Human Chorionic Gonadotropin (hCG) in Pregnancy
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Questions and Answers

What is the function of hCG in maintaining pregnancy?

  • Stimulating estrogen production in the fetal female ovaries
  • Regulating cortisol biosynthesis in the placenta and fetal adrenal gland
  • Suppressing testosterone production in the fetal male testes
  • Maintaining corpus luteum production of progesterone (correct)
  • Which hormone shares a similar α-subunit structure with hCG?

  • Aldosterone
  • Luteinizing hormone (LH) (correct)
  • Thyroxine
  • Insulin
  • At what point does hCG first appear in maternal blood after fertilization?

  • 10 days (correct)
  • 20 days
  • 14-16 days
  • 5-7 days
  • What is the specific function of the β-subunit of hCG?

    <p>Specific for pregnancy</p> Signup and view all the answers

    In which of the following conditions can high levels of hCG occur?

    <p>Twin pregnancy</p> Signup and view all the answers

    What is the primary effect of human placental lactogen during pregnancy?

    <p>Antagonizing the cellular action of insulin</p> Signup and view all the answers

    During which weeks of pregnancy is progesterone exclusively produced by the placenta?

    <p>7-9 weeks</p> Signup and view all the answers

    Which hormone is the predominant moiety during the nonpregnant reproductive years?

    <p>Estradiol</p> Signup and view all the answers

    What is the function of estradiol during a woman's nonpregnant reproductive years?

    <p>Maintaining reproductive function</p> Signup and view all the answers

    In which condition can threatened abortion occur due to low levels of a specific hormone?

    <p>Low progesterone levels</p> Signup and view all the answers

    How do high levels of human placental lactogen contribute to pregnancy?

    <p>Preventing myometrial contractions</p> Signup and view all the answers

    At what point does progesterone start to be produced by both the corpus luteum and the placenta?

    <p>7-9 weeks into pregnancy</p> Signup and view all the answers

    What hormone decreases insulin utilization during pregnancy?

    <p>Human placental lactogen</p> Signup and view all the answers

    During which stage of pregnancy does progesterone induce endometrial secretory changes favorable for blastocyst implantation?

    <p>&lt;5 weeks gestation</p> Signup and view all the answers

    What is the primary function of estradiol during a woman's nonpregnant reproductive years?

    <p>Maintaining reproductive function</p> Signup and view all the answers

    Human placental lactogen is chemically similar to anterior pituitary growth hormone and ______.

    <p>prolactin</p> Signup and view all the answers

    Its effect is to antagonize the cellular action of insulin, decreasing insulin utilization and thereby contributing to the predisposition of pregnancy to glucose intolerance and ______.

    <p>diabetes</p> Signup and view all the answers

    If levels are low, threatened abortion or ______ can occur.

    <p>intrauterine growth restriction (IUGR)</p> Signup and view all the answers

    Progesterone is a steroid hormone produced after ovulation by the luteal cells of the corpus luteum to induce endometrial secretory changes favorable for ______ implantation.

    <p>blastocyst</p> Signup and view all the answers

    It is initially produced exclusively by the corpus luteum for up to 6–7 menstrual weeks. Between 7–9 weeks, both the corpus luteum and the placenta produce ______.

    <p>progesterone</p> Signup and view all the answers

    After 9 weeks the corpus luteum declines, and progesterone is exclusively produced by the ______.

    <p>placenta</p> Signup and view all the answers

    In early pregnancy it induces endometrial secretory changes favorable for ______ implantation.

    <p>blastocyst</p> Signup and view all the answers

    In later pregnancy its function is to induce immune tolerance for the pregnancy and prevent ______ contractions.

    <p>myometrial</p> Signup and view all the answers

    Estrogens are steroid hormones that occur in 3 forms. Each form has unique significance during a woman’s ______ life.

    <p>reproductive</p> Signup and view all the answers

    Estradiol is the predominant moiety during the nonpregnant ______ years.

    <p>reproductive</p> Signup and view all the answers

    Study Notes

    Human Chorionic Gonadotropin (hCG)

    • hCG maintains pregnancy by stimulating the corpus luteum to continue producing progesterone, which supports embryonic development.
    • hCG shares a similar α-subunit structure with thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), and luteinizing hormone (LH).
    • hCG first appears in maternal blood around 6-10 days after fertilization.
    • The β-subunit of hCG is specific to this hormone and is responsible for its unique function.

    Conditions with High hCG Levels

    • High levels of hCG can occur in molar pregnancies, choriocarcinoma, and multiple pregnancies.

    Human Placental Lactogen (HPL)

    • HPL, also known as human chorionic somatomammotropin, induces maternal metabolic changes that support fetal growth and development.
    • HPL is chemically similar to anterior pituitary growth hormone and prolactin.
    • High levels of HPL contribute to pregnancy by antagonizing insulin, leading to decreased insulin utilization and increased glucose levels.

    Progesterone

    • Progesterone is exclusively produced by the placenta between 10-12 weeks and 34-36 weeks of pregnancy.
    • Progesterone induces endometrial secretory changes favorable for blastocyst implantation during the luteal phase.
    • Between 7-9 weeks, both the corpus luteum and the placenta produce progesterone.
    • After 9 weeks, the corpus luteum declines, and progesterone is exclusively produced by the placenta.

    Estrogens

    • Estrogens occur in three forms: estrone, estradiol, and estriol.
    • Estradiol is the predominant moiety during the nonpregnant reproductive years.
    • Estrogens have unique significance during a woman's reproductive life.

    Pregnancy Complications

    • Low levels of progesterone can lead to threatened abortion or miscarriage.
    • High levels of HPL can contribute to the predisposition of pregnancy to glucose intolerance and gestational diabetes.

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    Description

    Learn about the production, secretion, and functions of human chorionic gonadotropin (hCG) during pregnancy. Understand the role of hCG in maintaining the corpus luteum and supporting fetal development.

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