1st MENSTRUAL CYCLE
1st MENSTRUAL CYCLE
Menstrual cycle
Aka: ________ cycle
- From beginning of _______ to beginning of next menses Pregnant : 3 layers
- Episodic _______ bleeding 1. Decidua basalis
Purpose: 2. Decidua capsularis
1. Ovum maturation 3. Decidua vera
2. Tissue bed renewal
3 layers of uterus: OVULATION
P ______________ - 14 (BEFORE) (KEYWORD)
M _____________ - 14 days ______ the next _______.
E ______________ - 14 days before end of the_______.
UTERUS is the _______ of menses 4 organs involve in the menstrual cycle:
______________ is the layer of menses H – Hypothalamus
Pregnant: ____slough off - Release GnRh (gonadotropin releasing hormone)
From endometrium to ___________ - 2 GnRH (FSHRH & LHRH)
Decidua is the _________ uterus A – APG : release gonadotropins (FSH & LH)
after 9 months decidua become___________ O – Ovaries: release female hormones (Estrogen & progesterone)
Non pregnant: slough off :______________ U - UTERUS : discharge menses
Non-pregnant 2 layers (endometrium) F
Basal layer Glandular layer E
Other name: _______________ Other name:____________ L
- Stable Unstable P
- Uninfluenced by - Influenced by Functions:
hormonal changes hormonal changes 1. FSH
- Slough off during - Ovum _____________
menses - Development of the ovum
- Development of Graafian follicle Aka: ____________phase
Immature ovum_________________ - Increase vascularity of endometrium
Mature ovum __________________ - Day 15: rupture of ___________follicle
2. LH Corpus luteum (yellow body)
- Ovulation - High in progesterone
- Rupture of __________ follicle 3. I – ischemic (3rd)
3. Estrogen - Ischemia
- Hormone of the _________/_________ - Day ____ to ________
- Increase___________ of endometrium - Non pregnant: corpus luteum will ___________
4. Progesterone - After 8-10 days : corpus _________ (white body)
- Hormone of pregnancy/hormone of mothers - Pregnant
- Increase vascularity of endometrium - Corpus luteum stays for ____ months while waiting for
- Maintains pregnancy placenta to develop
4. M – menstrual (4th)
4 Phases of the menstrual cycle - Day 1-5 (5 days duration)
Mnemonic: PSIM - Menses
Note: go with menstrual cycle first - Uterus @ ___________ d/t endometrial slough off
P – proliferative (1st ) Note: glandular layer slough off due to progesterone withdrawals
- Aka: Estrogenic phase Day 1: ____ estrogen & progesterone leads to _______
Pre – ovulatory Increase prostaglandin
- Day ___ to ___ Uterine contraction+ vasoconstriction = dysmenorrhea
- ovulation happens Mngt:
Signs of ovulation: (fertile) 1. Proper positioning
1. Cervical mucus - ‘’First choice: ___________
2. Increase basal body temp - 2nd choice: _____________
3. Mittelschmerz 2. Warm compress
- Relaxation/vasodilation
S – secretory (2nd) 3. Exercise
- Release __________ (natural painkiller)
- Day _____ to ____
4. Analgesics
- Secrete nourishing substances
- Best time for _____________