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THE REPRODUCTIVE SYSTEM Objectives: 1. List the basic components of the human reproductive system, and summarize the functions of each. 2. Describe the components of the male reproductive system and the roles played by the reproductive tract and accessory glands in producing spermatozoa; specify the composition of semen; and summarize the hormonal mechanisms that regulate male reproductive functions. 3. Describe the components of the female reproductive system and the ovarian roles in oogenesis; explain the complete ovarian and uterine cycles; outline the histology, anatomy, and functions of the vagina; and summarize all aspects of the female reproductive cycle. 4. Discuss the physiology of sexual intercourse in males and females. 5. Describe the reproductive changes that occur with aging. 6. Give examples of interactions between the reproductive system and each of the other organ systems. Overview of Reproductive Systems  Essential (____________________ _______________________) organs – produce _____________________________  Testes  Ovaries  Accessory (_______________________________ sexual) organs  _______________________ and __________________________________  Perineal structures  Secondary sexual ____________________________________________ Function  Continuation of species  Genetic variation  Sex refers to the union of haploid gametes and reproduction is the continuation of species 147010005 1  Asexual reproduction  __________________________________ reproduction ; ) Gross Anatomy - Male  Essential Organs  _____________________________  Seminiferous tubules  Accessory Organs  Reproductive _____________________________  __________________________  Ductus deferens    Ejaculatory duct __________________________  Prostatic  Membranous  Spongy or Penile External Genitalia  ________________________________  ________________________________  Accessory or Supportive Sex Glands  ____________________________________  ____________________________________ gland  ____________________________________ glands The Testes  __________________________________ Tubules  Tunica Albuginea  Septa  Rete Testis 147010005 2  __________________________________________________  Efferent Ductule  _________________________ ________________________________  Spermatic Cord  Ductus deferens  Testicular artery, veins and lymphatics  ________________________________ muscle Seminiferous Tubules  Interstitial cells (Cells of Leydig)  _____________________________________  _________________________________________________ Cells (Sertoli Cells)  Nutrients to developing Spermatogonia  Spermatogonia Spermatocytes _______________________ Mitosis and Meiosis __________________________genesis 147010005 3 Spermatozoa __________________________genesis Spermatozoa Epididymis Ductus (Vas) Deferens Semen  2-5 ml semen / ejaculation  ___________________________ million sperm / ml  Composition:  Sperm  Nutrients  Fructose  Prostaglandins  Hormones  Enzymes  Antibiotic  Clotting factors Contributors to Semen  Testes  ___________________________________  _______________________________ ________________________________  60% of volume  Alkaline fluid  Fructose, ascorbic acid, coagulating enzyme, prostaglandins  ___________________________________ _____________________________  33% of volume  Enzymes for sperm activation  _________________________________________ glands 147010005 4  Mucous (neutralizes acidic urine in urethra) External Genitalia  Penis  Corpus _______________________________  Corpus _______________________________  _______________________________ penis  _______________________________  circumcision  Erection  Vessels _________________________________  Blood flow ________________________________  Vascular channels _____________________________________ with blood  Scrotum  Tunica vaginalis and albuginea  Septum marked by raphe  _________________________________ vs cremaster Descent of the Testes  Develop in the abdominal cavity  __________________________________________  Inguinal canal  7th Month  Cryptorchidism 147010005 5 Clinical Concerns - Male  ___________________________________________  ____________________________________________  ____________________________________________  Feminization (no testosterone receptors)  Impotence Clinical Concerns - Male  _________________________________________________  Hydrocele  ______________________________________________ hernia Clinical Concerns - Male  Cancer:   ______________________________________________  Most common among 15-39 year-olds  TSE ______________________________________________  Benign hypertrophy   147010005 Prostatectomy Cancerous growths  Prostatectomy  Chemotherapy  Cryotherapy  Microwave therapy  Hormone therapy  Radiation therapy  Internal “seeds”  External beams 6 Female Gross Anatomy - Female  Essential Organs  __________________________________  Accessory Organs  _____________________________ tubes  Fimbriae  _______________________________  _______________________________  Vagina  Labia ____________________________  Labia minora  Vestibular glands  ___________________________________________ Ovaries  Primordial follicle  Primary ___________________________  Granulosa cells  Secondary follicle  Antrum  Vesicular (mature or Graafian) follicle  ___________________________ 147010005 7 Oogenesis  Millions of primary oocytes present at birth  Only about __________________________ present at _______________________  Develops into secondary oocyte just ____________________________ ovulation  Completes Meiosis II if ______________________________ and becomes an ovum Estrogen and Progesterone Uterine Tubes  Also known as: fallopian tubes or oviducts  Infundibulum  Fimbriae  __________________________ Uterus and Vagina  Fundus  Body  __________________________  Vagina  Birth canal  Perimetrium  Myometrium  _________________________________________________  Stratum ________________________________________  Stratum basalis Histology of Uterus 147010005 8 Uterine or Menstrual Cycle  _____________________________  Normal cycle ≈ 28 days  _____________________________ External Gentitalia 147010005 9 Mammary Glands  Present in both male and female  Alveoli, __________________________________________ duct  Modified sweat glands (integumentary system) Clinical Concerns - Female  __________________________________________  Spread of endometrium to pelvic peritoneum  Dysmenorrhea  ___________________________________________________  Dysfunctional uterine bleeding  Premenstrual Syndrome (PMS) Clinical Concerns - Female  Cancer/cysts of uterus/ovary  Often requires __________________________________/oophectomy  Myoma or fibromyoma of uterus  Ovarian cysts  _________________________________________ cancer  Pap smear  Uterine cancer  Ovarian cancer  Pelvic inflammatory disease (PID)  Salpingitis  Oophoritis  ___________________________________________  Can lead to toxic shock syndrome  ____________________________________________ pregnancies  Infertility 147010005 10 _________________________________________________ - Female  Maternal adrenal tumor, steroid usage  Still has ovaries; scrotum empty  Cosmetic surgery can be successful  Pseudohermaphrodites (leads to infertility) Development of Internal Organs - Male Development of External Genitalia - Male Development of Internal Organs - Female Development of External Genitalia - Female Urogenital Development, Review  Paramesonephric (Mullerian ) Duct __________________________________ Tubes (Female)  Involutes (Male)  Mesonephric (Wolffian) Duct ___________________________ __________________________ (Male)  Involutes (Female)  Metanephric Duct  Ureters (Both) Clinical Concerns- Both Sexes  Sexually transmitted diseases  ____________________________________   Yeast infection characterized by leukorrhea Chancroid: bacterial, papules that ulcerate 147010005 11  Genital herpes: viral, blisters on skin  Genital __________________________________: viral  Giardiasis: protozoan  _______________________________: bacterial  Hepatitis: viral  Lymphogranuloma: bacterium, most common in US, genital ulcers and flu like symptoms  _______________________________: animal, itchy rash, 2-4 months after contact  _________________________________: bacterium, chancres initially can continue with episodes for years can cause death  _________________________________________: protozoan, usually asymptomatic but may cause a foul smelling discharge and/or itching Sexual Intercourse  Male  __________________________________  Erection – parasympathetic stimulation  Secretion by bulbourethral glands  __________________________________ – sympathetic stimulation  __________________________________   ___________________________________   Contraction of the ischiocavernosus and bulbospongiosus muscles Increase in heart rate and blood pressure ___________________________________ ; ( Sexual Intercourse (continued)  Female   ______________________________________ – parasympathetic stimulation  Erection of erectile tissues of clitoris  Increased secretion of vestibular and cervical glands _____________________________ of uterine and vaginal walls 147010005 12   Contraction of the ischiocavernosus and bulbospongiosus muscles _________________________________  Increase in heart rate and blood pressure Aging and the Reproductive System - Female  Menopause and hot flashes  Circulating levels of estrogen and progesterone ____________________________  _________________________________ in size of uterus and breasts  Thinning of urethral and vaginal walls  Increased risk  __________________________________  __________________________________ effects  Anxiety  Depression Aging and the Reproductive System - Male  Male Climacteric  Lower levels of circulating Testosterone between ages of __________________  Increase levels of _______________________________  Increase risk of many cancers 147010005 13 Human Development: Embryology, Fetal Development and Parturition Objectives: 1. Explain the relationship between differentiation and development, and specify the various stages of development. 2. Describe the process of fertilization, and explain how developmental processes are regulated. 3. List the three stages of prenatal development, and describe the major events of each. 4. Explain how the three germ layers participate in the formation of extraembryonic membranes, and discuss the importance of the placenta as an endocrine organ. EMBRYOLOGY Fertilization to _________ Weeks of Gestation The Development of Organ Systems Oocyte at Ovulation  Metaphase of Meiosis II  Corona ____________________________________  Zona _______________________________________  Oocyte Activation  Fusion of membranes  Depolarization (Na+)  _________________________ _____________________________ (Ca2+)  Hardens zona pellucida preventing polyspermy  Completion of meiosis II  Increase in cell’s metabolic rate First Trimester  ______________________________________ 147010005 14  _____________________________________  _____________________________________  Embryogenesis Formation of _________________________ Implantation  _________________________ differentiation  Developing ________________________ and lacunae  Formation of the early amniotic cavity Placentation - Formation of the Extraembryonic Membranes  Yolk sac  Amnion  Allantois  Chorion  Placental hormones  _____________________________ _______________________ _________________________________  Placental Lactogen  Relaxin  Progesterones and Estrogens 147010005 15 Placenta and _______________________________ ____________________________ Embryogenesis  ____________________________________  ____________________________________  Organogenesis The Two-Layered Embryo  ________________________ ________________________ ___________________  Divides into two sheets of cells: epiblast and hypoblast  Amnion  Extension of the epiblast  Yolk sac  Extension of the hypoblast ____________________________________ - Formation of Three Germ Layers  Epiblast cells invaginate at primitive streak  Invaginating cells form endoderm and mesoderm  Epiblast becomes ectoderm Derivatives of the Germ Layers  _______________________________________  Nervous tissue  Integument (skin)  _______________________________________  Muscle  Connective tissue  Urogenital organs 147010005 16  _______________________________________  Epithelium of GI tract  Derivatives of GI tract __________________________________________  Notochord stimulates overlying ectoderm to form spinal cord & brain  Neural plate  Neural groove Neural tube  Notochord becomes nucleus pulposus of intervertebral discs The Body Takes Shape  Sides of embryo fold medially  Head and tail regions fold ventrally  Embryo lifts off yolk sac DAY 28: External and Sagittal View Fetal Period – 2nd and 3rd Trimesters  Maturation  ___________________________________ ______________________________  Premature birth:  Occurs before week _______________________  Infants born as early as week 30 can survive without lifesaving measures  Infants can survive as early as week 22  Maternal ___________________________ rates and tidal volume increase  Maternal blood ______________________________ increases up to 50%  Maternal requirements increase 10-30 percent 147010005 17  GFR increases 50%  Uterus size increase  Preparation of mammary tissue Birth Defects  1 in 33 babies born with a serious, structural birth defect  does not include low birth weight, prematurity, retardation, or developmental disabilities Principles of _________________________________________  ______________________________________ (critical period during gestation)  _______________________________________ (amount of chemical or radiation to which the embryo is exposed) Placenta once thought to be impenetrable. Thalidomide  Several million tablets sold in Germany  Anti-nausea agent  10,000 birth defects  FDA prevented U.S. tragedy  Amelia, phocomelia  Inhibits vessel development  Currently being studied for treatment of AIDS, cancer, leprosy Alcohol  Fetal Alcohol Syndrome (FAS)  Growth retardation  Heart defects  Leading cause of mental retardation  One of few preventable birth defects 147010005 18  Single binge may be teratogenic FAS – Brain Comparison Accutane  Treatment for severe acne  Doubles risk for miscarriage  25% chance of major birth defect  Mental retardation  Craniofacial abnormalities Bilateral Cleft Lip\Palate 147010005 19 Stages of Labor  ____________________________________________  Latent phase   Up to __________________________________ cm dilation Active phase  ________________________________________ cm dilation  Usually presented to hospital    Fetal heart monitoring  Bradycardia - less than 120 beats/minute  Tachycardia - more than 160 beats/minute Dysfunctional (arrest of) labor – after 2 hours of no progress Transition phase  __________________________________________ cm dilation  _____________________________________________ 147010005 20  _____________________________________________  Sometimes termed a 4th stage - Stabilization of mother Development (Continued)  ________________________________________________  Birth to 1 month  _________________________________________________  Up to age 2  _________________________________________________  __________________________________________________  Begins at puberty  _________________________________________________  _________________________________________________ 147010005 21