
-inner portion=stroma (medulla and thick outer cortex)

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6
Q

how many are there in follicle development?

A

-5-7 million oogonia during fetal development
-500,000 primordial follicles (primary oocytes) at birth
-180 00 primordial follicles at puberty (wide range seen)

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7
Q

what is follicle development?

A

-primordial follicles are recruited each cycle (1 year complete maturation)
-ovaries contain follicles n different developmental stages
-as secondary follicle develops “antrum” forms become tertiary
-a single tertiary “dominant” follicle fully develop
-many undergo atresia

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8
Q

what is an antrum?

A

fluid filled cavity
-storage of enzymes, hormones, growth factors and regulatory factors needed for oocyte maturation, ovulation and fertilization

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9
Q

what is it throughout follicle development?

A

primary oocyte (double DNA, has not undergone meiosis)

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10
Q

what is the menstrual cycle?

A

females produce mature gametes in monthly cycles (avg 28 days normal range 24-35)
-commonly referred to as the menstrual cycle due to the 3-7 days of bloody uterine discharge (menses or menstruation) ovarian and uterine cycles

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11
Q

what is the ovarian cycle?

A

-follicular phase: marked by follicular growth, most variable 10 days to 3 weeks
-ovulation: once one or more follicles have ripened, the ovary releases oocyte(s) during ovulation
-luteal phase (post ovulatory phase): ruptured follicles transforms to corpus luteum (yellow), named for yellow pigment and lipid deposits
-secretes hormones, cease to function after two weeks

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12
Q

what is the graph of follicle development

A
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13
Q

what is the graph of the ovarian cycle?

A
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14
Q

what is the uterine cycle?

A

-menses: the beginning of the follicular phase in ovary corresponds with menstrual bleeding from the uterus (endometrial layer)
-proliferative phase: latter part of the follicular phase, the uterus adds new cells to the endometrium later in anticipation of pregnancy
-secretory phase: after ovulation hormones from corpus luteum covert thickened endometrium into a secretory structure
-if pregnancy does not occur, the superficial endometrium layers are lost during menstruation and the cycle begins again

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15
Q

what is the graph of both cycles?

A
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16
Q

how is the hormonal control of the menstrual cycle complex?

A

-GnRH from hypothalamus
-FSH and LH from the anterior pituitary
-estrogen, progesterone, inhibin and AMH from the ovary
-during the follicular phase, estrogen is dominant
-ovulation is triggered by surges in LH and FSH
-during luteal phase, progesterone is dominant

17
Q

what is the early to mid-follicular phase?

A

first day of menstruation is day 1
-FSH is released, several tertiary follicles mature
-granulosa (FSH) and thecal (LH) cells begin to produce hormones
-androgens (androstenedione) converted to estrogens (aromatase) in granulosa cells
-AMH prevents additional follicle recruitment
-estrogen negative feedback anterior pituitary, positive on granulosa cells
-estrogen causes endometrium proliferation

18
Q

what is the graph of the hormones?

A
19
Q

what is the late follicular phase and ovulation?

A

-estrogen release peaks from follicles
-some follicles undergo atresia, dominant follicle persists and granulosa cells now begin to also release progesterone and inhibin
-persistently high estrogen flips to positive feedback on hypothalamus
-LH surges to greater degree than FSH (inhibin)
-high estrogen readies endometrium of uterus for implantation

20
Q
A