Males - same as females + spermatogenesis, sex characteristics
Function of FSH (male/female) - female - development of ovaries, stimulates
estrogen
Male - development of testes, stimulates spermatogenesis
Function of LH (male/female) - Female - triggers ovulation
Male - stimulates testosterone production
Which hormones cause puberty? (Male/female) - Female - estradiol
Male - testosterone
Average age of puberty onset - Girls - 8-9 years (breast development)
Boys - 11 years
,adrenarche and signs of it - beginning of adrenal secretion (at puberty)
(testosterone/estrogen)
Signs - armpit/pubic hair
Activation of sweat/sebaceous glands
How does the vagina protect itself from infection? - 1) acid/base balance that
decreases bacteria growth
2) thick epithelium
3) mucous plug at cervix
4) friendly bacteria
How does douching increase chance of infection? - Decreases pH and affects
L.acidophilus bacteria
menarche - the first menstrual period
Criteria for menopause - No menstruation for 1 year
Average age of menarche - 12
,menstrual cycle phases - Follicular/Proliferative phase- increase FSH from ant
pituitary, rescue of dominant follicle
Luteal/Secretory phase - ovulation (release of ovum from follicle), follicle turns
into corpus luteum and secretes progesterone/estrogen
Ischemic/Menstrual phase - no conception, coups luteum degenerates and lack of
progesterone/estrogen cause menstruation
HCG - human chorionic gonadotropin
Secreted by blastocytes 3 days after fertilization and maintains the corpus luteum
Blood loss per menstruation - 30-80 mL
Tail of Spence - extension of breast tissue into the axilla
thelarche - beginning of breast development
What hormone causes lactation after childbirth? - Prolactin
What hormone causes "let-down" of milk? - Oxytocin
What's special about colostrum? - Rich in immunologic components
, Risks of delayed or precocious puberty + treatment - Delayed - poor bone
development - Tx: correction of underlying cause, ? Small dose hormone therapy
Precocious - premature closing of epiphysis in long bones - short stature. - Tx:
GnRH agonist analogues - reversible, selective suppression of HPG axis
What causes primary dysmenorrhea? - excess prostaglandins in first 48h of
menses
Features of secondary dysmenorrhea? - Related to pelvis pathology (ovarian
cysts/endometriosis)
Can occur anytime during cycle
Risk factors dysmenorrhea - Younger than 30
No vaginal deliveries
Hx PID
Sexual assault
PMS
Tobacco/ETOH use
Family hx
Low BMI
Treatment of dysmenorrhea - NSAIDS
Hormonal contraceptives
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