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Pathophysiology Test 3
Female Reproductive System
46
Other
Not Applicable
03/27/2008

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Cards

Term
What are the two different estrogen hormones?
Definition

Estradiol (E2) - Physiologically most important

Estriol (E3) - Produced by Placenta 

Term
Where is progesterone produced?
Definition

Corpus Luteum - source in non-pregnant women

Placenta - Source during pregnancy 

Term
How are the different Ovarian steroids transported?
Definition

Estradiol - Sex steroid-binding globulin

Progesterone - Transcortin 

Term
What effect does Estradiol and Progesterone have on the Endometrium of the Uterus?
Definition

Estradiol - Increase Proliferation and Blood supply

Progesterone - Increase Secretion and Blood supply

Term
What effect does Estradiol and Progesterone have on the Myometrium of the Uterus?
Definition

Estradiol - Increase Contractions

Progesterone - Decrease Contractions 

Term
What effect does Estradiol and Progesterone have on the Cervical Mucous of the Uterus?
Definition

Estradiol - Decrease Viscosity

Progesterone - Increase Viscosity 

Term
What effect does Estradiol and Progesterone have on the Mammary Gland?
Definition

Estradiol - Growth of ducts

Progesterone - Growth of Alveoli 

Term
What other effects does Estradiol and Progesterone have on the Uterus?
Definition

Estradiol - Increase Follicular Development, Increase Bone Density

Progesterone - Increase Basal Body Temperature 

Term
Why can Estrogen act like a contraceptive?
Definition
It supresses FSH secretion and follicular maturation
Term
How does Estrogen affect the reproductive system?
Definition
It is "preparatory" in regards to the uterus, and it helps endometrial growth and development.
Term
How does estrogen cause myometrial excitability?
Definition
In regards to the vagina, it stimulates growth and cornification of epithelium.
Term
What does estrogen due in terms of glandular secretion?
Definition
For the mammary gland, it aids in growth and development of ducts
Term
How does Estrogen affect the metabolism?
Definition
In regards to your cardiovascular system, increased estrogen can lead to a favorable lipoprotein profile.
Term
How does estrogen affect blood coagulation?
Definition
Increased estrogen levels lead to increased Vitamin K, which leads to blood coagulation
Term
How does Estrogen affect your skeletal structure?
Definition
Blocks PTH (parathyroid hormone) induced bone reabsorption
Term
How does Estrogen affect electrolytes?
Definition
Enhances sodium and water retention, leading to edema
Term
How is Estrogen responsible for reproductive "maintenance"?
Definition
Stimulates endometrial secretion-implantation in the uterus
Term
How does Estrogen affect the mammary gland (besides growth + development)?
Definition
Enables myometrial relaxation in the mammary gland.
Term
How are Progestins contraceptives?
Definition
Suppress LH secretion and ovulation
Term
What do Progestins do to the cervical mucous?
Definition
Increase the viscosity
Term
What do Progestins do to sperm motility and transit time?
Definition
Decrease motility and transit time
Term
What do Progestins do to the fallopian tubes?
Definition
Decrease cilliary and peristaltic movement of fallopian tubes.
Term
What do Progestins do to ovum transport?
Definition
Impede ovum transport
Term
What is the mechanism of movement of Progestins?
Definition
Lipophilic hormones paired with cytosolic/nuclear receptors
Term
Where are Ovarian steroids metabolized?
Definition
In the liver.....they are subsequently inactivated
Term
What three hormones control follicular development and secretion?
Definition
These three hormones are FSH, LH, and Estradiol
Term
LH binds to ____ receptors and increases _____ production by increasing conversion of __________ to ___________ via the _________________
Definition
Thecal; testosterone; cholesterol; pregnenolone; cAMP-protein kinase (PK) second messenger system
Term
A surge of WHAT happens during ovulation?
Definition
There is a surge of LH
Term
In the non-pregnant female, what controls the secretions of the corpus luteum?
Definition
LH
Term
In the pregnant female, what controls the secretions of the Corpus Luteum?
Definition
hCG
Term
GnRH (Also called LHRH or FSRH) stimulates the anterior pituitary to synthesize _______ which stimulates the ________ which inhibits the hypothalamus by sending out ________
Definition
LH; Corpus Luteum and Follicle; Progesterone
Term
GnRH (Also called LHRH or FSRH) stimulates the anterior pituitary to synthesize _______ which stimulates the ________ which inhibits the anterior pituitary by sending out ________
Definition
FSH; Follicle; Estradiol
Term
The LH surge causes what positive feedback mechanism?
Definition
A high E2 positive feedback mechanism
Term
What happens to hormonal levels during puberty?
Definition
GnRH increases, which leads to FSH and LH secretion, and then secondary sex characteristics.
Term
Adrenal Androgens are responsible for what?
Definition
Libido, pubic hair
Term
What is menopause?
Definition
Ovarian failure (cessation of menstrual cycles)
Term
What does Hypogonadism lead to?
Definition
Amenorrhea
Term
What does Hypergonadism lead to?
Definition

Before Puberty - Precocious puberty

Adults - Amenorrhea, Oligomenorrhea 

Term
During the preimplantation period, what is the source of progesterone and what does it do?
Definition
It is produced by the corpus luteum (CL?) of the menstrual cycle and stimulates secretion of nutrients by oviduct and uterus.  Primes uterus so decidua forms at implantation.
Term
What is the source of progesterone in early postimplantation and what does it do?
Definition
Corpus Luteum of pregnancy stimulated by hCG.  This prevents menstruation; it also maintains decidual tissue.
Term
What is the source of progesterone in the 2nd and 3rd Trimester and what does it do?
Definition
It is produced in the placenta and it prevents uterine contractions.
Term
What happens to hCG, Progesterone, and Estrogen levels DURING pregnancy (about 40 weeks)??
Definition
hCG is high for about 15 weeks, then decreases and tapers off, while progesterone and estrogen levels start off low, and finish very high at week 40.
Term
What are the three main roles of the Estrogen hormone Estriol (E3)?
Definition

Stimulates the myometrium

Mammary gland development (lactation)

Parturition Initiation (Childbirth) 

Term
What causes contractions during labor?
Definition
Positive feedback loop of oxytocin in conjunction with the myometrium of the cervix causes contractions during labor
Term
What two hormones are essential for milk production?
Definition

A.  Prolactin - required for milk secretion

B.  Oxytocin - Milk ejection reflex 

Term
What causes a cessation of lactation?
Definition

Absence of sucking -> Decreases Prolactin, Oxytocin

Hyperprolactinemia -> Decreases GnRH -> postpartum amenorrhea 

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