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282 Cards in this Set

  • Front
  • Back

What causes y chromosome to be fore males

It codes for protein H-Y antigen needed for testicular development

Amount of eggs made from immature ova

One

Gonodal sex

Presence of testies or ovarys

What dictates gonodal sex

Presense of y chromosome

When H-Y antigen appears for meales

Week 7-8

What happens if no H-Y antigen is present by week 9

Become female and have oogenesis occur at day 77-84

What H-Y antigen causes

Seminiferous toubules. Leydig cells. Testosterone peaks

What is present in undifferentiated gonads

What is left for males in gonads

Prostate. Seminal vesicles. Vas reverend. Tested. Epididymis

Epididymis

Attach testes to vas reverend

What remains for females in gonads

Cumbria. Overies. Fallopian tubes and uterus

Phenotypic sex

Outward apperance.

What determines phenotypic sex

Gonadal sex

When external genitalia differentiates at

Week 10

Parts of an undiferenciates genitalia

Genital tubercle. Urethral fold. Genital swelling. Anal opening

What the genital toubercle develops onto

Gland penis or clitoris

What the genital swelling turns into

Scrotum or labia

Hormonaly how females develop

The lack of trigger hormones

What testosterone causes for ginadal development in males

Wolgfian ducts differentiate. Cause male external genitalia to develop

What mis causes for in males

Regression if mulmrtian duct

What causes Internal genitalia

Presense or lack I'd testorone

What causes external genitalia diferientation

DHT (males)or lack of

Gender idenity and genetics

Not coded in gens

What androgens in early embryo causes

More male behavior

Where androgens effect males

Aromatization (E2)

Where females are protected from androgens

Alphafetoprotein

Turners syndrome

XO. Gonodal dysgenesis

Superfemale

XXX

YO genetics

Is lethal

Klinefelter syndrome

XXY. Have seminiferous tubule dysgenesis

Two types of hormonal sexual abnormalityes

Female and male psudohermaphroditism

Female psudohermaphroditism

Make genitsila in genetic female due to androgens week 8-13. Congenital adrenal hyperplasia

Male psudohermaphroditism

Female genitalia in genetic male due to defect in androgen synthesis or action. Testicular demonizing syndrome

How psudohermaphrodia is found

Delayed orvabsense of puberitey by 17 in females and 20 on males

Panhypopituitarism

Endocrine dysfunction

Primary amenorrhea

Endocrine dysfunction

Gonodal dysgenesis

Endocrine / genetic dysfunction

True precocious puberty

Gamrtogenesis and secondary sexual chacteristics

Psrudkprecocious puberty

Early secondary sexual chacteristcs by exposure to androgens for males and estrogen by females but no gametogensis

Negative long loop feedback of testosterone and ordtradiol

Inhibit anterior pituitary and hypothalamus

What hypothalamus releases to stimulate sex hormones

Gn-RH

What the pituitary relapses to release sex hormones

LH FSH

What starts sex hormone release

Early gonadal autonomous. Unrestricted release of pituitary gonadotropins. Negative feedback steroid at term. Neonatal stimulation due to loss of maternal steroids

What starts puberty theorys

Critical size hypothesis. Missing link (positive drive) hypothesis. Gonadostat hypothesis

Menopause

Stop of menstration at 45-55 years.

What causes menopause

Depleated follicles and less resposive to gonadotropins. Estrogen and progesterone reduced

Climqcteric

Make reduction in androgens

What causes climscteric

Reduced sensaticity to LH. Reduced testies size. Reduced testorsterone production and action

Amount of time sperm must mature for

10 day

What vasdefferns store

Nutrients

Role of epididymis

Sperm transport. Maturation. Motility. Fertility

Role of seminal vessicles

Seminal fluid

What's in seminal fluid

Fructose and prostaglandin

Prostate

Alkaline prostatic fluid. Rich in prostaglandin

Prostaglandin

Is a base

Bulbo-urethral gland

Pre ejaculatory lubrication fluid

Penis

Erection. Ejqctualtion. Intromission

Way blood flows to the testies

Counter current

Role of counter current blood flow

Venous blood cools arterial blood as they flow past each other

Temp of testicles

2 degrees less then body temp

Extra function of counter current blood flow of tested

Testosterone can leave vein and enter arteries beciase it's needed for gsmetogrnesis

Where sperm are made

In seminiferous tubules

Two cell types if testies

Spermatogrnic cells and interstitial cells

Role of interstitial cells

Make testosterone

Amount of mass that is semeriferous tubules of testies

80-90%

How semiferous tubules are decided

Into lobules

Volume of testies

18-20ml

Amount of lobules per testis

250

Length of seminiferous tubules

800 feet/ testis

Cells that line the walls of the tubules

Sertoli cells

What fsh causes in sertoli cells

Testosterone to estradiol

What LH causes on leydig cells of men

Cholesterol to pregnenalone to testosterone

Where DHT is made

Mostly in target tissuev

Ways testosterone acts

On receptor to form protein. Turns to estrodiol then protein. To DHT to protein

How testerostorne causes gametogenisis

Act on sertoli cells which signal germ cells which lack testorsterone receptors

Testicular feminizing syndrome

Androgen resistance or 5 alpha reductase deficiency

Cryptorchidism

Undecended testicles

Juveinle hypogonadism

Sexual immaturity due to low LH and FSH

Post pubertal hypogonadism (simmonds disease)

Loss of testosterone and secondary sexual chacteristics

Stages of sperm production

Mitotoc proliferation. Meiosis. Packaging

Cells of mitotic proliferation

Spermatogonium. Spermatogonia. Primary spetmocyte all with 46 chromosome

How spermatogina work

One stays on wall other becomes sperom

Cell types of meiosis

Secondary spermatocytes. Spermatids

Packaging cell types

Spermatozoa

How spermatogenisis function

Move closer to lumen with each divide

Seperqtion from primary spermatocytes and secondary

A tight junction

What signals all dividison up to secondary

Autonomous

What starts final mitosis

Testosterone

What starts final stage

FSH

What maintains final stage of spermatogenisis

Testosterone

Area with higher concentration of testosterone

Lumen over plasma

What triggers waves of spermatovensis

Phagocytosis of spermatozoan cytoplasm by sertoli cells

Role of sertoli cells

Maintain blood testis barrier. Nurismnrt of germ cells. Produce seminiferois fluid. Eat old cells and spermatozoan cytoplasm

What sertoli cells produce

Androgen binding protein. Inhibin and estrogen. Mullerian regressing factor (MRF)

Parts of sperm

. Cap acrosome and flagellum

What happens to cytoplasm of sperm

Buds off during development

What is on end if the head of a sperm

Acrosome

What makes up tail of sperm

Microtubules

What's in the midpiece of a sperm

Mitochondria

Amount if semen ejaculated

1-5ml

Amount of sperm ejaculated

100mil / ml

Amount of sperm ejqculated to to be infertile

Less then 20 mil

What majority of seamen is

Seamen plasma

What the seminal vesicles produce

45-80% of semen. Viscous secretion. Fructose rich. PG rich

What viscous secretion does

Adhesion within the vagina

What PG causes

Increased smooth muscle contraction in females tract

Amount if semen made by prostate

15-30%

Things that the prostate secretion has

Alkaline. Protease rich. PG rich

What protease causes

Liquification of ejaculate after ejaculation

Cowpers gland (bulbourethral)

Mucuus for vaginal penitration

What causes sperm movement in males

Fluid pressure from : production from sertoli. Contraction of myorpithelial cells around toubules. Addition of secretion of seminal vesicles. Prostate and bulbourethral gland. And cilia movement in tubules

What causes contraction of myoepithelial cells

Oxytocin in androgen dependent cells

What causes sperm movement in females

Muscular contractions by oxycoticin. Cilia movement in female tract. Swimming

Two processes of sperm maturation in females

Capacitation. Acrosome reaction

Capacitation

Secretion of female tract allowing for adhesion to ovum and removes proteins from head of Sperm

Acrosome reaction

Factors from ovum ruptures sperm acrosome causing the release of proteolitjc enzymes that break down ovum membrane

Layers of uterus

Endometrium. Myometrium

Oviduct

Tube that connet flopian tube to urterus

Parts that are at the entrance to the uterus

Cervical canal. And cervix

Antrum

Space that occurs for developing secondary follicle

Outer layers of follicle

Thecal cells. Grabulosa cells then zona pellucida

Amount ovum per follicle

One

What happens at ovulation

The ovum is ejected from folicule

What happens to foliculr after ovulation

Luteinzation

Lutenization

Formation of corpus lutenum

Luteolysis

Death of corpus luteum

Corpus albicans

Scar tissue

Steroids of ovary and placenta and corpus luteum

Estrogen. Progesterone. Androgen

Endocrines Peptides of ovary and placenta and corpus luteum

Relaxin. Inhibin

What LH causes in females thecal cells

Testosterone production

What FSH causes in granulosa cells in females

Transition of testosterone to estradiol which is released to blood

Luteal phase in granulosa cell

Lh causes testosterone and the. FSH turns testerstorne to estrogens and both progesterone are released to blood

What estrogen causes in the ovary and follicles

Growth and development

Estrogens effect on uterus

Prepares endometrium for implantation. Induces progesterone receptors. Induces thin watery mucus. And promotes contractions at term

What estrogen causes in breasts

Growth of ducts and fat deposits

Estrogen effect on the female body

Female configuration. Secondary sexual characteristics. Closure of epiphyseal plates. Protects against osteoporosis

Hypothalamo pituitary axis causes from estrogen

Positive and negative feedback

Progesterone effect on uterus

Decidualization and endometrial secretion. Induce thick sticky mucus. Decrease contractions

Progesterone effect on breasts

Growth of glandular tissue

Progesterone effect on hypothalmo pituitary axis

Negative feedback

Inhibin is made in

Granulosa cell through out menstrual cycle prior to ovulation and during lutral phase

What inhibin inhibits

FSH postly in the pituitary

Relaxin is synthesized in

Corpus luteum and placenta

What us caused by relaxin

Decreases uterine contractility in early pregnancy to prevent abortion. Lossen pelvic joints and soften and dilate cervix

Gonadal dysfunction of females

Pseodohermaphroitism. True precocious puberty

When a fetus female goes from primordial follicles to primary follicles

5 months

When amount of folicules peaks

6 months into fetal development

Amount of mature oocytes in adults

400-500

Amount if polar bodies made to make a egg

Two

Menstrual abnormalities

Amenorrhea

Polycystic ovary syndrome

Have high lvls of androgens

What congenital adrenal hyperplasia causes

Make external genitalia to form

Deficiency of congenital adrenal hyperplasia

21 hydroxylase

XX adrenogenital syndrome

Psudohermamphroditism causing saddle bag scrotum no vagina

Hirsutusm

Androgen excess causing secondary sexual characterists

Period of time that occurs from menstruation to ovulation

Follicular phase

Period of time after ovulation to menstruation

Luteal phase

Phase that effects length of menstrual cycle

Flollicular phase

Hormone peak that causes ovulation

LH and FSH

Hormone drop that occurs for ovulation

Estrogen

Hormone that has most for menstruation

FSH and estrogen

Hormone that peaks after ovulation

Progesterone

What estrogen causes

Decrease in FSH and increase in LH

What high FSH lvls causes at the begining if folliculogensis

Follicle recruitment

What FSH causes in granulosa cells

Production of estrogen

Amount if folicules that are recruited per cycle

6-12

What happens to the non dominate follicle

They atrophy and become graffian follicle

What rising estrogen lvls cause on hupothslmus

Increase GnRH causing a surge in LH and FSH

What causes decline in estrogen before ovulation

Graffian follicle stops produceing it

What the surge in LH causes

Progesterone release and plasma activity

What progesterone causes

Corona radiata to separate from granulosr cells stopping inhibition of maturation on folicille

Length of time that a ovum is viable for after ovulation

36 hr

Formation of corpus lutrum

Walls collapse and antral fluid is reabsorbed. Thecal blood vessels invade granulosa cells and antral cavity fills with blood.

Corpus haemorragium

When granulosa layers and antral cavity fills with blood

What LH does to granulosa cells in corpus luteum

Become lutenized.

Luteinized

Full of lipid/ steroids

Cells that make up corpus luteum

80% granulosa. 20% thecal cells

How long corpus luteum lasts if not pregnant

14 days

What replaces corpus luteum if not pregnant

Corpus albicans ( fibrous tissue)

What luteinized granulosa cells respond to and produce

LH and produce estrogen and progesterone

What progesterone release causes for uterus

Growth of endometrium and coiling of its spiral arteries

Feed back loop of moderate estrogen and high progesterone

Long loop negative feed back

What causes luteolysis

Lack of LH and FSH stopping production of steroids

What causes menses

Lack if progesterone

What spiral arteries coils cause for menstration

Imped blood flow causing tissue necrosis

What PGs release cause for menstration

Vasoconstriction leading to further tissue ischemia

What necrosis if blood vessels cause

Hemorrhage and endometrial sloughing which is helped by enzymes

Blood and tissue volume lost during menstratiin

25-76ml each (mostly arterial)

What PGs cause for smooth muscle of uterus

Rhythmically contractions and menstrual flow and cramps

Menstrual abnormalities

Amenorrhea. Oligomenorrhea. Menorrhagia. Metrorrhagia. Dysmenorrhea

Amenorrhea

Absent ovulation due to dysfunction if HPG

Oligomenorrhea

Infrequent light bleeding

Menorrhagia

Prolonged heavy bleeding

Metrorrhagia

Bleeding between periods

Dysmenorrhea

Painful period

Effect of estrogen on breasts

Fluid retention and ductal growth of breasts

Progesterone effect on breasts

Increase fluid retention and lobule growth

What occurs to breasts prior yo Mendes

Odema and swelling

Two parts of penis involved in erection

Corpus cavernosum and corpus sponglosum

Type of tissue around the urethra

Corpus. Spongiosum

Blood flow that causes erection

Pressureizes blood enters and veins constrict

Where blood gets trapped in penis

Corpus cavernosa

What causes lubrication in penis

Parasympathetic activation of the bulbourethral glands

What causes ejaculation

Intense sexual stimulation

Where sympathetic impulses cause smooth muscle contractions for ejaculation

Rhythmicly in bulbourethral glands. Prostate and seminal vesicles. And peristaltic contractions in testicular ductdd rpididimus. Vas defferns and ejqculatory ductv

Movement to expel things out of the penis

Rhythmic contraction in erectial column of penis

Color change over erection

It gets darker

Four stages of an erection

Excitment. Plateau. Orgasm. Resolution

What causes excitation in females

Paradympathetic impulses

What occurs during excitment

Vasocongestion of vaginal walls

When peak vasocongestion of vaginal wall occurs

Orgasm

Agging issue with male penis

Erection takes more time and stimulation and is less firm when fully erect and refractory period is longer

Ejaculation volume as men age

Volume decrease

Testicular size during aging

Smaller and signs of sexual arousal are reduceced

What loss of estrogen causes in aging women

Reduced vaginal flow. Resdudrd


Vasocongrstion. Reduced lubrication. And may cause dyspareuria

Dyspareuria

Painful intercourse

Effect on vaginal wall of ageing

Vaginal wall loses elasticity and expansion reduces

Sexual arousal signs and aging

Reduce

Endocrine issues with male

Decreased testosterone causes decrease libido but not impair erection

Endocrine issues with female

Decrease in estrogen dryness of vagina and painful intercourse

Neural issue for men and sex

Impotence. Premature ejaculation

Neural issues for females sexuaky

Anorgasmia (1in14 psychological). Vaginismus. Dyspareuria

Time it takes for sperm to get to fertilization site

30 to 60min

What helps sperm move through the cervix

Glycoprotein channels in the mucus

How the egg helps direct sperm

Chenotactic factors

Half identical twins (polar body twining)

Egg splits on two and each egg I'd fertalized seperatly

Causes for infertaikity in men

Impaired spernatogenesis or seman production. Or impaired testicular or penile function

Infertility in females

Anovulation. Infection. Excess thick mucus

When zygote begins mitotic division

30 hr after fertilization

How a zygote enters uterine cavity

As a morula after 3-4 days

Morula

8 cells

When a zygote implants

7-8 days after fetulization

What the zygote survives on till implantation

Uterine milk secreted by endometrium

Trophoblast secretion they increases endometrial permeability

Estrogen

What is made by trophoblast that allows for implantation

Proteases

Tropoblast

Outer layer of cells around the zygote

Blastocele

Fluid filled pouch around the embryo contained by the teopoblast

Parts of embryo during blastocyst

Yolk sack and amniotic cavity

Layers around amnonic fluid

Chorion amnion

When the placenta develops

5 weeks after implantation

What makes up the placenta

Fetal chorionic frondosumn. Maternal decidual tissue

What occurs at plecenta

Exchange between fetal and maternal blood

What maternal decidual tissue does

Production of glycogon

Where maternal blood pools form

Chorionic excavation

What forms chorionic frondosum

From vascularized chronic villi

Tissues that have decidual reaction

Endometrial proliferation. Vascularization. Glycogen accumulation

What makes up the placental barrier

Endothelial cells of the blood vessels

What crosses placental barrier by diffusion

Oxygen. Co2. Ion. Lipids. Steroids

What crosses placental barrier by 're rotor mediated endocytosis

IgGs

What gets amino acids across the placental barrier

Amino acids

How glucose crosses the placental barrier

Facilitated diffusion

Functions of the placenta

Gas exchange. Nutrient delivery. Antibody delivery. Removal of fetal waste. Secretion of hormones

Hormones secreted by placenta

HCG. hCS. Estrogen. Progesterone

What hCG causes

More progesterone and estrogen from corpus luteum

What hCG (human chorionic gonadotropin) is like

LH in structure and action

What secretes hCG

Syncitiotophs 6 days after fertilization.

External use of hCG

Pregnancy tests

How concentration changes for hCG

Doubles every two days till peak at 10 weeks when the placenta forms. Secondary peak in second trimester

Hormones effected by hCG

Increase relaxin. Decrease LH in mother. Increase DHEA in fetus. Decrease mother immune function

Why a mother's immune function in decreased during pregnancy

To avoid abortion

What hCS is like

GH in structte and action

What hCS is produced and where it is found

Syncitiotrophs 4 weeks after implantation. Mainly in maternal circulation

Amount if hCS is proportional to

Placenta size

What hCS causes

Direct nutrients to the fetus induceing a diabetic like state in mother

Steroids that the placenta produces from the fetoplacental unit

Pregnenalone and progesterone from materinal cholesterol

What happens to placental prrgnenalone

Enters fetus and gets turned to androgens

Where fetal androgens go

Into placenta and get converted into estrogen and get passed to mother

Concentration change of progesterone over pregnancy

Increases to term

What progesterone causes in zygote

Division

Concentration change of estrogen over term of pregnancy

Increases to term

What causes cervical ripening at parturition

Relaxin and prostaglandin

Parturition

Term (270 days after fertilization)

Parts of myometrial contractions

Braxton hicks. Labour. Amniotic rupture. Cervical dilation.

What stimulates nyometrial contractions

Oxytocin and prostaglandin

How oxytocin causes effects if concentration does not drastical increase at term

Uterus becomes more sensative due to receptor upregulation

How Labour can be triggered with out hormones

Once a critical size is reached the movement of the fetus triggers contraction

Tubal/ectopic pragnancy

Occurs in oviducts or outside uterus

Psudopregnancy

Emotionaly disturnbed and appear to be pragnant

What prolactin causes in breasts

Sysnthesis of milk in alveoli

What oxytocin causes in breasts

Secretion of milk from avleoli ducts

Chiari frommel syndrome

Persistent, inappropriate lactation

Infertility

Antigonadal actions of prolactin