Lecture 21. Female Reproductive System
Ovary
estrus cycle: estrus vs diestrus; estrus vs menstrual
Medulla:
highly vascular; ovarian artery and ovarian branches of uterine artery enter at hilum from broad ligament; ®helicine arteries; plexus at cortico-medullary junction ®straight cortical arterioles (radiate into cortex); form vascular arcades; give rise to capillaries around follicles; venous drainage same; lymphatics arise in perifollicular stroma; coil around medullary veins; sympathetic innervation terminate on smooth muscle of stroma around follicles;
cortex:
primary follicle
multilaminar primary follicle (FSH dependent = growing follicle): contains primary oocyte; zona pellucida secreted largely by oocyte; granulosa cells form zona granulosa = granulosa cells (named by von Baer before cell theory) surrounded by basement membrane and stromal cells form theca folliculi
secondary follicles: zona granulosa (secretes
intrafollicular
FSH and produces estrogen from precursor produced by theca interna
cells) grows; follicular antrum appears; oocyte reaches mature size;
becomes situated in cumulus oophorus; theca folliculi differentiates
into internal theca interna of rounded cells (epitheloid; features
of steroid secreting cells; secrete estrogen precursors [androstenedione],
of
estrogen and progesterone) and theca externa (less well
defined) of flattened stromal cells;
tertiary (Graafian follicles): 1.5÷2.5
cm in diameter; bulges below stigma; at approach to ovulation;
primary oocyte completes 1st meiotic division and become secondary oocyte;
cumulus
oophorus diminishes to corona radiata; theca interna consists of
plump steroid-secreting cells
corpora lutea (corpus luteum):
corpus luteum of pregnancy (maintained initially
by human chorionic gonadotrophin [HCG]; until the 12th week of pregnancy
(placenta takes over secretion of estrogen and progesterone)
Uterine tubes (oviducts or Fallopian tubes); movement of ovum (spermatozoa?) mediated by peristaltic action of longitudinal and circular smooth muscle; currents fluid propelled by ciliated epithelium; mucosa thrown into labyrinth of branching, longitudinal folds; branching core of vascular supporting tissue; single layer of tall columnar epithelium; two cell types: ciliated (more numerous) and nonciliated (taller [extend beyond ciliated cells]; produce secretion)
branches of uterine artery; pass through myometrium form 2 types:
spiral arteries: long, coiled and thick walled; pass to surface of endometrium; give off numerous branches; form capillary plexus around glands in stratum compactum; responsive to hormonal changes: constrict in response to witdrawal of progesterone; ischaemic phase preceeds menstruation
endometrium: mucosal lining; simple, tall columnar, some ciliated, microvilli epithelium folded into numerous, simple tubular glands;
stratum functionalis
stratum compactum: superficial; compact stromal appearance; exhibit dramatic changes through cycle; shed during menstruationearly proliferative phase: proliferating glandular epithelium columnar cells with basally located nuclei; prominent nucleoli; highly cellular stroma devoid of collagen fibers
late proliferative phase: endometrium doubled in thickness; tubular glands become convoluted; plentiful mitocic figures; [note: mitotic figures Îabove crowdâ]; epithelium may have pseudostratified appearance
early secretory phase: glands irregular corkscrew; endometrium thickest; glycogen accumulates to form vacuoles in basal aspect of cells ® displacement nuclei higher = basal vacuolation
late secretory phase: saw-tooth appearance of glands containing copious thick-glycogen-rich secretions; cells pale, irregular and bloated with glycogen; mitotic figures absent; stroma maximally vascular; interstitial fluid begins to accumulate
at menstruation: spasmodic constriction of spiral arterioles; > ischaemia; degeneration superficial layers of endometrium; leakage of blood into stroma; degeneration of whole stratum functionalis; infiltrated by neutrophils; progressively shed as menses; does not glot due to release of local anticoagulant factors;
postmenopausal: reduced to former stratum basalis; glands sparse and inactive; may become dilated as cystic space filled with fluid; glandular epithelium cuboidal or near columnar; no mitotic figures or secretory activity; may be flattened; stroma much less cellular; no mitotic activity;
uterine = menstrual cycle:
secretory phase: from ovulation to beginning of menstruation; endometrium glands begin copious thick glycogen-rich secretion coincident with ovultion; triggered by release of progesterone from corpus luteum after ovulation
ectocervix: stratified squamous epithelium [vaginal] ; clear cytoplasm, high glycogen content;
Îendocervical glandsâ = folds of surface; mucous secretory epithelium; secrete thin, watery mucus permitting passage of spermatozoa into uterus at ovulation; produce viscid mucus forming plug which inhibits entry of microorganisms from vagina following ovulation
Vagina: fibromuscular canal; wall of mucosal layer lined by strtified squamous epithelium; dense lamina propria, with elastic fibers and rich plexus of small veins ; devoid of glands; layer smooth muscle and outer adventitia
vulva
clitoris
revised: 04-05-01
last revised: 01-06-02