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What is GnRH short for?
gonadotropin releasing hormone
What kind of hormone is GnRH?
neurohormone
Where is GnRH secreted from?
hypothalamus
What kind of secretion is GnRH?
pulsatile secretion
Describe the gender difference between GnRH secretion in men and women.
highly variable in women, constant in men
What is a pulsatile secretion?
released in pulses
GnRH travels to which gland BEFORE binding to GnRH-R?
anterior pituitary gland
GnRH binds to GnRH-R on what kind of cells?
gonadotropes
Gonadotropes are located in which gland?
anterior pituitary gland
Binding GnRH stimulates the release of which two gonadotropins?
FSH and LH
FSH and LH are released in which gland?
anterior pituitary gland
FSH is short for:
follicle-stimulating hormone
LH is short for:
luteinizing hormone
FSH and LH enter which type of circulation?
systemic circulation
FSH and LH act on what organs?
gonads (ovaries/testes)
What hormone stimulates FSH secretion?
activin
What hormone inhibits FSH secretion?
inhibin
Activin and inhibitin hormones are found in what cells of ovarian follicles?
granulosa cells
Activin and inhibitin hormones are found in what cells of seminiferous tubules?
sertoli cells
What two major cells exist in testes
Leydig cells, Sertoli Cells
What's another name for leydig cells?
interstitial cells
Where are Leydig cells located?
between seminiferous tubules
Where are Sertoli cells located?
within the seminiferous tubules
What is the name of the LH receptor for Leydig cells?
ICSH
ICSH is short for:
interstitial cell stimulating hormone
ICSH hormones stimulate Leydig cells to produce what?
testosterone
Which cell in the testes has FSH receptors?
sertoli cell
Which cell in the testes has LH receptors?
leydig cell
What do Sertoli cells do?
provide nutrition and sperm cell growth
What do Leydig cells do?
secrete testosterone
What do Thecal cells secrete?
testosterone
What two major cells exist in the ovaries?
thecal cells and granulosa cells
What is a mature ovarian follicle called?
Graafian follicle
Graafian follicles are filled with what hormone?
Estrogen
What do granulosa cells do?
secrete estrogen
Granulosa cells release what enzyme that converts testosterone to estrogen?
Aromatase enzyme
What two hormones (not including estrogen) are produced by granulosa cells?
activin and inhibitin
What kind of hormones are androgens?
steroid hormones
What effect do androgens have on the body?
masculinizing effects
What are three kinds of androgens?
androstenediol, DHT, and testosterone
What is DHT short for?
dihydroxytestosterone
What is DHT?
an active form of testosterone
What kind of androgen is DHT?
major intracellular androgen
What is the most potent male hormone?
DHT
What is the least active androgen?
testosterone
Which androgen is the major male circulatory hormone?
testosterone
Testosterone is what kind of androgen?
major extracellular androgen
What is the primary female sex hormone?
estrogen
What does estrogen synthesis begin with?
cholesterol
Estrogen production is reglared by the:
hypothalamic-pituitary-gonadal axis
What are the four forms of estrogen?
estrone, estradiol, estrial, esterol
Where is estrone found?
in men and menopausal women
Which form of estrogen is weakest?
E1
What's E1 short for?
estrone
What is the most common form of estrogen?
estradiol
Estradiol is most dominant in what demographic?
non-pregnant, fertile women
What is E2 short for?
estradiol
Where is estrial produced?
in placenta
Where is esterol produced?
in fetal liver
What two forms of estrogen are produced during pregnancy?
E3, E4
E3 is short for:
estrial
E4 is short for:
esterol
What hormone does cholesterol produce in the estrogen pathway?
pregenolone
What two hormones are produced by pregenolone in the estrogen pathway?
DHEA and progesterone
What are the three layers of the uterus?
perimetrium, myometrium, endometrium
What is the outermost layer of the uterus?
perimetrium
The perimetrium is composed of what kind of tissue?
connective tissue
The myometrium is composed of what kind of muscle?
smooth muscle
What is the innermost layer of the uterus?
endometrium
How long can an egg survive?
24 hours
How long can sperm survive, assuming it has a fertile cervical mucus?
5 days
What is the general pH range of a vagina? (acidic, basic, neutral)
acidic
What is the benefit of an acidic vaginal environment?
prevents yeast infection
Vaginal microbiome is rich in what kind of bacteria?
lactobacilli
Lactobacilli use glycogen to produce what?
lactic acid
long term antibiotic treatment can result in what?
dysbiosis
What does dysbiosis mean?
abnormal microflora
Dysbiosis results in what?
yeast infection
What are the four parts of the fallopian tube?
fimbriae, infundibulum, ampulla, isthmus
What is the function of the fimbriae?
to catch eggs
What is the function of the infundibulum?
to guide non-motile egg to ampulla
How does the infundibulum guide the egg?
through peristalsis
What is the function of the ampulla?
site of fertilization
What is the function of the isthmus?
transports the zygote to uterus
How long is the average menstrual cycle?
28 days
The menstrual cycle is regulated by what hormone?
GnRH
List the three stages of the menstrual cycle
Bleeding, Proliferative, Secretory
Days 1-5 of menstruation
Bleeding Phase
Days 6-13 of menstruation
Proliferative Phase
Day 14 of menstruation
Ovulation
Days 15-28 of menstruation
Secretory Phase
Proliferative Phase is dominated by what two hormones?
FSH, Estrogen
What happens to the endometrium during the proliferative phase?
thickens
What stage has the maturation of ovarian follicles from primary to secondary to tertiary?
Proliferative Phase
What's another word for tertiary follicle?
Graafian follicle
Ovulation is triggered by what event?
LH surge
A defining characteristic of the LH surge in ovulation is:
blood levels >20 IU/L
What major event happens in ovulation?
mature Graafian follicle releases egg, and fimbriae of fallopian tube catches it
What stage of menstraution is the optimal time to concieve?
Ovulation
Days 15-28 of Menstruation
Secretary Phase