Physio E4 Reproductive

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How do gametes form?

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1

How do gametes form?

meiosis

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2

What is TDF?

testes determining factor

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3

What chromosomes do females have?

XX

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4

What chromosomes do males have?

XY

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5

What determines the sex of a child?

determined by the contributing sperm

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6

What determines whether embryonic gonads become testes or ovaries?

TDF

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7

What does the Mullerian duct turn into?

uterus and uterine tubes

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8

What factor determines if the Mullerian duct develops or degenerates?

Mullerian inhibition factor (MIF)

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9

What happens if MIF is present? Absent?

Present: mullerian ducts degenerates

Absent: mullerian ducts develop into uterine tubes

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10

What hormone leads to the development of the prostate, penis and scrotum?

Testosterone

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11

The vagina, labia, and clitoris will develop in the absence of what?

Testosterone

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12

What hormone determines whether the Mesoneprhic (Wolffian) duct will develop or degenerate?

Testosterone

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13

What happens to the Wolffian (mesonephric) duct if there is no testosterone present?

degenerates

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14

What does the Mesonephric duct turn into?

epididymides, ductus deferential, ejaculatory ducts

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15

Where is testosterone secreted from?

testes

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16

97% of testosterone is bound to what?

albumin and sex hormone binding globulin

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17

5-alpha reductase converts testosterone to what?

DHT (more potent androgen)

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18

How is testosterone eliminated?

metabolized and eliminated in the liver via bile or urine

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19

Androgens work at nuclear receptors to affect what?

DNA-RNA transcription

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20

Secondary sex characteristics of males

later growth spurt: body, muscle, penis and testis growth

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21

Body hair is stimulated by __ at puberty for both males and females

androgens via the adrenal gland cortex

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22

Other androgen effects

male pattern baldness, increased skin thickness, acne, bone deposition, protein and muscle development, increased RBC formation, increased prostate size

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23

LH goes to ____ causing them to secrete gonadal hormones ____

Leydig cells; testosterone

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24

Testosterone is provides negative feedback to what androgen?

LH>FSH

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25

FSH goes to the ____ to secrete ___

seminiferous tubules (Sertoli cells); inhibin

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26

Inhibin provides negative feedback for what androgen? (male and female)

FSH only!!!

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27

What is the role of Leydig cells? Sertoli cells?

Leydig: secrete testosterone → androgenic effects, spermatogenesis

Sertoli cells: secrete inhibin, spermatogenesis

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28

What 2 hormones influence spermatogenesis?

FSH and testosterone

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29

Where are FSH receptors found? Male

Sertoli cells

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30

Where are LH receptors found? Male

Leydig cells

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31

What are the two compartments of the testis?

Seminiferous tubules and Interstitial tissue

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32

What is acrosome?

cap of digestive enzymes on the sperm

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33

What is the end result of the maturation stage of spermatogenesis?

4 sperm

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34

Pathway of sperm maturation

seminiferous tubules → rete testis → efferent ductules → epididymis

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35

What is the role of the epididymis?

site of sperm maturation and storage

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36

Pathway of sperm ejaculation

epididymis → vas deferens → ejaculatory duct → urethra

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37

What is the role of the seminal vesicle?

adds lube (seminal fluid)

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38

What does seminal fluid consist of?

fructose (energy), fibrinogen, prostaglandins

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39

What does prostate fluid consist of?

citric acid, calcium, zinc, coagulation proteins, proibrinolysin

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40

What does bulbourethral gland fluid consist of?

galactose and mucus (increase motility)

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41

What are the components needed for an erection?

vascular, nerve (SNS and PNS), psychological, hormonal (testosterone)

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42

An erection results form blood flow into the __

corpus cavernosa

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43

How does the PNS lead to an erection?

PNS nerve → NO induced vasodilation of the arterioles leading to the corpus cavernosa

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44

Inhibiting what hormone prolongs vasodilation?

PDE5

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45

What is under SNS control?

emission and ejaculation via the pudendal nerve

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46

Point and Shoot:

PNS stimulation is needed for erection

SNS stimulation is needed for ejaculation

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47

What is the site of fertilization?

ampulla

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48

What is the endometrium?

inner layer of uterus, where embryo implants and develops

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49

What is the myometrium?

middle muscle layer, contracts during birthing

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50

What are the 2 primary female sex hormones?

estrogen and progesterone

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51

Estrogen is secreted from….

the ovaries (primarily in non-pregnant females) and small amount from the adrenal cortex

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52

Progesterone is secreted from….

corpus luteum in latter half of ovarian cycle

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53

Where are estrogen and progesterone metabolized?

liver

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54

When is secretion of FSH and LH elevated?

birth - first 6 months post natal

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55

During puberty onset and during reproductive years which hormone is higher?

LH

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56

If FSH > LH =

no cycle (menopause- no negative feedback)

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57

Secondary sex characteristics of women

growth spurt, breast development, menarche

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58

Hormone flow of female reproductive system

Hypothalamus: GnRH → ant. pituitary: FSH & LH → gonads: estrogen, progesterone, and inhibin

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59

Ovarian follicles secrete (follicular phase)

estradiol

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60

Corpus luteum secretes (luteal phase)

progesterone (important in pregnancy)

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61

Granulosa cells of ovarian follicles secrete

inhibin

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62

What is the avg. Ovarian cycle length?

28 days

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63

What causes the LH surge during ovulation?

due to estrogen hitting threshold

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64

primary follicles grow layers of granulosa cells in response to

FSH

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65

After ovulation, the remaining follicle becomes

corpus luteum

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66

Corpus luteum secretes

estradiol and progesterone (play a roll in uterine cycle)

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67

Phases of the ovarian cycle

follicular phase, ovulation, luteal phase

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68

Follicular phase

day 1-13; initiated by FSH; increasing level of estradiol from granulosa cells

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69

At the end of the follicular phase, FSH and estradiol are high causing

stimulation of LH from follicles and Hypothalamus/ant. pit. —> LH surge

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70

Ovulation phase

LH surge initiates → cause follicle to rupture → oocyte is released

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71

Luteal phase

rupture follicle becomes corpus luteum: secretes estradiol and progesterone (peaks 1 week post ovulation) and inhibin → high levels feedback on pituitary gland and inhibit FSH and LH secretion

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72

Changes in the endometrium follow changes in the

follicles of the ovaries

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73

phases of the uterine (menstrual) cycle

menstrual, proliferative, secretory

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74

What defines the first day of the menstrual cycle?

first day of menses

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75

The development o the endometrium is regulated by secretion of

estradiol and progesterone in the ovaries

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76

Proliferative phase occurs while the ovary is in

follicular phase

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77

Proliferative phase

increasing levels of estradiol stimulate the growth of the endometrium →becomes more vascular and develops progesterone receptors

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78

Secretory phase occurs

post ovulation, when the ovaries are in the luteal phase

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79

Secretory phase

secretion of progesterone stimulates the endometrium to become even thicker more vascular → prepared to nourish a growing embryo

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80

Menstral phase occurs

because of the fall in estradiol and progesterone when corpus luteum degenerates

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81

Menstral phase

arteries in the endometrium constrict and this region is sloughed

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82

The association between the acrosome cap and zona pellucida cells stimulates the entry of __

Ca2+ → release of acrosomal enzymes (allow sperm to digest zona pellucida on way to oocyte)

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83

__ days post fertilization the blastocyte implants into the endometrium. by the __ day its completely buried

6; 7-10

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84

When implantation occurs, the blastocyte releases what?

hCG —> keeps the corpus luteum alive

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85

What is the point of keeping the corpus luteum alive?

continues to release estradiol and progesterone → prevents menstruation

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86

When secretion of hCG declines what takes over hormone production?

the placenta

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87

Do maternal and fetal blood mix?

no; they are separated only by two cell layers

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88

What diffuses from the maternal blood to the fetal blood?

oxygen and nutrients; Alcohol can also

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89

What diffuses from the fetal blood to the maternal blood?

CO2 and waste

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90

How much weight do women gain in pregnancy?

25-35 lbs

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91

How much weight is in extra blood and ECF?

5 lbs

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92

Does women’s metabolism increase during pregnancy?

yes; leads to overheating sensation

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93

Nutritional maternal changes

increased need for iron, Vit D, Ca, Vit K

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94

Changes in maternal blood flow

CO increases 30-40% by 27th week → increased aldosterone and fluid retention

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95

Respiration maternal changes

20% increase in O2 consumption, increased ventilation, increased sensitivity to CO2

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96

What increases to protect mother from hemorrhage during childbirth?

blood coagulability

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97

GFR increases ___ by mid-pregnancy

40-50%

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98

What pulls water of the GI system during pregnancy?

progesterone

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99

What hormone weakens joints widening the pelvis?

progesterone

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100

Average gestation period

40 weeks; measured from first day of LKMP

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