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1、PhysiologyofFemaleReproductiveSystemThe1stAffiliatedHospitalofSUMS徐艷文PhysiologyofFemaleReproductiveSystem?Stagesofawoman’slife?Clinicalfeaturesofmenstruation?Oocytesgrowthandfollicledevelopment?Theendocrinecontrolofovarianfunction?Evaluationofovarian
2、functionPhysiologyofFemaleReproductiveSystem?Stagesofawoman’slife?Clinicalfeaturesofmenstruation?Oocytesgrowthandfollicledevelopment?Theendocrinecontrolofovarianfunction?Evaluationofovarianfunction女性一生雌激素水平的改變女性一生雌激素水平的改變第一次排卵更年期月經(jīng)初潮絕經(jīng)出生年齡Woman’slife
3、canbedividedintoNeonatal:within4weeksChildhood:4weeksto12yearsoldAdolesenceSexualmaturity:30yearsPerimenopauseSenility:>60yearsoldAdolescenceFirstsexualcharacteristicsSecondarysexualcharacteristicsBreast,toneReproductiveorganpubicha
4、ir,axillaryhairsubcutaneousfatbonypelvicPerimenopausalperiodTransitionfromreproductivetonon-reproductivephaseAseriesofchangespremenopause,menopause,postmenopauseMenopause:between45and52yPhysiologyofFemaleReproductiveSystem?Stagesofawoman’slif
5、e?Clinicalfeaturesofmenstruation?Oocytesgrowthandfollicledevelopment?Theendocrinecontrolofovarianfunction?EvaluationofovarianfunctionClinicalfeaturesofmenstruationMenstruationPeriodicchangeoccurringinprimateswhichresultsintheflowofbloodandendometriu
6、mfromtheuterinecavity,andwhichmaybeassociatedwithvariousconstitutionaldisturbances.ClinicalfeaturesofmenstruationMenarche:theagesof12and15MenopauseThemenstrualcycle:21-35days,afewmonthsafterpubertyandinthefewyearsprecedingthemenopauseThem
7、enstrualperiod:2-7daysTheflowandtheamountofbloodlost:40ml(30-50ml)Menstrualflowhaemolysedblood,mucusandcellulardebrisPlasminUterinecontractionPhysiologyofFemaleReproductiveSystem?Stagesofawoman’slife?Clinicalfeaturesofmenstruation?Oocytesgrow
8、thandfollicledevelopment?Theendocrinecontrolofovarianfunction?EvaluationofovarianfunctionPhysiologicfunctionoftheovary?Periodicreleaseofgametes(eggs)(oocytes)?Productionofthesteroidhormones,estradiolandprogesterone.OocytegrowthTakesplaceoveralongper