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What is the vulva?
External genital structures
What is the vagina?
The internal canal
Vulva vs vagina?
Vulva = external structures Vagina = internal canal
Where are Bartholin's glands located?
Near the vaginal opening
What do Bartholin's glands produce?
Mucus that helps with lubrication and protection
What can happen to Bartholin's glands?
They can become clogged and swollen
What are the three layers of the uterus?
Perimetrium myometrium and endometrium
What is the perimetrium?
The outer thin membrane of the uterus
What is the myometrium?
The middle muscular layer of the uterus
What is the endometrium?
The inner lining of the uterus
What happens to the endometrium during the menstrual cycle?
It thickens in preparation for pregnancy and sheds during menstruation
What are the ovaries?
Gonads that produce ova and hormones
What major hormones do the ovaries produce?
Estrogens and progesterone
What does estrogen help regulate?
The menstrual cycle and secondary sex characteristics
What does progesterone do?
Helps regulate the cycle and prepare and maintain the uterine lining for pregnancy
What does an ovarian follicle contain?
An immature oocyte
What are the functions of a follicle?
Nourishes the oocyte and produces estrogen
What happens during ovulation?
The dominant follicle ruptures and releases a secondary oocyte
What is released during ovulation?
A secondary oocyte
What forms from the ruptured follicle after ovulation?
Corpus luteum
What does the corpus luteum produce?
Progesterone and some estrogen
Which structure secretes progesterone after ovulation?
Corpus luteum
What is oogenesis?
Development of a mature ovum from oogonia
How many functional gametes result from oogenesis?
One
Spermatogenesis vs oogenesis functional gametes?
Spermatogenesis = 4 Oogenesis = 1
What four hormones are especially important in the menstrual cycle?
FSH LH estrogen and progesterone
What does FSH stand for?
Follicle-Stimulating Hormone
What is the main role of FSH?
Stimulates follicles to develop
What hormone do growing follicles produce?
Estrogen
What does rising estrogen do to the endometrium?
Causes it to thicken
What hormone surge triggers ovulation?
LH surge
What does LH stand for?
Luteinizing Hormone
What happens during the LH surge?
The mature follicle ruptures and releases the oocyte
What produces progesterone after ovulation?
Corpus luteum
What is progesterone's main role after ovulation?
Maintain the thickened uterine lining
What happens to estrogen and progesterone during menstruation?
Both decrease
What causes the endometrial lining to shed?
A decrease in estrogen and progesterone
What is the proliferative phase sequence?
FSH rises → follicles develop → estrogen rises → endometrium thickens → LH surge → ovulation
When does ovulation occur relative to the next menstrual period?
Approximately 14 days before the next period
Does ovulation always occur on cycle day 14?
No
What happens during the secretory phase?
Corpus luteum forms progesterone rises and the endometrium becomes more supportive of implantation
What happens to the corpus luteum if pregnancy does not occur?
It degenerates
What happens to estrogen and progesterone when the corpus luteum degenerates?
They decrease
What happens after estrogen and progesterone decrease?
The endometrium sheds and menstruation begins
What is the complete menstrual cycle hormone sequence?
FSH → follicle develops → estrogen rises → endometrium thickens → LH surge → ovulation → corpus luteum → progesterone rises → endometrium maintained → hormone levels fall → menstruation
What is PMS?
A collection of premenstrual symptoms such as bloating tender breasts and pain
What is PMDD?
Premenstrual Dysphoric Disorder with severe symptoms that interfere with normal functioning
What medication type is mentioned for treatment of PMDD?
SSRIs
What is primary dysmenorrhea?
Painful menstruation caused by excess prostaglandins
What causes primary dysmenorrhea?
Excess prostaglandins
What is amenorrhea?
Absence of menstruation
What is primary amenorrhea?
Failure to begin menstruating at puberty
What is secondary amenorrhea?
When an established menstrual cycle stops
What are possible causes of secondary amenorrhea mentioned in lecture?
Athletic activity low estrogen and anorexia nervosa
Are breasts primary or secondary sex characteristics?
Secondary sex characteristics
What is a benign breast mass?
Noncancerous
What is malignant?
Cancerous and potentially capable of spreading
What test may be used to diagnose breast cancer?
Tissue biopsy
What is a lumpectomy?
Removal of a breast lump
What is a mastectomy?
Surgical removal of the breast