1Decidual reaction
endometrial changes due to implantation (provides an area safe from the mothers immune system for embryo)
2Salpingectomy
Removal of uterine tube containing embryo (licit under double effect)
- Makes future pregs more diff
- Oocyte from that side not able to reach uterus as easily
3Salpingostomyfunctions offuncti
Removal of embryo from uterine tube, leaving tube intact
-Disagreement on licitness
4Functions of Fertility Cycle
Produces oocytes, conserves energy, protects against pahtogens
5Produces oocytes (functions of fertility cycle)
New oocyte needed after the prev one degenerates
6Conserves energy (functions of the fertility cycle)
Maintaining the endometrium needs a lot of energy
7Protects against pathogens (functions of the fertility cycle)
Shedding of the uterine lining cleans tissues of pathogens; cervical mucus also keeps pathogens out for most of cycle
8Preovulatory phase
from menustration to ovulation; can be variable. Ovulation cannot be predicted based on menustruation
9Post-ovulatory phase
ovulation to beginning of menustruation; relaitvely constant, menustration can be predicted based on ovulation
10Standard phases of fertility cycle
Menstrual, proliferative, secretory
11Menstrual phase
Bleeding (day 1 of cycle), surface layer of endometrium lost, but deep layer remains
12Menarche
Onset of menustruation
13Why does menopause occur?
Lack of follicles (estrogen decreases)
14Proliferative Phase
-FSH peaks shortly before ovulation, stims follicle development
-Estrogen levels rise, produced by mature follicle; thickens endometrium, aids implantation, promotes cilia growth in uterine tube, creates fertile cervical mucus
-LH surge occurs (ovulation), causes follicle to become corpus luteum
15Corpus luteum
follicle cells left in ovary after ovulation
16Ovulation happens, corpus luteum is created: profuces estorgen and progesterone
-Progesterone rises, thickens cervical mucus, promotes nutrient secretion in uterine tubes, prevents new follicle development, increases body temp
17Hormonal Fwrtility Suppression usually contains what?
A progestin and xenoestrogens
18Progestin
synthetic progestogen
19Progestogen
a group of hormones with a similar chemical structure (progesterone is a natural pregestogen)
20Xenoestrogen
molecule that acts similarly to human estrogen
21Hormonal methods of action (fertolity suppression)
-Block hormonal signals for ovulation
-Create hormonal signals that thicken cervical mucus
-Prevent full growth of endometrial lining
22IVF Steps
1. Stimulation of oocyte production
2. Removal of multiple oocytes
3. Collection of sperm
4. Combining spwrm and oocytes
5. Embryo preservation
6. Embryo transfer
23Intracytoplasmic sperm injection
Injection of sperm into oocyte
24Preimplantation Genetic Diagnosis (PGD)
Removal of a blastomere for genetic testing
25Gamete intrafallopian transfer (GIFT)
introduction of sperm and oocyte into Fallopian tubes
26Ovarian hyperstimulation syndrome (OHSS)
ART can cause this