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HISTOLOGY OF THE OVARY
DR KELECHI DURUH
DEPARTMENT OF HUMAN
ANATOMY
FBMS COLLEGE OF MEDICINE
UNEC
BY
1
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
2
INTRODUCTION
3
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
4
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
6
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
7
FOLLICULAR GROWTH AND
DEVELOPMENT
SHEMATIC DRAWING OF FOLLICULAR GROWTH 8
FOLLICULAR GROWTH AND
DEVELOPMENT
STAGES OF DEVELOPMENT OF OVARIAN FOLLICLE : H/E
9
FOLLICULAR GROWTH AND
DEVELOPMENT
STAGES OF DEVELOPMENT OF OVARIAN FOLLICLE : H/E
10
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
11
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
13
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
14
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
16
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
17
IDENTIFY
18
IDENTIFY
19
IDENTIFY
20
IDENTIFY
21
IDENTIFY
22
IDENTIFY
23
IDENTIFY
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NDEWO NU
25

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HISTOLOGY OF THE OVARY LECTURE.pptx

  • 1. HISTOLOGY OF THE OVARY DR KELECHI DURUH DEPARTMENT OF HUMAN ANATOMY FBMS COLLEGE OF MEDICINE UNEC BY 1
  • 2. 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 2
  • 4. 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 4
  • 5. INTRODUCTION Schematic diagram of hormonal control of the ovary 5
  • 6. 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 6
  • 7. 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 7
  • 8. FOLLICULAR GROWTH AND DEVELOPMENT SHEMATIC DRAWING OF FOLLICULAR GROWTH 8
  • 9. FOLLICULAR GROWTH AND DEVELOPMENT STAGES OF DEVELOPMENT OF OVARIAN FOLLICLE : H/E 9
  • 10. FOLLICULAR GROWTH AND DEVELOPMENT STAGES OF DEVELOPMENT OF OVARIAN FOLLICLE : H/E 10
  • 11. 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 11
  • 12. FOLLICULAR GROWTH AND DEVELOPMENT SCHEMATIC DIAGRAM FOLLICULAR DEVELOPMENT 12
  • 13. 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 13
  • 14. 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 14
  • 16. 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 16
  • 17. 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 17
  • 18.