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what are sex chromosomes?
the x and y chromsomes that generally determine mammalian sex
how many distinct chromosomes do humans technically have?
24 (22 autosomes, one X, and one Y).
what does a haploid genome (sperm or egg) contain?
a complete set of 22 autosomes and either an X or a Y chromosome (23 total)
what does a diploid genome contain?
a pair of each autosome and a pair of “sex chromosomes” (46 total)
what sex are individuals with an XX chromosome pair?
female
what sex are individuals with an XY chromosome pair?
male
what is a nondisjunction?
a rare meiotic event that can produce atypical chromosomal combinations (chromosomal intersex)
what is XXY (klinefelter syndrome)?
phenotypically male; can present with small testicles, hypogonadism, infertility, and neurocognitive impacts
what is XYY (Jacobs syndrome)?
phenotypically male; often mild/undiagnosed; can present with tall stature, large testes/head, and higher risk for conditions like asthma, autism, and seizures
what is XO (turner syndrome)?
phenotypically female; can cause fetal developmental issues, short stature, webbed neck, forearm deformity, ocular issues, and increased risk for autoimmune disorders
what are sex chromosomes?
one, often simplistic, way to assign biological sex
what is biological sex?
a spectrum that is less binary than many believe or understand
what are intersex conditions?
often categorized as disorders (or differences) or sexual development (DSDs).
what are DSDs (disorders/differences of sexual development)?
conditions that can lead to an individual’s genetic, anatomical and hormonal phenotype not aligning with binary biological male or female characteristics
how common is it for people to have intersex conditions?
depending on the definition, could be up to 2% of the population
what are the associated issues of DSDs?
can be associated with other health issues in individuals
what is a complete androgen insensitivity syndrome (CAIS)?
a condition in a genetically XY individual where the body is completely insensitive to androgens (like testosterone) due to genetic mutations in androgen receptors
what are the characteristics of a genetically XY individual with CAIS?
their external genitals appear female, but female sex organs (ovaries, fallopian tubes, or uterus) do not develop. often diagnosed after puberty due to amenorrhea (lack of menstruation)
what is partial androgen insensitivity syndrome (PAIS)?
a condition with variable symptoms, where genitals may appear neither fully male nor female, or more male, and individuals are often infertile
what is congenital adrenal hyperplasia (CAH)?
a condition where the adrenal glands cannot properly synthesize hormones (cortisol, aldosterone, androgens) due to genetic mutations in an important enzyme
what does CAH in XX individuals look like?
results in the production of excessive testosterone. individuals are born with ambiguous genitalia (enlarged clitoris, fused labia) but have typical female internal reproductive organs
what are secondary sex characteristics in XX individuals with CAH like?
they can develop male secondary sex characteristics at puberty, such as facial hair and a deepening voice
what does a milder form of CAH look like?
can lead to male-like facial and body hair, irregular periods, fertility problems, or sometimes no obvious symptoms at all, highlighting variability
what is the cause of 5-alpha reductase deficiency?
a genetic mutation that leads to very low levels of dihydrotestosterone (DHT)
what is the function of DHT?
it is important for the detailed development of external genitalia in XY individuals
what is the function of the 5-alpha reductase enzyme?
it helps convert testosterone to DHT
what are the physical characteristics of 5-alpha reductase deficiency at birth?
underdeveloped or ambiguous external genitalia (in severe cases, appearing female), with most internal reproductive structures appearing male
what physical changes occur during puberty for individuals with 5-alpha reductase deficiency?
increased testosterone drives voice deepening, muscle mass increase, penis enlargement, and partial descending of the testes
in which country is there a community with a high incidence of this deficiency?
the dominican republic (incidence of 1 in 50 births).
what is the local name for individuals in the dominic republic with this condition?
guevedoces (aka “penis at 12"; or locally as machihembras)
what is the colloquial name for the condition in the dominican republic
“penis at 12 syndrome,” where girls appear to “turn into boys” during adolescence
what are primordial gonads?
structures that begin to develop about one month after fertilization and can develop into either testes or ovaries
when do the primordial gonads begin to develop?
approximately one month after fertilization of the egg.
what is bipotential?
the state where male and female reproductive tissues develop similarly in utero (until about the seventh week of gestation) and have the potential to become either male or female structures
when does the reproductive system start to differentiate into male or female sex organs?
around the seventh week of gestation, based on the presence or absence of specific chemical prompts
what determines whether the primordial gonads develop into testes?
the presence and release of testosterone from the gonads at around seven weeks of development
what determines whether the primordial gonads develop into ovaries?
the absence of testosterone (or other chemical prompting)
without any chemical prompting, into which sex would all fertilized eggs develop?
females
what is the SRY gene (sex-determining region of the Y chromosome)?
a single gene located on the Y chromosome responsible for the development of a male
what is the function of the SRY gene?
it acts as a transcription factor, activating other genes that promote the development of the testes and testosterone production, while suppressing genes for female development
why do females not develop testes?
females do not have a Y chromosome and therefore lack the SRY gene, which is required to initiate male development
when does reproductive development show little change?
between infancy and puberty, there is little change in the reproductive system for both males and females
what is puberty?
the stage of development at which individuals become sexually mature
do males and females have different outcomes of puberty?
yes, the physical outcomes differ, but the hormonal control mechanisms are similar
what is the h-p-g axis?
the hypothalamo-pituitary-gonadal axis— a coordinated release of hormones from the hypothalamus, anterior pituitary, and gonads that drives reproductive maturation and secondary sex characteristics
what does the h-p-g axis promote?
maturation of the reproductive systems and the development of secondary sex characteristics
what is GnRH?
gonadotropin-releasing hormone; released by the hypothalamus to stimulate the pituitary
what is LH?
luteinizing hormone; stimulates sex hormone production and ovulation/sperm production processes
what is FSH?
follicle-stimulating hormone; promotes gamete development (follicles in ovaries, sperm in testes).
what is estrogen?
a primary female sex hormone involved in reproductive development and secondary sex characteristics
what is testosterone?
a primary male sex hormone involved in reproductive development and secondary sex characteristics
what factors can affect the age of onset of puberty?
genetics, environment, and psychological stress
what is typically the first sign of puberty in males?
enlargement of the testes, growth and pigmentation of the scrotum, and growth of the penis
what is usually the first sign of puberty in females?
development of breast tissue
what is menarche?
the onset of menstruation
male secondary sex characteristic: voice changes
increased larynx size and deepening of the voice
male secondary sex characteristic: muscular changes
increased muscular development
male secondary sex characteristic: hair growth
growth of facial, axillary, and pubic hair, and increased overall body hair
female secondary sex characteristic: fat distribution
deposition of fat predominantly in the breasts and hips
female secondary sex characteristic: breast development
growth and maturation of breast tissue
female secondary sex characteristic: skeletal changes
broadening of the pelvis
female secondary sex characteristic: hair growth
growth of axillary and pubic hair