Male and Female Reproductive System Flashcards

Overview of the Reproductive Systems

  • Primary Sex Organs:

    • Males: Testes

    • Females: Ovaries

  • Function:

    • Produce gametes (sperm and oocytes)

    • Secrete sex hormones: testosterone (males), estrogen and progesterone (females)

Male Reproductive System

  • Gross Anatomy:

    • Testes: Primary site for spermatogenesis (sperm production) and testosterone production.

    • Duct System: Epididymis → Vas deferens → Ejaculatory duct → Urethra

    • Accessory Glands:

      • Seminal vesicles: Contribute to seminal fluid.

      • Prostate gland: Contributes to seminal fluid.

      • Bulbourethral glands (Cowper's glands): Produce a lubricating mucus secretion.

    • External Genitalia: Penis

  • Microscopic Anatomy of Testes:

    • Seminiferous Tubules:

      • Contain spermatogenic cells (various stages of sperm development).

      • Sertoli cells (sustentacular cells): Support and nourish developing sperm cells.

    • Leydig Cells (Interstitial Cells):

      • Located outside the seminiferous tubules.

      • Secrete testosterone.

  • Spermatogenesis:

    • Process of sperm production in the seminiferous tubules.

    • Sequence of Events:

      • Spermatogonia (stem cells) → Primary spermatocyte → Secondary spermatocyte → Spermatid → Spermatozoa (mature sperm)

    • Hormonal requirements:

      • Requires Follicle Stimulating Hormone (FSH) and testosterone.

    • Duration: Approximately 64-72 days.

  • Hormonal Regulation in Males:

    • Hypothalamus:

      • Releases Gonadotropin-Releasing Hormone (GnRH).

    • Anterior Pituitary:

      • GnRH stimulates the release of:

        • FSH (Follicle-Stimulating Hormone): Stimulates Sertoli cells to support spermatogenesis.

        • LH (Luteinizing Hormone): Stimulates Leydig cells to produce testosterone.

    • Testosterone:

      • Promotes spermatogenesis.

      • Development of secondary sexual characteristics.

      • Negative feedback on GnRH, FSH, and LH secretion to maintain stable testosterone levels.

Female Reproductive System

  • Gross Anatomy:

    • Ovaries: Site of oocyte development and hormone production.

    • Fallopian Tubes (Oviducts):

      • Fimbriae: Finger-like projections that sweep the oocyte into the tube.

      • Ampulla: Usual site of fertilization.

      • Isthmus: Connects to the uterus.

    • Uterus: Site of implantation and fetal development.

    • Cervix: Lower, narrow portion of the uterus.

    • Vagina: Connects the uterus to the external environment.

  • Microscopic Anatomy of Ovaries:

    • Ovarian Follicles:

      • Primordial follicles → Primary follicles → Secondary follicles → Graafian follicle (mature follicle ready for ovulation)

      • Follicles contain the developing oocyte and follicular cells.

    • Corpus Luteum:

      • Forms after ovulation from the remnants of the Graafian follicle.

      • Secretes progesterone and estrogen.

    • Endometrium (Uterine Lining):

      • Functional layer: Responds to hormone changes and is shed during menstruation.

      • Basal layer: Regenerates the functional layer.

  • Oogenesis:

    • Process of oocyte (egg) production in the ovaries.

    • Begins prenatally:

      • Oogonia (stem cells) undergo mitosis.

      • Primary oocytes begin meiosis but arrest in prophase I.

    • Each Cycle (after puberty):

      • Meiosis I is completed, resulting in a secondary oocyte and a polar body.

      • The secondary oocyte is ovulated and arrested in metaphase II.

      • Meiosis II is only completed if fertilization occurs.

  • Hormonal Regulation in Females:

    • Hypothalamus:

      • Releases Gonadotropin-Releasing Hormone (GnRH).

    • Anterior Pituitary:

      • GnRH stimulates the release of:

        • FSH (Follicle-Stimulating Hormone): Stimulates follicle development in the ovary.

        • LH (Luteinizing Hormone): Triggers ovulation (release of the secondary oocyte).

    • Estrogen:

      • Produced by developing follicles.

      • Promotes endometrial growth and development.

      • Development of secondary sexual characteristics.

    • Progesterone:

      • Produced by the corpus luteum.

      • Maintains the endometrium to prepare for implantation.

Menstrual Cycle (Uterine Cycle)

  • Cyclical changes in the endometrium of the uterus.

  • Menstrual Phase (Days 1-5):

    • Shedding of the functional layer of the endometrium (menstruation).

    • Triggered by a drop in estrogen and progesterone levels.

  • Proliferative Phase (Days 6-14):

    • Endometrial growth and thickening.

    • Driven by estrogen produced by the developing ovarian follicles.

  • Ovulation (Around Day 14):

    • Release of the secondary oocyte from the Graafian follicle.

    • Triggered by a surge in LH (Luteinizing Hormone).

  • Secretory Phase (Days 15-28):

    • Endometrium becomes more vascular and glandular.

    • Progesterone, produced by the corpus luteum, dominates this phase.

    • Prepares the endometrium for implantation.

    • If fertilization does not occur, the corpus luteum degenerates, and hormone levels drop, leading back to the menstrual phase.

Fertilization and Early Development

  • Fertilization:

    • Occurs in the ampulla of the fallopian tube.

    • Acrosomal Reaction: Enzymes released from the sperm's acrosome digest the zona pellucida surrounding the oocyte.

    • Sperm and oocyte membranes fuse, leading to fertilization.

  • Zygote Formation:

    • Fertilized egg (diploid cell).

  • Cleavage:

    • Rapid mitotic cell divisions without cell growth.

    • Zygote → Morula (solid ball of cells).

  • Blastocyst Formation:

    • Morula develops into a blastocyst (hollow ball of cells).

  • Implantation:

    • Blastocyst implants into the endometrium of the uterus.

Puberty and Secondary Sexual Characteristics

  • Male:

    • Testosterone-driven changes:

      • Development of facial hair.

      • Voice deepening.

      • Increased muscle mass.

  • Female:

    • Estrogen-driven changes:

      • Breast development.

      • Pelvic widening.

      • Menarche (first menstrual period).

Clinical Correlations

  • Polycystic Ovary Syndrome (PCOS):

    • Hormonal imbalance leading to ovarian cysts, irregular periods, and infertility.

  • Endometriosis:

    • Presence of ectopic endometrial tissue outside the uterus, causing pain and potential infertility.

  • Erectile Dysfunction:

    • Inability to achieve or maintain an erection, often due to blood flow or nerve supply issues.

  • Testicular/Prostate Cancer:

    • Common cancers in men.

  • Sexually Transmitted Infections (STIs):

    • Can impact fertility in both males and females.

  • Infertility:

    • Can be caused by hormonal imbalances or structural abnormalities in either partner.

  • Ectopic Pregnancy:

    • Implantation of the blastocyst outside the uterus (e.g., in the fallopian tube), which is a life-threatening condition.