Physiology of The Female Reproductive System: Liu Wei Department of Ob & Gy Ren Ji Hospital
Physiology of The Female Reproductive System: Liu Wei Department of Ob & Gy Ren Ji Hospital
Physiology of The Female Reproductive System: Liu Wei Department of Ob & Gy Ren Ji Hospital
Female Reproductive
System
Liu Wei
Department of Ob & Gy
Ren Ji hospital
Physiological Stages
Neonatal period: birth---4 weeks
Childhood: 4 weeks----12 years
Puberty: 12 years---18 years
Sexual maturation: 18 year---50 year
Perimenopause: decline of ovarian
function (40 years)----1 year
postmenopause
Postmenopause:
Menstruation
Menstruation
cyclic endometrium sheds and bleeds due to cyclic
ovulation
Mense
1. Endometrium is sloughed (progesterone withdrawal)
2. Nonclotting menstrual blood mainly comes from
artery (75%)
3. Interval: 24-35 days (28 days). duration: 2-6 days.
the first day of menstrual bleeding is consideredy
by day 1
4. Shedding: 30-50 ml
Central reproductive hormones
Hypothalamus-Pituitary-Ovary(H-P-O axis)
Central reproductive hormones
Neuroendocrine regulation
1. Gonadotropin-releasing hormone,GnRH
1) chemical structure
(pro)Glu-His-Trp-Ser-Tyr-Gly-Leu-Arg-Pro-Gly-NH2
2) Synthesize and transport
Hypothalams
GnRH
Pituitary
FSH, LH
Ovary
E,P
Central reproductive hormones
2. Gonadotropins
1) Composition (glycoprotein)
Follicle stimulating hormone,FSH
Luteinizing hormone,LH
2) Synthesize and transport
granulosa
LH
progesterone
Ovarian responses
The Ovarian cycle
H-P-O axis
1. Positive feedback
Sex hormones (E) GnRH or LH/FSH
E peak (200pg/ml) LH/FSH peak ovulation
2. Negative feedback
Sex hormones (E) GnRH or LH/FSH
Follicular phase: E FSH
Luteal phase: EP LH/FSH(formation)
EP LH/FSH(regression)
The endometral cycle
Proliferative phase
1. E(mitogen) stroma thickens and glands
become elongated proliferative
endometrium
2. Duration: 2 weeks
3. Thickness: 0.5mm 5mm
The endometral cycle
Secretory phase
1. P(differentiation) secretory endometrium
2. Features
stroma becomes loose and edematous
blood vessels entering the endometrium become
thickened and twisted
glands become tortuous and contain secretory
material within the lumina
3. Duration: 2 weeks
4. Thickness: 5-6mm
Change of Other genital organs
Cervix
endocervical glands (E) mucus(thin,clear,
watery) maximal (ovulation)
endocervical glands (P) mucus(thick, opaque,
tenacious)
Vagina
Vaginal mucosa (E) thickening and secretory
changes
Vaginal mucosa (P) secrete
Physiological function of sex hormones
Estrogen
END