Primary Sex Organs:
Males: Testes
Females: Ovaries
Function:
Produce gametes (sperm and oocytes)
Secrete sex hormones: testosterone (males), estrogen and progesterone (females)
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.
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.
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:
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.
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).
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.