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Female Reproductive System I Lab 21 – Female Reproductive System I A560 – Fall 2015 I. Introduction II. Learning Objectives III. Slides and Micrographs A. Ovary 1. General structure 2. Cortex a. Pre‐ovulation Follicles i. Primordial follicle ii. Primary follicle iii. Secondary follicle iv. Mature (Graafian) follicle v. Atretic follicle b. Post‐ovulation Follicles i. Corpus luteum ii. Corpus albicans 3. Medulla IV. Summary egg emerging from ovary witnessed unintentionally by gynecologist Jacques Donnez while carrying out a partial hysterectomy the egg emerged from the ovary over 15 minutes; challenging the previously‐held belief that the process was a sudden event

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Page 1: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

FemaleReproductiveSystemILab21– FemaleReproductiveSystemI

A560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

eggemergingfromovary

witnessedunintentionallybygynecologistJacquesDonnezwhilecarryingoutapartialhysterectomy

theeggemergedfromtheovaryover15minutes;challengingthepreviously‐heldbeliefthattheprocesswasasuddenevent

Page 2: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Learning Objectives

1. Understand the overall organization of the ovary.

2. Identify follicles at all stages of development from primordial to Graafianand understand their physiological significance.

3. Describe the process of corpus luteum formation.

4. Distinguish corpus luteum from corpus albicans and from atretic follicles,with respect to structure and function.

Page 3: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Keywords

atretic folliclecorona radiatacorpus albicanscorpus luteumcumulus oophorusfolliclefollicular antrumfollicular cellsgerminal epitheliumGraafian folliclegranulosa cellsgranulosa lutein cellsmature follicle

ovaryprimary follicleprimary oocyteprimordial folliclesecondary folliclesecondary oocytetheca externatheca folliculitheca internatheca lutein cellszona granulosazona pellucida

Page 4: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

medulla

cortexlookhereforovarianfollicles

Page 5: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

tunicaalbugineaCTlayerbeneathepithelium

cortex

surface(germinal)epitheliumsimplecuboidalorcolumnarepitheliumcontinuouswithperitoneum

Page 6: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

exampleofprimordialfollicle

exampleofprimaryfollicle

exampleofsecondaryfollicle

lookhereformaturefollicle

corpusluteum

Page 7: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

Primordialfollicle

500,000inovaryatbirth

severalmillionpresentbeforebirth;manyundergoatresia(degeneration)

Primaryfollicle

20developeachmonth

allbutonewilleventuallyundergoatresia

Secondaryfollicle

onlyafewofthe20folliclesreachthisstage

Maturefollicle

the“Highlander”follicle–therecanbeonlyone

Page 8: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

primaryoocytelargenucleuswithdispersedfinelygranularchromatinandprominentnucleolus

follicularcellssinglelayerofflattenedcells

Page 9: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

primaryoocyte

greatlyenlarged

zonagranulosaseverallayersofgranulosacellsasprimaryfolliclecontinuestogrow

zonapellucida (Lt.“translucent)thicklayerofglycoproteinsand

proteoglycans

thecafolliculi (Lt.“follicularsheath”)fromsurroundingstromalcells;separatedfromgranulosacellsbybasementmembrane

follicularcells granulosacellsfollicularcellsenlargeandbecomecuboidalinshape;astheybecomestratified,theyare

referredtoasgranulosacells

Page 10: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

primaryoocyte

zonapellucida

zonagranulosaw/cumulusoophorus(Lt.“egg‐bearingmound”)thickenedlayerofgranulosacells

follicularantrum

fromfusionofsmallfluid‐filledspacesbetweengranulosacells;

filledwithfollicularfluid

thecaexterna&interna

interna developsseverallayersof

hormone‐producing,

roundedcells;externahas

spindle‐shapedcellsandblendsintosurrounding

stroma

Page 11: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

secondaryoocyte

thecainterna &externa

zonapellucida

coronaradiataremnantcellsofcumulusoophorus;severallayerssurroundoocyte

zonagranulosa

follicularantrum

smallbridgesofcellsconnectcoronaradiata togranulosacells;bridgeswillbreakbeforeovulationandoocyte/coronaradiata willfloatfreeinsidefollicle

Page 12: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

atretic follicles(degenerative)mayoccuratanystageofdevelopmentoftheovum

variousappearancesdependinguponthestageofdevelopmentreachedandtheprogressofatresia

featurestolookfor:1.degenerationofoocyte2.disaggregationofgranulosacells3.thickeningofbasementmembranebetweengranulosacellsandthecacells;knownas“glassymembrane”4.cellsanddebrisinantrum5.atretic follicleseventuallyreplacedbycorporafibrosa,mostofwhicheventuallydisappear

Page 13: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

after ovulation, follicle collapses and fills with blood clot to form corpus luteum (Lt. “yellow”); granulosa cellsincrease in size (called granulosa lutein cells) and begin secreting progesterone and estrogens; theca interna cellsalso increase in size (called theca lutein cells) and secrete progesterone (lack aromatase to form estrogens);basement membrane between granulosa cells and theca interna breaks down, vasculature invades, and structuretakes on general appearance of an endocrine gland; structure will last 12‐14 days unless pregnancy has occurred(and HCG from placenta maintains corpus luteum which continues to enlarge)

Page 14: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide58:OvaryandCorpusLuteum,H&E

Lookincrevicesandperipheryforthecaluteincells

lookincenterforgranulosaluteincells

Page 15: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide58:OvaryandCorpusLuteum,H&E

thecaluteincells

granulosaluteincells

Page 16: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide61:Ovary,H&E

corpusalbicans

corpora albicantes (Lt. “white”) are inactive fibrous tissue masses formed from involution ofcorpus luteum; secretory cells of corpus luteum undergo autolysis and are phagocytosed bymacrophages; corpora albicantes increase in number with age – however most regress completely

lookforfibroblastsandmacrophages(maycontainpigment)

Page 17: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Slide13:Ovary,MassonTrichrome

medullalacksfollicles;containsCT,largevessels(helicine arteries)andlymphatics

smallbundlesofsmoothmusclemaybepresent

hilus cells,similartoLeydig cells,arealsopresentinmedulla;tumorscanleadtovirilization

ovarianligament

w/vessels

mesovarium hilum

Page 18: Lab 21 –Female Reproductive I Female Reproductive System I · Lab 21 –Female Reproductive System I Female Reproductive System I A560 –Fall 2015 I. Introduction II. Learning

Lab21– FemaleReproductiveSystemIA560– Fall2015

I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs

A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle

b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans

3. MedullaIV. Summary

Tobecontinued…