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Three major components of the reproductive system
Gonads, internal genitalia, and external genitalia
Germ cells vs gametes vs somatic cells
Germ cells give rise to gametes; gametes are haploid (1n); somatic cells are diploid (2n)
Zygote definition
Diploid cell formed from fusion of two haploid gametes
Functions of the ovary
Gamete production (oogenesis) and hormone secretion (estrogen, progesterone)
Function of fallopian tubes
Site of fertilization and transport of embryo via cilia and smooth muscle
Effect of impaired fallopian tube cilia
Increased risk of ectopic pregnancy due to failed embryo transport
Layers of the uterus
Endometrium (implantation), myometrium (contraction), outer connective tissue (support)
Ovarian reserve
Pool of primordial follicles present at birth
Number of follicles at birth vs ovulated
~1–2 million at birth; ~400 ovulated in lifetime
Stages of folliculogenesis
Primordial → Primary → Secondary → Antral → Preovulatory → Ovulation
Role of granulosa cells
Proliferate, produce estrogen, form follicular fluid
Role of theca cells
Produce androgens for estrogen synthesis
Trigger for ovulation
LH surge induced by high estradiol (positive feedback)
Corpus luteum function
Secretes progesterone to prepare uterus for implantation
Why cycle is 28 days despite long follicle development
Multiple follicle cohorts develop; only one becomes dominant per cycle
Ovarian cycle phases
Follicular → Ovulation → Luteal
Uterine cycle phases
Menses → Proliferative → Secretory
Hormones regulating menstrual cycle
GnRH, FSH, LH, estradiol, progesterone, inhibin
Two-cell two-gonadotropin model
Theca cells (LH) make androgens; granulosa cells (FSH) convert to estrogen
Dominant luteal phase hormone
Progesterone
Cause of menstruation
Drop in progesterone, estrogen, and inhibin due to corpus luteum degeneration
GnRH function
Pulsatile release stimulates FSH and LH secretion
Why GnRH must be pulsatile
Continuous GnRH suppresses FSH/LH release
Cause of LH surge
High estrogen causing positive feedback
Function of inhibin
Inhibits FSH secretion
Mechanism of progestin birth control
Negative feedback suppresses GnRH → ↓FSH/LH → prevents ovulation
Cells producing androgens vs estrogen
Theca cells → androgens; granulosa cells → estrogen
Aromatase function
Converts androgens to estrogen
PCOS characteristics
Anovulation, hyperandrogenism, polycystic ovaries, often insulin resistance
Chromosomal sex determination
Determined by sperm (X or Y chromosome)
Role of SRY gene
Triggers testis development
Development without SRY
Ovaries and female reproductive structures form
Müllerian duct derivatives
Fallopian tubes, uterus, upper vagina
Wolffian duct derivatives
Epididymis, vas deferens, seminal vesicles
Difference between oogenesis and spermatogenesis
Oogenesis finite and cyclical; spermatogenesis continuous
Timing of oocyte formation
Before birth; arrested until puberty
Major hormone classes
Peptide, steroid, amine
Steroid hormone mechanism
Bind intracellular receptors and alter gene transcription
Peptide hormone mechanism
Bind membrane receptors and activate second messengers
Hormonal response to exercise
↑ glucagon, catecholamines, cortisol; ↓ insulin
Why insulin decreases during exercise
Preserves circulating glucose for active tissues
Key trigger of ovulation
LH surge
Hormone maintaining early pregnancy
Progesterone
Most important feature of GnRH
Pulsatile secretion
Functional unit of ovary
Follicle
Most common reproductive disorder
PCOS
What are the types of haploid chromosome pairs?
22 pairs of homologous autosomes; 1 pair of sex chromosomes
What are the types of sex chromosomes?
XX = AFAB; XY = AMAB
How many chromosomes does a diploid cell contain?
46 chromosomes in total
What are some sex chromosomal variances?
Klinefelter (XXY) or Turner (X0) syndromes
What does Sertoli cells do?
Secretes anti-Müllerian hormones which causes regression of Müllerian duct.
What do interstitial cells do?
Secrete testosterone which controls the development of Wolffian ducts and male external genitalia by DHT
Which hormones aid in male development in the fetus?
Testosterone and Anti-Müllerian hormone
What are Primordial Germ Cells (PGC)?
the common origins of spermatozoa and oocytes
How does PGC work?
PGC uses “ameboid” movement from the yolk sac to colonize an area along the dorsal body wall called the genital ridge; the arrival of PGC initiates the formation of bipotential gonads
What happens if the PGC develops into a female?
Gonadal cortex forms ovary, gonadal medulla regresses, Wolfian duct regresses, and Müllerian duct becomes the female genitals
What happens if the PGC develops into a male?
Gonadal cortex regresses, gonadal medulla forms a testis, Wolfian duct forms male genitals, and Müllerian duct regresses
What happens during external genitalia development in females?
Genital tubercule forms clitoris; urethral folds and grooves form labia minors and opening of the vagina and urethra; labioscrotal swellings form labia majora
What happens during external genitalia development in males?
Genital tubercule forms glans penis; urethral folds and grooves form shaft of penis; labioscrotal swellings form shaft of penis and scrotum
What are the germ layers of the embryo?
Endoderm, mesoderm, and ectoderm
What comes from the endoderm?
Digestive system, lungs, and endocrine system
What comes from the mesoderm?
Muscles, skeleton, cardiovascular, reproductive system
What comes from the ectoderm?
Nervous system, reproductive tract, skin and hair
What part of the brain controls hormones?
The pituitary gland
What hormones come from the posterior hypophysis?
Oxytocin and ADH
What hormones come from the anterior hypophysis?
LH, FSH, PRL, GH, TSH, and ACTH
What does Follicle stimulating hormone (FSH) do?
Regulates gametogenesis in gonads
What does Luteinizing hormone do?
controls production of steroid hormones
Which hormones do both sexes produce?
androgen and estrogen
Which sex predominately produces androgen?
Males
Which sex predominately produces estrogen?
Females; progesterone is also dominant in females
What is cryptorchidism?
the failure of both testes to descend
What is thyroid hormone?
Mostly nuclear receptors; long half life
What are catecholamines?
Cell surface receptor; short half life
What are peptide hormones?
Large inactive precursors that are cleaved to inactive prohormones; bind to cell membrane receptors; hydrophilic but cannot freely cross membranes
What are steroid hormones?
Synthesized as needed from cholesterol; NOT STORED; lipophlilic (readily cross membranes); Cytoplasmic/nuclear receptors
What kind of steroid hormone can cross cell membrane?
Only unbound hormones can diffuse into the target cell
How do steroid hormones work?
By altering gene transcription
What are the three main pathways involving hypothalamus and pituitary gland control endocrine system?
Hypothalamic Pituitary Thyroid axis (HPT), Hypothalamic Pituitary Adrenal axis (HPA), Hypothalamic Pituitary Gonadal axis (HPG); operate by negative feedback loops
Where are regularity hormones from?
Released from hypothalamus; acts on anterior pituitary
Where are stimulating hormones from?
Released from anterior pituitary; acts on another endocrine gland
Where are non-tropic hormones from?
Released from an endocrine glad; acts on target cells/tissues
What does prolactin do?
Principally responsible for lactation; concentration increases 20-40x during pregnancy
What does dopamine antagonists do to prolactin?
Increases prolactin secretion
What does dopamine agonists do to prolactin?
MAO inhibitors (block dopamine metabolism) decrease prolactin secretion
What are the effects of thyroid hormone?
Growth and development, calorigenic effects, cardiovascular effects, metabolic effects
What is cretinism?
Failure of thyroid to develop during infancy due to deficiency in iodine