reproductive system Flashcards

1
Q

reproductive system

A

function: varies over lifetime

adult:reproduction - product gametes (spermatoza/oocytes),23 chromosomes

  • produce sex steroids (eg. androgens, progesterone, estrogen)
  • females: pregnancy and delivery
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2
Q

mitosis vs meiosis

A

genetic diversity through sexual reproduction, compared to asexual reproduction

mitosis - double-structured chromosomes are split apart and cells split with them

meiosis - pairing of chromosomes, pulled apart, cells contain 23 double-structured chromosomes, then are split again to 4 cells with 23 single-structure chromosomes

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3
Q

developmental origin of the male reproductive track

A
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4
Q

male fetus at 7-9 weeks

A

at 6 weeks: SRY (sex determining region Y turns on)

stimulates the indifferent gonads to be testes

testes now produces Mullerian Inhibiting Hormone (MIH) and testosterone

MIH causes the reduction of the female reproductive structures

testosterone causes the maturation of the male reproductive structures

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5
Q

male anatomy

A

testes in external environment, are kept a little cooler to perform optimally

epididymis - sperm maturation, must reside to mature

ductus deferens - sperm travels

seminal gland - adds fluid to the sperm

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6
Q

the testis

A

vas deferens: important for sperm & fluid release

epididymus: sperm storage & maturation

seminiferous tubules: sperm, fluid production

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7
Q

seminiferous tubules

A

spermatocytes

  • adult stem cells
  • developing sperm cells

sertoli cells

  • support & regulate spermatogenesis
  • blood testes barrier
  • produce inhibin

leydig cells

  • produce testosterone
  • located in the space between seminiferous tubules
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8
Q

spermatogenesis

A

spermatozoa

spermatids

2º spermatocytes

1º spermatocytes

spermatogonia

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9
Q

spermiogenesis

A
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10
Q

mature sperm

A

head - nucleus, acrosome

tail - neck, middle piece, principal piece, end piece

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11
Q

abnormal gametes

A

abnormal spermatozoa are seen frequently

up to 10%

head or tail

giants or dwarfs

unlikely to fertilize due to motility issues

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12
Q

reproductive organs

A

seminal vesicles

  • bulk of fluid
  • fructose rich nourishes the sperm

prostate

  • alkaline fluid to neutralize acidic environment of the vagina

bulbourethral glands

  • alkaline fluid to neutralize the acidic environment of the ureter
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13
Q

hormonal release of testosterone

A

leydig cells → testosterone

testosterone → LH (luteinizing hormone) and FSH (follicle stimulating hormone)

testosterone → gonadotropin releasing hormone → gonadotropins

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14
Q

testosterone

A

steroid, hydrophobic, intracellular testosterone receptors, bound to proteins in blood

testosterone + aromatase → estradiol

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15
Q

testosterone effects

A

negative feedback

spermatogenesis

secondary sex characteristics

anabolic reactions (e.g. muscle mass)

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16
Q

testosterone levels throughout life

A

sex of baby can be determined - around 5 months

high levels right after birth - protection against infection and disease

andropause

  • fatigue
  • reduced fertility but not lost
  • reduced muscle mass
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17
Q

benign prostatic hyperplasica (BPH)

A

benign prostatic hyperplasia (BPH)

normal prostate - urethra is not compressed

enlarged prostate - urethra is compressed and is difficult to urinate

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18
Q

prostate cancer

A

most diagnose cancer among men

1/7 canadian men will be diagnosed with prostate cancer in their lifetime

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19
Q

spermiogenesis

A

spermatogonia → 1º spermatocytes → 2º spermatocytes → spermatids

→ spermatozoa

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20
Q

effects of anabolic steroid

A

(luteinizing hormone) LH and (follicle stimulating hormone) FSH

leydig cells create testosterone

testosterone affects the hypothalamus

hypothalamus affects the anterior pituitary gland (which creates gonadotropins)

effects of testosterone:

  • increased muscle mass
  • increased red blood cell count (viscous blood)
  • secondary sex characteristics
  • negative feedback onto hypothalamus and anterior pituitary
  • spermatogenesis
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21
Q

female reproduction organs

A

fimbriae

fallopian tube - passage for sperm and oocyte

ovary - oogenesis + hormones

uterus - site for implantation

cervis - entrance to uterus

vigina - site of sperm deposition, removal of menstrual fluid

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22
Q

ovaries: hormone & gamete production

A
  • paired
  • located in pelvis
  • gametes: oocytes
  • produced by oogenesis
  • all oogonia develop prior to birth
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23
Q

oogenesis

A

fetal period

  • oogonia - diploid stem cells of ovaries
  • begin meiosis I, stops at prophase

child

  • remains inactive in cortex of immature ovary until puberty

puberty

  • small number activated each month recruited by FSH
  • only one continues through meiosis
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24
Q

fertilized zygote

A
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25
atresia of oocytes
amount of oocytes with age
26
folliculogenesis of the maturing oocyte
**male** - the cells that help sperm develop are part of the testes. They include the Sertoli and Leydig cells **female** - the cells that help the oocyte develop make up the follicle that surrounds the oocyte. They are called Theca and Granulosa cells **primordial follicle** - primary oocyte - granulosa cells **primary** **follicle** - 1º oocyte - zona pellucida - granulosa cells **secondary follicle** - 1º oocyte - zona pellucida - granulosa cells - theca cells **Graafian follicle** - 1º oocytes → 2º - zona pellucida - granulosa cells - theca cells
27
follicle development
primordial follicle secondary follicle graafian follicle primary follicle **support cells**: theca cells and granulosa cells
28
viability of gametes
**oocytes** - usually fertilized within 12 hours of ovulation - cannot be fertilized after 24 hours **spermatozoa** - viable for approximately 48 hours in female reproductive tract
29
oocyte and follicle stages
30
abnormal gametes
ovarian follicle may contain 2-3 distinguishable oocytes may contain multiple nuclei these are infrequent and often degenerate before reaching maturity _insufficient egg quality: poor maturation and cytoplasm health_ **human 3-day embryos from ART of one patients** A: recipient egg fertiziled with husband's sperm B: recipient egg injected with donor's sperm C: recipient egg injected with donor ooplasm fertilized with husband's sperm babies are born with three genomes: the nuclear component of the mother & father and the mtDNA form both the recipient and the donor
31
assisted reproductive technologies
- IUI-intra uterine insemination - oocyte retrieval - IVF/ICSI - embryp transfer - surrogate mother - oocyte cryopreservation and cancer - embryo cryopreservation
32
hormonal regulation
33
early to mid-follicular phase
34
cell types and functions
oocyte: "egg" theca & granulosa cells: produce sex steroids
35
regulating reproductive function
GnRH → gonadotropins gonadotropins → FSH and LH FSH and LH → Theca cells + Granulosa cells Theca cells → androstenedione (estrogen pre-cursor and stimulates granulosa cells) granulosa cells create estrogen at certain levels estrogen is an inhibitory hormone once hits a certain level is a positive feedback loop hormone
36
early to mid-follicular phase
FSH + LH is inhibited by estrogen estrogen causes the granulosa cells to duplicate and the granulosa cells create estrogen again causing estrogen to surge and FSH + LH and GnRH to be low (inhibited
37
late follicular phase
38
ovulation
Fimbriae Fallopian tube: passage for sperm and oocyte ovary: oogenesis + hormones uterus: site of the implantation cervix: entrance to the uterus vagina: site of sperm deposition, removal of menstrual fluid
39
luteal phase
(after ovulation) lining of uterus gets thicker
40
female reproductive organs
41
female anatomy
42
uterine events: hormonal changes
anterior pituitary hormones follicle changes ovarian hormones: estrogen, progesterone uterine changes uterine phases **x-axis** menses, proliferative, secretory phase
43
overview of menstrual cycle
**follicular phase** ~1-7 menstruation (least fertile) ~8-9 possible to conceive ~10-14 ovulation the fertile window (best chance of conception) **luteal phase** ~15-16 possible to conceive ~17-28 thickening of uterine lining (unlikely to conceive)
44
pre-menopause & menopause
- loss of primary follicles means less estrogen - less estrogen means levels are so low that we lose the negative feedback effect - FSH and LH levels rise drastically, causing strange fluctuations in primary follicle recruitment, and estrogen levels - pituitary becomes exhausted, LH and FSH levels drop - cycle ends, and menopause is reached - begins to happen between ages 45-55 - symptoms include hot flashes, loss of fertility, changes in bone health, metabolic changes etc..
45
sex steroid hormone effects
- follicular development (estrogen) peripheral (endocrine) effects: - uterine changes (estrogen & progesterone) - feedback (negative/positive) - cardiovascular health - bone density - breast changes etc. .
46
birth control: hormone changes
combination pill containing both estrogen and progesterone - taken for 21 days, followed by 7 placebo pills keeps estrogen at levels that negatively feedbacks to the hypothalamus and the anterior pituitary main mode of function to prevent fertilization is the cervis. The levels of progesterone keep cervical mucus in a thick, barrier state can affect libido
47
birth control: hormonal IUD
intrauterine device - inserted by a physician releases low dose of progesterone affects uterine lining and affect cervical mucus does not affect ovulation lasts about 5 years
48
reproductive conditions
**endometriosis** - endometrial like tissue - outside endometrium affecting 10% of women - when blood touches these sites, they become inflamed and painful
49
journey to fertilization
vaginal canal is acidic and sperm cells die and release alkaline fluid which allows other sperms to stay alive **head** - nucleus - acrosome **tail** - neck - middle piece - principal piece - end piece **ejaculate**: 15 million/ml-200 million/ml **reach the ovum**: 50-100 **fertilization**: 1
50
fertilization
ovum surrounded by cumulus cells (former granulosa cells) and zona pellucida 1. get to cumulous cells and break through using hyaluronidase 2. reaches zona pellucida & binds to oocyte membrane 3. acrosome reaction triggered 4. fuse with plasma membrane 5. block polyspermy (cortical reaction)
51
creating the zygote
6. head enters cytoplasm of ovum 7. meiosis II completed: polar body forms 8. two nuclei fuse (diploid) 9. zygote is created 10. rapid cell dividsion (mitosis) begins
52
per-implantation development
zygote → 4-cell stage → morula → blastocyst (day 5 post-fertiliztior) → trophoblast cells (inner cell mass) - aid in implantation of attaching to uterin lining
53
implantation of blastocyst
trophoblast cells (blue cells) inner cell mass (yellow cells) trophoblast cells digest endometrium (create lacunae) trophoblast enters uterus lining
54
placental development
placenta lacunae chorionic villi amniotic fluid
55
clinical correlates: placental anomalies
**placenta accreta:** invades past the endometrium to the myometrium **placenta percreta:** invades past the uterine wall, and attaches to other organs **placenta previa****:** covers the cervical opening
56
twinning
twins from two zygotes = dizygotic (fraternal if boys, soraral if girls) twins from one zygote = monozygotic (identical) labelling twins: twin A is closest to the cervix and will be born first if it's a vaginal birth; twin B is implanted higher up in the uterus and would be most likely born first if it is a C-section
57
mono- & dizygotic twins
twins that come from one egg that splits is called monozygotic and are identical twins can come from two different eggs, that have each been fertilized, which creates two different zygotes. non-identical
58
early development of zygote
zygote starts to multiply by mitosis → morula → blastocyst (day 5 post-fertilization) trophoblast cells (placenta) inner cell mass (baby)
59
pregnancy
pregnancy: 40 weeks (280 days) after Last Normal Menstrual Period 38 weeks (266 days) after fertilization preterm birth (prematurity): born before 34 weeks
60
gestation
gestation: 40 weeks (280 days) nearly every organ system needs to change to accommodate this growing baby - joints and muscles - endocrine system - cardiovascular system - renal system - respiratory system
61
placenta
1. attach developing baby to mon 2. lots of exchange 3. hormones produced - arteries and veins resting in the maternal blood
62
endocrine adaptions
- trophoblast cells make high levels of HCG (Human chorionic gonadotropin) - eventually the placenta starts making it's own progesterone and doesnt need the trophoblast to make HCG
63
delivering the baby
**hormone:** relaxin: causes the joints around the pelvis to relax and the cervix to dilate - can affect other parts of the body, including feet progesterone: prevents early contraction of the uterus, strengthens pelvic wall muscles
64
pituitary and pregnancy
**anterior pituitary** - prolactin increases - triggers breast tissue to begin producing milk first few days - produces colostrum "liquid gold" **posterior pituitary** - oxytocin increases - causes stronger uterine contractions - positive feedback loop. The stronger the contraction, the more oxytocin is produced
65
cardiovascular changes
- increase in blood volume - increases in CO CO = HR x SV MAP = CO x TPR vasodilation (decreases resistance to flow) hypertension - blood pressure that is higher than 140/90 severe hypertension - blood pressure \> 150/110 hypertestion is one of the most common complications of pregnancy
66
renal adaptions
- increased GFR - increased filtered load - increased RAAS angiotensinogen turned into → angiotensin 1 by renin angiotensin 1 turned into → angiotensin 2 by ACE angiotensin 2 stimulates aldosterone to be released from the adrenal glands
67
respiratory changes
mom is breathes for two - increase in alveolar ventilation - increase in tidal volume - decrease in residual volume (reduced dead space) - increased PO2 and decreased PCO2 - respiratory alkalosis
68
developmental horizons
nervous system begins forming → 2-3 weeks heart begins to form → 2-3 weeks taste buds appear → 7 weeks arms, legs, fingers, toes, eye, nose → 10 weeks swallowing → 10 weeks urination → 12 weeks respiratory movements → 14-16 weeks sucking movements → 24 weeks vocalization → 24-26 weeks light sensitivity → 28 weeks 11 weeks old - all major organ systems have already started to form. organs now must mature - folic acid is required for normal neural tube development (the spinal cord and associated tissue), and to prevent spina bifida - recommendation: women in their child-bearing years, and are sexually active, should be taking folic acid supplements
69
period of susceptibility
0-3 weeks: death of embryo may occur 3-8 weeks: **formation of organs →** malformation of embryo may occur (e.g. heart defect) 8-38 weeks: **growth and maturation of organ systems →** functional disturbance of fetus may occur (e.g. mental deficiency)
70
fetal growth
1st trimester: organ development 2nd trimester: length development 3rd trimester: gain weight