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Title: Physiology%20of%20Reproduction


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Physiology of Reproduction
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Gonadal development
  • Both the testes and the ovaries are derived from
    the same gonadal primordium.
  • There are two sets of ducts, the Wolfian duct and
    the Mullarian duct.
  • Development of the primary sexual characteristics
    depends directly on the endocrine environment
    during development.
  • An individual can be forced into either a female
    development or a male development by application
    of the appropriate hormones, regardless of
    genetic makeup.
  • In the absence of hormonal stimulation, the
    gonadal primordium will develop into ovaries and
    the Mullarian ducts will develop into the uterine
    ducts, uterus and vagina.

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  • Development
  • The sex organs themselves, along with all their
    associated ducts and glands are referred to as
    the Primary sexual characters
  • Secondary sexual characteristics are structures
    which will enhance reproduction, but are not
    necessarily required. For example, beard growth
    in men.

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  • Without hormonal stimulation, the Wolffian duct
    regresses.
  • In males, the gonadal primordium begins to
    secrete testosterone and Mullarian Inhibiting
    Substance (MIS).
  • Testosterone stimulates the development of the
    Wolffian ducts, which subsequently differentiate
    into the vas deferens, epididymis and seminal
    vesicles.

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  • MIS causes the Mullarian ducts to degenerate
  • Estradiol can prevent MIS from stimulating
    Mullarian duct regression.
  • Testosterone is converted into dihydrotestosterone
    (DHT) by the enzyme 5a-reductase.
  • DHT influences the development of the external
    genitalia.
  • The genital tubercle becomes the penis.
  • The genital folds become the shaft of the penis.
  • The genital swellings become the scrotum.

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  • Without DHT, the external genitalia are
    feminized.
  • The genital tubercle becomes the clitorus.
  • The genital folds become the labia minora.
  • The genital swelling becomes the labia majora.
  • Currently, the structure of MIS is not known, but
    it appears to be a glycoprotein.
  • Circulating levels of androgens (and possibly
    estrogens) also trigger differential development
    in the brain. Animals exposed to androgens
    during a specific critical window will develop
    male reproductive behavior, regardless of the
    genotype or the physical phenotype.

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  • Development of secondary sexual characteristics
  • This usually coincides with the final maturation
    of the gonads. In humans, this is referred to as
    puberty.
  • Mechanism controlling onset is unclear, but
    appears to involve the loss of inhibition of
    gonadal development.
  • One potential candidate (at least in males) is
    melatonin.
  • During childhood, melatonin is produced in the
    pars intermedia of the pituitary gland.
  • However, after childhood the pars intermedia
    stops producing melatonin. Melatonin synthesis
    and secretion are taken over by the pineal gland,
    but at a much reduced rate.

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  • This drastic drop in melatonin secretion (gt75)
    may trigger the secretion of sex steroids by the
    adrenal glands and/or the testes.
  • In females, the situation may be different.
  • There is good evidence that the hormone leptin is
    also involved.
  • Leptin is a hormone released by adipose tissue.
  • Circulating leptin levels may reflect total body
    fat storage by the body.
  • In females, a certain minimum total-body fat
    content is required for puberty to progress and
    for maintenance of the menstrual cycle.

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Male reproductive system
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Spermatogenesis I
  • The immature germ cell in the male is referred to
    as the spermatogonium.
  • These cells are located just under the basement
    membrane of the seminiferous tubules, between
    adjoining sustentacular (Sertoli) cells.
  • Since sperm production continues throughout adult
    life and at the peak, 100-200 million sperm can
    be produced daily, the spermatogonia are
    constantly renewed.
  • The first step in spermatogenesis is a mitotic
    division of the spermatogonium. One of the
    daughter cells remains, to replace the original
    spermatogonium, while the other cell (now called
    a primary spermatocyte) undergoes meiosis.

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Spermatid migration
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Spermatogenesis II
  • The first meiotic division yields two secondary
    spermatocytes. Usually, these secondary
    spermatocytes do not fully separate during cell
    division, leaving a direct cytoplasmic connection
    between the cells.
  • Following the second meiotic division (again, an
    incomplete division), the cells are known as
    spermatids. As the germ cells are undergoing
    meiosis, they also migrate towards the lumen of
    the seminiferous tubule.
  • As they approach the lumen, they shed much of
    their cytoplasm. They are attached to the
    Sustentacular cells, via specialized junctions,
    which provide nutrients.
  • When the spermatids reach the lumen, they remain
    embedded within the sustentacular cells, where
    they undergo tail development, acrosome formation
    and nuclear condensation.
  • Finally, the fully-formed spermatozoa are shed
    into the lumen of the seminiferous tubule, where
    they are carried to the epididymus. This whole
    process takes between 60 and 70 days.

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Mitosis vs. Meiosis
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Male reproductive ducts
  • The spermatozoa traverse the epididymus in 2 to 4
    weeks.
  • During this time, they lose most of the remaining
    cytoplasm, as well as increase in mobility.
  • The epithelial cells which line the epididymus
    secrete proteins which bind to the sperm cell
    membranes, to enhance their forward mobility and
    ability to fertilize an ovum.
  • The sperm migrate into the ductus (or vas)
    deferens, where they can be stored for several
    months.
  • The vas deferens runs up through the spermatic
    cord, conducting the sperm to the prostate
    gland.

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  • The end of each ductus deferens (two) enlarges
    to form ampullae, where sperm are stored until
    ejaculation.
  • The prostate contains the first part of the
    urethra (prostatic urethra) which is where the
    ejaculatory ducts merge with the urethra.
  • The urethra exits the prostate, penetrated the
    urogenital diaphragm and runs the length of the
    penis.

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Male sexual response
  • Erection
  • The first phase of the male sexual response is
    erection of the penis, which allows it to
    penetrate the female vagina.
  • This occurs when the erectile tissue of the penis
    becomes engorged with blood.
  • When a male is not sexually aroused, the
    arterioles supplying the erectile tissues are
    constricted.

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  • During sexual excitement, a parasympathetic
    reflex is triggered that causes these arterioles
    to dilate (NO2).
  • As a result, the vascular spaces of the penis
    fill with blood causing the penis to become
    enlarged and rigid.
  • Expansion of the penis also compresses the veins
    retarding the outflow of blood and further
    contributing to the swelling of the penis.
  • This reflex is initiated by a variety of stimuli
    ranging from thought to touch.

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Ejaculation
  • A spinal reflex is initiated, producing a
    sympathetic discharge to the genital organs.
  • As a result, the reproductive ducts and accessory
    glands contract peristaltically discharging their
    contents into the urethra.
  • The muscles of the penis undergo a rapid series
    of contractions propelling semen from the
    urethra.
  • This is followed by muscular and psychological
    relaxation and vasoconstriction of the arterioles
    serving the penis, allowing blood to drain out of
    the erectile tissue, which subsequently causes
    the penis to become flaccid again.

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Role of the Accessory Glands
  • The seminal vesicles are paired glands that
    produce about 60 of the semen.
  • Their secretions contain fructose sugar, ascorbic
    acid and prostaglandins.
  • These are sac shaped glands, approximately 5
    centimeters long, which lie along side the
    ampullae of the ductus deferens.
  • They each empty into a short duct, the
    ejaculatory duct, which merges with the terminal
    end of the ductus deferens.

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  • These, in turn, fuse with the prostatic urethra
    which runs from the bladder through the prostate
    gland.
  • The alkalinity of the fluid serves to neutralize
    the normally acidic environment in the distal
    urethra and in the vagina.
  • The fructose is supplied as an energy source for
    the sperm, and the prostaglandins serve to
    stimulate smooth muscle contractions in the
    vagina and cervix.
  • This is thought to facilitate the uptake of sperm
    into the uterus.

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  • The bulbourethral glands are paired glands that
    secrete a small amount of thick clear mucus. This
    secretion is released prior to ejaculation and is
    believed to neutralize traces of acidic urine in
    the urethra.
  • The prostate gland is a single gland, which
    secretes about one third of the semen volume. It
    secretes a milky, slightly acidic fluid
    containing citrate, acid phosphatase and several
    proteolytic enzymes. These enzymes are probably
    involved in breaking down the mucus plug in the
    cervix. They also appear to contribute to the
    motility and viability of the sperm

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Semen Production
  • Remember, Sperm seminal fluid semen.
  • Semen provides a transport medium for the sperm.
    It also provides nutrients for the sperm and
    chemicals that protect them, activate them and
    facilitate their movement.
  • The amount of semen released during ejaculation
    is relatively small, about 2-6 ml but it contains
    50-100 million sperm per ml.

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Sperm capacitance
  • Freshly ejaculated sperm are incapable of
    fertilizing an egg.
  • As the sperm travel up the female reproductive
    tract, they lose cholesterol from their membranes
  • When the sperm reach the fallopian tubes, the
    membranes around the acrosome are fragile enough
    to allow the release of the acrosomal enzymes.

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Brain-testicular axis
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Female reproductive system
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OOGENESIS I
  • This process is the equivalent of spermatogenesis
    in the male. However, the two processes are
    vastly different.
  • In females, much of the process occurs during
    fetal development.
  • The primitive germ cells undergo numerous rounds
    of mitosis, which produces millions of oogonia
    (2n).
  • Most of these oogonia are resorbed (through a
    process called atresia).
  • However, a few hundred thousand begin meiosis and
    enter prophase I. These are now referred to as
    primary oocytes.

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OOGENESIS II
  • There are no oogonia present in the adult female.
  • The primary oocytes are arrested in prophase I
    and become quiescent until puberty.
  • Cyclical changes in LH and FSH will trigger three
    or four primary oocytes to finish meiosis each
    uterine cycle.
  • During the two meiotic divisions, all the
    cytoplasm will stay with a single daughter cell,
    which is destined to become the ovum.
  • The other three daughter cells simply develop as
    small polar bodies that are eventually degraded
    and resorbed.

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Female Sexual Response
  • As with Males, arousal is controlled by
    parasympathetic stimulation.
  • Involves engorgement of the erectile tissues.
  • Increased bloodflow to the external genitalia and
    vaginal walls.
  • Stimulation of secretion of cervical mucous
    glands and greater vestibular glands.

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Female Sexual Response (cont.)
  • Rhythmic contact of the clitoris and vaginal
    walls, reinforced by touch sensations from the
    breasts and other stimuli, can lead to orgasm.
  • As with male climax, female climax results in
    rhythmic peristaltic contractions of the uterus
    and vaginal walls and associated skeletal
    muscles.
  • This is thought to enhance the migration of
    sperm up the female reproductive tract.
  • Female climax is NOT required for fertilization.

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Fertilization and pregnancy
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Fertilization
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Blocks to polyspermy
  • If more than one sperm were to fertilize the egg,
    then the genetic complement would be 3n.
  • In order to prevent multiple sperm penetrations,
    two responses have evolved in the egg.
  • First, as soon as the first sperm head penetrates
    the egg, it triggers a massive influx of Na.
  • This influx depolarizes the egg, making it
    positive inside. This repels the positively
    charged sperm, inhibiting penetration of more
    sperm.

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  • Second, the depolarization triggers an influx of
    Ca 2 . This Ca 2 facilitates the exocytosis of
    a number of secretory vesicles, known as cortical
    vesicles.
  • The contents of these vesicles surrounds the egg,
    swells with water and gels, pushing other sperm
    away from the egg and blocking their entry.

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Implantation
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Chorionic villi
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Placental hormones
  • During early pregnancy, HCG is secreted by the
    syncitial trophoblasts.
  • Later, the placenta secretes estradiol,
    progesterone, relaxin and somato-mammotropin.

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Function of placental hormones
  • HCG is similar to LH and maintains the corpus
    luteum in a functional state for 3-4 months.
  • This keeps progesterone levels high and they
    maintain the functional endometrium.
  • Relaxin increases flexibility in the pelvic
    joints, as well as suppressing release of
    oxytocin.
  • Placental progesterone keeps the uterine wall
    intact.
  • Somatomammotropin acts like prolactin and
    triggers the mammary glands to develop.
  • Estrogen increases the sensitivity of the
    myometrium to mechanical irritation, as well as
    oxytocin stimulation.

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Labour
  • Towards the end of pregnancy, relaxin secretion
    falls off, thus, the uterus becomes more
    sensitive to oxytocin.
  • Initially, the fetus secretes oxytocin into the
    maternal circulation.
  • The oxytocin stimulates contractions, which push
    the head down against the cervix.

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  • This pressure on the cervix stimulates the
    release of oxytocin from the maternal pituitary
    gland.
  • The maternal oxytocin causes more contractions of
    the uterus, forcing the head of the fetus against
    the cervix even harder.
  • This is a positive feedback system.

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Labour and delivery
  • As the head of the fetus is pressed down against
    the cervix, it thins and then starts to dilate.
  • This stage is known as the Dilation Stage and can
    last several hours, or days (usually around 8
    hours).
  • Once the cervix has dilated, the fetus starts
    moving through the birth canal. Contractions are
    maximal and come about 2-3 minutes.
  • This is known as the Expulsion Stage.
  • If the vaginal wall has not stretched enough,
    tearing may occur.

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Labour and delivery cont.
  • There is also a chance that the fetus will get
    stuck in the birth canal (usually caused by
    insufficient molding of the head.
  • In these cases, a cesarean section is performed.
  • Finally, after expulsion of the fetus, the
    placenta detaches from the uterine wall and is
    delivered through the birth canal.
  • This is known as the Placental Stage.

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Nursing
  • Two hormones are involved, PRL and oxytocin.
  • PRL stimulates milk production, while oxytocin is
    required for the expression of milk from the
    breast.

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Fertility issues
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