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What are the primary sex organs?
Gonads (testes and ovaries). Produce gametes
What are the secondary sex organs
Ducts, glands, and structures that support reproduction
What are the major functions of the reproductive system?
Gamete production, fertilization, fetal development, birth, nourishment of offspring
Why is scrotal thermoregulation essential?
Spermatogenesis requires temperatures ~2–3°C below core body temp
How does the cremaster muscle regulate temperature?
Contracts to elevate testes (warm), relaxes to lower them (cool)
How does dartos fascia regulate temperature?
Changes scrotal surface area (wrinkling vs relaxing skin)
What is the function of the pampiniform plexus?
Countercurrent heat exchange that cools arterial blood entering testes
What is the role of seminiferous tubules?
Site of spermatogenesis
What are the functions of Sertoli (nurse) cells?
Support sperm, secrete ABP (androgen-binding protein), inhibin, maintain blood-testis barrier
What do Leydig (interstitial) cells do?
Produce testosterone in response to LH (luteinizing hormone)
What is inhibin and its function?
Hormone that inhibits FSH (follicle-stimulating hormone) to regulate sperm production
What is spermatogenesis?
Process of producing haploid sperm from germ cells
Where do sperm mature and gain motility?
Epididymis
Pathway of sperm
Seminiferous tubules → efferent ductules → epididymis → ductus deferens → ejaculatory duct → urethra
What is the function of the ductus deferens?
Transports sperm to ejaculatory duct via peristalsis
What is the composition and function of seminal vesicle fluid?
Fructose-rich, alkaline fluid that nourishes sperm (~60% semen)
What is the function of prostate secretions?
Activate sperm and enhance motility (~30% semen)
What is the role of bulbourethral glands?
Secrete mucus to lubricate and neutralize urethral acidity
Mechanism of erection
Parasympathetic → NO release → vasodilation → blood fills erectile tissue
Why does the corpus spongiosum not expand as much?
Prevents compression of urethra
Emission in ejaculation
Semen enters urethra
Expulsion in ejaculation
Semen exits body via muscular contractions
What prevents urine mixing with semen?
Internal urethral sphincter contraction
What is a vasectomy and its effect?
Cutting ductus deferens; sperm still produced but not ejaculated
What is benign prostatic hyperplasia (BPH)?
Enlarged prostate compresses urethra → urinary difficulty
What are the two main regions of the ovary?
Cortex (follicles), medulla (blood vessels)
What is oogenesis?
Formation of haploid ova from germ cells
What is ovulation?
Release of secondary oocyte from follicle
What is the function of fimbriae?
Sweep ovulated egg into uterine tube
How is the egg transported in the uterine tube?
Cilia + smooth muscle contractions
Where does fertilization occur?
Uterine tube
What are the three layers of the uterus?
Perimetrium, myometrium, endometrium
What is the function of the myometrium?
Produces contractions during menstruation and labor
Functional layer of endometrium
Sheds
Basal layer of endometrium
Regenerates
How does cervical mucus change during ovulation?
Becomes thin to allow sperm passage
What is the function of the vaginal low pH?
Prevents pathogen growth
What is the function of the ovarian ligament?
Anchors ovary to uterus
What is the round ligament homologous to?
Gubernaculum
What arteries supply the uterus?
Uterine arteries → arcuate arteries → spiral arteries
HPG (Hypothalamic-Pituitary Gland) axis
Hypothalamus (GnRH - gonadotropin-releasing hormone) → pituitary (FSH - follicle-stimulating hormone, LH-luteinizing hormone) → gonads → sex hormones
What is negative feedback in the HPG axis?
Sex hormones inhibit GnRH (gonadotropin-releasing hormone), FSH (follicle-stimulating hormone), LH (luteinizing hormone) release
What stimulates testosterone production?
LH (luteinizing hormone)
What stimulates spermatogenesis?
FSH (gonadotropin-releasing hormone) and testosterone
What triggers ovulation?
LH (luteinizing hormone) surge
What is the role of estrogen?
Endometrial growth, secondary sex characteristics
What is the role of progesterone?
Maintains uterine lining, prepares for implantation
What initiates puberty?
Increased GnRH (gonadotropin-releasing hormone) secretion
What is leptin’s role in female puberty?
Signals sufficient body fat to initiate GnRH (gonadotropin-releasing hormone) release
What are the phases of the ovarian cycle?
Follicular → ovulation → luteal
What happens during the luteal phase?
Corpus luteum secretes progesterone
What causes menstruation?
Drop in estrogen and progesterone
How is gestation measured?
From first day of last menstrual period (~40 weeks)
What is the function of hCG (human chorionic gonadotropin)?
Maintains corpus luteum early in pregnancy
What happens to the corpus luteum later in pregnancy?
Degenerates as placenta takes over hormone production
What does estrogen do in pregnancy?
Promotes tissue growth and uterine enlargement
What does progesterone do in pregnancy?
Prevents contractions and maintains endometrium
What does relaxin do?
Relaxes pelvic ligaments
How does blood volume change in pregnancy?
Increases ~30–40%
Why does urination increase in pregnancy?
Uterus compresses bladder
What is implantation?
Embryo embedding into endometrium
What is the placenta composed of?
Maternal endometrium + fetal tissue
What is the placental barrier?
Semipermeable membrane for exchange of gases/nutrients
What major development occurs by week 8?
All major organ systems present
When can fetal movement be felt?
Around weeks 17–20
What is the function of the foramen ovale?
Shunts blood from right atrium to left atrium
What is the function of the ductus arteriosus?
Shunts blood from pulmonary trunk to aorta
Why is fetal circulation different?
Lungs are not functional yet
What is an ectopic pregnancy?
Implantation outside uterus (usually tube)
Why is ectopic pregnancy dangerous?
Risk of rupture → internal bleeding/shock
What causes gestational diabetes?
Hormonal changes affecting insulin sensitivity