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NORMAL SEXUAL DIFFERENTIATION Suganda Tanuwidjaja IDENTITAS GENDER 1. Genotype 2. Gonadale Sex 3. Phenotype Sex 4. Social Gender GENOTYPE Chromosomal (Genetic) Sex Testis-Determining Genes XY XX Ovary-Determining Genes Gonadale Sex Gonadale Steroids And Peptidas (T.DHT.AMH) (Gonadale Steroids) ♂ ♀ Phenotypic Sex CHROMOSOMAL SEX • Male : 46 XY • Female : 46 XX Y Chromosome (SRY Gene) Diff. of The Bipotential Gonad Testis X Chromosome One Dose Active GONADAL SEX • Gonadal Sex is determined by SRY • Indiff. Gonad (SRY) (+SRY) Ovary Testis 1 X Chromosome : SRY Gonad Ovary (Fetal Periode) Ova Atrophy (Only 1 Chr) STEROID METABOLISM OF GONAD Androgen Cholesterol Enzim Estrogen PHENOTYPE SEX • Internal Ducts • External Genital Appearance • Peran Androgen INTERNAL SEX DUCTS BIPOTENTIAL Masculine Wolffian Ducts Feminine Mullerian Ducts TESTICULAR PEPTIDE PRDCT (SERTOLI CELL) Mullerian Duct Inhibitory Factor (MIF) Mullerian Duct Atrophy Wolffian Duct Developed WITHOUT... MIF Developed : • Uterus • Oviduct • Upper 2/3 of Vagina LEYDIG CELL Testosteron Wolffian Ducts • Epididymis • Vas Deferens • Seminal Vesicle EXTERNAL GENITALIA • Bipotential 8 Weeks • Genital Tubercle Clitoris • Urogenital Fold Labia Minora • Labioscrotal Swelling Labia Majora Testosterone Dihydrotestosterone (DHT) 5α Reductase Enzyme Androgen Receptor (ARs) Genital Tubercle Penis DHT ARs Urogenital Slit Penile Urethra Labioscrotal Fold Scrotum 1st TRIMESTER Maternal Human Chorionic Gonadotropin (hCG) Fetal Testes Testosterone Male Development 2nd TRIMESTER Fetal Pituitary Gonadotropin Testicular Activity Further Normal Growth of The Penis SOCIAL GENDER • Gender Development : 1. Gender Identity 2. Gender Role 3. Sexual Orientation 4. Desire & Capacity for Parenting DETERMINED FACTORS • Surrounding • Physical Differentiation • Interaction • Prenatal Androgen Thank You