Chapter 27, Part 1: Male Reproductive System Flashcards

1
Q

Human Reproductive Systems:

A
o	Gonads = primary reproductive organs.
o	Males:  (2) testes.
o	Females:  (2) ovaries.
o	Function of gonads:
o	1.  produce gametes.
o	2.  secrete sex hormones.
o	Gametes = sex cells (haploid number of chromosomes =23).
o	Male:  spermatozoa.
o	Female:  ova.
o	Zygote = 1 spermatozoon + 1 ovum united after fertilization.
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2
Q

Human Chromosomes:

A

o Somatic cells (diploid cells)
o 23 pairs of chromosomes for a total of 46 chromosomes.
o The two chromosomes that make up each pair are homologous chromosomes since they contain similar genes in same order (but each has different information from each parent).
o One member of each pair is from each parent.
o 22 autosomes (non-sex chromosomes) & 1 sex chromosome =23.
o Sex chromosomes are either X or Y.
o Females have two X chromosomes.
o Males have an X and a smaller Y chromosome.
o Gametes (haploid cells):
o Single set of chromosomes for a total of 23.
o Produced by special type of division: meiosis (reducing).

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3
Q

Other Reproductive Systems:

A

o Accessory reproductive organs:
o Essential for reproduction.
o Include ducts, glands, and supporting structures.
o Secondary sex characteristics:
o Features not essential for reproduction, but attract sexes to each other.
o Physique, breasts, voice, scent, skin, body hair distribution, metabolic rate.

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4
Q

Testes:

A

o Paired oval glands (2” x 1”).
o Develop in utero in abdominal cavity (near kidneys)… descend thru inguinal canal at about 7th month of fetal life.
o Lie in scrotum outside abdominopelvic cavity to regulate ideal temperature for sperm production.
o Spermatogenesis requires temps 2 to 3° C below body temp.
o Controlled by cremaster muscles, dartos muscle, and pampiniform plexus.
o Exocrine function: releasing spermatozoa into ducts.
o Endocrine function: releasing hormones into blood
o Testosterone.
o Inhibin.
o Testes are regulated primarily by other hormones:
o LH from anterior pituitary stimulates secretion of testosterone.
o FSH from anterior pituitary stimulates spermatogenesis.
o LH & FSH are regulated by GnRH (gonadotropin releasing hormone) secreted by hypothalamus.

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5
Q

Temperature Regulation of Testes:

A

Pampiniform venous plexus removes heat from incoming warm blood in testicular arteries.

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6
Q

Descent of Testes:

A

o CRYPTORCHIDISM = failure of testes to descend into scrotum
o The testes develop in utero in abdominal cavity (near kidneys), and descend thru inguinal canal at about 7th month of fetal life leads to bilateral cryptorchidism can cause sterility in males and higher incidence of testicular cancer.
o 30% of premature infants.
o 80% spontaneously descend within 1st year of life.
o If do not descend, must be surgically corrected by 18 mos.

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7
Q

Membranes Around Testes:

A

o Tunica vaginalis:
o Serous membrane derived from peritoneum (remnant of testicular descent).
o Tunica albuginea:
o Forms a capsule around testes.
o Extends inward to form SEPTA that divide each testis into 200 to 300 testicular lobules.
o Each lobule contains 1 to 4 seminiferous tubules where spermatogenesis occurs.

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8
Q

Seminiferous Tubules:

A

o “Spermatozoa factories”
o 2 cell populations:
o Sertoli cells (sustentacular cells)
o Nourish & protect spermatozoa.
o Form BLOOD-TESTIS BARRIER (tight junctions between and stuff can only go through these cells).
o Secrete INHIBIN (hormone that inhibits release of FSH from anterior pituitary when spermatozoa count is high.
o INTERSTITIAL CELLS OF LEYDIG = located between the seminiferous tubules that secrete testosterone = LH affects testosterone levels…e.g., low levels of LH = low testosterone level.
o Spermatogenic cells (mitosis & meiosis):
o Spermatogonia (stem cells).
o Primary spermatocytes.
o Secondary spermatocytes.
o Spermatids.
o Spermatozoa.

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9
Q

Spermatogenesis:

A

o Spermatocytogenesis:
o Spermatogonia undergo mitosis to produce primary spermatocytes (begins at puberty).
o Meiosis I:
o Primary spermatocytes undergo Meiosis I to produce haploid number of chromosomes… Prophase I takes 22 days!
o Meiosis II:
o Secondary spermatocytes undergo Meiosis II.
o Spermiogenesis:
o Spermatids mature into spermatozoa.

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10
Q

Initiation of Spermatogenesis:

A

o Puberty!!!!
o Hypothalamus increases release of GnRH, a hormone which targets the anterior pituitary.
o Anterior pituitary increases secretion LH & FSH.
o LH stimulates Leydig cells to secrete testosterone:
o An enzyme in prostate & seminal vesicles converts testosterone into dihydrotestosterone (DHT-more potent).
o FSH stimulates spermatogenesis:
o With testosterone, stimulates SERTOLI CELLS to secrete ABP (androgen-binding protein) (keeps hormones levels high).
o Testosterone stimulates final steps spermatogenesis.

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11
Q

Control of Testosterone Production:

A

o Negative feedback system controls blood levels of testosterone.
o Receptors in hypothalamus detect increase in blood level.
o Secretion of GnRH slowed.
o Anterior pituitary (FSH & LH hormones) slowed.
o Leydig cells of testes slowed.
o Blood level returns normal.

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12
Q

Blood and Nerve Supply to Testes:

A

o Blood and lymph vessels travel within spermatic cord
o Testicular artery branches off of abdominal aorta… capillaries… testicular veins arise from pampiniform plexus.
o Both divisions of the ANS supply testes, MANY associated sensory nerves (agonizing pain if injured).

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13
Q

Testicular Cancer:

A

o Rare (1 in 20,000 males).
o Most common cancer in men ages 15 to 35 years.
o Risk factors:
o Cryptorchidism.
o Mumps virus.
o Cure rate is 90% if orchiectomy = removal of testicle(s).

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14
Q

Exocrine Duct System:

A

o Epididymis:
o 1.5 - 3” long on posterior side of testis (20 feet of coiled ductwork inside!).
o Lined with pseudostratified columnar cells with stereocilia = long microvilli for resorption of degenerated sperm.
o Temporary storage site for immature spermatozoa, may remain viable for 40 to 60 days.
o Takes 20 days minimum to reach “tail”.
o Vas Deferens = Ductus Deferens.
o Ejaculatory Duct.
o Male urethra.

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15
Q

Function of Epididymis:

A

o Epididymis absorbs 90% of fluid leaving the testis.
o Epididymis secretes substances that continue maturation of spermatozoa (to become motile with the ability to fertilize an ovum)).
o Storage of spermatozoa (40 – 60 days).
o Propulsion of sperm into ductus deferens (or vas deferens), by peristaltic contraction of smooth muscle which is innervated by the sympathetic nervous system.

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16
Q

Vas Deferens (Ductus Deferens):

A

o 18” long muscular tube that propels spermatozoa towards the ejaculatory ducts.
o Where vasectomy occurs.
o Smooth muscle is innervated by sympathetic nervous system.
o Leads from epididymis into pelvis as part of the spermatic cord.
o In pelvis, expands to form an ampulla at its distal end.
o Ampulla joins the duct from the seminal vesicle to form the ejaculatory duct.

17
Q

Spermatic Cord:

A

o Includes all structures passing to and from the testes (runs through the inguinal canal).
o Testicular artery.
o Pampiniform plexus of veins.
o Autonomic nerves.
o Lymphatic vessels.
o Ductus (vas) deferens.
o Cremaster muscle (extension from the internal oblique m.).

18
Q

Ejaculatory Ducts:

A

o Very short duct (less than 1”) formed by the merging of the ampulla of the vas deferens with the duct from the seminal vesicle (on each side).
o Pierces the prostate gland and empties into the prostatic urethra.

19
Q

Male Urethra:

A

o Special duct that is shared by both the urinary system and the reproductive system… urine and semen cannot pass through it at the same time.
o Male urethra is about 20 cm (8”) long.
o 3 general regions of male urethra:
o 1) Prostatic urethra (surrounded by prostate).
o 2) Membranous urethra (enclosed within urogenital diaphragm = through muscles of perineum).
o 3) Spongy (penile) urethra (within penis).

20
Q

Accessory Glands:

A

o Secrete most of the liquid portion of semen.
o 3 types of accessory glands:
o (2) Seminal vesicles.
o (1) Prostate gland.
o (2) Bulbourethral glands.
o Composition of semen:
o Liquid from seminiferous tubules, including spermatozoa.
o Liquid from all 3 types of accessory glands.

21
Q

Seminal Vesicles:

A
o	Contribute ~60-70% to volume of semen.
o	At posterior base of bladder.
o	Secretions contain:
o	Fructose for ATP (sperm).
o	Alkaline in nature.
o	Prostaglandins.
o	Thin the mucous barrier of female cervix.
o	Pro-seminogelin.
o	Precursor to fibrous protein-- entangles sperm & makes it stick to vaginal wall.
22
Q

Prostate Gland:

A

o Contributes ~30% to volume of semen
o Surrounds and empty into prostatic urethra via ~20-30 tiny ducts
o Contains:
o Citric acid for ATP
o PSA = prostate specific antigen is a protein produced by the cells of the prostrate gland the PSA test measures the level of PSA in blood, usually low, but if high it could mean benign to metastatic tumor.
o Sits inferior to urinary bladder, encircling prostatic urethra.
o Lies immediately anterior to rectum can be palpated by digital rectal exam
o Hypertrophies with age… constricting the prostatic urethra leads to BPH = benign prostatic hyperplasia.

23
Q

Cancer of Prostate:

A

o 2nd most common cancer in men (lung cancer is first).
o Affects 9% of men over the age of 50.
o Tend to form near the periphery of the gland (do not usually affect urine flow at first, goes unnoticed).
o Diagnosed by DRE (digital rectal exam) and/or by unusual jumps in the level of serum PSA test.
o Can be slow-growing (controversial to treat) or fast-growing, need biopsy.

24
Q

Bulbourethral Glands:

A

o Also known as Cowper’s glands.
o Contribute less than 5% to volume of semen.
o Produce clear, alkaline fluid that lubricates the head of the penis during sexual arousal (and alkalinizes the penile urethra from any acid traces of urine).

25
Q

Semen:

A

o Each mL contains 50 to 125 million spermatozoa !
o Typical ejaculate = 2.5 to 5 mL (thus, contains 125 – 625 million spermatozoa)
o If less than 20 million spermatozoa/mL, may contribute to infertility
o Sperm motility is also a factor in infertility.
o pH (spermatozoa are inactive if pH is low).

26
Q

External Genitalia:

A

o Scrotum (1):
o External sac containing the two testes.
o Scrotal septum compartmentalizes the two testes.
o Penis (1):
o Copulatory organ that delivers spermatozoa to female vagina.
o 3 structural parts:
o Root (attaches penis to body wall).
o Shaft (body): contains erectile tissue.
o Glans penis: distal expanded “head”.

27
Q

Penis:

A
o	Root 
o	Bulb.
o	Crura.
o	Shaft (body)
o	Corpus spongiosum.
o	Corpora cavernosa.
o	Glans Penis
o	Covered by prepuce in uncircumcised males.
o	External urethral orifice (meatus).
28
Q

Hypospadias:

A

o Fairly common congenital anomaly.
o Occurs 1 in 125 live male births.
o Result of arrested development of the urethra, the prepuce, and the underside of the penis… external urethral orifice may be anywhere along the shaft or even with the scrotum.
o Multifactorial etiology, including disruption of gene expression by environmental endocrine disruptors (estrogen mimics).
o Controversial, EPA is screening thousands of industrial chemicals for endocrine effects.

29
Q

Androgen Insensitivity Syndrome:

A

o Male (XY) person has female sex appearance.
o Testes produce normal amounts of testosterone, but target cells lack the proper receptor for testosterone.
o External genitalia develop as females because they can’t respond to testosterone.

30
Q

Male Sexual Response:

Erection

A

o Penis has rich sensory and motor neural innervation.
o As male becomes excited, the parasympathetic nervous system (S2 thru S4) releases ACh
o NO (nitric oxide) which relax the smooth muscles of the arterioles supplying the penis.
o Erectile tissues (corpora cavernosa) fill with blood… thought that this congestion compresses the veins so that the blood is trappedàpenis becomes erect.
o Viagra works by causing increased vasodilation of penile blood vessels (but also vasodilation in other areas of body).

31
Q

Male Sexual Response:

Ejaculation

A

o Ejaculation = propulsion of semen out of the male duct system, which is under control of the sympathetic nervous system (primarily L1 and L2 levels).
o Somatic Motor Nervous System also involved with local muscles, causing spasmodic contractions at the root of the penisàcompresses urethra leads to ejaculation.
o Sympathetic output causes:
o Rapid heart beat (up to 180 bpm).
o Increased BP.
o Increased respiratory rate (up to 40 breaths/minute).

32
Q

Erectile Dysfunction (ED):

A

o Impotence = inability to attain/sustain an erection.
o Many possible causes:
o Decreased testosterone production (endocrine).
o Defective stimulation of erectile tissue by nerve fibers (nerve damage from surgery, peripheral neuropathy).
o Decreased response of blood vessels to neural stimulation (atherosclerosis).
o Restricted blood circulation to genital areas.
o Inability to concentrate on sexual stimulation (stress).
o Meds to Treat: Phosphodiesterase inhibitors allow NO cascade to remain effective.
o Sildenafil (Viagra).
o Vardenafil (Levitra).
o Tadalafil (Cialis).