The miracle of reproduction and life giving


Female Reproductive physiology
Puberty -is defined as transitional period of rapid growth. Physical Psychological Sexual maturity Capacity to reproduce


4.blind girls menarche earlier. 2. .may delay onset of puberty climate. Environment: light.extreme heat/cold 1. 3. stress.Factors affecting onset of puberty Heredity Race Nutritional status Presence or absence of illness 5.

Voice deepens size of penis and scrotum. axillary. prostate and bulbourethral glands enlarge and secretes. Attracted to opposite sex Becomes more aggressive and active. Stay high pitch glycogen content and configuration of vaginal mucosa. M-upright triangular pattern with increase body hair and less scalp hair. Breast budding-nipples & areola (thelarche) Growth of axillary and pubic hair (pubarche). Seminal vessicles. Cervical glands are active. Psychological Skin Sebaceous gland secretion thickens and increase predisposing to acne in 7590 % of individuals. F-inverted triangle with less hair. muscles enlarge Hair Growth and distribution Voice Genitalia a. External Beard.ale & Female secondary characteristic Female Body configuration Fat deposition in breast. Uterus becomes enlarge. Attracted to opposite sex Male Shoulder broaden. Internal b. hips and buttocks . chest and pubic hair appear(Pubarche). . They become pigmented and rugose.

Fat deposition Nipple budding 10-11 Breast budding 2-3 years before menarche Appearance of pubic hair (Pubarche). 12-13 13-14 oPigmentation of nipples Axillary hair increase . Glycogen of vaginal mucosa increases (cernification).Progression of Puberty Age/Years Growth Characteristic 9-10 Growth of the bony pelvis. beginning of female contour.

increase in height 7. growth of testes 3. Ovulation occurs 1 ± 2 years after menarche 7. growth of axillary hair (adrenarche) 8. penile growth 6. axillary. onset of menstruation (menarche 12. increase in weight 2. growth of pubic hair (adrenarche) 5. growth of face.) 6. and pubic hair 4. growth spurt 2.REPRODUCTIVE AND SEXUAL HEALTH Secondary sex characteristic of boys occurs in order: 1. increase in the traverse diameter of the pelvis 3. spermatogenesis Secondary sex characteristic of girls occurs in order: 1.5 y/o ave. voice changes 5. vaginal secretion . breast development (thelarche) 4.

Physiology of: MENSTRUATION .

every 28-30 days from menarch to menopause except during pregnancy and lactation.  Objective of the endometrial cycle: to provide a suitable bed in which fertilized ovum may implant and development. .enstruation  Is the periodic. Endometrial cycle  Objective of the ovarian cycle: to provide an ovum fertilization. physiologic discharge of blood. mucus and epithelial cells from the uterine mucosa.  Physiology of menstruation: 1. The ovarian cycle 2.

more or less round cell with large centrally located nucleous and a well defined nucleus.Ovarian cycle  In the cortex of the ovary are several primodial follicles: a. Layer of granulosa . b. Oocyte.a single large.

6. 2.Phases of ovarian cycle 1. The mature ovum . this phase last for 14 dayof menstruation. 5.  Ovulation and rupture of graafian follicle occurs before the onset onset of the next menses.   1. Mature graafian follicle: Theca externa Theca interna Membrane granulose Antrum Discuss progligerous  In 28 day cycle. 3. Pre ovulatory/ follicular phase The first half of the ovarian cycle characterized by development of graafian follicle. 4.

 Last 14 days regardless of the average length of the cycle. Post ovulatory or luteal phase  This is the second half of the ovarian cycle during which the corpus luteum at the site of the rupture follicle.2. .  Corpus luteum take charge in hormaonal regulation and begins to degenerate 1 week after ovulation.


GnRH stimulates anterior pituitary to release FSH. . FSH stimulates a follicle to grow & produce estrogen. 2. Hypothalamus releases GnRH. FSH Estroge n 3.Hormonal Regulation of Ovarian & Menstrual Cycles 1.

Estrogen FSH Estroge n .Hormonal Regulation of Menstrual & Ovarian Cycles LH 4. Rising levels of estrogen cause anterior pituitary to increase production & storage of LH.

LH . High estrogen causes LH to be released in a burst & the endometrium to thicken (proliferative phase).Hormonal Regulation of Menstrual & Ovarian Cycles 5. High LH stimulates first meiotic division of primary oocyte. FSH Estrogen Estroge n 6.

Estrogen 8. High LH triggers ovulation. FSH LH Estroge n . High LH causes ruptured follicle to become a corpus luteum.Hormonal Regulation of Menstrual & Ovarian Cycles 7.

LH FSH X Estroge n Progesterone X .Hormonal Regulation of Menstrual & Ovarian Cycles 9. Progesterone inhibits the production of FHS & LH by the anterior pituitary & stimulates secretory phase . Corpus luteum produces progesterone. Estrogen 10.

Estrogen Progesterone FSH LH X X X . Diminishing levels of FSH & LH cause corpus luteum to deteriorate & produce less progesterone. 12.Hormonal Regulation of Ovarian & Menstrual Cycles 11. Dimishing levels of estrogen & progesterone cause inhibition of FSH & LH to end & thickened endometrium to slough (menses).

Increasing levels of FSH cause a new cycle to begin.Hormonal Regulation of Ovarian & Menstrual Cycles 13. FSH .

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