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31 Cards in this Set
- Front
- Back
What occurs at puberty in the female regarding the hypothalmus' sensitivity for gonadal steroids?
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Desensitization to negative feedback AND establishment of estrogen positive feedback
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Aside from steroid levels from the ovary, what else play a role in the cyclic control of LH and FSH secretion by the hypothalamus?
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Nutritional, emotional, and sleep-wake patterns
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When is gonadatropin secretion the highest in (prepuberty, reproductive phase, postmenopausal)?
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Postmenopausal due to loss of inhibition by dropping estrogen
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TRUE/FALSE Gonadotropin release is steady and displays no pulsatility?
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FALSE; pulsatility is important to prevent down-regulation of pituitary receptors
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This organ acts like a "black box integrator" by coordinating the events of the menstrual cycle on the basis of hormonal signals and neuronal signals?
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Hypothalamus
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Why is the menstrual cycle longer in the prepubertal and perimenopausal periods?
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general occurrence of Anovulatory cycles
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What are anovulatory cycles due to in adolescence?
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Immature hypothalamus causes erratic secretion of gonadal steroids and pituitary gonadotropins
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What are anovulatory cycles due to in the perimenopausal period?
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gradual decline in the secretion and negative feedback action of the ovarian steroid hormones
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What is an anovulatory cycle?
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varying length cycle; no luteal or ovulatory phase
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What day does the mensrtual cycle start on?
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first day of menses
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What are the two parts of the menstrual cycle?
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follicular and luteal
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What event marks the transition from follicular to luteal phase of the menstrual cycle?
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Ovulation
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This phase of the menstrual cycle is characterized by the growth of follicles and the biological effects of estrogen?
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Follicular phase
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This phase of the menstrual cycle is dominated by the effects of progesterone?
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Luteal phase
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What phase of menstruation has cervical secretions favoring sperm transport?
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Follicular phase
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What cells of the follicle does FSH act on; what are it's actions?
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Follicular cells to proliferate and creat aromatase enzyme (androgens > estradiol)
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Which cells of the ovary do LH act on to induce the synthesis of androgen?
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thecal cells
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What does recent evidence propose the mechanism of action of estrogen is in creating the LH surge?
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Creation of catecholestrogens (act as both catecholamine and estrogen)
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What is the "self-priming" effect that GnRH experiences during the LH surge?
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Gonadotropin response to each consecutive pulse is enhanced (amplification)
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What is the phenomenon responsible for amplifying the ovulatory signal from the hypothalamus called?
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Self-priming
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What function does a constant infusion of GnRH have on the reproductive system?
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Superb Inhibition (causes the downregulation of receptors in the pituitary)
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What are a few of the mentioned pathologies that can be treated by a constant GnRH analog infusion?
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Prostatic cancer and precocious puberty
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What is it about estrogen that is sensed and integrated by the hypothalamus and constitutes the positive feedback signal of estrogen?
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The unique profile of estrogen
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What will happen to the ovulatory stage if there is an alteration in estrogen pattern of release during the follicular phase?
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Fails to occur
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What is the yellow pigment called that is aquired by the follicle after ovulation?
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Lutein
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What hormone stimulates the release of progesterone from the corpus luteum?
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LH
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What change signals the beginning of the follicular phase?
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The rise in FSH levels (due to loss of hypothalamic estrogen inhibition)
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What explains the slight rise in circulating androgens during the latter portion of the follicular phase?
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those which escaped the ovarian follicle without being aromatized to estrogen
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What happens to the basal body temperature after progesteron secretion by the corpus luteum?
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Increases
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How can the functions of the corpus luteum be sustained by a decreasing secretion of gonadotropins?
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HCG
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What is luteolysis?
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spontaneous regression of the corpus luteum in the late luteal phase
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