Podcast
Questions and Answers
Which hormonal change occurs as a result of human chorionic gonadotropin (HCG) secretion during early pregnancy?
Which hormonal change occurs as a result of human chorionic gonadotropin (HCG) secretion during early pregnancy?
What is NOT a function of the placenta during pregnancy?
What is NOT a function of the placenta during pregnancy?
What is the role of relaxin during pregnancy?
What is the role of relaxin during pregnancy?
Which two hormones are primarily secreted by the corpus luteum during the early stages of pregnancy?
Which two hormones are primarily secreted by the corpus luteum during the early stages of pregnancy?
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How does the placenta contribute to the hormonal environment in early pregnancy?
How does the placenta contribute to the hormonal environment in early pregnancy?
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Which hormone is responsible for the growth of the uterus and breasts during pregnancy?
Which hormone is responsible for the growth of the uterus and breasts during pregnancy?
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What is the primary function of Human chorionic gonadotrophic (HCG) during early pregnancy?
What is the primary function of Human chorionic gonadotrophic (HCG) during early pregnancy?
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Which hormone's role includes relaxing smooth muscle and inhibiting uterine contractions?
Which hormone's role includes relaxing smooth muscle and inhibiting uterine contractions?
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What is the main action of Human placental lactogen during pregnancy?
What is the main action of Human placental lactogen during pregnancy?
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Which hormone is released by the corpus luteum and then the placenta to soften pelvic ligaments?
Which hormone is released by the corpus luteum and then the placenta to soften pelvic ligaments?
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Which process involves the release of the sperm nucleus into the cytoplasm of the ovum?
Which process involves the release of the sperm nucleus into the cytoplasm of the ovum?
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What is the role of hyluronidase during fertilization?
What is the role of hyluronidase during fertilization?
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What is the critical physiological change that sperm undergo during capacitation?
What is the critical physiological change that sperm undergo during capacitation?
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During which phase of the menstrual cycle does implantation occur?
During which phase of the menstrual cycle does implantation occur?
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What happens to the zona pellucida immediately after the penetration of the first sperm?
What happens to the zona pellucida immediately after the penetration of the first sperm?
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What is the initial step in the fertilization process that attracts sperm to the ovum?
What is the initial step in the fertilization process that attracts sperm to the ovum?
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Which hormone plays a role in the chemoattraction of sperm to the ovum?
Which hormone plays a role in the chemoattraction of sperm to the ovum?
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What marks the end of the capacitation period for sperm?
What marks the end of the capacitation period for sperm?
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Study Notes
Physiology of Pregnancy
- Overview of pregnancy stages: ovulation, fertilization, implantation, embryo, and fetus
- Objectives for the lecture include describing sperm transport, physiological sperm changes before ovum penetration, endocrine changes during pregnancy and placental hormones.
Objectives
- Students will learn the path sperm takes to the mid-oviduct.
- Students will learn about physiological and chemical changes to sperm before penetration of the ovum
- Students will learn about endocrine changes during pregnancy
- Students will learn about placental hormones and their function.
Fertilization
- Sperm chemoattraction to the ovum occurs by signals like oxytocin, prostaglandins and chemotactic factors.
- Sperm adheres to the zona pellucida
- Sperm penetrates the zona pellucida via the acrosome reaction
- Sperm fuses with the egg membrane which leads to the breakdown of the fusion area. Then, the sperm nucleus enters the egg cytoplasm.
Capacitation
- Sperm capacitation occurs in the female genital tract fluids, improving motility and preparing for the acrosome reaction
- Capacitation takes 2-3 hours
- Sperm undergoes physiological and chemical changes.
- Only capacitated sperm can penetrate the zona pellucida
Implantation
- Implantation occurs on the anterior or posterior wall of the uterine body near the fundus, on or about the 6th day (20th of menstrual cycle)
- The endometrium is in the secretory phase.
- Stages of implantation include orientation, apposition, attachment, and invasion
- Blastocyst moves to the uterus, contacts the endometrium and the trophoblast burrows into the uterine wall
Implantation involves
- The blastocyst moves from the fallopian tube to the uterus
- The blastocyst contacts the endometrium
- The trophoblastic layer erodes the endometrium, and the blastocyst burrows into the endometrium.
Placenta
- The placenta forms after implantation
- The trophoblast remains associated with it
- Placental hormones are secreted to maintain pregnancy
- Functions of the placenta include:
- Transfer of gases
- Transport of nutrients
- Excretion of wastes
- Hormone production (estrogen, progesterone)
- Formation of a barrier (incomplete and non-selective)
Endocrine Changes During Pregnancy
- After implantation, the syncytiotrophoblast secretes human chorionic gonadotropin (HCG)
- Enlargement of the corpus luteum occurs instead of degeneration
- Corpus luteum secretes progesterone and relaxin to maintain pregnancy, inhibiting uterine contractions
- After the 8th week of pregnancy, HCG levels decrease, but progesterone and estrogen are maintained by the placenta
Hormones
-
Estrogen:
- Produced in the corpus luteum initially, then by the placenta
- Responsible for uterus and breast growth
-
Progesterone:
- Produced in the corpus luteum and then by the placenta
- Relaxing smooth muscles
- Inhibits uterine contractions, preparing the uterus for labor
- Regulates body fat storage
-
Human Chorionic Gonadotropin (HCG):
- Secreted by the trophoblast of the developing embryo
- Keeps the corpus luteum healthy, until the placenta takes over
Human Placental Lactogen
- Affects maternal metabolism
- Transfers glucose to the fetus
- Mobilizes fatty acids from maternal stores
Relaxin
- Released by the corpus luteum initially and then by the placenta
- Softens pelvic ligaments
- Reduces myometrial tone
Fetoplacental Unit
- The fetus and placenta work together to produce steroids
- Cholesterol is converted into progesterone, androgens, and estrogens
- These hormones are then transferred across the placenta to the fetus and maternal blood.
Test your Understanding
- The corpus luteum degenerates slower after fertilization/implantation because of HCG.
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Description
Test your knowledge on the hormonal changes and functions related to early pregnancy. This quiz covers critical hormones such as HCG, relaxin, and the role of the placenta. Explore how these hormones contribute to the physiological changes during pregnancy.