CR

Reproductive System - Male and Female

Male Reproductive System

  • Organs:

    • Testicles (gonads): Produce sperm cells and testosterone.

    • Ducts: Transport sperm cells (Epididymis, Vas deferens, Ejaculatory duct, Urethra)

    • Accessory sex glands: Produce fluid for sperm cells (Prostate, Seminal vesicles, Bulbourethral glands)

    • Supporting structures: Protect the testes and assist in semen deposition (Penis, Scrotum).

Scrotum and Spermatic Cord

  • Scrotum:

    • Sac of loose skin holding the testes.

    • Muscle layers:

      • Dartos muscle (outer): Smooth muscle, wrinkles the scrotum.

      • Cremaster muscle (inner): Skeletal muscle, pulls testes towards the trunk.

    • Functions:

      • Holds and protects the testes.

      • Keeps testes cooler than core body temperature.

  • Spermatic cord:

    • Structure between the scrotum and pelvic cavity, passing through the inguinal canal.

    • Consists of: testicular artery, testicular veins (Pampiniform plexus), nerves, vas deferens, lymphatics, and cremaster muscle.

Testes

  • Testes: Paired oval glands contained in the scrotum.

  • Outer Layers:

    • Tunica albuginea: Innermost layer, creates partitions (septum) dividing the testis into lobules.

    • Tunica vaginalis (parietal and visceral layers):

  • Internal Structure:

    • Seminiferous tubules: Sperm cell production.

    • Straight tubules

    • Rete testes

    • Efferent ducts

Seminiferous Tubules

  • Cells within Seminiferous Tubules:

    • Spermatogenic Cells: Divide and differentiate to become sperm cells.

    • Nurse (Sertoli or Sustentacular) Cells:

      • Protect spermatogenic cells.

      • Form the blood-testis barrier via tight junctions.

  • Cells between Seminiferous Tubules:

    • Interstitial Endocrine (Leydig) Cells: Produce testosterone (most prevalent androgen).

Other Ducts

  • Epididymis:

    • Sperm maturation and storage.

    • Carries sperm from testis to vas deferens.

  • Vas (Ductus) Deferens:

    • Stores sperm.

    • During sexual arousal, carries sperm from epididymis to ejaculatory duct.

  • Ejaculatory Duct:

    • Carries sperm from vas deferens and seminal fluid from the seminal gland into the urethra.

  • Urethra:

    • Three segments: prostatic, membranous, and spongy urethra.

    • Expels semen (sperm cells, seminal fluid, and prostatic fluid) and urine from the body.

Male Reproductive System Glands

  • Seminal Vesicles (glands) (2):

    • Release an alkaline fluid containing fructose (for sperm nourishment) and coagulating proteins.

    • Contribute about 60% of the fluid volume of semen.

  • Prostate:

    • Releases PSA (prostate-specific antigen), a proteolytic enzyme.

    • Fluid is slightly acidic.

  • Bulbourethral Glands:

    • Release mucus for lubrication.

Semen

  • Mixture of sperm cells and seminal fluid.

  • Volume per ejaculation: 2.5 - 5 ml (50-150 million sperm/ml).

  • Coagulates within 5 minutes and re-liquefies within 10-20 minutes.

  • Sperm cells undergo capacitation in the vagina and uterus (allows for egg fertilization).

  • Infertility is considered if there are less than 20 million sperm cells per ml of ejaculate.

Sperm

  • Production: 300 million sperm cells/day.

  • Parts: Head and tail.

  • Head: contains DNA and the acrosome (a cap with powerful enzymes needed to fertilize the egg).

Penis

  • Consists of erectile masses:

    • 2 corpora cavernosa.

    • 1 corpus spongiosum (contains the spongy urethra).

  • Glans penis: Acorn-like distal end; covered by prepuce (foreskin) in uncircumcised men.

  • Attachment to the body:

    • Bulb of the penis (corpus spongiosum extension).

    • Crura of the penis (corpora cavernosa extension).

Erection and Ejaculation

  • Erection: Mechanoreceptors, erotic stimuli, hypothalamus, parasympathetic nervous system, penile arterioles dilate, penile veins are compressed

  • Ejaculation

Hormonal Control of Testes

  • Hypothalamus releases GnRH, which stimulates the anterior pituitary.

  • Anterior pituitary releases LH and FSH.

  • LH stimulates Interstitial endocrine cells to produce testosterone.

  • FSH stimulates nurse cells to produce ABP, also stimulates spermatogenesis, along with testosterone.

  • Inhibin decreases release of FSH.

  • Testosterone decreases release of GnRH and LH.

  • Functions of Testosterone

    • Male pattern of development before birth.

    • Enlargement of male sex organs and expression of male secondary sex characteristics starting at puberty.

    • Anabolism (protein synthesis).

Female Reproductive Organs

  • Internal Organs: Ovaries, Uterine (Fallopian) tubes, Uterus, Vagina.

  • External Genitals: Vulva (or pudendum).

  • Mammary glands.

Ovaries

  • Ovaries: Almond-shaped organs, homologous to the testes.

  • Held in place by ligaments: ovarian ligament, mesovarium, and suspensory ligament.

  • Functions:

    • Produce and release secondary oocytes within follicles.

    • Produce hormones: Estrogen, Progesterone, Inhibin, and Relaxin.

Ovary Regions

  • Ovarian cortex: Holds eggs inside of follicles.

  • Ovarian medulla.

  • Follicles/eggs are in different stages of development.

Uterine (Fallopian) Tubes

  • Between the uterus and the ovaries.

  • Parts:

    • Isthmus: Narrow part.

    • Ampulla: Wide part; fertilization usually takes place here.

    • Infundibulum: Funnel-shaped with fimbriae (finger-like structures) connected to the ovary, which help the oocyte enter the tube.

Uterine Tube Histology

  • Mucosa: Ciliated simple columnar epithelium and peg cells/lamina propria.

  • Muscularis.

  • Serosa.

Uterus

  • Connects the vagina to the uterine tubes, shaped like an upside-down pear.

  • Regions:

    • Fundus: Superior, dome-shaped portion.

    • Body: Central portion.

    • Isthmus: Constriction between the body and cervix.

    • Cervix: Inferior portion, opens into the vagina.

  • Internal Divisions:

    • Uterine cavity.

    • Cervical canal.

Histology of Uterus Layers

  • Perimetrium: Outermost layer.

  • Myometrium: Middle layer, smooth muscle in three layers.

  • Endometrium: Inner layer with two sublayers:

    • Basal layer: Always present, rebuilds the endometrial lining.

    • Functional layer: Sloughs off during menstruation.

Functions of the Uterus

  • Source of menstrual flow.

  • Passageway for sperm.

  • Site of implantation of fertilized egg.

  • Development of fetus during pregnancy.

  • Labor.

  • Cervix produces cervical mucus, which is thin around ovulation.

Vagina

  • Fibromuscular canal that opens to the exterior, partially covered by the hymen.

  • Attached to the cervix.

  • Fornix: Space at the superior end of the vagina around the cervix.

  • Functions:

    • Receptacle for penis.

    • Outlet for menstrual flow.

    • Passageway for childbirth.

Vulva

  • Mons pubis: Anterior to pubic symphysis, adipose tissue covered with skin and coarse hair.

  • Labia majora: Longitudinal folds of skin, covered with hair, homologous to the scrotum.

  • Labia minora: Skin folds medial to majora, lack hairs.

  • Clitoris: Homologous to the penis, erectile tissue at the anterior junction of labia minora.

  • Vestibule: Space between labia minora, containing urethral and vaginal openings, and openings of glands (paraurethral and greater vestibular glands).

  • Bulb of the vestibule: Longitudinal erectile tissue masses deep to the labia on either side of the vaginal orifice.

Breast

  • Hemispheric projection anterior to the pectoralis major and serratus anterior muscles.

  • Parts:

    • Nipple: Pigmented projection with openings for lactiferous ducts.

    • Areola: Circular pigmented area around the nipple, containing modified sebaceous glands.

    • Mammary gland: Modified sweat gland.

  • Supported by suspensory ligaments of the breast

Mammary Glands Function

  • Milk production: In response to prolactin.

  • Milk ejection: In response to oxytocin. Myoepithelial cells around alveoli contract, causing milk ejection.

Female Cycle

  • Ovarian cycle.

  • Uterine cycle.

Ovarian Cycle

  • Follicular phase: Days 0-13, ovarian follicles mature (primordial to mature) under FSH influence from the anterior pituitary gland.

  • Ovulation: Day 14, release of secondary oocyte from a mature follicle under LH influence from the anterior pituitary gland.

  • Luteal phase: Days 15-28, corpus luteum is formed under LH influence from the anterior pituitary gland.

Hormonal Control of the Ovaries

  • The hypothalamus releases GnRH, which stimulates the anterior pituitary.

  • Anterior pituitary releases FSH and LH.

  • FSH promotes Follicular development (primordial follicles to mature follicles).

  • LH promotes ovulation (egg release).

  • Ovaries, Follicles make Estrogen.

Uterine Cycle

  • Menstrual phase: Days 1-5, caused by a significant decrease in estrogen and progesterone production.

  • Proliferative phase: Days 6-14, endometrium doubles in thickness under the influence of estrogen from the ovaries.

  • Secretory phase: Days 15-28, endometrium blood supply and nutrient content increase significantly under the influence of progesterone from the ovaries.

Hormone concentration Change and affect on the Ovaries and growing follicles:

  • GnRH stimulates release of FSH and LH

  • FSH stimulates further development of ovarian follicles and their secretion of estrogens and inhibin

  • LH stimulates Ovulation. Growing follicle -> Corpus Luteum -> Secretion of progesterone, estrogens, relaxin and inhibin by corpus luteum

  • Estrogens. * Promote development and maintenance of female reproductive structures, feminine secondary sex characteristics, and breasts * Increase protein anabolism * Lower blood cholesterol Moderate levels inhibit release of GnRH, FSH, and LH

  • Progesterone *Works with estrogens to prepare endometrium for implantation * Prepares mammary glands to secrete milk * Inhibits release of GnRH and LH

  • Relaxin * Inhibits contractions of uterine smooth muscle, During labor, increases flexibility of pubic symphysis and dilates uterine cervix

  • Inhibin *Inhibits release of FSH and, to a lesser extent, LH

Reproductive Cell Division

  • Sperm and egg are made through meiosis.

  • For Meiosis, DNA replication occurs once, and the cells divide twice (Meiosis I and Meiosis II).

  • The end result of meiosis is 4 cells with 23 chromosomes each.

Spermatogenesis

  • Making of sperm cells, takes 65 to 75 days to complete.

Oogenesis

  • Oogonium divides through mitosis to become Primary oocyte.

  • Primary oocyte goes through meiosis I and becomes Secondary oocyte.

  • Secondary oocyte goes through meiosis II and becomes an Ovum.

Birth Control Method Failure Rates

  • Complete abstinence: 0%

  • Surgical sterilization: 0%

  • Hormonal methods: 0.1- 2%

  • Emergency contraception: 25%

  • Intrauterine devices: 0.6-0.8%

  • Spermicides (alone): 15%

  • Barrier methods: 2-15%

  • Periodic abstinence: 2-6%

  • No method: 85%