Histology of The Ovary Lecture

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HISTOLOGY OF THE OVARY

BY

DR KELECHI DURUH
DEPARTMENT OF HUMAN
ANATOMY
FBMS COLLEGE OF MEDICINE
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UNEC
INTRODUCTION
• Ovary is a paired almond shaped female
reproductive and endocrine organ.
• Located in the pelvis
• Lateral to the uterus
• Measures about 3cm long,1.5cm wide, and
1cm thick
• Develops from the gonodal primordia

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INTRODUCTION

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INTRODUCTION
• Development and growth of the ovary is
dependent on Gonadotrophin hormones(FSH
and LH)
• Follicular development depends on FSH
• Theca interna secretes androstenedione
• Androstenedione is converted into estradiol
by aromatase in the granulosa cells
• Granulosa cells secretes inhibin

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INTRODUCTION

Schematic diagram of hormonal control of the ovary 5


INTRODUCTION
• Granulosa cells secretes postaglandin
• Theca lutein cells produce large amount of
progesterone and androstenedione under the
influence of LH
• The consequence of decreased progesterone from
corpus luteum of menstruation is menstruation
• If oocyte is fertilized, corpus luteum lingers about
4-5months when trophoblasts has established
HCG secretion

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FOLLICULAR GROWTH AND DEVELOPMENT

• At puberty, FSH commence cyclical stimulation of a


group of primordial follicles each cycle
• This causes growth and proliferation of follicular cells
and ovarian stroma
• Different points of development casts various shades
on the histology of the ovary
• The dominant follicle develops to mature or graafian
follicle
• Other follicles in the group stimulated initially
undergo atresia
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FOLLICULAR GROWTH AND DEVELOPMENT

SHEMATIC DRAWING OF FOLLICULAR GROWTH 8


FOLLICULAR GROWTH AND DEVELOPMENT

STAGES OF DEVELOPMENT OF OVARIAN FOLLICLE : H/E

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FOLLICULAR GROWTH AND DEVELOPMENT

STAGES OF DEVELOPMENT OF OVARIAN FOLLICLE : H/E

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FOLLICULAR GROWTH AND DEVELOPMENT

• The surrounding stroma differentiates to theca interna and


externa
• The primary oocyte completes meiosis 1 shortly before
ovulation to become secondary oocyte
• First polar body is produced
• Secondary oocyte enters meiosis 11 and arrested in
metaphase
• The granulosa cells are redistributed to form the cumulus
oophorosus and the corona radiata
• Zona pellucida developes between the oocyte and first
layer of granulosa cells
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FOLLICULAR GROWTH AND DEVELOPMENT

SCHEMATIC DIAGRAM FOLLICULAR DEVELOPMENT 12


OVULATION

• The release of the oocyte from the ovary.


• Usually occurs about 14th day of the cycle.
• The graafian follicle bulges on the ovary
causing a stigma
• Granulosa cells produce more follicular fluid
containing prostaglandins and other
macromolecules

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OVULATION

• Smooth muscles in the theca externa are


stimulated
• Contraction expels the oocyte
• After ovulation the follicle collapses
• The ovulated follicle and theca interna form a
temporary endocrine gland called corpus
luteum

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OVULATION

PREOVULATORY ANTRAL FOLLICULE: H/E AND PT 15


OVULATION

• The cells of the theca and granulosa change


histologically and functionally under the
influence of LH
• Corpus luteum of menstruation last for 12-14
days
• Corpus luteum of pregnancy last 4-5months
• The scar of corpus luteum is called corpus
albicans

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CLINICAL CORRELATES
• Polycystic ovarian syndrome: characterized by
bilateral multiple ovarian cyst and anovulatory
state.
• Hemorrhagic cyst: bleeding into a follicular cyst
• Ovarian failure: could be primary or secondary.
The ovary is not producing oocytes
• Miscarriage from insufficient progesterone
secretion by corpus luteum of pregnancy

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NDEWO NU

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