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140 Cards in this Set

  • Front
  • Back

What is sexual differentiation?

It is the pattern of development of gonads, genital ducts, external genitalia and secondary sexual characteristics that produces the differences between the male and female genders.




(changes during development of body/organs of the reproductive system)

What is the central dogma for sexual differentiation?

chromosomal sex --> gonadal sex --> phenotypic sex

How many autosomes and sex chromosomes do we have?

Human somatic cells have 44 autosomes and 2 sex chromosomes

How many chromosomes does a male have? What sex chromosomes do they have?

*46 chromosomes


*XY

How many chromosomes does a female have? What sex chromosomes do they have?

*46 chromosomes


*XX

What happens during gametogenesis?

It is the process where the chromosomal number is reduced by half as a result of the first meiotic division.

After the first meiotic division, how many chromosomes do males and females have?

*male sperms 23X 23Y


*female ova 23X 23X

What happens at fertilization?

The gamete cells fuse and restore the chromosomes number to 46

When is the fetus sex determined?

At fertilization (female 46 XX and male 46 XY)

When are gonadal ridges formed?

At the third or fourth week of embryonic development

What happens at six weeks?

Migration of germ cells is completed and the indifferent gonad is formed. It contains supporting cells, germ cells, and interstitial cells.

What happens by the seventh week? What happens if there is no Y chromosome?

Under the Y chromosome influence, the indifferent gonads develop into testes.




*If there is no Y chromosome, the indifferent gonad develops into ovaries by the eleventh week.

What happens during the eight weeks of the indifferent stage?

The fetus has a dual genital duct system made of:


*mesonephric/wolffian duct


*paramesonephric/mullerian duct

In the male fetus testes, what do sertoli do?

They secrete the hormone called Mullerian Inhibiting Factor (MIF).

What does Mullerian Inhibiting Factor do?

It causes regression of the mullerian duct and stimulates the testes descent into the scrotum

In the male fetus testes, what do the interstitial leydig cells do?

They secrete dihydrotestosterone and testosterone.

What do dihydrotestosterone and testosterone do in the male fetus testes?

It stimulates wolffian ducts differentiation to form seminal vesicles, ductus deferens, and epididymus.

Without a Y chromosome or testes hormone, what does the mullerian duct develop into?

It forms:


*fallopian tubes


*uterus


*upper part of the vagina (the lower part comes from urogenital sinus)

During the indifferent stage, what three external genitalia structures do both males and females have?

*genital tubercle


*urogenital fold


*labioscrotal fold

How does the external male genitalia develop under the influence of dihydrotestosterone and testosterone?

*genital tubercle --> glans penis


*urogenital folds --> urethra


*labioscrotal folds --> scrotum

How does the external female genitalia develop? What hormones are required?

*NO hormones are required


*genital tubercle --> clitoris


*urogenital folds --> labia minora


*labioscrotal folds --> labia majora

What is Turner's syndrome?

45 XO infertile female (44 are autosomal and only one sex chromosome is present)




*one sex chromosome is lacking--develops into a female but they are infertile

What is Triple X Syndrome?

47 XXX infertile female (44 are autosomal and three sex chromosomes are present)




*sometimes called "superwoman"

What is Klinefelter's Syndrome?

47 XXY male with small testes, gynecomastia, and infertility (44 are autosomal and three sex chromosomes are present)




*abnormal breast tissue growth

What is true hermaphroditism?

*a condition in which a baby may have cells with 46 XY and cells with 46 XX chromosomes


*ovary and testes exist separately or as ovotestis in the same individual


*penis is not completely virilized (hypospadias)


*testes are undescended in scrotum (cryptorchidism)


*genitalia of both sexes may develop

What is male pseudohermaphroditism?

A genetic male fetus (46 XY) develops female genitalia due to lack of or insensitivity to androgens.

What is female pseudohermaphroditism?

A genetic female fetus (46 XX) develops male genitalia due to androgens. (adrenogential syndrome--AGS)

What causes chromosome disorders?

There are errors that occur called non-disjunction. When the cells split, one daughter cell gets both X chromosomes and sperm adds an X (becomes triple X syndrome) or one daughter cell gets no X chromosome and sperm adds and X (Turner syndrome).

What structures are included in the male reproductive system?

*penis


*ductus deferens (sperm duct)


*seminal vesicle (seminal fluid)


*prostate (seminal fluid)


*urethra (urine)


*epididymis (sperm maturation)


*scrotum (cools testis)


*testis (sperm formation)

What is the scrotum? What is it's function?

*sac of loose skin, fascia, and smooth muscle


*divided into two pouches by a septum


*function is temperature regulation of testes

What does sperm survival require?

It requires 2 to 3 degrees lower temperature than core body temperature--controlled by the scrotum.

What is the cremaster muscle? Where is it found and what is it's function?

*found in the scrotum


*elevates or lowers the testes in response to arousal, cold, or warmth

What are testes? Where are they located? What do they contain?

*paired oval glands


*surrounded by dense white capsule called tunica vaginalis


*septa forms 200 to 300 compartments called lobules


*each lobule is filled with 2 or 3 seminiferous tubules where sperms are formed

What are seminiferous tubules?

*They contain sperm forming cells (spermatogonia) and supporting cells (sertoli)


*interstitial leydig cells between tubules secrete testosterone.

What are sertoli cells?

*extend from basement membrane to lumen


*form blood testis barrier


*support developing sperm cells


*produce fluid and control release of sperm into lumen


*secrete inhibin which slows sperm production

Where does sperm maturation occur?

In the epididymis

What does the ductus deferent sperm duct do?

Transports sperm from epididymis out

What happens during spermatogenesis?

*each of four spermatids develop into a sperm


*second meiosis division give four spermatids, each with 23 single stranded chromosomes


*first meiosis division gives two secondary spermatocytes, each with 23 chromosomes that become double stranded


*primary spermatocyte with 2n=46 chromosomes


*spermatogonium with 2n=46 chromosomes multiplied by mitosis

What is sperm adapted for? What does the head contain? What does the mid piece contain? What is the tail used for?

*adapted for reaching and fertilizing the egg


*head contains DNA and the acrosome contains enzymes for egg wall penetration


*midpiece contains mitochondria to form ATP energy for motility


*tail is flagellum used for locomotion

In a male, what does the hypothalamus secrete? The anterior pituitary secrete?

*hypothalamus secretes gonadotropin releasing hormone (GnRH)


*anterior pituitary secretes FSH and LH

What does FSH cause?

It causes sertoli cells to secrete ABP and inhibin

What does LH cause?

It causes interstitial cells to secrete testosterone

What do ABP and testosterone stimulate?

They stimulate spermatogenesis.

What type of feedback controls testosterone and inhibin?

The control is negative feedback by increasing testosterone and inhibin.

What does the prostate secrete?

It secretes 30% of milky, slightly acidic seminal fluid with an antibiotic to kill bacteria

What do seminal vesicles secrete?

They secrete 60^ of clear, alkaline seminal fluid, with fructose sugar, ATP and prostaglandins for normal sperm nutrition and function.

What do Cowper's glands secrete?

It secretes clear, alkaline mucus to buffer and lubricate the urethra.

What is semen? What does it contain?

*mixture of sperms and seminal fluid


*slightly alkaline, milky appearance and sticky


*contains nutrients, clotting proteins, and an antibiotic to protect the sperms

What is the typical ejaculate volume?

2.5 to 5 mL in volume

What is normal sperm count? When is a male considered infertile?

*normal count is 50 to 150 million/mL


*actions of many sperm are needed for one to enter an egg


*male is considered infertile when they have less than 20 million/mL

What is an erection initiated by?

Initiated by mental, visual, and physical stimuli that send afferent signals to the sacral region of the spinal cord via the internal pudendal nerve.

What nerve send efferent parasympathetic signals for an erection?

The signals come from the spinal cord sacral region to the penis via the pelvic nerve.

What relaxes during an erection? What dilates? What becomes engorged with blood?

*Trabecular muscle of penis erectile tissue relaxes


*deep artery of the penis dilates


*erectile tissue becomes engorged with blood and the penis becomes erect

How is erectile dysfunction defined?

failure to obtain or maintain an erection

What is the erection pathway?

sexual stimulation --> nitric oxide --> active guanylate cyclase --> cGMP --> vasodilation and erection

How does Viagra work?

*in a normal person, cGMP causes vasodilation and erection


*in a male with ED, the cGMP is degraded by PDE5 to cause a loss of erection


*Viagra has phosphodiesterase inhibitors that keep the cGMP from being degraded, so the erection can happen

What happens during the emission stage?

*efferent sympathetic signal from spinal cord (L1 to L2)


*seminal fluids and sperm are propelled through ductus deferens, ejaculatory ducts, and ampulla into the penile urethra

What happens during the ejaculation stage?

*efferent sympathetic signals from spinal cord (L1 to S4)


*internal urethral sphincter contraction closes bladder


*bulbocavernosus muscle rhythmic contractions squeeze semen out through the urethra

What do the ovaries produce?

*eggs, also called oocytes


*hormones

What do uterine tubes transport?

They transport the eggs into the uterus

What happens in the uterus?

This is where fetal development occurs.

How is the vagina defined?

It is the birth canal.

What is the female external genitalia called?

The vulva

What do mammary glands produce?

Milk

What is an ovary? Describe it's histology.

*pair of organs, size of unshelled almonds in the upper pelvic region


*capsule is called tunica albuginea


*cortex just deep to capsule contains follicles with egg cells


*medulla is middle region composed of connective tissue, blood vessels, and lymphatics

What are the 3 functions of the ovarian follicles?

*contain egg cells (oocytes) in various stages of development


*secretes estrogens


*mature (graafian) follicle releases an oocyte each month during ovulation

What are the 4 functions of estrogen?

*growth and repair of uterine lining


*regulation of monthly female cycle


*female secondary sexual characteristics


*maintenance of bone and muscle

What are the two stages of follicular development? Describe both stages.

1. Primordial follicle: single layer of squamous cells around the oocyte.


2. Primary follicle: many layers of cuboidal granulosa cells around the oocyte




*granulosa cels secrete estrogens

What is the secondary follicle and what does it contain?

It is an antral cavity filled with antral fluid.


Where does a follicle mature? What happens after it matures?

*follicle matures in the graafian follicle


*after it matures, it is ready to ovulate oocyte

How is an oocyte released?

During ovulation, a follicle ruptures to release an oocyte.

After ovulation, what does an empty follicle become? What does it do?

*An empty follicle becomes a corpus luteum


*The corpus luteum secrete: progesterone, estrogen, relaxin, and inhibin.

What is the corpus albicans?

It is the white scar tissue left after the corpus luteum dies.

What does progesterone do?

It completes the preparation of uterine lining.

What does estrogen work with?

It works with progesterone.

What does relaxin do?

It relaxes the uterine muscle and pubic symphysis.

What does inhibin do?

It decreases secretion of FSH and LH.

What is the basic definition of oogenesis?

The process of an oogonia becoming an oocyte.

What is an oogonia?

Germ cells from yolk sac migrate to the ovary to become a potential egg cell called oogonia.

What produces oogonia? What happens to the oogonia in a fetus?

In a fetus, million of oogonia are produced by mitosis, but most of them degenerate (atresia).

What are primary oocytes?

During fetal development, some oogonia develop into immature egg cells called primary oocytes.

How many primary oocytes are present at birth? At puberty? How many mature?

*200,000 to 2 million present at birth


*40,000 remain at puberty


*only 400 mature during a woman's reproductive life

What happens to primary oocytes each month?

Each month, about 20 primary oocytes become secondary oocytes but usually only one survives to be ovulated from the graffian follicle.

What are fallopian tubes? They extend from where to where?

*narrow, 4 inch tubes


*extend from ovary to the uterus


*contains infundibulum, fimbriae, ampulla, and isthmus

In the fallopian tubes, what is infundibulum?

It is an open, funnel shaped portion near the ovary

In the fallopian tubes, what are fimbriae?

They are moving finger-like processes

What are ampulla in the fallopian tubes?

They are the central region of the tube

What is the isthmus of the fallopian tubes?

The narrowest portion that joins the uterus

What are the five functions of the fallopian tubes?

*fimbriae sweep oocyte into tube


*cilia and peristalsis move it along


*sperm reaches oocyte in ampulla


*fertilization occurs within 24 hours after ovulation


*zygote reaches uterus about 7 days after ovulation

What is the uterus the site of?

The site of menstruation and development of the fetus

Describe the uterus.

*3 inches long by 2 inches wide and 1 inch thick


*subdivided into the fundus, body, and cervix


*interiorly contains uterine cavity connected to the cervical canal

What three layers are in the uterus?

*endometrium


*myometrium


*perimetrium

Describe the endometrium of the uterus.

*simple columnar epithelium


*stroma of connective tissue and endometrial glands


*functional layer shed during menstruation


*basal layer replaces functional layer each month


*this is where the fertilized egg is implanted

Describe the myometrium of the uterus.

3 layers of smooth muscle



Describe the perimetric of the uterus.

visceral peritoneum

What is the vagina used for?

A passageway for fetus birth, menstrual blood flow, and intercourse.

Describe the vagina.

*4 inches long, fibro-muscular organ ending at the cervix


*lies between the urinary bladder and rectum


*orifice partially closed with hymen membrane


*externally covered by the vulva

What are the mammary glands?

They are modified sweat glands that produce milk

What determines breast size?

the amount of adipose tissue

What is the areola?

the pigmented area around the nipple

Where do milk secreting alveoli open?

They open by lactiferous ducts at the nipple

What do suspensory cooper's ligaments do?

They suspend the breast from the deep fascia of pectoral muscles

In milk production and secretion, what does estrogen do?

It develops the ducts system in the breasts

In milk production and secretion, what does progesterone do?

It develops the milk secreting glands which are called alveoli.

In milk production and secretion, what does prolactin do?

Stimulates milk synthesis in the alveoli

In milk production and secretion, what does oxytocin do?

Stimulates milk ejection from the alveoli

What stimulates milk ejection?

Nursing stimulates the hypothalamus to produce oxytocin

Where is oxytocin secreted from? What does it cause? What type of feedback is it?

*secreted from posterior pituitary


*causes smooth muscles around alveoli to contract and squeeze milk into lactiferous ducts, lactiferous sinuses and into the nipple


*operated by positive feedback

What is the route of positive feedback for milk ejection?

1. Receptors in nipples stimulated


2. Impulses propagated to spinal cord


3. Stimulation of hypothalamic nuclei


4. Oxytocin released


5. Milk ejected

What surges at each feeding?

Prolactin surges, starts after pregnancy ends and routine feedings begin

What is the hormonal cycle?

*monthly cycle of changes in ovary and uterus


*controlled by monthly hormonal cycle from the hypothalamus, anterior pituitary, and ovary

What is the ovarian cycle?

Changes in ovary during maturation of the follicle and oocyte, ovulation and corpus luteum formation

What is the uterine cycle?

*preparation of the uterus to receive fertilized ovum


*if implantation does not occur, the functional layer of the endometrium is shed during menstruation


*changes in the uterine endometrium lining

What is GnRH secreted from? What does it stimulate?

Gonadotropin Releasing Hormone (GnRH) is secreted by the hypothalamus. It stimulates the anterior pituitary gland to secrete follicle stimulating hormone (FSH) and Luteinizing Hormone (LH).

What do FSH and LH target? What do they do?

They target the ovaries and drive the ovarian cycle secretion of estrogens and progesterone

What do estrogens and progesterone do?

They are from the ovaries and drive the uterine cycle endometrial changes

What is the route of hormonal regulation of the reproductive cycle?

GnRH --> FSH + LH --> estrogen + progesterone

What happens during the follicular phase of the ovarian cycle?

*FSH from anterior pituitary stimulates follicle growth


*primordial follicle grows into graafian (mature) follicle


*granulosa cells of follicle secrete estrogens and inhibin


*increasing levels of estrogens and inhibin inhibit FSH


*increasing estrogens also stimulates secretion of LH

What happens during ovulation of the ovarian cycle?

*LH stimulates the rupture of the graafian follicle and release of oocyte from ovary


*fimbriae of fallopian tube picks up the ovulated oocyte

What happens during the luteal phase of the ovarian cycle?

*LH stimulates development of corpus luteum from ovulated or ruptured follicle


*corpus luteum secretes mostly progesterone and some estrogens


*progesterone prepares endometrium for possible pregnancy

What happens during the proliferative phase of the uterine cycle?

Rising estrogen levels from the growing follicle stimulates growth of the functional layer of the endometrium to 4 to 10 mm thickness

What happens during the secretory phase of the uterine cycle?

*corpus luteum of ovary secretes progesterone



What does progesterone stimulate in the uterine cycle?

*increased thickening of the functional layer of the endometrium to 12 to 18 mm


*increased blood supply into the endometrium


*growth of endometrial glands and secretion of uterine milk

What happens during the menstruation phase of the uterine cycle?

*decline in progesterone levels causes functional layer of endometrium to discharge resulting in vaginal bleeding called menstruation


*marks the end of one cycle and the beginning of the next cycle

If there is no pregnancy, what happens during menstruation?

*increasing levels of progesterone causes negative feedback that inhibits LH secretion


*after about two weeks corpus luteum atrophies to corpus albicans (white body)


*progesterone and estrogen levels decline


*functional layer of endometrium discharged into first five days and the next cycle

What declines when the corpus luteum dies?

*progesterone levels


*estrogen levels


*inhibin levels

At the start of a new cycle, what stops? What starts?

Inhibition of GnRH, FSH, and LH. The renewed secretion of these hormones starts a new cycle of follicle growth in ovaries and endometrium preparation in the uterus.

Where is the zygote implanted? What does it form?

It is implanted in the endometrium and forms the blastocyte.

What secretes hCG?

Human Chorionic Gonadotropin is secreted from the outer chorionic layer of the blastocyst

What does hCG do?

It maintains the corpus luteum growth and secretion of progesterone and estrogens

What does the corpus luteum do for pregnancy?

It maintains pregnancy for the first trimester until it degenerates at 12 to 17 weeks of gestation

What happens after the corpus luteum degenerates?

The placenta then takes over and secretes progesterone, estrogens, human chorionic gonadotropic and somatomammotropin.

What is the duration of pregnancy?

It is 280 days from the last menstrual period date

What is pregnancy term?

It is described in three month intervals called trimesters.


What are the four age based terminology terms used for a developing baby?

*blastocyst: less than 2 weeks old


*embryo: from 2 to 8 weeks old


*fetus: 9 weeks to birth


*neonate: newborn to 6 weeks old

What hormones start being produced at ovulation?

hCG, estradiol and progesterone

Four to eight weeks after the last menstrual period, what hormone peaks during pregnancy? When does the hormone decrease?

hCG--it decreases at week 24 and then stays constant

What hormones increase at 24 weeks past the last menstrual period?

Estradiol and progesterone increase until pregnancy completes

What are the stages of childbirth?

*early dilation stage


*late dilation stage


*expulsion stage


*placental stage



What contraceptive devices are available?

*male condom


*female condom


*diaphragm with contraceptive jelly


*foam with applicator


*birth control pills


*IUD