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Menarche
what is the name for the first menstruation
11-12
what is the average age for a girl to get their first menstruation
Days 1-5/6
when and how long does the menstrual cycle last?
estrogen, progesterone
what are the two things that drop triggering the menstrual cycle to begin
6/7-14
When and how long does the proliferative phase
proliferative phase
when does the endometrium start thickening d/t estrogen to prepare for implantation
15-26/28
how long and when does the secretory phase
Ovulation
when does the secretory phase begin?
7-10 days
how long does it take for implantation to occur after the secretory phase occurs
progesterone
the secretory phase is primarily driven by what hormone?
Follicular phase
which part of the ovarian cycle occurs from day 1-14
Ovulation
what is time period of the ovarian cycle that is the most fertile period of the cycle
Luteal
which phase of the ovarian cycle occurs from day 15-28
Corpus albicans
if the corpus luteum does not become fertilized what is the name it is given
HCG
what is the hormone that maintains the corpus luteum and progesterone until the placenta takes over?
LH
what is the hormone that if the ovum is fertilized will help form the corpus luteum
Oocyte
what is a developing egg that grows to maturity in the egg contained within the follicle
Ovum
what is a mature egg cell released from the ovaries
14th day
the LH is known for causing ovulation but at what point during the menstrual cycle is there a large surge
Spinnbarkeit Mucous
what is the substance on an egg that indicates high estrogen levels and allows for sperm penetration
LH, sodium retention
when estrogen is secreted from the developing follicle what are the two things that are increased?
Corpus luteum
what is progesterone secreted by after ovulation
Growth promoting
there is a nickname for estrogen that somewhat details the purpose of estrogen in the development of the egg what is that nickname?
Growth Maintenance
Progesterone also has a nickname for how it helps develop the egg what is that nickname?
2-3 months
how long is progesterone secreted by the corpus luteum before the placenta takes over the job
Increase Temp, breast sensitivity, heightened senses, bloating
what are 4 common symptoms of ovulation that can occur
Mittelschmerz
what is the term that means mid cycle abdominal pain
Spotting
what is mid-cycle vaginal bleeding called?
appropriate for flow
what is the thing that Dr. Haire said 400 times when talking about getting the right tampon size?
Vitamin B6 and E, Calcium, Exercise, heat, massage
what are six things that can be done to alleviate discomfort?
bloating, pain, swelling
what are the three things that Vitamin B6 can alleviate?
bloating, pain/swelling, cravings
what are the four things that Vitamin E can alleviate
relaxes smooth muscles
what is the main reason that we would give calcium to help alleviate discomfort
increased salt
what is something that we should avoid that will help alleviate discomfort
Heavy Menstrual bleeding
what is an abnormally long duraiton or heavy flow of menses
Intermenstrual bleeding
what is bleeding between cycles called?
Amenorrhea
what is an absence of menses called?
3 months
how long should menses be absent before they are considered to have amenorrhea
never began
how is primary amenorrhea described?
was present, but stopped
how is secondary amenorrhea described?
Oligomenorrhea
what is light flow or infrequent cycle for >35-40 days
Polymenorrhea
what is it called when there is too frequent menses
how is polymenorrhea classified in relation to the period of time between cycles
Dysmenorrhea
what is painful menstruation called?
Primary
what is the type of dysmenorrhea that is described as:
-pain for no other reason
-d/t excess prostaglandin activity
-ovulation and degeneration of corpus luteum
Secondary
what is the type of dysmenorrhea that is described as:
-pain caused by conditions such as endometriosis, fibroids, PID
NSAIDS, Oral contraceptives
what are the two treatments for primary dysmenorrhea
decreasing progesterone levels
what is premenstrual syndrome d/t
methylxanthines, salt, sugar
what are the three things that should be decreased to help treat PMS
meals, protein, complex carbs, Vit B, Mag, Zinc
what are the six things that should be increased to help treat PMS
Pre-menstrual dysmorphic Disorder
what is the disorder where the female has severe depression, irritability, or anxiety to where they cannot function
Fever, rash, hypotension, dizziness, N/V, decreased LOC, disorientation
what are seven common S/S of Toxic shock syndrome
IV Fluids, Vasopressors, Dialysis, Antibiotics
what are four treatments for toxic Shock Syndrome
graafian follicle
one developing follicle always turns into what right before ovulation?
Theca Interna
which layer of the follicle is describd as:
-secretes estrogen
-Rich blood supply
-inner vascular layer
Theca Externa
which layer of the follicle is described as:
-providing structural support
-develops into the corpus luteum
-secretes progesterone
-collagen fibers
-smooth muscles
24-36 hours
how long does an Ova live for?
23
how many chromosomes are there during haploid meiosis
46 chromosomes
how many chromosomes are there during fertilization
Corona Radiata
what is the outer layer of raggedy cells called?
Zona Pellucida
what is the inner layer of the ova that is clear and tough
Provide nutrients
what is the job of the corona radiata
blocks multiple sperm, protects oocyte
what are the two main jobs of the zona pellucida
48-72 hours
how long do spermatozoan live for?
first 24 hours
when is sperm most fertile
5 minutes-72 hours
how long can it take for sperm to reach the fallopian tube
distal end of fallopian tube/ampulla
where does fertilziation usually occur
Acrosomal reaction
what is it called when the enzyme breaks down the outer cell wall of the ova to allow sperm to penetrate the layers
Cortical Reaction
what is it called when the eggs release cortical granules to also stop other sperm from coming in
Zygotic stage
what is the name of the stage week 1 after fertilization
Zygotic Stage
what is the name of the stage after fertilization where the egg and sperm have combined to form a complete set of DNA
Morula
what is an immature blastocyst that is just a mass of cells called?
Trophoblast
what is the outer layer of the blastocyst that becomes the fetal part of the placenta?
Chorion
what is the membrane that surrounds the fetus in correlation with the amnion
provides blood/gas, gets rid of wastes
what is the purpose of the chorion
Placenta
what is the fetal organ that helps keep baby alive and healthy during pregnancy
chorion, amnion, umbilical cord, parenchyma
what are the four things that make up the placenta
Chorionic Villi
what are finger-like projections in the placenta that implant into the endometrium
placenta previa
what is the problem that could occur if the fertilized blastocyst implants too low on the uterine wall
Placenta previa
what is it called when the placenta is covering the entire cervix
Decidua Basalis
what is the area that forms the maternal part of the placenta
Decidua Capsularis
what is the thin layer of the endometrium that covers the embryo
Decidua Vera
what is part of the endometrium that provides structural support as well as hormonal hormonal signaling
endometrium
where does the maternal placenta come from?