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What is testosterone?
. main male reproductive hormone
. produced by testes
. stimulates sperm production
Describe the role of FSH in the menstrual cycle
. Secreted by pituitary gland
. Causes eggs to mature in their follicles in the ovaries
. Stimulates ovaries to produce oestrogen
Describe the role of oestrogen in the menstrual cycle
. Main female reproductive hormone
. Produced and secreted by ovaries
. Stimulates uterus lining to grow again / thicken after menstruation
. Stops FSH being produced (so only 1 egg matures in a cycle)
. Stimulates pituitary gland to release LH
Describe the role of LH in the menstrual cycle
. Produced by pituitary gland
. Triggers ovulation
Describe the role of progesterone in the menstrual cycle
. Secreted by empty egg follicle in ovary after ovulation
. Maintains lining of the uterus during second half of menstrual cycle and during pregnancy
. Stops release of FSH and LH
What is ovulation?
. The release of an egg from the ovary approximately every 28 days
. Happens 14 days from the end of the menstrual cycle
How do oral contraceptives work?
. contain hormones to inhibit FSH production so no eggs mature
. mixed pill contains oestrogen and progesterone
. some pills only contain progesterone
How do contraceptive implants work?
. Tiny tube under skin slowly releases progesterone to inhibit maturation and release of eggs
. Lasts up to 3 years
How do contraceptive injections work?
. Progesterone injected to inhibit maturation and release of eggs
. Lasts about 12 weeks
How do contraceptive patches work?
. Stick patch containing oestrogen and progesterone to inhibit maturation and release of eggs to skin
. Hormones are absorbed directly into bloodstream
. Has to be replaced every 7 days
What are some advantages of hormonal contraception?
. Over 99% effective
. Easily reversible (except implant)
What are some disadvantages of hormonal contraception?
. Have to remember to take hormones
. Periods may stop / become irregular
. May increase blood pressure
. Don't protect against STDs
How do spermicidal agents work?
. kill or disable sperm
. readily available
. usually paired with barrier methods
How do condoms work?
. Thin latex sheath placed over penis during intercourse
. Collects semen and prevents egg and sperm meeting
Pros and cons of condoms
. No side effects
. No medical advice needed / easy to use
. Offer some protection against STDs
. Can get damaged and let sperm through
How do diaphragms (contraception) work?
. Thin rubber diaphragm placed over cervix before sex to prevent entry of sperm
. Generally used with spermicidal agents
Pros and cons of diaphragms (contraception)
. No side effects
. Has to be fitted by a doctor initially
. If cap not positioned correctly sperm may get past and reach egg
. Must be left for 6 hours after sex
How do intrauterine devices work?
. small structure inserted into uterus by doctor
. contain either copper which prevents implantation of an embryo or progesterone
Pros and cons of intrauterine devices
. Last 3-5 years
. Can be removed at any time
. May cause period problems or infections
. Have to be inserted by doctor
What is abstinence / the rhythm method?
. Not having intercourse around ovulation or when an egg is in the oviduct
. So no sperm to fertilise the egg so no pregnancy
Pros and cons of abstinence
. Good for religious groups who don't accept artificial contraception
. Rhythm method is very unreliable
How does a vasectomy work?
Sperm ducts are cut and tied preventing sperm from getting into the semen
Pros and cons of a vasectomy
. Very effective
. Permanent so never have to think about it again
. May experience pain in testes
. Difficult to reverse operation
How are women surgically sterilised?
Oviducts are cut or tied to prevent egg reaching uterus
Pros and cons of female surgical sterilisation
. Permanent
. Very effective
. Need to go under general anaesthesia
. Risk of infection
. Very hard to reverse / irreversible
What are some common causes of infertility?
. Age
. Damage to Fallopian tubes / sperm duct
. Lack of FSH / other female hormones / sperm in semen
. Obesity
. Eating disorders
How are fertility drugs used to help women get pregnant in the normal way?
. Used when women don't produce enough FSH to stimulate the maturation of eggs in ovaries
. Artificial FSH stimulates eggs in ovary to mature and triggers oestrogen production
. Artificial form of LH then used to trigger ovulation
When is IVF used?
Any of:
. Oviducts are damaged or blocked by infection
. Donor egg has to be used
. No obvious cause of long-term infertility
What happens in IVF?
. Mother is given FSH and LH to stimulate the maturation of several eggs
. Eggs are collected from mother and fertilised in the lab by sperm collected from father
. Fertilised eggs develop into embryos
. When they are tiny balls of cells, 1 or 2 embryos are inserted into the mother's uterus (womb)
Disadvantages of fertility treatments
. Very emotionally and physically stressful
. Success rates are not high
. Can lead to multiple births which are a risk to both babies and mother
What are some social and ethical issues of IVF?
. Expensive for individuals and society (if funded by NHS)
. Stored eggs raise ethical issues if woman dies, relationship breaks up, or one parent no longer wants the eggs or embryos
What is adrenaline?
. Produced by adrenal glands in times of fear or stress
. Increases heart rate
. Boosts delivery of oxygen and glucose to brain and muscles
. Prepares body for 'fight or flight'
What is the target organ for adrenaline?
most tissues
What is thyroxine?
. From thyroid gland
. Stimulates basal metabolic rate
. Plays important role in growth and development
. Levels are controlled by negative feedback
What is the target organ for thyroxine?
most tissues