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What do the nervous and endocrine systems do?
work together to coordinate and regulate body functions
How does the nervous system communicate?
rapidly through nerve impulses and neurotransmitter release at synapses
How does the endocrine system communicate?
slowly through hormones released in bloodstream
What body processes are regulated by hormones?
internal environment, energy balance, muscle activity, gland secretion, immunity, growth, reproduction, circadian rhythms
What is required for a hormone to affect a cell?
have the appropriate hormone receptor
What are the three types of hormone signalling shown?
endocrine, autocrine, paracrine
How do water-soluble hormones act?
bind to receptors and activate a cascade of intracellular events involving second messengers
How do lipid-soluble hormones act?
enter cells and bind intracellular receptors, affecting gene expression and protein production
What is the general role of feedback in endocrine regulation?
regulates hormone secretion, maintains homeostasis
What are the two main functions of the gonads?
produce gametes and reproductive hormones
What are the male and female gonads?
testes in males, ovaries in females
What are the main endocrine structures controlling reproduction?
hypothalamus, pituitary gland, gonads
What hormone is released by the hypothalamus to regulate gonadotrophin secretion?
gonadotrophin releasing hormone
Which cells of the anterior pituitary produce gonadotrophins?
gonadotrophs
What are the two gonadotrophins?
fsh, lh
What do FSH and LH act on?
the gonads
What is the basic reproductive endocrine pathway?
hypothalamus, gnrh, anterior pituitary, fsh/lh, gonads
What are the three groups of sex steroids covered?
androgens, oestrogens, progestagens
Where are androgens produced?
mainly in testes
What is the main androgen produced by the testes?
testosterone
What can testosterone be converted into?
5a-dihydrotestosterone
What reproductive functions are associated with testosterone?
male sex development, secondary sex characteristics, spermatogenesis
What other effects of testosterone were listed?
libido, muscle development
What is the main role of oestrogens?
develop and maintain female characteristics, fertility
What are the three oestrogens listed?
oestradiol, oestrone, oestriol
Where is oestradiol mainly produced?
granulosa cells
What are the reproductive roles of oestrogen?
female sex development, secondary sex characteristics, menstrual cycle regulation, endometrial growth
What other function of oestrogen was listed?
bone health
Where is progesterone mainly produced?
corpus luteum, placenta
What is progesterone associated with?
preparation and maintenance of pregnancy
What is sex determination?
bipotential gonad becomes testis or ovary
What is sex differentiation?
development of genital structures
How is normal sex determination genetically controlled?
by sex hormones
What are the usual sex chromosome combinations?
xx female, xy male
What is SRY?
sex determining region on y chromosome
What is the role of SRY?
development of testes
What two duct systems are present early in development?
mullerian and wolffian ducts
Which duct is associated with female internal genitalia?
mullerian duct
Which duct is associated with male internal genitalia?
wolffian duct
Which testicular cells produce anti-Müllerian hormone?
sertoli cells
What does anti-Müllerian hormone cause?
regression of mullerian ducts
Which testicular cells produce testosterone?
leydig cells
What does testosterone do to the Wolffian ducts?
maintain and promotes development
What do the Wolffian ducts develop into?
epididymis, van deferens, seminal vesicles
What happens to the Wolffian ducts during female differentiation?
regress from about 10 weeks
What do the Müllerian ducts develop into?
fallopian tubes, uterus, cervix, upper vagina
When are both Müllerian and Wolffian ducts present?
during early undifferentiated stage, 5-6 weeks
What is the developmental origin of male and female external genitalia?
from single bipotential cursor
What structures are present in the bipotential external genitalia?
genital tubercle, urethral folds, urethral groove, labioscrotal swellings
What do the urethral folds become in females?
labia minora
What do the labioscrotal swellings become in females?
labia majora
What does the genital tubercle become in females?
clitoris
What happens to the urethral folds in males?
fuse to form the shaft of penis
What happens to the labioscrotal swellings in males?
fuse to form the scrotum
What does the genital tubercle become in males?
glans penis
What drives male external genital differentiation?
androgen
What is androgen insensitivity syndrome?
xy has testes, cannot respond normally to androgens because of an androgen receptor mutation
What happens to external genital development in androgen insensitivity syndrome?
external genitalia appear female
What is puberty?
physical, emotional and sexual transition from childhood to adulthood
What happens to the reproductive system during childhood?
inactive, goes to sleep
What happens to the reproductive system at puberty?
reawakened, leading to sexual maturation
What happens to gonadotrophin levels during childhood?
remain very low
What is the first endocrine sign of puberty?
increase in plasma lh
What causes the increase in LH at puberty?
increase in gnrh release
When does gonadotrophin secretion initially occur during puberty?
at night during sleep
What happens to LH secretion in late puberty?
daytime lh pulses increase
What happens to sex steroid levels during puberty?
increase in response to increased lh
What are secondary sexual characteristics?
physical characteristics developed during sexual maturation
What is Tanner staging used for?
assess sexual development, detect abnormalities, compare development
What is the sequence of female pubertal events shown in the lecture?
breast development, pubic hair, growth spurt, menarche
What is the first physical sign of female secondary sexual maturation?
breast development at 10-11 years
What causes breast development?
oestrogen secretion
What contributes to full breast development?
ovulation followed by progesterone secretion
When does pubic hair usually appear?
within 6 months of breast development
What causes pubic hair development?
exposure of hair follicles to androgens
When does axillary hair generally follow pubic hair?
one year later
When does the female growth spurt typically occur?
around 11-12 years
What hormones stimulate the growth spurt?
steroid hormones
What causes epiphyseal closure?
oestrogen
What is menarche?
first menstrual bleeding
What is the average age of menarche?
12-13 years
When does first ovulation usually occur relative to menarche?
6-9 months after
When are regular ovulatory cycles usually established?
1-2 years after menarche
What is the first sign of male secondary sexual development?
testicular enlargement
What causes increased testicular size during puberty?
increased gonadotrophin secretion
When does penile enlargement begin?
within one year of testicular enlargement
What causes penile enlargement?
testosterone
When does pubic hair appear after testicular enlargement?
6 months after
What other physical changes occur during male puberty?
axillary and facial hair develop, larynx becomes thicker and larger
What is spermarche?
first spontaneous ejaculation of sperm filled fluid
At approximately what age is motile sperm seen in urine?
13-14 years
What trend has occurred in the age of menarche?
earlier menarche
What is thought to contribute to earlier menarche?
improved nutrition, healthcare, social living conditions
Why is a critical weight important for female puberty?
sufficient energy storage required to sustain pregnancy
What is the approximate mean weight at the beginning of menarche?
47kg
What is precocious puberty?
physical and hormonal signs of puberty before 7 years in females or 9 years in males
What is usually involved in precocious puberty?
gnrh dependent problem
What can cause extreme cases of precocious puberty?
hypothalamic tumor
What is delayed puberty?
lack of hormonal and physical signs of puberty at 13 years in females or 14 years in males
What causes delayed puberty in the lecture?
low gonadotrophin signals for sex steroid secretion