1st event in puberty in girls?
Next?
Final? Right Ans - thelarche (breasts)
pubarche (axilla, pubic hair)
menarche (period)
Delayed puberty is the absence of secondary sexual development by age ______
in girls or failure of menarche within ____ years of onset of secondary sexual
characteristics
What are some major causes? Right Ans - 12
3
hypothalamic hypogonadism (CNS tumor) or hypergonadotropic
hypogonadism (turners)
Primary _______ when puberty is delayed and menarche does not occur, but
gonads are present and other endocrine function is normal Right Ans -
amenorrhea
Average length of cycle is ______ from the start of one period to the next
Right Ans - 28 days
Usually duration of period is _________ but can last for _______. Average blood
loss is _______. > ________is ABNORMAL Right Ans - 3-5 days
1-8 days
30 ml
over 80
What stage is useful to have to increase fertility and contraception? Right
Ans - Ovulation
What are signs that you are ovulating? Right Ans - rise in basal temp
rise in urinary LH
,Ovum lives about ______hours after leaving follicle, but is only fertilizable for
_________. Some sperm can survive/produce fertilization up to ___________ before
ovulation
Most fertile period for a woman is ? Right Ans - 72
for half that time
120 hours
48 hours before ovulation
What are the hormones that correlate to the cyclic changes in the vagina,
uterine cervix and breasts? Right Ans - Estrogen
Progesterone
Almost all estrogen comes from where? Right Ans - ovaries
2 peaks of estrogen secretion is when? Right Ans - just before ovulation
and during midluteal phase
Estrogen has affects on ? Right Ans - growth on ovarian follicles/increase
motility of uterine tubes
decrease FSH secretion
may increase libido
produce duct growth in breasts
changes in uterus and vagina
growth of pubic hair/axilla hair
What are the target organs of progesterone?
Causes changes in what? Right Ans - uterus, breasts, brain
endometrium/cyclic changes in cervix and vagina/rise in basal body temp
What does relaxin do for women? Right Ans - relax pubic symphysis/other
pelvic joints + softening/dilating cervix WHILE inhibiting contractions
What gonadotropic hormones act in concert to regulate the cyclic secretion of
ovarian hormones Right Ans - FSH and LH
, Ovarian secretion depends on action of hormones secreted by anterior
pituitary gland secretes what 6 established hormones Right Ans - ACTH,
growth hormone, thyroid-stimulating hormone (TSH), FSH, LH, & prolactin
What hormone does early maturation of ovarian follicles?
What hormones does the final maturation? Right Ans - FSH
FSH and LH
What hormone causes milk production after estrogen and progesterone
priming? Right Ans - prolactin
What hormones are contraceptives usually made up of ? Right Ans -
estrogen and progesterone
If conception occurs, _________ antagonists creates abortion
IUDs are copper or progestin
Implants are usually progestin which are effective for _____ years Right Ans
- progesterone
3
Average age of menopause is ? Right Ans - 51
Glands responsible for lubrication of nipple? Right Ans - Montgomery
glands (sebaceous)
What breast disease is painful, bilaterally mobile nodular masses, sensitive
breasts that are benign?
Common age?
Treatment? Right Ans - Fibrocystic breast changes
30-50
Reassure that it is Benign
Symptomatic relief -- tylenol/nsaids
reduce caffeine
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