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Ch 24: The Reproductive System, Part 2
                         pp 723-747


        Gonads = ovaries
 Gametes = ova (one/month)
Unlike the male, mostly internal




   Female repro system
   must produce gametes
   AND maintain
   developing embryo

                                                 Developed by
                                      John Gallagher, MS, DVM
Overview of Anatomy
Ovaries


Retroperitoneal
    Broad Ligament
    Suspensory Ligament

Functions:
    Ovum production
    Hormone production

Circulation:
     Ovarian Artery and Vein
Histology




•Capsule: Tunica albuginea
    •Germinal epithelium (misnomer)
•Ovarian cortex with developing gametes
•Medulla has blood supply
Oogenesis (= ovum production)


Takes place inside ovarian follicles in
 ovaries as part of ovarian cycle
Oogonia (= stem cells) complete
mitotic divisions before birth
 At birth: ~ 2x106 primary oocytes
 At puberty: ~ 400,000 primary oocytes
 40 years later: 0 (even though only ~ 500 used) 
    Atresia
Oogenesis


Ovarian cycles start at
puberty under influence of
estrogen.




           Ovulation




                  Fig 24.15
Oogenesis

1. Primordial follicle
  1.   A dormant stage, ready to develop
  2.   Each month some proceed
  3.   Most (99%) atrophy (atresia)
Oogenesis

2. Primary follicle (days 3-8)
  1. Double layer of theca cells
  2. Enlargement due to estrogen
  3. More atresia
Oogenesis

3. Secondary follicle (days 8-10)
  1.   Liquor folliculi appears
  2.   Theca more developed
  3.   Granulosa cells producing estrogen, under
       influence of FSH
  4.   Zona pellucida visible
Oogenesis

4. Tertiary (Graafian or vesicular) follicle (days 11-14)
   1.   Ready for ovulation
   2.   Theca well developed
   3.   Granulosa cells secreting estrogen
   4.   First meiosis completed




            •   CO = Cumulus oophorus
            •   G = Granulosa cells
            •   CR = corona radiata
Tertiary or Graafian
        Follicle




Spans entire width of cortex

First meiotic division being
completed: 1oocyte divides into
one 2 oocyte and one polar body
Ovarian cyst
                                 Cyst = bag, usually filled
                                 with fluid




Usually follicular or
luteal cysts.
Ovulation
Oocyte and follicular cells shed into abdominal
  cavity and collected by fimbria

then
1. Empty follicle forms corpus luteum which produces
   progesterone

2. Corpus luteum degenerates and becomes corpus
   albicans

3. GnRH increases under low estrogen and progesterone
   levels
Menstrual Cycle

• Day 1: first day of menses (period)
• Days 7-14: Proliferative phase
    – Follicle develops, secretes estrogen
• Day 14: Ovulation
• Days 14-28 (luteal phase):
    – Corpus luteum forms from follicle, secretes progesterone, eventually
      becomes corpus albicans
Uterine Tube

= Fallopian tube =
   oviduct = salpinx
   Infundibulum with fimbriae
    – Ampulla (place of fertilization)
    – Isthmus
    – Intramural portion


Most common site of ectopic pregnancy
Tubal ligation
Uterine Tube Histology

Ciliated and non-ciliated simple
    columnar epithelium
Ciliary movement and periodic
    peristaltic contractions move
    ova
Secretion of nutrient substances
The Uterus = Womb
Fundus, Body, Isthmus, Cervix

Uterine wall ~ 1.5 cm
made up of
   1.    Endometrium,
   2.    Myometrium,
   3.    Incomplete perimetrium (visceral
         peritoneum)

Blood supply
    –    Uterine arteries from internal iliac
    –    Ovarian arteries from abdominal aorta
         (inferior to renal arteries)



                                                 fig 24.11
Histology of Endometrium

• Functional zone –
  deciduum, sheds during
  menses
   – menstruation - flow sheds
     functionalis layer of
     endometrium
   – proliferative phase - under
     influence of estrogen basal
     cells proliferate
   – secretory phase - progesterone
     maintains functionalis

• Basilar zone – permanent
  layer, deep to functionalis
Functions of Uterus

• Protection of
  embryo/fetus

• Nutritional support

• Waste removal

• Ejection of fetus at birth
Cervix and Vagina

• Cervix attaches to vagina at ~ 90° angle
    – Fibrous connective tissue

• Fornix – pocket surrounding uterine cervix
   (surgical access to pelvic cavity; location of
   birth control device)

• Vagina – fibro-muscular tube serving as
    – receptacle for intercourse
    – passageway for menstrual products
    – birth canal
• External genitalia
    – Labia majora and minora
    – Clitoris
    – Urethral papilla
Fertilization


•Acrosomal Reaction
    •Enzymes in
    acrosome dissolve
    part of zona
    pellucida
•Cortical Reaction
    •Destroys receptors
    for further
    spermatozoa
•Fertilized zygote enters
uterus at ~ day 4
Pregnancy

 •Implantation (day 6)
     •Blastocyst + trophoblast
     •Loss of zona pellucida
     •Trophoblast proliferates
     •Attachment to
     endometrium
Pregnancy
                               •becomes an endocrine gland:
                                   •HCG (similar to LH) maintains
 •Placenta
                                   the CL for 3 months
    •Formed from trophoblast
                                   •Later, estrogen and progesterone
    and endometrum which is
                                   •Relaxin and human placental
    now called the chorion
                                   lactogen
    •Chorionic villi contact
                               •Provides nutrition and waste removal
    maternal blood supply
Parturition


• Gestation ~ 280 days
  (266 days after last
  menstruation)
• Stages
   – Dilation
   – Expulsion
   – Placental
The Mammary Gland

Modified sweat gland, holocrine
  secretion
Overlaying the pectoralis major
  muscle
15-20 separate lobes separated by
   suspensory ligaments; each lobe
   contains several secretory lobules
Lactiferous ducts leaving lobules;
   converge into 15-20 lactiferous
   sinuses
   Site of most breast cancers
Milk stored in lactiferous sinus until
   released at tip of nipple, influenced
   by oxytocin
Lymphatic Drainage of Mammary
         . Glands . . .
           . . is of considerable clinical importance,
                why ??
Breast Cancer

• Although breast cancer is primarily a disease of
  women, about 1% of breast cancers occur in
  men.
• Breast cancer is the most common type of cancer
  in women and is the second leading cause of
  death by cancer in women, following only lung
  cancer.
• In 2000, the American Cancer Society estimated
  that 184,200 new cases of breast cancer were
  diagnosed in the United States.
• The average woman at age 30 years has 1
  chance in 280 of developing breast cancer in the
  next 10 years. This chance increases to 1 in 70
  for a woman aged 40 years , and to 1 in 40 at
  age 50 years. A 60-year-old woman has a 1 in 30
  chance of developing breast cancer in the next
  10 years.
• DCIS or IDC
The
Systems
Repetitio est
mater studiorum!
Chapter25 reprofemalemarieb

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Chapter25 reprofemalemarieb

  • 1. Ch 24: The Reproductive System, Part 2 pp 723-747 Gonads = ovaries Gametes = ova (one/month) Unlike the male, mostly internal Female repro system must produce gametes AND maintain developing embryo Developed by John Gallagher, MS, DVM
  • 3. Ovaries Retroperitoneal Broad Ligament Suspensory Ligament Functions: Ovum production Hormone production Circulation: Ovarian Artery and Vein
  • 4. Histology •Capsule: Tunica albuginea •Germinal epithelium (misnomer) •Ovarian cortex with developing gametes •Medulla has blood supply
  • 5. Oogenesis (= ovum production) Takes place inside ovarian follicles in ovaries as part of ovarian cycle Oogonia (= stem cells) complete mitotic divisions before birth At birth: ~ 2x106 primary oocytes At puberty: ~ 400,000 primary oocytes 40 years later: 0 (even though only ~ 500 used)  Atresia
  • 6. Oogenesis Ovarian cycles start at puberty under influence of estrogen. Ovulation Fig 24.15
  • 7. Oogenesis 1. Primordial follicle 1. A dormant stage, ready to develop 2. Each month some proceed 3. Most (99%) atrophy (atresia)
  • 8. Oogenesis 2. Primary follicle (days 3-8) 1. Double layer of theca cells 2. Enlargement due to estrogen 3. More atresia
  • 9. Oogenesis 3. Secondary follicle (days 8-10) 1. Liquor folliculi appears 2. Theca more developed 3. Granulosa cells producing estrogen, under influence of FSH 4. Zona pellucida visible
  • 10. Oogenesis 4. Tertiary (Graafian or vesicular) follicle (days 11-14) 1. Ready for ovulation 2. Theca well developed 3. Granulosa cells secreting estrogen 4. First meiosis completed • CO = Cumulus oophorus • G = Granulosa cells • CR = corona radiata
  • 11. Tertiary or Graafian Follicle Spans entire width of cortex First meiotic division being completed: 1oocyte divides into one 2 oocyte and one polar body
  • 12. Ovarian cyst Cyst = bag, usually filled with fluid Usually follicular or luteal cysts.
  • 13. Ovulation Oocyte and follicular cells shed into abdominal cavity and collected by fimbria then 1. Empty follicle forms corpus luteum which produces progesterone 2. Corpus luteum degenerates and becomes corpus albicans 3. GnRH increases under low estrogen and progesterone levels
  • 14. Menstrual Cycle • Day 1: first day of menses (period) • Days 7-14: Proliferative phase – Follicle develops, secretes estrogen • Day 14: Ovulation • Days 14-28 (luteal phase): – Corpus luteum forms from follicle, secretes progesterone, eventually becomes corpus albicans
  • 15. Uterine Tube = Fallopian tube = oviduct = salpinx Infundibulum with fimbriae – Ampulla (place of fertilization) – Isthmus – Intramural portion Most common site of ectopic pregnancy Tubal ligation
  • 16. Uterine Tube Histology Ciliated and non-ciliated simple columnar epithelium Ciliary movement and periodic peristaltic contractions move ova Secretion of nutrient substances
  • 17. The Uterus = Womb Fundus, Body, Isthmus, Cervix Uterine wall ~ 1.5 cm made up of 1. Endometrium, 2. Myometrium, 3. Incomplete perimetrium (visceral peritoneum) Blood supply – Uterine arteries from internal iliac – Ovarian arteries from abdominal aorta (inferior to renal arteries) fig 24.11
  • 18. Histology of Endometrium • Functional zone – deciduum, sheds during menses – menstruation - flow sheds functionalis layer of endometrium – proliferative phase - under influence of estrogen basal cells proliferate – secretory phase - progesterone maintains functionalis • Basilar zone – permanent layer, deep to functionalis
  • 19. Functions of Uterus • Protection of embryo/fetus • Nutritional support • Waste removal • Ejection of fetus at birth
  • 20. Cervix and Vagina • Cervix attaches to vagina at ~ 90° angle – Fibrous connective tissue • Fornix – pocket surrounding uterine cervix (surgical access to pelvic cavity; location of birth control device) • Vagina – fibro-muscular tube serving as – receptacle for intercourse – passageway for menstrual products – birth canal • External genitalia – Labia majora and minora – Clitoris – Urethral papilla
  • 21. Fertilization •Acrosomal Reaction •Enzymes in acrosome dissolve part of zona pellucida •Cortical Reaction •Destroys receptors for further spermatozoa •Fertilized zygote enters uterus at ~ day 4
  • 22. Pregnancy •Implantation (day 6) •Blastocyst + trophoblast •Loss of zona pellucida •Trophoblast proliferates •Attachment to endometrium
  • 23. Pregnancy •becomes an endocrine gland: •HCG (similar to LH) maintains •Placenta the CL for 3 months •Formed from trophoblast •Later, estrogen and progesterone and endometrum which is •Relaxin and human placental now called the chorion lactogen •Chorionic villi contact •Provides nutrition and waste removal maternal blood supply
  • 24. Parturition • Gestation ~ 280 days (266 days after last menstruation) • Stages – Dilation – Expulsion – Placental
  • 25. The Mammary Gland Modified sweat gland, holocrine secretion Overlaying the pectoralis major muscle 15-20 separate lobes separated by suspensory ligaments; each lobe contains several secretory lobules Lactiferous ducts leaving lobules; converge into 15-20 lactiferous sinuses Site of most breast cancers Milk stored in lactiferous sinus until released at tip of nipple, influenced by oxytocin
  • 26. Lymphatic Drainage of Mammary . Glands . . . . . is of considerable clinical importance, why ??
  • 27. Breast Cancer • Although breast cancer is primarily a disease of women, about 1% of breast cancers occur in men. • Breast cancer is the most common type of cancer in women and is the second leading cause of death by cancer in women, following only lung cancer. • In 2000, the American Cancer Society estimated that 184,200 new cases of breast cancer were diagnosed in the United States. • The average woman at age 30 years has 1 chance in 280 of developing breast cancer in the next 10 years. This chance increases to 1 in 70 for a woman aged 40 years , and to 1 in 40 at age 50 years. A 60-year-old woman has a 1 in 30 chance of developing breast cancer in the next 10 years. • DCIS or IDC