The Female Reproductive Cycle

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    Ovarian and Uterine Cycles

    Objective

    Inform the audience about the female reproductive

    cycle

    The Female Reproductive Cycle

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    Overview

    y Occurs in the menarche stage of puberty

    y Average age 12 years old

    y Cessation of menstrual cycle occurs during menopause

    (average age 52)y 4 stages of menstruation

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    Hormones

    y Major player in the menstrual cycle

    y Estrogen

    y Promotes the development and maintenance of female

    reproductive structures (especially the endometrial lining of theuterus)

    y Assists in the control of fluid and electrolyte balance within the

    body.

    y Prepares the follicle for the release of an egg.

    Estrogen also has many other functions.

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    Progesterone:

    y Secreted at ovulation

    y Helps to prepare the endometrium (womb lining) for the

    implantation of an egg

    yPrepares mammary galnds for milk production

    y Primarily concerned with the procreation and survival of the

    fetus.

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    FSH Follicle StimulatingHormone

    y Stimulates the follicles

    y a follicle is a balloon shaped structure which is filled with fluid

    and contains an egg, follicles are found in the ovaries)

    y

    Ripens several eggsy At the same time the ovaries release oestrogen.

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    LHLutenising hormone:

    y Further develops the follicles

    y Triggers ovualtion and stimulates production of other

    hormones necessary for the post ovulatory stage of the

    menstrual cycle.y The secretion of hormones is a complex affair.Various parts

    of the body become involved in a myriad of chemical

    transactions.

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    6 phases of menstruation

    Name of phaseAverage start day

    assuming a 28-day cycleAverage end day

    menstrual phase

    (menstruation)1 4

    Preovulatory phase 5 13

    ovulatory phase (ovulation) 13 16

    Postovulatory phase 16 28

    http://en.wikipedia.org/wiki/Menstrual_cycle

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    Menstrual phasey Day 1 to 4

    y Events in the ovaries:

    y FSH causes several primordial follicles to develop into primaryand secondary follicles

    y Follicles can take months to develop

    y Events in the uterus

    y Menstrual flow 50-150mL of blood, tissue fluid, mucus, andepithelial cells

    yOccurs due to declining levels of progesterone and estrogensstimulate release of prostaglandins that cause uterine spiralarterioles to constrict

    y Flow passes from the uterine cavity though cervix and vaginainto external environment

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    Preovulatory phasey Day 5 to 13

    y Variable in length accounts for most differences in cyclelength

    y Events in the ovaries:

    y Some secondary follicles in ovaries begin to secrete estrogensand inhibins

    y Estrogens and inhibins secreted by the dominant follicledecrease secretion ofFSH.y

    Causes other less developed follicles to stop growingy Fun fact non-identical twins or triplets result when two or

    three secondary follicles become co dominant and are ovulatedand fertilised at same time

    http://www.youtube.com/watch?v=8_rfZ_qj1z4&f

    eature=related

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    Preovulatory phase cont.y Normally, the one dominant secondary follicle becomes the mature

    follicley Continues to enlarge until it is more than 20mm in diameter and ready for

    ovulation

    y Forms blisterlike bulge due to the swelling antrum on surface of ovary

    y During final maturation follicle continues to increase production of estrogens

    y Events in the uterus

    y Estrogens in blood stimulate repair of the endometrium

    y Cells of the stratum basalis undergo mitosis and produce a new stratumfunctionalis

    y As endometrium thickens, the short, straight endometrial glandsdevelop, and the arterioles coil and lengthen as they penetrate thestratum functionalis

    y Thickness of the endometrium approximately doubles to about 4-10mm

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    Postovulatory phasey Day 16-28

    y Most constant part of reproductive cycle

    y Mature follicle collapses

    y

    Basement membrane between granulosa cells and thecainterna breaks down

    y Blood clot forms from mminor bleeding of ruptured follicle

    y Follicle becomes corpus hemorrhagicum

    y Hemo = blood

    y Rrhagic = bursting forth

    y LH influences theca interna cells to mix with granulosa cells

    y Transforms into corpus luteum cells

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    Postovulatory phase cont.y Futher events depend on fertilization or non fertilization:

    y Non fertilisation

    y corpus luteum has a life span of only 14 days

    y Then its secretory activity declines, degenerates to corpus albicans

    y As this occurs rise of GnRH, LH and FSH occurs due to the loss ofnegative feedback suppression by ovarian hormones. Folliculargrowth resumes and a new cycle begins

    y Fertilisation

    y corpus luteum lives beyond two weeks

    y Human Chorionic Gonadotropin (hCG) prevents its degenerationy hCG is produced by the chorion of the embryo about 8 days after

    fertilization

    y hCG is the indicator in pregnancy tests

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    Postovulatory phase cont.y Events in the Uterus

    y progesterone and estrogens produced by the corpus luteum promote growth

    and coiling of the endometrial glands

    y Vascularisation of the superficial endometrium and thickening of the

    endometrum

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