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132 Cards in this Set

  • Front
  • Back
tunics of testes (2)
1. tunica vaginalis
2. tunica albuginea
blood supply of testes (3)
1. testicular arteries
2. paminiform plexus
3. spermatic cord
seminifierous tubules
make up lobules in testes

produce sperm
pathway of sperm in testes (5)
1. seminiferous tubules
2. tubulus rectus
3. rete testis
4. efferent ductules
5. epididymis
stereocilia
non-motile projections in epididymis containing cytoplasm

functions:
1. absorb testicular fluid
2. provide nutrients to sperm
pathway of sperm in epididymis (5)
1. efferent ductules
2. head of epididymis
3. body of epididymis
4. tail of epididymis
5. vas deferens
scrotum
sac of skin and fascia at root of penis containing testicles

function: keeps testes 3 degrees cooler than body temp (for better sperm production)
muscles of scrotum (2)
1. dartos muscle - smooth; wrinkle scrotal skin

2. cremaster muscle - skeletal; elevate testes
regions of urethra (3)
1. prostatic urethra - surrounded by prostate

2. membranous urethra - w/i urogenital diaphragm

3. spongy urethra - throughout penis
accessory glands of male reproductive system (3)
1. seminal vesicle - secretes 60% of volume of semen

2. prostate gland - 33% of volume of semen; fluid slightly acidic and milky; role in sperm activation

3. bulbourethral gland - produces thick clear mucus that neutralizes traces of urine acidity
semen
viscous alkaline mixture of sperm and seminal secretions

contains: fructose, ascorbic acid, coagulating enzyme, prostaglandins
overall function of male accessory glands
empty secretions into ducts during ejaculation
penis - fxn
deliver sperm into female reproductive system
internal penis
urethra + 3 bodies of erectile tissue
erectile tissue of penis
spongy network of CT and smooth muscle with vascular spaces
corpora cavernosum
paired bodies of erectile tissue on dorsal side of penis

bound by fibrous tunica albuginea

crura (sing. crus) = proximal end that anchors penis to pubic arch
crura (singular - crus)
proximal end of corpora cavernosum in penis

anchors penis to pubic arch
corpus spongiosum
penile tissue surrounding urethra

proximal enlargement = bulb

distal enlargement = glans
male erection - definition, initiated by...
enlargement/stiffening of penis from engorgement of erectile tissue with blood

stimulated by P-ANS; sexual stimula, emotion/higher mental activity
mechanism of male erection (4)
1. P-ANS stimulation --> release of NO
2. NO --> relaxation of sm. muscle --> vasodilation of penile arterioles --> erectile tissues fill with blood
3. expansion of corpus cavernosa inhibits blood flow and maintains engorgement
4. corpus spongiosum keeps urethra open during ejaculation
ejaculation - definition, stmulated by...
propulsion of semen from male duct system

stimulated by S-ANS
mechanism of ejaculation (5)
1. erection impulses reach critical point --> S-ANS stimulation
2. bladder sphincter contracts (inhibits urine flow)
3. reprod. ducts and accessory glands constrict (empty contents into urethra)
4. bulbospongiosus muscles contract
5. semen expelled from urethra
systemic effects of ejaculation (4)
1. muscle contraction
2. increased HR
3. increased BP
4. feeling of intense pleasure
stages of spermatogenesis (5)
1. spermatagonium stem cell (2n) --[mitosis]--> daughter cell type A (2n) + daughter cell type B (2n)

2. growth of type B cell

3. type B cell (2n) --[meiosis I]--> spermatocyte (n)

4. secondary spermatocytes (n) --[meiosis II]--> early/late spermatids

5. late spermatids --[spermiogenesis]--> spermatozoa
sertoli (sustentacular) cells
non-replicating, supporting cells in epididymis

divide seminiferous tubules into 2 compartments (basal and adluminal)
basal compartment
compartment of seminiferous tubules of testes

contains:
1. spermatagonia
2. primary spermatocytes
adluminar compartment activities (5)
compartment of seminiferous tubules

1. deliver nutrients to dividing cells
2. move spermatocytes/spermatids along lumen
3. secrete testicular fluid (transport medium for sperm)
4. dispose of excess cytoplasm
5. produce chemical mediators that regulate spermatogenesis
blood-testis barrier
formed by tight junctions of sustentacular cells

prevents sperm antigens from escaping through basal lamina into blood
testosterone:
1. synthesized from?
2. functions (2)
3. target organs/organs where transformation occurs
synthesized from cholesterol

functions:
1. stimulating spermatogenesis
2. development of secondary sex characteristics

target organs = all accessory organs

in prostate: --> dihydrotestosterone (binds w/ nucleus)

in neurons: --> estrogen (for stimulation)
gonadotropin-releasing hormone (GnRH)
secreted from hypothalamus

stimulates anterior pituitary gland to secrete luteinizing hormone (LH) and follicle stimulating hormone (FSH)
follicle stimulating hormone (FSH)
secreted from anterior pituitary in response to GnRH

binds to receptors on sertoli cells of seminiferous tubules

stimulates:
growth and metabolic activity
secretion of androgen-binding protein (ABP) from sustentacular cells --> enhances spermatogenesis
luteinizing hormone (LH)
secreted from anterior pituitary in response to GnRH

stimulates interstitial (Leydig) cells to release testosterone
androgen-binding protein (ABP)
secreted from sustentacular cells in seminiferous tubules in response to binding of FSH (from anterior pituitary)

ABP binding of testosterone enhances spermatogenesis
hormones that regulate amount of testosterone/sperm produced by testes (3)
1. GnRH - stimulates testes indirectly
2. gonadotropins - directly stimulate testes (LH and FSH)
3. testicular hormones (inhibin and testosterone) - neg. feedback on AP and hypothalamus
male secondary sex characteristics (5)
stimulated by testosterone

1. pubic/axillary/facial hair
2. deepening of voice
3. skin thickens, becomes oily
4. bones grow, more dense
5. incr mass/size of sk. muscle
problems with exogenous testosterone (4)
1. testicular atrophy (negative feedback on LH)
2. feminizing effects (can be converted to estrogen)
3. liver damage/cancer (activates gene transcription)
4. psychological effects
primary functions of ovaries (2)
1. make female gametes
2. secrete estrogen and progesterone
ovarian ligaments
anchor ovary to uterus
broad ligament
contain suspensory ligaments and mesovarium of ovaries
suspensory ligaments
anchor ovary to pelvic wall
mesovarium
suspend ovary in between uterus and pelvic wall
blood supply of ovaries (2)
1. ovarian arteries
2. ovarian branch of uterine artery
layers surrounding ovaries (2)
1. germinal epithelium (outer)
2. tunica albuginea
follicle cells
cells surrounding oocyte that are one-cell layer thick
granulosa cells
cells surrounding oocyte that are two or more layers thick
primordial follicle
one layer of squamous-like follicle surrounds oocyte
primary follicle
2+ layers of cuboidal granulosa cells enclose oocyte
secondary follicle
has fluid-filled space between granulosa cells that coalesces to form central antrum
graafian follicle
secondary follicle at its most mature stage; bulges from surface of ovary
ovulation
ejection of oocyte from ripening follicle
corpus luteum
ruptured follicle after ovulation

provides secretions of testosterone and estrogen; replaced by placenta during pregnancy
uterine tubes - functions (2)
1. receive ovulated oocyte
2. provide site for fertilization
fimbrae
flingerlike projections at ends on ciliated infundibulum of uterine tubes (ampulla end)

beating cilia on fimbrae create current that carries ovulated oocyte from peritoneal cavity into uterine tubes
isthmus
portion of uterine tube connected to uterus
ampulla
portion of uterine tube expanding distally around ovaries; lead into ciliated infundibulum with fimbrae
nonciliated cells of uterine tube
keep oocyte and sperm nourished and moist
mesosalpinx
visceral peritoneum that supports uterine tubes
regions of uterine tubes (4)
1. isthmus (connect to uterus)
2. ampulla (distal ends that wrap around ovaries)
3. infundibulum (ciliated)
4. fimbrae (projections)
regions of uterus (3)
1. fundus (superior)
2. body (middle)
3. isthmus (inferior)
cervical glands
secrete mucus that covers external os ("mouth") of cervix and blocks sperm entry except during mid-cycle
supports of uterus (4)
1. mesometrium
2. lateral cervical ligaments
3. uterosacral ligaments
4. round ligaments
mesometrium
portion of broad ligament that supports the uterus laterally
lateral cervical ligaments
connects cervix and superior vagina to cervical to pelvic walls (laterally)
uterosacral ligaments
paired ligaments connecting uterus to sacrum
round ligaments
connect anterior wall of uterus to labia majora
layers of uterine wall (3)
1. perimetrium (visceral peritoneum)
2. myometrium (sm. muscle)
3. endometrium (mucosal lining)
uterine vascular supply (3)
1. uterine arteries
2. arcuate arteries
3. radial branches
uterine arteries
ascend from internal iliac arteries and branch into uterine walls
arcuate arteries
branches of uterine arteries in myometrium

give rise to radial branches
radial branches
branches of arcuate arteries (from uterine arteries)

give rise to:
spiral arteries --> stratum functionalis
straight arteries --> stratum basalis
layers of endometrium (2)
1. stratum functionalis
2. stratum basalis
stratum functionalis
innermost layer of endometrium (in uterine walls)

undergoes cyclic changes in response to ovarian hormones

shed during menstruation (degeneration/regeneration of spiral arteries)

vascular supply = spiral arteries of radial branches
stratum basalis
outer layer of endometrium (of uterus)

forms a new functionalis after menstruation ends

does not respond to ovarian hormones

vascular supply = straight arteries of radial branches
layers of vaginal walls (3)
1. adventitia (fibroelastic)
2. muscularis (sm. muscle)
3. mucosa (stratified squamous)
hymen
incomplete partition formed by mucosal layer near vaginal orifice
vaginal fornix
upper end of vagina surrounding inferior cervix
components of vulva (5)
external female genitalia

consists of:
1. mons pubis
2. labia (major and minor)
3. greater vestibular glands
4. clitoris
5. perineum
mons pubis
round, fatty area of female vulva overlying pubic symphysis
labia majora
elongated, hair-covered, fatty skin folds of female vulva

homologous to male scrotum
labia minora
hair-free skin folds lying within labia majora

homologous to male ventral penis
greater vestibular glands
pea-size glands bordering vagina; keep vestibule moist and lubricated

homologous to male bulbourethral glands
clitoris
erectile tissue of female vulva hooded by prepuce

homologous to penis
female perineum
diamond-shaped region of vulva between pubic arch and coccyx

bordered laterally by ischial tuberosities
oogenesis - definition
production of female sex cells by meiosis
oogenesis - in fetal period (3)
**ovary inactive

1. oogonia (2n) multiply by meiosis - store nutrients

2. oogonia --> primary oocytes (primordial follicles appear)

3. primary oocytes --> meiosis (stall in prophase I)
oogenesis - at/after puberty (3)
**ovaries active

1. activated primary oocyte --> first polar body + secondary oocyte

2. secondary oocyte --> stops in metaphase II (ovulated)

3. if penetrated by sperm: secondary oocyte completes meiosis II --> large ovum (fxnl gamete) + second polar body
ovarian cycle - definition, phases (3)
monthly cycle of events associated with egg maturation

1. follicular phase (days 1-14)
2. ovulation (midcycle)
3. luteal phase (days 14-28)
follicular phase (2 steps)
days 1-14 of ovarian cycle; period of follicle growth

1. primary follicle --> secondary follicle
a) theca and granulosa cells --> estrogens
b) zona pellucida forms
c) antrum forms

2. secondary follicle --> vesicular follicle
a) antrum expands (isolates oocyte and corona radiata)
b) vesicular follicle bulges from ext surface of ovary
c)primary oocyte completes meiosis I
ovulation (2 steps)
occurs midway through ovarian cycle

1. ovary wall ruptures
2. secondary oocyte expeled into peritoneal cavity
luteal phase
days 14-28 of ovarian cycle

1. ruptured follicle collapses, granulosa cells enlarge and form corpus luteum with theca cells

2. corpus luteum secretes estrogen and progesterone

3.
a) no pregnancy: CL degenerates after 10 days --> corpus albicans (scar)
b) pregnancy: CL continues to produce hormones until replaced by placenta (3rd month)
menarche
first menstrual cycle in female humans

occurs at puberty
hormone interactions of ovarian cycle (8)
1. GnRH STIMULATES release of LH and FSH from HT (day 1)

2. FSH and LH STIMULATE follicle growth

3. small rise in estrogen levels/rise in inhibin levels INHIBIT FSH/LH release (neg. feedback)

4. critical blood concentrations of estrogen STIMULATE ant. pituitary and brain (positive feedback)

5. high estrogen levels STIMULATE burst of accumulated LH

6. burst of LH STIMULATES development of second follicle (continues to metaphase II) and ovulation (day 14)

7. LH surge STIMULATES transformation of ruptured follicle --> CL (prog/estrog secretion)

8. rising progesterone/estrogen/inhibin levels INHIBIT anterior pituitary
uterine (menstrual cycle) - definition, phases (3)
cyclic changes uterine endometrium undergoes in response to ovarian hormones in blood

1. menstrual phase (days 1-5)
2. proliferative phase (days 6-14)
3. secretory phase (days 15-28)
menstrual phase of uterine cycle
days 1-5

uterus sheds all but deepest part of endometrium (stratum basalis)
proliferative phase of menstrual cycle
days 6-14

endometrium rebuilds itself (stratum basalis forms new stratum functionalis)
secretory phase of uterine cycle
days 15-28

endometrium prepares for implantation of the embryo

if fertilization doesn't occur:
1. progesterone levels decrease
2. spiral arteries kink/spasm; endometrial cells die
3. stratum functionalis of endometrieum begins digesting itself
4. spiral arteries constrict and then relax and open wide
5. blood gushes into weakened capillaries, they fragment, stratum functionalis sloughs off
extrauterine effects of estrogens (5)
1. promote oogenesis and follicle growth (ovary)

*anabolic effects of female reprod. tract
2. uterine tubes/uterus/vagina - grow and become functional

3. uterine tubes/uterus - enhanced motility

4. vagina mucosa thickens

5. external genitalia matures
secondary sex characteristics induced by estrogen (4)
1. breast growth

2. increased subcutaneous fat deposits (esp in hips/breasts)

3. widening/lightening of pelvis

4. growth of axillary/pubic hair
events of female sexual response (4)
1. clitoris, vaginal mucosa, and breasts engorge with blood

2. nipples erect

3. increased activity of vestibular glands (lubricate vestibule/facilitate entry of penis)

4. orgasm
vestibular glands of female reproductive system
during sexual excitement:

increase secretory activity to lubricate vestibule and facilitate entrance of penis
female orgasm
4th event of female sexual response

accompanied by:
1. muscular tension
2. increased HR/BP
3. rhythmical uterine contractions

different from males:
1. NO refractory period (can have multiple orgasms)
2. orgasm NOT essential for conception
"window of opportunity" for fertilization of gametes
secondary oocyte: 12-24 hrs after ovulation

sperm: 24-72 hrs after ejaculation

fertilization can only occur
1. 3 days before ovulation
2. 24 hrs after ovulation
layers encapsulating ovulated oocyte (2)
1. corona radiata (outer)

2. zona pellucida
fates of ejaculated sperm (6)
1. leak out of vaginal orifice
2. destroyed by acidic vagina
3. fail to make it through female cervix
4. dispersed in uterine cavity
5. destroyed by phagocytes in uterus
6. reach uterine tubes
capacitance
gradual weakening of sperm head plasma membrane to facilitate entrance of sperm by releasing acrosomal enzymes
sperm penetration of oocyte membrane (2)
1. beta-proteins bind sperm to receptors on oocyte membrane

2. alpha-proteins cause sperm to insert oocyte membrane
blocks to polyspermy (2)
1. fast block (Na channel) - membrane depolarization prevents other sperm from fusing with oocyte membrane

2. slow block (Ca) - cortical granules release enzymes that destroy sperm receptors (cause already bound sperm to detach)
pre-embryonic development (5 stages)
in uterine tubes:
1. zygote
2. 4-cell stage (2 days)
3. morula (16+ cells; 3 days)

in uterus:
4. early blastocyte (degenerating zona pellucida; 4 days)
5. implaning blastocyte (inner cell mass; 6 days)
implantation of zygote
cell takes 3-4 days to travel thru uterine tube; floats freely in uterus for 2-3 days

1. trophoblasts of blastocyte release enzymes that digest endometrial surface

2. endometrium grows over blastocytes and provides nutrients for first 2 months
human chorionic gonadotropin (HCG)
secreted by chorion; production highest around 8th week of gestation

causes corpus luteum to remain at beginning of pregnancy and continue to secrete hormones until replaced by placenta
chorion
fetal membrane that develops from trophoblasts

secretes HCG that maintains corpus luteum

involved in formation of placenta
layers formed during trophoblast proliferation (2)
1. synctiotrophoblast (outer) - cell boundaries disappear

2. cytotrophoblast (inner) - retain cell boundaries
chorionic villi (3)
formed from chorions during placentation

1. become vascularized
2. form capillary beds from umbilical arteries and veins
3. surrounded by maternal blood
placenta forms from... (2)
1. embryonic trophoblastic tissues

2. maternal endometrial tissues
placental hormones (5)
1. progesterone
2. estrogen
3. human placental lactogen
4. human chorionic thyrotropin
5. relaxin
embryonic membranes (4)
1. amnion
2. yolk sac
3. allantois
4. chorion
amnion - definition, origin/later source of amniotic fluid
formed from epiblast layer of embryotic disc

origin = fetal blood

later source = fetal urine
amnion - functions (4)
1. protective buoyant environment

2. helps maintain homeostatic temperature

3. prevents fusion of embryotic parts

4. allows for embryotic movement
yolk sac - definition, functions (3)
sac formed from endorm cells of embryonic disc

eventually extends into umbilical cord

1. forms part of GI tube
2. produces earliest blood cells and vessels
3. source of primordial germ cells
allantois
outpocketing formed from endoderm

structural base for umbilical cord

becomes part of urinary bladder
chorion
outermost layer of embryonic membrane formed from trophoblasts and mesoderm

forms fetal portion of placenta
breast cancer - arises from what cells? risk factors (6)
1. early onset of menses
2. late menopause
3. no pregnancies
4. first pregnancy late in life and little/no breast feeding
5. previous/family history of breast cancer
6. mutations to BRCA1 and BRCA2 genes
testicular cancer
most common in men ages 15-35

risk factors:
1. **cryptorchidism (non-descent of testes)
2. history of mumps or orchitis
3. maternal exposure to
treatment of breast cancer (3)
1. radiation
2. chemotherapy
3. surgery (lumpectomy) followed by irradiation and chemotherapy
prostate gland conditions (3)
1. benign prostatic hyperplasia (atrophy)

2. prostatitis (inflammation)

3. prostate cancer
benign prostatic hyperplasia
hypertrophy of prostate glands

occurs in almost every elderly male

urethra becomes distorted from enlarged prostate; blockage of urinary tract can lead to bladder infections or kidney damage

Tx: microwaves, drugs, catheters
erectile dysfunction
inability in males to attain erection

cause = deficient release of NO by P-ANS

affects 50% americans > 40 yo

causes of temporary ED: mental factors, EtOH, drugs

causes of chronic ED: hormonal (DM), vascular (arteriosclerosis, varicose veins), and NS factors
causes of chronic erectile dysfunction (3)
1. hormonal (DM)

2. vascular (arteriosclerosis, varicose veins)

3. NS problems (stroke, penile nerve damage, MS)
pelvic inflammatory disease
infection of pelvic organs of female reproductive tract (uterine tubes and uterus)

caused by bacteria traveling through vagina to uterus or by bloodstream

untreated cases can result in sterility

Tx: antibiotics
endometriosis
endometrial tissue develops in locations outside uterus (common site = ovaries)

during menstruation: blood collects in tissues (cannot drain like in uterus) --> pain, irregular bleeding

can lead to infertility
prolapse of uterus
tip of cervix protruding through external vaginal opening

cause = stretching and tearing of muscles that support uterus (urogenital and pelvic diaphragm muscles); can occur after pregnancy
cervical dysplasia
abnormal growth of cells on cervical lining; precancerous condition

risk factors: advanced age, infection, HPV

Tx: cryosurgery, laser vaporization, electrocautery