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Men's and Women's Health EXAM 1
Men's and Women's Health EXAM 1 - Santanello
98
Pharmacology
Graduate
10/18/2011

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Cards

Term
three glands that help produce seminal fluid
Definition
seminiferous tubules
prostate gland
seminal vesicle
Term
function of seminiferous tubules
Definition
produce sperm
Term
[image]
Definition
uterus
Term
[image]
Definition
fallopian tube
Term
[image]
Definition
ovary
Term
[image]
Definition
cervix
Term
[image]
Definition
vagina
Term
[image]
Definition
endometrium
Term
[image]
Definition
ovary
Term
[image]
Definition
fallopian tube
Term
[image]
Definition
bladder
Term
[image]
Definition
symphysis pubis
Term
[image]
Definition
mons pubis
Term
[image]
Definition
clitoris
Term
[image]
Definition
labia majora
Term
[image]
Definition
uterus
Term
[image]
Definition
cervix
Term
[image]
Definition
vagina
Term
[image]
Definition
rectum
Term
[image]
Definition
urethra
Term
[image]
Definition
labia minora
Term
[image]
Definition
urinary bladder
Term
[image]
Definition
pubic bone
Term
[image]
Definition
ductus deferens/vas deferens
Term
[image]
Definition
penis
Term
[image]
Definition
cords of erectile tissue
Term
[image]
Definition
glans penis
Term
[image]
Definition
testis
Term
[image]
Definition
scrotum
Term
[image]
Definition
epididymis
Term
[image]
Definition
urethra
Term
[image]
Definition
bulbourethral gland/Cowper's gland
Term
[image]
Definition
anus
Term
[image]
Definition
prostate gland
Term
[image]
Definition
ejaculatory duct
Term
[image]
Definition
seminal vesicle
Term
[image]
Definition
urinary bladder
Term
[image]
Definition
seminal vesicle
Term
[image]
Definition
ejaculatory duct
Term
[image]
Definition
prostate gland
Term
[image]
Definition
bulbourethral gland/Cowper's gland
Term
[image]
Definition
ductus deferens/vas deferens
Term
[image]
Definition
epididymis
Term
[image]
Definition
testis
Term
[image]
Definition
glans penis
Term
[image]
Definition
urethra
Term
penis: transverse section
Definition
[image]
Term
a negative feedback system ( ) a change in a controlled condition
Definition
reverses/opposes
Term
a positive feedback system ( ) a change in one of the body's controlled conditions
Definition
reinforces
Term
the 3 classes of sex steroids
Definition
estrogens
progestins
androgens
Term
true or false
all three classes of endogenous steroids are present in both sexes
Definition
true
Term
what are the sources of sex steroids in men and women
Definition
men: adrenal glands, testes
women: adrenal glands, ovaries
Term
the most potent endogenous estrogen is ( )
Definition
estradiol
Term
the most potent endogenous progestin is ( )
Definition
progesterone
Term
the primary androgen found in the blood is ( )
Definition
testosterone
Term
the primary androgen found in target tissues is ( )
Definition
5 alpha-dihydrotestosterone
will have its effect in this form
Term
the female menstrual (reproductive) cycle
Definition
the female menstrual cycle includes the ovarian and uterine cycles and the hormonal changes that regulate them

the ovarian cycle is a series of events in the ovaries that occur during and after the maturation of a follicle/oocyte

the uterine cycle is a series of changes in the endometrium of the uterus to prepare it for the arrival of a fertilized ovum

if fertilization doesn't occur, ovarian hormones drop which causes the functional layer of the endometrium to slough off
Term
functions of the ovary
Definition
at birth, there are thousands of primordial follicles in the ovary

at puberty they start to mature

the primordial follicles will develop into a primary follicle (not all, but some). due to hormonal influx, some will become primary follicles and an even smaller number will become secondary follicles (secondary oocyte)

GRANULOSA CELLS
surround the secondary oocyte
functions:
protection
produce sex hormones (estrogen and progesterone)
produce fluids and nutrients so that the oocyte matures

pressure build up (from fluids secreted by granulosa cells) will cause the oocyte to erupt from the surface of the ovary

the corpus luteum is also involved in the female reproductive cycle
the corpus luteum supports the fertilized egg, supporting the embryo (if an embryo were to develop) by secreting estrogen and progesterone
the corpus luteum also secretes relaxin and inhibin

eventually, the corpus luteum will become the corpus albicans that no longer secretes hormones (scar tissue)
Term
functions and structure of the uterus
Definition
[image]

FUNCTIONAL LAYER (1) and BASAL LAYER (2)

basal layer gives rise to a new functional layer every month

the basal layer has supporting vasculature, so that every month a new functional layer can grow
Term
gonadotropin releasing hormone is secreted by the ( ) and controls the ovarian and uterine cycles
Definition
hypothalamus
Term
gonadotropin releasing hormone stimulates the release of ( ) and ( ) from the anterior pituitary
Definition
leutenizing hormone
follicle stimulating hormone
Term
actions of follicle stimulating hormone
Definition
initiates follicular growth and stimulates the ovarian follicles to secrete estrogens
Term
actions of lutenizing hormone
Definition
stimulates further development of the ovarian follicles, stimulates the ovarian follicles to secrete estrogens, triggers ovulation, and promotes the formation of the corpus luteum
Term
functions of estrogens
Definition
secreted from corpus luteum and ovaries

promote development and maintenance of female reproductive structures, feminine secondary sex characteristics (axillary and pubic hair, body fat, higher voice), and breasts

increase protein anagolism

lower blood cholesterol

MODERATE levels inhibit release of gonadotropin releasing hormone, follicle stimulating hormone, and leutinizing hormone
Term
functions of progesterone
Definition
secreted from corpus luteum

works with estrogens to prepare endometrium for implantation

works with estrogens to prepare mammary galnds to secrete milk

inhibits release of gonadotropin releasing hormone and leutinizing hormone
Term
functions of relaxin
Definition
secreted from corpus luteum

inhibits contractions of uterine smooth muscle
relaxin is produced during pregnancy so that there is relaxation of uterine smooth muscle; no contraction so there isn't a premature delivery
oxytocin and prostaglandins are released and overcome relaxin and produce uterine contractions during delivery

during labor, increases flexibility or pubic symphysis and dilates uterine cervix
Term
actions of inhibin
Definition
secreted from corpus luteum and ovaries

inhibits release of follicle stimulating hormone and to a lesser extent, leutinizing hormone
Term
summary of female reproductive cycle
Definition
[image]
Term
fertilization usually occurs in what part of the fallopian tubes?
Definition
distal

[image]
Term
graphs of hormone levels in the female reproductive cycle
Definition
[image]

estrogen is higher than progesterone at the beginning of the cycle
in the 2nd half, progesterone levels are higher
Term
hormones and body temperature
Definition
[image]

body temperature drops at the beginning of ovulation and then rises at ovulation

body temperature is higher in the 2nd half of the cycle
Term
hormonal birth control methods
Definition
contain various mixtures of synthetic estrogens and progestins

prevent pregnancy mainly by negative feedback inhibition of secretion of follicle stimulating hormone and leutinizing hormone
low levels of follicle stimulating hormone prevent the development of a dominant follicle

as a result:
1) estrogen levels don't rise
2) leutinizing hormone surge doesn't happen
3) ovulation isn't triggered; no secondary oocyte available

if ovulation DOES occur, cervical mucus is hostile to the sperm blocking fertilization from occurring
Term
mechanism of action of emergency contraception
Definition
high levels of progestin and estrogen in emergency contraception provide negative feedback inhibition of follicle stimulating hormone and leutinizing hormone secretion

it causes the ovaries to decrease production of their ovarian hormones, inducing shedding of the uterine lining and blocking implantation
Term
male reproductive endocrine function

tesis: seminiferous tubules
Definition
[image]

KNOW: seminiferous tubules (found in the testes) is where spermatogenesis takes place

interstitial cells (Leydig cells) - outside the seminiferous tubules; less mature

Sertoli cells are within the seminiferous tubules; contain more mature sperm
Term
function of Sertoli cells
Definition
found inside the seminiferous tubules

responsible for binding androgens through androgen binding proteins (secreted by sertoli cells); androgen binding proteins recognize andorgens so that spermatogenesis can take place

sertoli cells are a support structure for the developing sperm

sertoli cells provide nutrients to the developing sperm

sertoli cells can phagocytize excess cells from the sperm

sertoli cells provide the blood/testis barrier which protects sperm from blood (immune system, macrophages); developing sperm are not indirect contact with the blood stream
Term
function of Leydig (interstitial) cells
Definition
secrete testosterone

testosterone then goes to the developing sperm cells (sertoli cells with androgen binding proteins)
Term
phases of the female reproductive cycle
Definition
menstrual phase
preovulatory phase (follicular phase in the ovaries and proliferative phase in the uterus)
ovulation
postovulatory phase
Term
roughly how long is the menstrual phase?
Definition
5 days (for a 28 day cycle)
Term
events in the ovaries of the menstrual phase
Definition
several primordial follicles develop into primary follicles and then into secondary follicles under the influence of follicle stimulating hormone

note: this often takes several menstrual cycles (does not just happen in 5 days)
Term
events in the uterus of the menstrual phase
Definition
DECLINING LEVELS of progesterone and estrogens stimulate the release of prostaglandins that cause uterine spiral arterioles to constrict.

cells become oxygen deprived and die

the entire functional layer of the endometrium sloughs off and is released as menstrual flow (about 100 ml of blood, tissue fluid, mucus, epithelial cells) through the uterine cavity, vagina, to the exterior

LOW LEVELS OF HORMONES AT THE BEGINNING OF MENSTRUATION!!!

prostaglandins come from the uterus and have a local effect
Term
length of the preovulatory phase
Definition
this is the more VARIABLE phase in length

about 6-13 days

when women have different cycle lengths, this phase is what changes
Term
events in the ovaries of the preovulatory phase
Definition
THE FOLLICULAR PHASE = pre-ovulation

some (15-20) of the secondary follicles begin to secrete estrogens and inhibin (and progesterone); these follicles have receptors for FSH and estrogens

by about day 6-7 one secondary follicle (in one of the 2 ovaries) has outgrown the others, becoming the dominant (mature or Graafian) follicle

estrogens and inhibin secreted by this follicle cause a decrease in follicle stimulating hormone (negative feedback from the HIGH levels of estrogen)

the drop in follicle stimulating hormone prevents other follicles from maturing
others are ingested by macrophages and cells are recycled

the mature follicle causes a blister on the surface of the ovary
Term
explain fraternal twins
Definition
2 follicles mature in one ovary

both follicles produce the same levels of hormones and both are dominant
Term
events in the uterus during the preovulatory phase
Definition
THE PROLIFERATIVE PHASE

ESTROGENS stimulate the repair of the endometrium

endometrial glands and spiral arterioles lengthen
Term
the rupture of the mature follicle and the release of the secondary oocyte
Definition
ovulation
Term
hormone levels during ovulation
Definition
high levels of estrogen (from dropping levels of FSH) during the end of the preovulatory phase exert a positive feedback effect on the cells that secrete LH and GnRH

LH causes the rupture of the follicle and the expulsion of the oocyte (also due to pressure in the follicle itself) about 9 hours after the peak of the LH surge
Term
where does the expelled oocyte go?
Definition
to the fallopian tubes
Term
where does the fertilization normally occur?
Definition
DISTAL end of the fallopian tubes b/c the egg does not more very far)

uterine contractions more it along to the uterus
Term
what does an ovulation predictor kit detect?
Definition
detects LH in the urine

if it a strong surge of LH there is an increased chance of getting pregnant

12-24 hours after ovulation an oocyte can be fertalized
Term
if a person is avoiding pregnancy, which days would be considered unsafe to have intercourse?
Definition
when LH is high
day 14 of 28 day cycle
3 days before ovulation (sperm can live that long) and 2 days after ovulation (eggs survive this long)
Term
length of the postovulatory phase
Definition
the postovulatory phase is between ovulation and the onset of the next cycle

it is CONSTANT IN DURATION at 14 days

the preovulatory phase will vary, but the postovulatory phase is ALWAYS 2 WEEKS
Term
events in the ovaries of the postovulatory phase
Definition
THE LUTEAL PHASE: corpus luteum development

post ovulation, the mature follicle collapses

under the influence of LH, the cells become corpus luteum cells and the structure is called the corpus luteum

LH causes the corpus luteum to secrete estrogens, progesterone, relaxin, and inhibin
Term
if the oocyte is NOT fertilized, what happens?
Definition
the oocyte persists for 14 days (14 days to the beginning of menstruation) and the corpus luteum becomes scar tissue
Term
ovarian, anterior pituitary and hypothalamus hormone levels during the cycle
Definition
1st half of cycle -> FSH is key anterior pituitary hormone; estrogen is key sex steroid

2nd half of cycle -> LH is the key anterior pituitary hormone; progesterone is the key sex steroid

at the end of the cycle, estrogen and progesterone are low; FSH increases at the end of the cycle so the cycle can start over again; LH drops
Term
if the oocyte IS fertilized and begins to implant, the corpus luteum persists. How long is it needed?
Definition
until the placenta develops at week 9
Term
how is the corpus luteum preserved if the oocyte is fertilized?
Definition
it is saved by human chorionic gonadotropin produced by the chorion of the developing embryo at about 8 days post fertilization and beyond.

like LH, human chorionic gonadotropin stimulates the secretory activity of the corpus luteum (estrogen and progesterone)
Term
what is the basis of home pregnancy tests?
Definition
detecting human chorionic gonadotropin
Term
events in the uterus during the postovulatory phase
Definition
THE SECRETORY PHASE

progesterone and estrogens from the corpus luteum promote further growth of the endometrium

the endometrial glands start to produce glycogen (supports/provides nutrients to the embryo before placenta develops)

the peak is about a week after ovulation

implantation may potentially occur at this time

if fertilization does not occur, ovarian hormones decline which causes menstruation
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