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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