repro 7 Flashcards

1
Q

when does the embryo implant in the endometrium?

A
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2
Q

what is the basic description of a blastocyst?

A

-approximately 100 cells
-outer cell layer (trophoblast) surrounds an inner cell mass
-implants approximately 7 days after ovulation
-upon contact with endometrium, trophoblasts proliferate and secrete proteolytic enzymes allowing blastocyst to penetrate wall

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3
Q

what does the blastocyst form?

A

outer layer of blastocyst forms an extra embryonic membrane (chorion), enclosing the embryo and forming the placenta
-inner cell mass forms embryo and other extraembryonic membranes:
-amnion: secretes amniotic fluid (protection)
-allantois: becomes part of the umbilical cord

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4
Q

what is the placenta?

A

outer layer of cells, chorion, that will become placenta begin to form chorionic villi that penetrate endometrium
-secrete enzymes that break down walls of maternal blood vessels
-nutrients, gases and wastes exchange across membranes of villi mainly by diffusion
-placenta grows to 20cm in diameter and can receive up to 10% of maternal cardiac output

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5
Q

what is hCG?

A

-corpus luteum has pre programmed 12 day life cycle, the embryo secretes hormonal signals to the prevent corpus luteum from degenerating
-chorionic villi of developing placenta secrete human chorionic gonadotropin (hCG)
-similar to LH, binds to LH receptors of corpus luteum, continues hormone secretion, keeping endometrium intact
-hCG stimulates testosterone production in developing testes in male fetuses
-hCG is hormone detected by pregnancy tests
-after 7 weeks of development (9 weeks of pregnancy) placenta takes over hormone production

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6
Q

what is the table of hormones after pregnancy?

A
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7
Q

what does the progesterone and estrogen do that is secreted by the placenta?

A

-negative feedback to HPG axis prevents follicle development
-estrogen: develop milk secreting ducts in breasts
-progesterone: maintains endometrium, suppresses uterine contractions

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7
Q

what are the hormones that the placenta secretes?

A

-progesterone and estrogen
-human placental lactogen (hPL) aka human chorionic somatomammotropin (hCS)

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8
Q

what does the hPL and hCS do that is secreted by the placenta?

A

-similar to growth hormone and prolactin, initially thought to be necessary for breast development during pregnancy and milk production
-alters mother’s glucose and fatty acid metabolism to support fetal growth (decreases insulin sensitivity, increased lipolysis)
-in 4% of women, insulin insensitivity leads to gestational diabetes

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9
Q

what is the first part of parturition (the birth process)?

A

-normally occurs between the 38th-40th week of gestation
-begins with labor, the rhythmic contractions of the uterus
-signals initiating these contractions are not completely understood
-in some animals, a drop in estrogen and progesterone signals contractions, not the case in humans
-signal could be oxytocin, but it doesn’t usually increase until after labor begins (is used to induce labor)
-one theory is that the placenta releases corticotropin-releasing hormone (increased CRH in weeks leading up to birth)

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10
Q

what is the following steps in parturition?

A

may not know the initiating signal but the sequence of events are understood:
-days prior to onset of labor the cervix softens and ligaments holding pelvic bones together loosens under enzymatic control (estrogen or relaxin)
-at the initiation of contractions, fetus repositions lower in abdomen putting pressure on and stretching cervix initiating a positive feedback loop

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11
Q

what is the positive feedback loop of birth?

A
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12
Q

what is the anatomy of breasts?

A

-mammary glands secrete milk during lactation

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13
Q

what are the steps of breasts during and after puberty?

A

during puberty, estrogen stimulates the growth and branching of milk ducts and deposition of fat
-glands further develop at pregnancy due to estrogen, growth hormone and cortisol
-final development: progesterone converts epithelium into a secretory structure

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14
Q

what is lactation?

A

-progesterone and estrogen actually inhibit milk production (colostrum initially for 3 days)
-milk production controlled by prolactin secreted from anterior pituitary
-prolactin under control of prolactin inhibitory hormone (PIH) (dopamine) which begins to drop later in pregnancy
-oxytocin causes milk ejection “let down reflex”: contraction of smooth muscle in breast (myoepithelial) and uterus

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15
Q

what is the spiderweb of suckling?

A
16
Q

what is puberty?

A

-females: budding breasts and first menstrual period (menarche) (avg age 12, range 8-13)
-males: subtle, growth and maturation of genitalia, pubic and facial hair, lowering of voice, change in body shape and height (9-14 years old)
INITIATED BY
maturation of hypothalamic-pituitary pathway: hypothalamic GnRH-secreting neurons increase their pulsatile secretions
-genetically programmed
-adipose tissue in females (leptin)

17
Q

what is menopause?

A

12 months with no period
-the cessation of the female reproductive cycle
-approximately 40 years after first menstrual cycle (perimenopause)
-ovaries no longer respond to gonadotropins
-absence of estrogen: hot flashes, genitalia atrophy, osteoporosis

18
Q

what is andropause?

A

-testosterone production decreases with age 50% of men over 50 years of age have symptoms of andropause
-decrease in leydig cells