02-Ovarian & Uterine Cycles

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    OVARIAN AND UTERINEOVARIAN AND UTERINE

    CYCLESCYCLES

    Dr. Saeed VohraDr. Saeed Vohra

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    http://education.yahoo.com/reference/gray/illustrations/figure;_ylt=AlTcRxodcCXDgvBg.SbnNNltHokC?id=1166http://education.yahoo.com/reference/gray/illustrations/figure;_ylt=AlTcRxodcCXDgvBg.SbnNNltHokC?id=1166
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    Female Reproductive Ccle!Female Reproductive Ccle!

    " Start! at pu#ertStart! at pu#ert

    " Normall co$ti$ue! throu%hout theNormall co$ti$ue! throu%hout the

    reproductive ear!reproductive ear!" &o$thl 'emale !e(ual)reproductive ccle&o$thl 'emale !e(ual)reproductive ccle

    i$volve! activitie! o' hpothalamu!*i$volve! activitie! o' hpothalamu!*

    pituitar %la$d* ovarie!* uteru!* uteri$epituitar %la$d* ovarie!* uteru!* uteri$etu#e!* va%i$a a$d mammar %la$d!tu#e!* va%i$a a$d mammar %la$d!

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    1. The ovarian cycle =(changes in ovary)

    2. The uterine cycle =(changes in the mucosa of the uterus)

    The two cycles of the female

    Female Reproductive Ccle!Female Reproductive Ccle!

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    +$R,+$R,

    " +o$adotropi$-relea!i$% hormo$e +$R,/+o$adotropi$-relea!i$% hormo$e +$R,/i! !$th!i0ed # $euro!ecretor cell! i$i! !$th!i0ed # $euro!ecretor cell! i$

    the hpothalamu!the hpothalamu!

    " Carried to the a$terior pituitar %la$d #Carried to the a$terior pituitar %la$d #

    hpoph!ial portal !!temhpoph!ial portal !!tem

    " Stimulate! the relea!e o' 1 hormo$e!Stimulate! the relea!e o' 1 hormo$e!

    produced # thi! %la$d that act o$ ovarie!produced # thi! %la$d that act o$ ovarie!

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    FS,FS,

    " Follicle-Stimulati$% ,ormo$e !timulate!Follicle-Stimulati$% ,ormo$e !timulate!

    the developme$t o' ovaria$ 'ollicle!the developme$t o' ovaria$ 'ollicle!

    " 2roductio$ o' E!tro%e$ # the 'ollicular2roductio$ o' E!tro%e$ # the 'ollicular

    cell!cell!

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    L,L,

    " Lutei$i0i$% ,ormo$e !erve! a! the tri%%erLutei$i0i$% ,ormo$e !erve! a! the tri%%er

    'or ovulatio$'or ovulatio$

    " Stimulate! the 'ollicular cell! a$d corpu!Stimulate! the 'ollicular cell! a$d corpu!

    luteum to produce pro%e!tero$eluteum to produce pro%e!tero$e

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    OVARIAN CYCLEOVARIAN CYCLE

    " FS, a$d L, produce cclic cha$%e! i$ ovarie!.FS, a$d L, produce cclic cha$%e! i$ ovarie!.

    " The cau!eThe cau!e

    3.3. Developme$t o' 'ollicle!Developme$t o' 'ollicle!

    1.1. Ovulatio$Ovulatio$

    4.4. Formatio$ o' corpu! luteumFormatio$ o' corpu! luteum

    5e%i$$i$% at pu#ert 33-36 ear!/ 7 e$di$% at the 8me$opau!e9 6:-6; r!/*

    the rhthmic cclic cha$%e!

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    Follicular DevelopmentFollicular Development

    The development of the ovarianThe development of the ovarian

    follicle is characterized byfollicle is characterized by11 !rowth and differentiation of primary!rowth and differentiation of primary

    oocyteoocyte"" #roliferation of follicular cells#roliferation of follicular cells

    $$ Formation of %ona #ellucidaFormation of %ona #ellucida

    && Development of the Theca FolliculiDevelopment of the Theca Folliculi

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    Theca FolliculiTheca Folliculi

    " Formed a! the primar 'ollicle i$crea!e! i$Formed a! the primar 'ollicle i$crea!e! i$

    !i0e a$d the ad=ace$t co$$ective ti!!ue!i0e a$d the ad=ace$t co$$ective ti!!ue

    or%a$i0e! i$to a cap!uleor%a$i0e! i$to a cap!ule

    " Theca I$ter$a> I$ter$al* va!cular a$dTheca I$ter$a> I$ter$al* va!cular a$d

    %la$dular%la$dular

    " Theca E(ter$a> A cap!ule li?e laerTheca E(ter$a> A cap!ule li?e laer

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    A$trumA$trum

    " I! a lar%e 'luid 'illed cavitI! a lar%e 'luid 'illed cavitappear! arou$d the 'ollicularappear! arou$d the 'ollicular

    cell! o' ovaria$ 'olliclecell! o' ovaria$ 'ollicle

    " Co$tai$! 'ollicular 'luidCo$tai$! 'ollicular 'luid

    " Ovaria$ 'ollicle $o< called aOvaria$ 'ollicle $o< called a

    ve!icular orve!icular or !eco$dar 'ollicle!eco$dar 'ollicle

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    Cumulu! Oophoru!Cumulu! Oophoru!

    " The primar oocteThe primar ooctei! pu!hed a!ide o'i! pu!hed a!ide o'the 'ollicle calledthe 'ollicle called

    Cumulu! Oophoru!Cumulu! Oophoru!" ,ere it i!,ere it i!

    !urrou$ded # a!urrou$ded # amou$dmou$d// ma!!ma!! o'o'

    'ollicular cell!'ollicular cell!" It pro=ect! i$to theIt pro=ect! i$to the

    a$truma$trum

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    " The 'ollicle #ecome! e$lar%e u$til it %et!The 'ollicle #ecome! e$lar%e u$til it %et!

    maturitmaturit

    " 2roduce! !

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    E!tro%e$E!tro%e$

    " +ro

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    Ovulatio$Ovulatio$" It occur! arou$d mid ccle a#out 36 da! i$ a 1It occur! arou$d mid ccle a#out 36 da! i$ a 1

    da me$!trual ccleda me$!trual ccle

    " Ovaria$ 'ollicle u$der%oe! !udde$ %ro

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    Ovulatio$Ovulatio$" Cumulu! Oophoru! detach 'rom i$terior o' theCumulu! Oophoru! detach 'rom i$terior o' the

    di!te$ded 'ollicledi!te$ded 'ollicle

    " It i! tri%%ered # a !ur%e o' L, productio$It i! tri%%ered # a !ur%e o' L, productio$

    " It u!uall 'ollo

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    Ovulatio$Ovulatio$

    " E(pul!io$ o' oocte re!ult! 'rom rai!edE(pul!io$ o' oocte re!ult! 'rom rai!edi$tra'ollicular pre!!urei$tra'ollicular pre!!ure

    " The e(pelled !eco$dar oocte i!The e(pelled !eco$dar oocte i!!urrou$ded # Bo$a 2ellucida a$d laer!!urrou$ded # Bo$a 2ellucida a$d laer!

    o' 'ollicular cell! called Coro$a Radiatao' 'ollicular cell! called Coro$a Radiata

    " Bo$a 2ellucida i! compo!ed o' 4Bo$a 2ellucida i! compo!ed o' 4

    %lcoprotei$! B2A* B25 7 B2C%lcoprotei$! B2A* B25 7 B2C

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    Corpu! LuteumCorpu! Luteum

    " A'ter ovulatio$ the

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    Corpu! LuteumCorpu! Luteum" It !ecrete! 2ro%e!tero$e a$d little e!tro%e$It !ecrete! 2ro%e!tero$e a$d little e!tro%e$

    " The!e hormo$e! prepare e$dometrium 'orThe!e hormo$e! prepare e$dometrium 'or

    impla$tatio$ o' Fertili0ed Ovum 5la!toc!t/impla$tatio$ o' Fertili0ed Ovum 5la!toc!t/

    " I' the oocte i! 'ertili0ed the CL e$lar%e! 7I' the oocte i! 'ertili0ed the CL e$lar%e! 7

    remai$! active 'or 'ir!t 1:

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    Uteri$e or &e$!trual CcleUteri$e or &e$!trual Ccle

    " It i! the period duri$%

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    &e$!trual Ccle&e$!trual Ccle

    " Avera%e me$!trual ccle i! 1 da!Avera%e me$!trual ccle i! 1 da!

    " Da 3 i! the da

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    2ha!e! o' &e$!trual Ccle2ha!e! o' &e$!trual Ccle

    " &e$!trual 2ha!e&e$!trual 2ha!e

    "2roli'erative 2ha!e2roli'erative 2ha!e

    " Luteal 2ha!eLuteal 2ha!e

    " I!chemic 2ha!eI!chemic 2ha!e

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    &e$!trual 2ha!e&e$!trual 2ha!e

    " Start!

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    2roli'erative 2ha!e2roli'erative 2ha!e

    " I! a pha!e o' repair a$d proli'eratio$I! a pha!e o' repair a$d proli'eratio$

    " La!t! 'or da!La!t! 'or da!

    " Coi$cide!

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    Luteal 2ha!eLuteal 2ha!e

    " I! a !ecretor or pro%e!tero$e pha!eI! a !ecretor or pro%e!tero$e pha!e

    " La!ti$% a#out 34 da!La!ti$% a#out 34 da!

    " Coi$cide!

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    Luteal 2ha!eLuteal 2ha!e

    " Spiral arterie! %ro< i$to the !uper'icialSpiral arterie! %ro< i$to the !uper'iciallaerlaer

    " Arterie! #ecome i$crea!i$%l coiledArterie! #ecome i$crea!i$%l coiled

    " Lar%e ve$ou! $et

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    I' Fertili0atio$ Occur!I' Fertili0atio$ Occur!

    " Fertili0ed ovum impla$t! i$ e$dometriumFertili0ed ovum impla$t! i$ e$dometriumo$ a#out o$ a#out ththda o' thi! pha!eda o' thi! pha!e

    " ,C+ hormo$e !ecreted #,C+ hormo$e !ecreted #!$ctiotropho#la!t ?eep! the corpu!!$ctiotropho#la!t ?eep! the corpu!luteum !ecreti$% e!tro%e$ a$dluteum !ecreti$% e!tro%e$ a$d

    pro%e!tero$epro%e!tero$e

    " The luteal pha!e co$ti$ue! a$dThe luteal pha!e co$ti$ue! a$dme$!truatio$ doe! $ot occurme$!truatio$ doe! $ot occur

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    I' Fertili0atio$ Doe!$t OccurI' Fertili0atio$ Doe!$t Occur

    " No ,C+No ,C+

    " Corpu! luteum de%e$erate!Corpu! luteum de%e$erate!

    " E!tro%e$ a$d pro%e!tero$e level! 'allE!tro%e$ a$d pro%e!tero$e level! 'all

    " Secretor e$dometrium e$ter! a$ i!chemicSecretor e$dometrium e$ter! a$ i!chemicpha!epha!e

    " &e$!truatio$ occur!&e$!truatio$ occur!

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    I!chemic 2ha!eI!chemic 2ha!e

    " Decrea!ed level! o' e!tro%e$ 7 pro%e!tero$eDecrea!ed level! o' e!tro%e$ 7 pro%e!tero$e

    " Stoppa%e o' %la$dular !ecretio$Stoppa%e o' %la$dular !ecretio$

    " Lo!! o' i$ter!titial 'luidLo!! o' i$ter!titial 'luid

    " &ar?ed !hri$?i$% o' e$dometrium&ar?ed !hri$?i$% o' e$dometrium

    " Spiral arterie! #ecome co$!trictedSpiral arterie! #ecome co$!tricted

    " Ve$ou! !ta!i! 7 I!chemic $ecro!i!Ve$ou! !ta!i! 7 I!chemic $ecro!i!

    " Rupture o' dama%ed ve!!el

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    I!chemic 2ha!eI!chemic 2ha!e

    " 2ool! o' #lood 'orm a$d #rea? throu%h the2ool! o' #lood 'orm a$d #rea? throu%h thee$dometrial !ur'acee$dometrial !ur'ace

    " Re!ulti$% i$ #leedi$% i$ uteri$e lume$ a$dRe!ulti$% i$ #leedi$% i$ uteri$e lume$ a$d'rom the va%i$a'rom the va%i$a

    " Lo!! o' 1:-: ml o' #loodLo!! o' 1:-: ml o' #lood

    " E$tire compact laer a$d mo!t o' theE$tire compact laer a$d mo!t o' the

    !po$% laer o' e$dometrium i! di!carded!po$% laer o' e$dometrium i! di!carded

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    2re%$a$c 2ha!e2re%$a$c 2ha!e

    " I' pre%$a$c occur!* e$dometrium pa!!e!I' pre%$a$c occur!* e$dometrium pa!!e!i$to the pre%$a$c pha!ei$to the pre%$a$c pha!e

    "

    &e$!truatio$ ccle re!ume! -3:

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    A$ovulatio$A$ovulatio$

    " Some