reproductive endocrinology Flashcards

(48 cards)

1
Q

how long does it take oogenesis to occur compared to spermatogenesis

A

oogenesis- years, spermatogenesis- 72 days

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2
Q

when does oogenesis begin in women

A

utero, suspended for years and then beings again in puberty

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3
Q

when does oogenesis cease?

A

menopause

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4
Q

what is the first recognisable germinal cell called

A

primordial germ cell

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5
Q

where does the primordial germ cell migrate to by week 6 of embryo development

A

genital ridge

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6
Q

what is oogonia

A

the completion of last pre- biotic divisions to oocytes

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7
Q

what type of cell enters meiosis

A

oocytes

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8
Q

the development of polar bodies in first stage meiosis produces unequal divisions of oocytes, true or flase

A

true

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9
Q

how long does the ovarian cycle last

A

28 days

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10
Q

what is the first and second half of cycle called

A

follicular phase and luteal phase

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11
Q

What happens in the follicular phase

A

primary oocyte surrounded by granulose cells- primary follicle. Each oocyte can produce a single ovum. Oocytes then grow and follicles expand and become differentiated

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12
Q

what happens to the follicular cells after ovulation

A

transformed into the corpus luteum

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13
Q

what does the corpus lute secrete

A

progesterone

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14
Q

what does the gonadal releasing hormone act on and what does this structure then secrete

A

acts on anterior pituitary FSH- development of follicles, LH- follicle maturation, ovulation, corpus lute development

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15
Q

what cells produce androgen

A

theca

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16
Q

what converts the theca cells to oestradiol

A

granulose- thickens endomettrium

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17
Q

what do the theca cells convert androgen to?

A

oestrogen

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18
Q

what organ takes over the role of progesterone secretion after 6 weeks

A

placenta

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19
Q

where does glandular oestrogen synthesis occur?

A

granulosa and theca cells of the ovaries as well as the corpus luteum

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20
Q

what do LH tell granulose cells to produce

21
Q

what produces progesterone?

22
Q

what does oligomenorrhea mean

A

reduction in frequency of periods

23
Q

what is primary amenorrhea

A

failure of puberty at age 16

24
Q

what is secondary amenorrhea

A

cessation of periods for more than >6months

25
what are common secondary causes of amenorrhea
ovarian, uterine, hypothalamic and pituitary dysfunction
26
what is a sign of androgen excess
hirsutism/acne
27
what is measured in all patients with amenorrhoea
LH, FSH, oestradiol, thyroid function and prolactin
28
what would you investigate if hirsutism was present
testosterone
29
what is female hypogonadism identified by
low levels of oestrogen
30
what causes secondary hypogonadism
pituitary/ hypothalamus disorder
31
what would the FSH score be in premature ovarian failure
>30 on 2 separate occasions 1 month apart
32
what is idiopathic hypogonadotrophic hypogonadism
absent or delayed sexual development with low levels of gonadotrophin and sex hormone levels. Cant activate GnRH during puberty
33
is Kallmans syndrome primary or secondary
secondary
34
what is kallmans
loss of GnRH secretion and anosmia/ hyposmia
35
what would the LH/FSH be in a pituitary dysfunction
lowwww
36
what are ovarian causes of amenorrhea
PCOS- 2 of menstrual irregularity, hyperandrogegism, polycystic ovaries, Ovarian failure Congenital problems with ovarian development
37
what causes hirsutism
androgen excess
38
what is the most common cause of hirsutism
Polycystic ovarian syndrome
39
how do you treat PCOS
contraceptive pill, anti androgens,
40
how do you treat CAH
low dose glucocorticoid to suppress ATCH drive
41
how many chromosomes does turner syndrome have
1
42
does turners affect men or women
women only
43
what are clinical features of turners syndrome
short, webbed neck, wide spaced nipples, cubits valgus
44
what are those with turners syndrome at risk of
correction of the aorta
45
what is the most common form of primary hypogonadism
Klinefelters syndrome
46
what are some features of Klienfelters
gynaecomastia, reduced testicle size, eunuchoidism, intellect dysfunction
47
what karyotype does Klinefelters have
XXY
48
is testosterone good or bad
good- improved sexual performance, bone health, limb strength,