11[2].the female reproductive system 2009
TRANSCRIPT
![Page 1: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/1.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 1/26
The Female Reproductive
System
Bydrg.Nursiah Nasution Mkes
![Page 2: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/2.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 2/26
![Page 3: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/3.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 3/26
Female Reproductive Anatomy
![Page 4: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/4.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 4/26
Female Pelvis
![Page 5: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/5.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 5/26
Uterus, Vagina, Uterine Tubes, Ovaries and
Supporting Ligaments
![Page 6: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/6.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 6/26
The Developing Follicle
• Atresia of all follicles but one – One follicle develops faster
than the rest
– Starts to secrete estrogens:
• Enhances granulosa cell
proliferation
• Increase no. of FSH receptors
on granulosa cells
• Increase FSH effect on follicle
• Decrease secretion of FSH & LH
![Page 7: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/7.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 7/26
Follicle and Oocyte
Development• Oogenesis is the
production of a secondary
oocyte in ovaries
• Oogonia are cells from
which oocytes develop• Primary oocytes are
surround by granulosa
cells and called a
primordial follicle
• Primordial follicle
becomes a primary
follicle when oocyte enlarges and cells
change
• Primary follicle becomessecondary follicle andenlarges to form matureor graafian follicle – Usually only one is
ovulated, othersdegenerate
• Primary oocyte completesfirst meiotic division toproduce secondary
oocyte and a polar body• Secondary oocyte begins
second meiotic division,which stops in metaphaseII
![Page 8: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/8.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 8/26
Ovary Histology
![Page 9: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/9.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 9/26
Maturation of Follicle and
Oocyte
![Page 10: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/10.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 10/26
Ovulation and Follicle Fate
• Ovulation
– Follicle swells and
ruptures, secondary
oocyte is releasedfrom ovary
– Second meiotic
division completed
when secondary
oocyte unites with
sperm cell to form
zygote
• Fate of the follicle
– Graafian follicle
become corpus luteum
– If fertilization occurs,corpus luteum persists
– If no fertilization,
becomes corpus
albicans
![Page 11: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/11.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 11/26
Functions of FSH
1. Stimulates growth and maturation of
ovarian follicles: Primary to mature
Graafian follicle.
2. Theca interna: secretion of estrogen
(follicular stage)
3. Granulosa cells: Secretion of
progesterone (luteal stage)
![Page 12: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/12.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 12/26
Functions of LH
1. Initially supports the stimulatory effect of FSH.
2. Imperative for ovulation to occur (day 14).
3. LH causes the granulosa cells to form
lutein cells (luteinization) which forms thecorpus luteum.
4. Lutein cells secrete estrogen and
progesterone.5. Lutein cells: proliferation→enlargement
→secretion →degeneration.
![Page 13: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/13.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 13/26
![Page 14: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/14.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 14/26
Puberty and Menstrual Cycle
• Puberty
– Begins with menarche
or first episode of
menstrual bleeding – Begins when GnRH
levels increase
• Menstrual Cycle – About 28 days long
– Phases
• Menses
• Proliferative phase• Secretory phase
• Menses
– Amenorrhea:
Absence of amenstrual cycle
– Menopause:
Cessation of
menstrual cycles
![Page 15: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/15.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 15/26
Menstrual Cycle
![Page 16: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/16.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 16/26
Hormone Regulation during
Menstrual Cycle
![Page 17: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/17.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 17/26
Proliferative Phase (estrogen phase)
1. Increase concentration of estrogens
secreted by ovaries.
2. Stromal and epithelial cells proliferate
rapidly.
3. Increase growth of glands & B/Vs into
endometrium.
4. At the time of ovulation→endometrium
3mm thick.
![Page 18: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/18.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 18/26
Secretory Phase (progesterone Phase)
1. Increase secretions of estrogen and
progesterone from the corpus luteum.
2. Progesterone causes:
• Marked swelling of the endometrium.
• Increased secretory development.
• Increase nutritional content of stromal cells
• Increase gland tortutosity
3. Endometrium thickness: 6mm.
![Page 19: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/19.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 19/26
Menstrual Phase1. Day 26 → degeneration of corpus luteum →
2. decrease levels of blood estrogen andprogesterone:
• Decrease stimulation of endometrial cells
• Involution of endometrium (by 65%).
• Bld vessels become vasoplastic (constrict)• Necrosis of endometrium
• All superficial layers of endometrium desquamated(broken down)
• Uterine wall contracts →expels contents: • 35ml blood
• 35ml serous fluid
• Ps.: Fibrolysin prevents clotting
![Page 20: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/20.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 20/26
![Page 21: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/21.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 21/26
![Page 22: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/22.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 22/26
![Page 23: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/23.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 23/26
![Page 24: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/24.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 24/26
![Page 25: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/25.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 25/26
![Page 26: 11[2].the Female Reproductive System 2009](https://reader030.vdocuments.us/reader030/viewer/2022021220/577cd8a11a28ab9e78a1a835/html5/thumbnails/26.jpg)
7/29/2019 11[2].the Female Reproductive System 2009
http://slidepdf.com/reader/full/112the-female-reproductive-system-2009 26/26
Thank you for your attention