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39 Cards in this Set

  • Front
  • Back
Puberty
period in which reproduction becomes possible
menarche
occurrence of initial/first menses
1st several cycles are usually anovulatory
puberty with cyclic FSH/LH and ovulation frequently not attained until >1 year post menarche
adrenarche
increased adrenal androgen production associated with approach of puberty
responsible for pubic and axillary hair growth
female pattern of distribution of axillary and pubic hair due to
estrogen
first sign of approaching puberty in girls
breast changes
begin around 10-11
usually precede appearance of pubic hair
menstrual cycles commonly begin around
12-14
first sign of approaching puberty in males
enlargement of testis around 10-11
FSH and LH gradually increase in male between
8-10 years of age
testosterone levels increase steadily from
11-13
greatest increase from 13-16
pubic hair growth in males begins
about age 12
body growth spurt in males
begins before 13
may last >3 years
penile growth
secondary sex characteristics: facial hair, deeper voice, male phenotype
onset of spermatogenesis
around age 13
FSH and LH effects in adolescent females
ovarian maturation
steroid production
estrogen effects in adolescent females
growth of reproductive tract and breasts
bone growth and phenotype
distribution of pubic and axillary hair
influence expression of personality and sexuality
androgen effects in adolescent females
growth of pubic and axillary hair
primary libido hormone
can have modifying effects on growth and phenotype
influence expression of personality and sexuality
minimum weight of onset of growth spurt, menarche, and minimum fat for menarche
GS = 30kg
menarche minimum weight = 47 kg
menarche minimum fat = 11 kg
what can increase GnRH and accelerate puberty
IGF-1 and leptin
from ages 4-11 both sexes show
minimal gonadotropin release
suppression of pulsatile secretion of GnRH
amygdala effects on GnRH-producing cells
suppresses them via stria terminalis
activation of adult-type pulsatile GnRH release requires stimulation of GnRH neurons by
both hormones and NTs
increasing gonadal and adrenal sex steroids does what
raises sensitivity of the pituitiary cells producing FSH and LH
increased FSH, LH, and gonadal steroids do what
stimulate and guide gametogenesis
Pubertal Hypothalalmus
minimal GABA inhibition
increased GLU-type neurotransmission
increased local PGE2
increased IGF-1 and leptin
prememopause time is called
climacteric
menopause
cessation of menstrual cycle
usually occurs between 45-50
due to aging of the ovaries
hypothalamic-pit system is normal
usually preceded by a number of shorter cycles with longer intervals between menses
reproductive system conditions of menopause include
no ovarian follicles or ovulation
no menses
elevated FSH and LH
low E and P
other conditions associated with menopause
osteoporosis
emotional problems
skin wrinkling and thinning
decreased anabolism and calories burned
atrophy of external genitalia
thermoregulatory problems
hot flushes due to
direct action of increased GnRH on thermoreg neurons

not due to estrogen
Pros of estrogen replacement
prevents commone degenerative changes in menopause
lower incidence of hip fractures and colon cancer
Cons of estrogen replacement
increased risk of breast and endometrial cancer
increased risk of heart disease, stroke, and thromboembolism
SEs include uterine/vaginal bleeding, bloating, and breast tenderness
men over 70 exhibit
decreased plasma testosterone and sperm count
increased TeBG, aromatiztion (estrogen formation), and FSH & LH
major hormones used for replacement therapy in men
testosterone and dehydroepiandrosterone
effects of replacement therapy in men
maintain skeletal muscle
increase energy and libido
SEs of testosterone in replacement therapy
increased risk for prostate tumor
decreased sperm count
increased aggression
DHEA and aging
decreases in both sexes in the 50s
DHEA effects
increase lean body mass, joint flexibility, insulin and IGF-1, and facial hair & acne (women)
antilipogenic
DHEA pros
inexpensive
less bioaggressive and few side effects than T or anabolics
cons of DHEA
very few controlled studies
no info on long-term effects
no quality control in manufacture
Cortisol receptors and age
less negative feedback --> increased cortisol levels
downreg of receptors and neuronal death due to increased cortisol levels
memory loss
slower recovery from stressors
tumors grow faster in old age