Reproductive System Flashcards
(89 cards)
vas deferens
Ducts that conveys sperm from he testicle to the urethra
Seminal vesicles
The seminal vesicles (also known as the vesicular or seminal glands) are a pair of glands found in the male pelvis, which function to produce many of the constituent ingredients of semen. They ultimately provide around 70% of the total volume of semen
bulbourethral gland
In response to sexual stimulation, the bulbourethral glands secrete an alkaline mucus-like fluid. This fluid neutralizes the acidity of the urine residue in the urethra, helps to neutralize the acidity of the vagina, and provides some lubrication for the tip of the penis during intercourse
What is 5 alpha-reductase?
The enzyme that converts testosterone into Dihydrotestosterone
What is the function of dihydrotestosterone?
DHT is biologically important for sexual differentiation of the male genitalia during embryogenesis, maturation of the penis and scrotum at puberty, growth of facial, body, and pubic hair, and development and maintenance of the prostate gland and seminal vesicles.
What does LH (leutinizing hormone) do in males?
Make the Leydig cell pump out testosterone
For men, luteinizing hormone stimulates the production of testosterone from Leydig cells in the testes. Testosterone, in turn, stimulates sperm production and helps accentuate male characteristics — like a deep voice or growth of facial hair.
remember
A negative feedback system occurs in the male with rising levels of testosterone acting on the hypothalamus and anterior pituitary to inhibit the release of GnRH, FSH, and LH. The Sertoli cells produce the hormone inhibin, which is released into the blood when the sperm count is too high.
What does inhibin do?
High levels of inhibin reduce the release of LH and FSH
What is the function of epididymis?
Store and matures sperm
The epididymis is a long, coiled tube that rests on the backside of each testicle. It carries and stores sperm cells that are created in the testes. It’s also the job of the epididymis to bring the sperm to maturity — the sperm that emerge from the testes are immature and incapable of fertilization.
Epidimytitis and orchitis
Associated with UTI and prostatitis, GC, or Chlamydia in men under 35
E. coli pseundomas in men over 35
mumps 1 week after onset
Varicocele
Scrotal varicosity, abnormal dilation and tortuosity of pampiniform plexus of veins
99% left-sided
A varicocele (VAR-ih-koe-seel) is an enlargement of the veins within the loose bag of skin that holds your testicles (scrotum). A varicocele is similar to a varicose vein you might see in your leg. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility.
Hydrocele
accumulation of serous fluid in the scrotum
occurs developmentally in the descent of testis or second to inflammations, painless, enlarged fluctuant scrotum
Hematocele/torsion
blood in scrotal sac due to trauma or sx spontaneously in atherosclerosis, DM, scurvy
Seminomas
Most common tumor with cryptorchidism
best prognosis of testicular tumors
metastasis to lymphatics
some have incrased HCG
Bacterial Prostatitis
e.coli and other gram-negative rods, staph, GC
dysuria, fever, tender, boggy prostate, painful
chronic prostatitis > mb asymptomatic or low back pain, dysuria, positive culture in expressed secretions, tx difficult
Chronic abacterial prostitis
Mostly common chlamydia, ureaplasma, no history of recurrent UTI
15 WBC per HPF, cultures negative
Benign prostatic hyperplasia/Nodular hyperplasia
discrete nodules in periurethral area middle and lateral lobes, partial or complete obstruction
TUP sx, dihydrotestosterone causes hyperplasia
Carcinoma of Prostate
Most common cancer of men, usually posterior lobe
hematogenous spread is mainly to lumbar spine, femur, pelvis, thoracic spine, ribs; local invasion, blacks higher incidence
Acute cervicitis
GC, Chlamydia, trichonomas,
Cervical motion tenderness + mucopurulent discharge
Chronic cervicitis
Vaginal bacterial overgrowth causing irritation of cervix, transformational zone
Cervical intraepithelial neoplasia
Mostly benign dysplasia in transformational zone
We try to stop dysplasia before they get anaplastic
Cervical cancer
DPV 16, 18, 31, 33..
Exposure replayed spread:
Early age first intercourse
Mutual sexual partners
Cervical squamous cell carcinoma
90% of cervical cancer Peak at age 40-60 Stage I-IV spread and prognosis: Stage I 80% 5 yr survival Stage IV has a 10-15% 5 yr survival Most are asymptomatic Bleeding post intercourse can be a common sign
Acute endometritis
Bacterial infection group A strep, staph follwoing delivery or miscarriage