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12 Cards in this Set

  • Front
  • Back
Absence of this gene allows primitive gonads to develop into ovaries:

Absence of this factor allows female genital organ development:

Primary oocytes are stuck at what phase?
SRY

MIS (Mullerian Inhibiting Substance)

prophase of meiosis I
What stimulates thecal cells produce androgens?

Only known target cells for FSH:

Increased affinity toward ___ allows one dominant follicle to develop.

Secretion of GnRH occurs how often normally?
LH

granulosa cells in antral follicles

FSH

70-100 minutes
Role of FSH in ovulation:

Main trigger of ovulation:

Inflammatory cytokines involved in ovulation:
stimulates proliferation of granulosa cells, enzymes for estrogen synthesis

surge of LH, which needs a threshold level of estrogen for 1-2 days prior; ovulation is 9-16 hrs post surge

TNF, IL1, IL6
What does the surge of LH do to the granulosa cells?

What does progesterone do during ovulation?
stimulates progesterone synthesis

stimulates plasminogen activating factor --> activates plasmin;
upregulates COX-2, PG formation
release of lysosomal proteases --> allow ovum to exit
LH's effect on theca interna, granulosa cells:

Most important estrogen in females during reproductive years:

What does estrone do?

produced by the placenta during pregnancy, weak, 1/80 as potent as E2:
converts to corpus luteum

estradiol (E2)

1/12 as potent, formed by peripheral conversion of androgens; highest concentration post menopause

estriol
Major function of progesterone in a non-pregnant woman:

E2 stimulates what structures to grow?

What other actions does E2 have?
prepare body for pregnancy, milk production

ovaries, uterine tubes, uterus, vagina, external genitalia

SQ fat formation, osteoblastic activity, endometrial proliferation, lowered [cholesterol], promotes normal skin
Effect of progesterone on the body:
promotes secretory changes in the later half of the menstrual cycle;
reduces contractility of uterine muscle
enhances lobular/alveolar breast development
What causes menstruation?

What causes the epithelial cells to proliferate after menstruation?

Which hormone is most active during the secretory phase?
sudden reduction of E and P

E2

progesterone (Progestational phase)
Effect of estrogen on FSH, LH:

Effect of high levels of P on E, LH:

Where do E and P work in the HPA?
low dose - negative feedback
high dose - stimulates LH surge (ovulation)

limits positive feedback of E
inhibits LH secretion, prevents ovulation

E - anterior pituitary
P - hypothal
The presence of what prevents the corpus luteum from degrading?

Most common cause of infertility in females:

What are some changes from corpus luteum producing P?
HCG

no ovulation - check P effects

urinary prenanediol elevated post ovulation, increase in basal body temp, change from fern-like shape on mucus smear
What are other causes of female sterility?

How do birth control pills work?

When is the most fertile period during the menstrual cycle?
endometriosis --> fibrosis, prevents ovaries
salpingitis - fibrosis --> tubes blocked
abnormal mucus secretions

administration of E, P prevents LH surge, ovulation

48 hrs before and including ovulation
Onset of menstruation is usually how many days after ovulation?

Changes in the cycle in menopause:
14 days

no ovulation
decreased estrogen production
decreased corpus luteum production
irregular cycles
increased levels of LH, FSH