326 Chapter 16
asked to sign a contract that spells out legal rights and
obligations of the parties.
Once a potential donor is accepted, she undergoes several
weeks of physiological preparation. hormone treatments
stop her normal ovarian cycling. then, injections of fertility
drugs “hyperstimulate” her ovaries to produce as many
as fifty or sixty oocytes. Common side effects include hot
flashes, bloating, and mood swings. When tests indicate
that numerous follicles are ready to rupture, a final injection
promotes ovulation. released oocytes are retrieved via minor
surgery. If any oocytes are missed, a sexually active donor
may become pregnant with one or more embryos.
Some experts are concerned that hyperstimulating a
woman’s ovaries may lead to reduced future fertility and an
increased chance of developing ovarian cancer. these worries
are among the reasons why many states limit the number of
times a given woman can donate her eggs.
ExplorEon Your own
STDs. Table 16.5 in Section 16.10 lists the seven most prevalent STDs globally. To explore how these
health concerns are affecting your community or state, go online and find out if your local or state
public health department maintains statistics on STDs. Which are the most prevalent STDs in your
area? Have the numbers been rising or declining? If someone thinks they may have been exposed,
what resources are available for confidential testing?
© iStockphoto.com/aydinmutlu
FOCUS ON hUmaN impaCt
Eggs for ArT
a young, healthy woman can earn thousands of dollars
by providing oocytes for use by fertility clinics. recipients
typically are couples or individuals who cannot (or choose
not to) conceive on their own.
egg “donation” is a demanding process. advance
screening usually includes providing details about one’s
personal life, education,
StD history, and lifestyle.
the woman’s medical
history, and often those of
close blood relatives, will
be scrutinized for possible
genetic disorders. DNa and
IQ testing and an in-depth
psychological evaluation all
may be required. In most
states a donor also will be
SummArY
Section 16.1 Ovaries, which produce
eggs, are a female’s primary reproductive
organs. Oviducts and other ducts and
accessory glands are also part of the female
reproductive system. Oviducts open into the
uterus, which is lined by the endometrium.
Unless a fertilized egg begins to grow in the uterus, the
endometrium proliferates, then is shed in the three-phase
menstrual cycle.
Section 16.2 The menstrual cycle
overlaps with an ovarian cycle. At the end of
each menstrual period, a follicle (containing
an oocyte) matures in an ovary. Hormones
trigger rebuilding of the endometrium.
A midcycle peak of LH triggers ovulation, the release of a
secondary oocyte (egg) from the ovary.
A corpus luteum that forms from what remains of the
follicle secretes progesterone that prepares the endometrium
to receive a fertilized egg and helps maintain the endo-
metrium during pregnancy. When no egg is fertilized, the
16.13
Gschmeissner/Science Source
Oocyte in a developing follicle
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