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Systems Exam IV (L)
Female Reproduction I
45
Medical
Graduate
04/24/2009

Additional Medical Flashcards

 


 

Cards

Term
How many primodrial follices are females born with?
Definition
3,000,000
Term
At what stage are primordial follices arrested in?
Definition
Prophase at the first meiotic division
Term
How many follices will ovulate during a given cycle?
Definition
Only one
Term
During early follicle development, primary oocytes grow from _____ μm to _____ μm.
Definition
15, 80
Term
What connects the granulosa cells to the oocyte plasma membrane and with each other?
Definition
Gap Junctions
Term
What do stromal cells differentiate into?
Definition
Thecal Cells
Term
What is characteristic of the theca interna which accomodates steroid production?
Definition
Abundant Smooth ER
Term
What separates the oocyte and granulosa cells fromt he highly vascularized thecal cells and serves as a vascular barrier?
Definition
A basement membrane
Term
What is the main purpose of the Follicular Phase?
Definition
Development of the Graffian (Antral) Follicle
Term
What is the antrum?
Definition
A fluid filled cavity in the maturing follicle which holds the oocyte.
Term
What are the granulosa cells that support and surround the ovum?
Definition
Corona Radiata
Term
What is occuring during ovulation?
Definition
The follicle ruptures releasing the ovum, with its corona radiata, into the peritoneal cavity along with follicular fluid.
Term
What is atresia? What percentage of follicles will undergo partial development and atresia?
Definition
Cell Degeneration. About 90% of primordial follicles undergo atresia at some point of development.
Term
What is characteristic of the Luteal Phase?
Definition
The formation of the Corpus Lutem
Term
What forms the Corpus Luteum?
Definition
The remaining granulosa, thecal, and stromal cells fill the collapsed cavity and form the Corpus Luteum.
Term
What are Luteal Cells?
Definition
Large polygonal cells with smooth endoplasmic reticulum and lipid pools for active steriod synthesis.
Term
What does the Corpus Leuteum develop into if pregnancy does not occur?
Definition
It becomes a fibrous tissue mass called the corpus albicans.
Term

What are the primary ovarian hormones?

Where are they synthesized?

Definition

Progesterone

17beta-estradiol

estrone

 

Thecal cells, granulosa cells, and corpus luteum

Term
What converts the androgens, androstenedione and testosterone, into estrone and  17B-Estradiol?
Definition
Aromatase Complex
Term

What binding protein does Estrogen have a higher affiinty for?

What does it actually bind to in circulation? Why?

Definition

Sex Steroid-Binding Globulin

It actually binds to albumin since they have a lower affinity for SSBG than androgens.

Term
Where is estrogen degraded?
Definition
Liver
Term
Where are the androgens produced in the female?
Definition
In the ovaries and adrenals
Term
What is the primary physiologically active androgen in women?
Definition
Testosterone
Term

Where is progesterone secreted from?

What does it bind to in circulation?

Definition

From the corpus luteum and adrenals.

Corticosteriod Binding Globulin

Term

Where is Relaxin formed?

What is its function?

Definition

Formed in the Corpus Luteum

Relaxes the Myometrium

Term

Where is inhibin formed?

What is its function?

Definition

In the granulosa cells during the preovulatory period.

It inhibits FSH secretion.

Term
T/F: Follicle development can occur in the preantral stage without the pituitary?
Definition
True
Term

Where are FSH receptors in the female?

What do they secrete in response?

Definition

On the granulosa cells in the ovary.

Proliferate and secrete estrogen.

Term

Where are LH receptors found in the female?

What does it result in?

Definition

Before Antrum formation, only on the Theca Interna and Stroma cells.

Results in the secretion of steriods

Term
What does follicular development depend upon?
Definition
Estradiol, both as an autocrine and paracrine factor. Estradiol stimulates granulosa cell and possibly theca interna cell proliferation.
Term
What is the positive feedback mechanism for Estradiol?
Definition
As estradiol increases, granulosa cells begin to express more FSH receptors. As the follice matures, it becomes more sensitive to FSH and thus has a greater capacity for secreting estradiol.
Term

1. What does LH do in the female?

2. Why can thecal cells not produce estrogen?

Definition

1. It stimulates the synthesis of androstenedione and testosterone in the thecal cells.

2. They express very little aromatase complex and thus cannot produce estrogen.

Term
How does FSH work in the female?
Definition
It stimulates the synthesis of aromatase complex in granulosa cells, which converts androgens into estrogens.
Term
What controls the release of FSH and LH in the female?
Definition
GnRH - Gonadotropin Releasing Hormone
Term
What is the effect of increasing amounts of estrogen production?
Definition
Upregulation of LH receptors on granulosa cells and stimulates the pituitary to release more LH.
Term
What hormone triggers the beginning to ovulation ~16 hours before it occurs?
Definition
LH - The associated hormone surge is called the preovulatory surge.
Term
What happens to the level of estrogen during ovulation?
Definition
It decreases as a response to increasing LH receptors on granulosa cells
Term
When does oocyte meiotic division complete?
Definition
Upon ovulation. Prior to that, it is blocked by maturation inhibitor
Term
What happens if there is no pregnancy?
Definition
Presence of estrogen, combined with elevated progesterone inhibits GnRH release. This diminishes the LH and FSH release, causing the corpus luteum to regress.
Term
What occurs during the proliferative phase of the menstrual cycle?
Definition
It is in tandem with the follicular phase. Estrogen causes thickening of the endometrium.
Term
What occurs in the secretory phase of the menstrual cycle?
Definition
It correlates with the luteal phase of the ovary. Progesterone from the corpus luteum causes differentiation of the developing endometrium into a secretory phenotype, preparing for the fertilized ovum.
Term
What is required for maintenance of the endometrium?
Definition
Continued estrogen and progesterone production. When that siezes, the endometrium is sloughed off into the uterine cavity.
Term
What is menopause?
Definition
It is the termination of ovarian cycles upon disappearance of primordial follices.
Term
What is the common cause of premenstrual pain?
Definition
Synthesis of prostaglandins by the myometrium.
Term
What hormone is responsible for the growth of oviducts, uterus, and vagina during puberty?
Definition
Estrogen, which is also reponsible for the maintenance of these organs.
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