Because learning changes everything. ® Chapter 22 Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Introduction • Male and female reproductive systems are connected sets of organs and glands. • Secrete hormones to regulate reproductive processes • Develop & maintain secondary sex characteristics. • Reproductive organs produce and nurture sex cells and transport them to sites of fertilization. Meiosis and Sex Cell Production • Testes (male gonads): Produce sex cells are called sperm. • Ovaries (female gonads): Produce sex cells are called ova (oocytes, eggs). • Sex cells have 1 set of genetic instructions found on 23 chromosomes, • Other body cells have 46 chromosomes • When the sperm and egg unite at fertilization, the genetic information carried on 46 chromosomes is restored. • Sex cells are produced by a special type of division called meiosis. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Figure 22.1 Homologous Chromosomes Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 3 Meiosis and Sex Cell Production2 • Body Cells are diploid: containing 46 chromosomes arranged in 23 homologous pairs (includes the cells that form the gametes • Homologous chromosomes contain the same gene for the same characteristics (ex: hair color) • The genes may not be identical, because a gene may have variants (ex: Brown hair; red hair) • Prior to meiosis, each chromosome replicates • The original chromosome and the copy are called chromatids and are connected by a centromere. Meiosis includes 2 successive divisions, called the first (meiosis I) and second (meiosis II) meiotic divisions. 1) Meiosis I separates homologous (the same, gene for gene) pairs of chromosomes: • Results in haploid cells, which contain 1 set of chromosomes; these chromosomes are still replicated, containing 2 chromatids. 2) Meiosis II separates the chromatids, producing cells that are still haploid, but whose chromosomes now have 1 chromatid. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. First Meiotic Division There are 4 phases in Meiosis I: Prophase I: • Involves synapsis: pairing of homologous chromosomes. • Each daughter cell receives only 1 replicated member of each chromosome pair; this reduces the chromosome number by half. Telophase I: • Crossover occurs: exchange of genetic Cell divides completely, forming 2 new material between homologous daughter cells. chromosomes, to produce chromosomes with genetic information from both parents. Metaphase I: • Chromosome pairs line up on midline of spindle. • Alignment is random, with respect to maternal or paternal origin. Anaphase I: • Homologous chromosome pairs separate, each replicated member migrating to a different pole. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Figure 22.2 First Meiotic Division After pairing, or synapsis, of homologous chromosomes occurs, chromatids engage in crossing over, in which recombination occurs. This results in new genetic combinations, and ensures that each new organism is unique. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Second Meiotic Division Meiosis II begins after Telophase I. This division is similar to mitosis. There are 4 phases in Meiosis II: Prophase II: • This division ends with each sex cell having 1 set of genetic instructions, or 23 chromosomes, compared to 2 sets (46 chromosomes) in other cells. Chromosomes condense and reappear, still replicated. Metaphase II: • Replicated chromosomes attach to spindle fibers, along midline. Anaphase II: • Centromeres separate, and chromatids migrate to opposite poles. Telophase II: • Each of 2 cells produced in Meiosis I divides into 2 daughter cells. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Crossing Over in Meiosis Crossing over during meiosis results in recombination of genetic material, which provides for unique combinations of traits in offspring. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Organs of the Male Reproductive System Functions of the male reproductive organs: • To develop and maintain male sex cells (sperm). • To transport sperm and fluids to outside of body. • To synthesize male sex hormones. Primary sex organs, or gonads, are the 2 testes, in which sperm cells, or spermatozoa, and the male sex hormones are produced. The other structures are the accessory sex organs, both internal and external. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Descent of the Testes In a male fetus, the testes originate from masses of tissue behind the parietal peritoneum, near the kidneys. Usually 1 – 2 months before birth, testosterone produced by the developing testes triggers their descent into the Scrotum. • The gubernaculum aids the descent through the inguinal canal. After descent, spermatic cord contains the ductus deferens, blood vessels, and nerves. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Structure of the Testes Tunica albuginea: Interstitial cells (cells of Leydig): • Tough, fibrous capsule enclosing • Lie between seminiferous tubules. each testis. • Produce and secrete male sex Lobules: hormones. • About 250 compartments in testis, Rete testis: separated by connective tissue • Channels that transport sperm from septa. testis to epididymis Seminiferous tubules: Epididymis: • Highly coiled tubules inside lobules. • Coiled tube on surface of testis, that • Lined with a special stratified transports sperm from rete testis to epithelium containing spermatogenic ductus deferens cells that give rise to sperm cells. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Figures 22.7 and 22.8 Structure of the Testes Right: © McGraw-Hill Education/Al Telser Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 12 Male Internal Accessory Organs The male internal accessory organs nurture and transport sperm cells: • Epididymides. • Ductus deferentia. • Ejaculatory ducts. • Urethra. • Seminal vesicles. • Prostate gland. • Bulbourethral glands. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Epididymides Epididymides: Singular is epididymis • • • • • Narrow, tightly coiled tubes at top of each testis. Connected to ducts in the testis. Run between testis and ductus (vas) deferens. Promote maturation of sperm cells. Lined with pseudostratified columnar epithelium with nonmotile cilia. © Image Source/Getty Images Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Ductus (Vasa) Deferentia Ductus deferentia: Singular is ductus (vas) Deferens • Muscular tubes, 45 cm long. • Part of the spermatic cord. • Each extends from the epididymis to the ejaculatory duct. • Lined with pseudostratified columnar epithelium. both: McGraw-Hill Education/Al Telser Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill©LLC. Seminal Vesicles Seminal Vesicles: Also called seminal glands • Each is attached to a ductus deferens near base of the urinary bladder. • Secrete alkaline fluid, which regulates pH in male and female tracts. • Secrete fructose and prostaglandins. • Contents empty into the ejaculatory duct. • Contributes most of volume of semen. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Prostate Gland Prostate Gland: • Surrounds the proximal portion of • • • • • • • the urethra. Lies just inferior to urinary bladder. The ducts of the gland open into the urethra. Composed of tubular glands in connective tissue. Also contains smooth muscle. Secretes a thin, milky, alkaline fluid. • Prostate specific antigen • Fructose Secretion enhances sperm motility. Contributes to volume of semen. © Kage Milkrofotografle/Medical Images Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Clinical Application 22.1 Prostate Cancer • Many cases are slow-growing, and do not require treatment, but some cases are serious or even fatal. • Diagnosed with help of a rectal exam, to check for enlarged prostate. • Some men experience frequent and slowed urination. • Blood test for elevated prostate-specific antigen (PSA) is used in diagnosis. • PSA may be elevated above normal due to inflammation (prostatitis) or enlargement (benign prostatic hyperplasia). • A man with prostate cancer can also have a normal level of PSA. • When cancer cells are present, excess PSA is produced. • Biopsy is done for a man with an enlarged prostate and elevated PSA. • Treatments include surgical removal of prostate gland, radiation, and hormones. • New tests measure expression of specific genes that change activity significantly when the disease spreads. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Bulbourethral Glands Bulbourethral Glands: • • • • Also called Cowper’s glands. Inferior to the prostate gland. Secrete mucus-like fluid. Fluid released in response to sexual stimulation. • Lubricates end of penis. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Semen Semen: • • The fluid transported by urethra to the outside of the body during ejaculation Contains sperm + various secretions of the accessory reproductive glands Semen composition and properties: • Contains sperm cells from the testes. • Contains secretions of the seminal vesicles, prostate gland, and bulbourethral glands. • Slightly alkaline, pH = 7.5. • Contains prostaglandins. • Contains nutrients. • Volume is 2 - 5 mL of semen per ejaculation. • Averages 120 million sperm cells per mL of semen. • Sperm begin to swim as they mix with secretions of accessory glands. • Sperm cannot fertilize egg until they go through capacitation in female tract, which weakens acrosome (cap over sperm head) Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Clinical Application 22.2 Male Infertility: • Inability of sperm cells to fertilize an oocyte. Causes of male infertility: • Failure of testes to descend into scrotum during fetal development. • Inflammation of testes from certain diseases, such as mumps. • Poor-quality sperm: abnormal head, acrosome or tail. • Low sperm count, less than 20 million/mL of ejaculate. Computer-aided sperm analysis (CASA): • Technique used to evaluate a man’s fertility. • Analyzes sperm count, sperm motility, size and shape of sperm parts Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Male External Reproductive Organs Male external reproductive organs: Scrotum, and the penis: Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Scrotum Scrotum: • Pouch of skin and subcutaneous tissue, located behind penis. • Subcutaneous tissue lacks fat. Dartos muscle: Smooth muscle in subcutaneous tissue • Contracts and relaxes in response to temperature changes • Keeps the testes at optimal temperature for sperm production and survival (~ 5o F below body temperature) • Medial septum divides the scrotum into 2 chambers: • Each chamber is lined with a serous membrane. • Each chamber houses a testis and epididymis. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Penis Penis: • Conveys urine and semen through urethra to outside of body. • Specialized to become erect for insertion into the vagina during sexual intercourse. Body (shaft) contains 3 columns of erectile tissue: • 2 corpora cavernosa. • 1 corpus spongiosum, which surrounds urethra. Glans penis is distal enlargement of corpus spongiosum. Prepuce (foreskin) is covering of glans penis; removed during circumcision. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Erection, Orgasm, and Ejaculation Erection: • During sexual stimulation, parasympathetic nerve impulses release nitric oxide, which dilates arteries of penis • Pressure of arterial blood compresses veins • Blood accumulates in the erectile tissues • Penis swells and elongates Orgasm: • Culmination of sexual stimulation • Pleasurable feeling of physiological and psychological release • Accompanied by emission and ejaculation: • Emission is the movement of semen into the urethra • Ejaculation is the movement of semen out of the urethra • Dependent on sympathetic nerve impulses Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 25 Erection, Orgasm, and Ejaculation Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Formation of Sperm Cells Sustentacular (Sertoli) Cells: • • Spermiogenesis: Large cells, spanning the entire thickness of • the epithelium of a seminiferous tubule Support and nourish spermatogenic cells throughout their development into sperm Sperm formation sequence: • Spermatogonia → primary spermatocytes → secondary spermatocytes → spermatids → spermatozoa. • Meiosis reduces the number of chromosomes in each cell by half. The development of spermatids into sperm. Spermatogenesis: • Combined processes of meiosis and spermiogenesis. Spermatocytes arise from spermatogonia. During spermatogenesis, 4 sperm cells are produced from meiosis of 1 primary spermatocyte. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Formation of Sperm Cells During spermatogenesis: • Spermatogonia replenish themselves • also give rise to spermatocytes, which develop into sperm. As the stages of spermatogenesis continue • the developing sperm migrate from the outer edge of the seminiferous tubule to the lumen. Sustentacular cells support the entire process. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Structure of a Sperm Cell Sperm cell is a tiny tadpole-shaped structure. Parts of a sperm cell: Head: • Nucleus contains 23 chromosomes. • Acrosome: cap over the nucleus, which contains enzymes that aid in penetrating layers around oocyte during fertilization. Tail (flagellum): • Contains many microtubules enclosed in extension of cell membrane; lashing movement propels the sperm toward the egg. Midpiece: • Contains many mitochondria, which provide ATP for swimming. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Hormonal Control of Male Reproductive Function Male reproductive functions: • Controlled by hormones secreted by the hypothalamus, the anterior pituitary gland, and the testes. Hormones: • Initiate and maintain sperm cell production • Oversee the development and maintenance of male secondary sex characteristics, which are special features associated with the adult male body. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Male Sex Hormones Androgens. • Male sex hormones • Interstitial cells in the testes produce most of them, but small amounts are made in the adrenal cortex. • Testosterone is the most important androgen. • • Secretion begins during fetal development and continues until several weeks after birth, after which secretion nearly stops during childhood. Secretion begins again during puberty and continues throughout life. • Dihydrotestosterone (DHT): • Androgen derivative of testosterone • Acts on cells in prostate gland, seminal vesicles, external accessory organs Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Actions of Testosterone Prior to birth: • Development of male reproductive organs. • Descent of testes into scrotum. During puberty: • Enlargement of testes (primary sex characteristic) and accessory organs of male reproductive system. • Development of secondary sex characteristics, which continue after puberty: • Increased growth of body hair. • Sometimes decreased growth of scalp hair. • Enlargement of the larynx and thickening of the vocal cords. • Thickening of the skin. • Increased muscular growth. • Thickening and strengthening of the bones. Testosterone also increases rate of red blood cell production and cellular metabolism. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Organs of the Female Reproductive System Specialized functions of the female reproductive organs: Primary female sex organs (gonads) are ovaries. • Produce female sex cells (egg cells, or oocytes). • Transport oocytes to site of fertilization. • Provide favorable environment for developing offspring. • Transport offspring to outside the body. • Produce female sex hormones. • Accessory (secondary) female sex organs are the internal and external reproductive organs. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Ovaries and Ovarian Attachments The ovaries are solid, oval structures which lie in the lateral wall of the pelvic cavity. Several ligaments hold each ovary in position: • Broad ligament: • Largest ligament; holds ovary in place and is also attached to the uterine tubes and uterus. • Suspensory ligament: • Holds the ovary at the upper end. • Ovarian ligament: • Attaches lower end of ovary to uterus. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Ovaries Ovary Descent • The ovaries develop from masses of tissue posterior to the parietal peritoneum, near the developing kidney. • The ovaries descend to locations just inferior to the pelvic brim, where they remain attached to the lateral pelvic wall. Ovary Structure • The ovarian medulla • Mostly loose connective tissue • Contains many blood vessels, lymphatic vessels, and nerve fibers. • The ovarian cortex • Contains tiny masses of cells called ovarian follicles • Egg cells develop inside these follicles. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Female Internal Accessory Reproductive Organs Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Uterine Tubes Uterine tubes: • Also called fallopian tubes or oviducts. • Tubular organ that transports ovulated egg cell from ovary to uterus. • End near ovary is funnel-like infundibulum with extensions called fimbriae. • Fimbriae lie in close proximity to ovary, so they pick up ovulated egg cell. • Mucosa is lined with cilia, which aid in transport of egg down uterine tube. • Peristaltic contractions help move secondary oocyte down the uterine tube • Fertilization occurs in uterine tube a: without © McGraw-Hill Telser; b: © Steve Source RF Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution the priorEducation/Al written consent of McGraw Hill Gschmeissner/Science LLC. Uterus Uterus: • Hollow, muscular, pear shaped organ. • Receives the embryo and sustains its development. • Attached to pelvic walls by broad ligament and round ligament. Regions of uterus: • Body: upper 2/3 ; has dome shaped top (fundus). • Cervix (or neck): lower 1/3; partially extends into upper vagina. Layers of uterine wall: • Endometrium (mucosa). • Myometrium (muscle layer). • Perimetrium (serosa). Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Vagina Fibromuscular tube that runs Wall of vagina has 3 layers: between the uterus and the outside 1) Inner mucosal layer of stratified squamous epithelium. of body. • Conveys uterine secretions • Receives the penis during intercourse • Provides a passageway for offspring during birth. • Surrounds end of cervix. 2) 3) Middle muscular layer. Outer fibrous layer. Fornices: recesses between upper vaginal wall and cervix. Vaginal orifice: • Partially enclosed by hymen, a thin layer of connective tissue and stratified squamous epithelium. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Female External Reproductive Organs The female external reproductive organs surround the openings of the urethra and vagina, and are known as the vulva; Vestibule: Labia majora: • Space between the labia minora that • Rounded folds of adipose tissue and encloses the vaginal and the urethral skin openings. • Enclose and protect the other external reproductive organs. • The vestibular (Bartholin’s) glands secrete mucus into the vestibule during • Merge to form a rounded elevation sexual stimulation. over the symphysis pubis, the mons pubis. Labia minora: • Flattened, longitudinal folds between the labia majora. • Well supplied with blood vessels. • At anterior end, they form a hood-like covering around clitoris. Clitoris: • Small projection between labia minora, at anterior end of vulva. • Corresponds to the male penis; composed of 2 columns of erectile tissue. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Erection, Lubrication, and Orgasm Erection: Orgasm: • • Clitoris responds to sexual stimulation. • Sexual stimulation ends with orgasm, pleasurable feeling of physiological and psychological release. • Erectile tissues in clitoris and around vaginal entrance respond to sexual stimulation. Nitric oxide dilates arteries in erectile tissue, expanding vagina. • Lubrication: • Sexual stimulation causes vestibular glands to secrete mucus into vestibule. • Mucus lubricates vestibule and vagina, to aid in intercourse. Muscles of perineum, uterus, and uterine tubes contract rhythmically, which helps transport sperm toward uterine tubes. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Primordial Follicles During prenatal development of a female primordial germ cells called oogonia divide by mitosis to produce more oogonia in the fetal ovaries. • The oogonia develop into primary oocytes. Each primary oocyte is closely surrounded by a layer of flattened epithelial cells called follicular cells, forming a primordial follicle. • • Early in fetal development, primary oocytes begin the process of meiosis The process soon stops, and does not start again until puberty. Once the primordial follicles are produced during fetal development, no new ones are produced. The number of oocytes continually declines • 90% of the primordial follicles present at birth are lost to apoptosis (programmed cell death) between birth and early adulthood. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Oogenesis Oogenesis is the process of egg cell formation. a) Beginning at puberty, some primary oocytes continue meiosis (Meiosis I), creating diploid cells. b) Primary oocyte divides • • Forms a large secondary oocyte and a small first polar body; Secondary oocyte is a future ovum (egg cell), which may be fertilized by a sperm in the future. c) Secondary oocyte starts Meiosis II, then stops at Prophase II • • When fertilized, oocyte finishes Meosis II resulting in a tiny second polar body and a zygote (fertilized egg). Polar bodies allow for the formation of an egg cell with large amounts of cytoplasm and organelles, and a haploid number of chromosomes. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Follicle Maturation 1 At puberty • Anterior pituitary gland secretes increased amounts of FSH, and the ovaries enlarge in response. With each reproductive cycle, some of the primordial follicles mature into primary follicles: • Primary oocyte enlarges. • Follicular cells proliferate into several layers of granulosa cells. • Zona pellucida, a glycoprotein layer, forms between oocyte and granulosa cells. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Follicle Maturation 2 While a follicle is developing, ovarian (follicular) cells outside follicle organize into layers: • Inner vascular layer (theca interna) produces steroids (estrogens & progesterone. • Outer vascular layer (theca externa) consists of connective tissue. a) Follicular cells proliferate into 6 – b) 15 more days of development 12 layers. convert an antral follicle into a mature antral (preovulatory, or May take 150 days for primordial Graafian) follicle. follicle to become pre-antral follicle. • • Fluid-filled spaces form among the cells. • • a) Spaces merge into a large cavity called the antrum, Oocyte becomes pressed to 1 side of follicle. 65 – 70 days of development convert the pre-antral follicle into an antral follicle. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Follicle Maturation 3 Several primary follicles may begin maturing at any one time • Usually only the dominant follicle fully develops, and the others degenerate. • It takes about 300 days for a primordial follicle to develop into a mature antral follicle. Continuous process of follicle development in the ovaries • a new mature antral follicle ready for ovulation with each menstrual cycle. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Ovulation Close to end of follicle maturation, • Primary oocyte undergoes meiosis I, • Producing a secondary oocyte and first polar body Process of ovulation releases the secondary oocyte and first polar body from mature antral follicle Ovulation triggered by surge of LH released from anterior pituitary gland • Wall of follicle swells, weakens, and ruptures • Secondary oocyte and 1 or 2 layers of surrounding follicular cells are usually propelled to the opening of the nearby uterine tube by fimbriae Oocyte must be fertilized within hours, or it degenerates Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 47 Figure 22.31 Follicle During Ovulation © P.M. Motta and J. Van Blerkom/Science Source Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 48 Female Sex Hormones Androgens: • • Secreted by adrenal cortex Cause growth of pubic and axillary hair at puberty Estrogens and Progesterone: • • Secreted by ovaries, adrenal cortices, and the placenta during pregnancy: Estrogens: • Progesterone: • Stimulate enlargement of accessory reproductive organs. • Stimulates uterine changes during menstrual cycle. • Stimulate thickening of the endometrium. • Affects mammary glands. • Regulates secretion of gonadotropins. • Develop and maintain female secondary sex characteristics: • Breast and mammary gland duct development. • Increased adipose tissue in breasts, thighs, buttocks. • Increased vascularization of skin. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Menstrual Cycle Regular, monthly changes in the ovary and uterus which culminates in menstrual bleeding (menses). • • Begins around age 13 and continues into early 50s. Menarche: 1st reproductive cycle. Ovarian cycle • Hypothalamus secretes Gonadotropin Releasing Hormone (GnRH) that stimulates the anterior pituitary gland • Anterior pituitary gland secretes FSH & LH that regulate the ovary Uterine Cycle • Development of the endometrium is regulated by estrogen & progesterone secreted by the ovarian follicles Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Ovarian Cycle 1. Follicular phase: 2. If no fertilization • FSH & LH stimulate ovarian follicle maturation • Corpus luteum degrades corpus albicans • Follicles secretes estrogen • ↓ estrogen & progesterone no longer inhibits FSH & LH secretion Ovulation • Occurs on Day 14 If fertilization occurs • Surge in LH secretion stimulates • ovulation 3. Luteal Phase • Remaining follicle degrades corpus luteum • Corpus luteum continues to secrete estrogen & progesterone until the placenta forms. Estrogen & progesterone maintains the endometrium • Corpus luteum secretes estrogen & progesterone • Prepares endometrium for developing embryo • Inhibits FSH & LH secretion Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Uterine cycle 1) Proliferation phase • Estrogen causes endometrium to thicken • Occurs during the Follicular phase 2) Secretory phase • Occurs during the Luteal phase • Estrogens continue to stimulate endometrium development • Progesterone causes the endometrium to become more vascular & glandular Endometriosis • Endometrial tissue grows outside of the uterus (endometrial implant). • Most commonly in the ovaries, bowel or the tissue lining the pelvis. • Displaced endometrial tissue thickens & breaks down with each menstrual cycle 3) Menses • Corpus luteum Corpus albicans • ↓ estrogen & progesterone causes endometrium to disintegrate & slough off Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Menstrual Cycle Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Clinical Application 22.3 Female Infertility • Infertility: inability to conceive a child after 1 year of trying. • • Males and females contribute equally to infertility. 25% of cases due to more than one factor, according to the American Society for Reproductive Medicine. Causes of female infertility: • Anovulation: Hyposecretion of FSH and LH from anterior pituitary, and resulting lack of ovulation. • Endometriosis: Endometrial tissue grows in abdominal cavity; fibrosis occurs, which may encase ovary or obstruct uterine tubes. • Infections, such as gonorrhea • Can obstruct uterine tube, or cause production of a viscous mucus that prevents sperm from entering uterine tube. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Menopause Menopause (female climacteric): • The stopping of the menstrual cycles. • Usually occurs in the late 40s or the early 50s. • The ovaries no longer produce as much estrogens and progesterone as they did previously. • Some female secondary sex characteristics may disappear. • 50% of women experience hot flashes. • Migraine headaches, backaches and fatigue occur in some women. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Mammary Glands Mammary glands: • Specialized to secrete milk following pregnancy, to nourish baby. • The nipple of each breast is surrounded by a circular area of pigmented skin call the areola. • The mammary glands of males and females are similar. • As puberty is reached, ovarian hormones stimulate development of the mammary glands in females. A mammary gland is composed of 15 - 20 irregularly shaped lobes. • Each lobe contains alveolar glands, drained by alveolar ducts, which drain into a lactiferous duct that leads to the nipple and opens to the outside. • Dense strands of connective tissue form suspensory ligaments that support the breast. Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Birth Control Voluntary regulation of the number of & time offspring are conceived. • Requires some type of contraception, • a method which can avoid fertilization or prevent implantation. Coitus interruptus: Chemical barriers: • Withdrawing the penis prior to ejaculation • • Not very effective, since sperm can leave urethra before ejaculation. • Spermicides in form of creams, foams, and jellies Most effective when used with a mechanical barrier. Rhythm method: • • Requires abstinence from sexual intercourse 2 days before and 1 day after ovulation; Not very effective, since it is difficult to predict the exact time of ovulation. Mechanical barriers: • • Prevent sperm from entering female tract during sexual intercourse; Ex: male and female condoms; diaphragm Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Birth Control Methods 2 Combined Hormone Contraceptives: • Deliver estrogen and progesterone to prevent pregnancy. • Contain synthetic chemicals that function like estrogen and progesterone. • Disrupt normal FSH and LH secretion, which prevents follicle maturation and ovulation. • Also thicken cervical mucus to prevent sperm passage. • Various methods are used to deliver hormones. Other Hormone Contraceptives: • An intramuscular injection of medroxyprogesterone acetate • Prevents maturation & release of a secondary oocyte. • Protects for 3 months, Intrauterine Device (IUD): • Copper T (non hormonal) • Hormonal IUD Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. Birth Control Methods 3 Emergency Contraception: • Morning-after pill can be taken 3 to 5 days after intercourse • Works by temporarily stopping ovulation • Prevents pregnancy, but does not work if ovulation have already occurred Sterilization: • Surgical procedures that permanently prevent pregnancy Vasectomy (male): • Removal of a small section of ductus deferens, and cut ends are tied • Prevents sperm from leaving epididymis Tubal ligation (female): • Uterine tubes are cut, and ends are tied • Prevents sperm from reaching oocyte Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 59 Figure 22.36 Sterilization Methods Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 60 Sexually Transmitted Infections (STIs) Termed STIs instead of STDs (sexually transmitted diseases), because a person can be infected and contagious, without developing symptoms of the disease Symptoms of STIs: Pelvic inflammatory disease: • Burning sensation during urination • • Pain in the lower abdomen Complication associated with gonorrhea or chlamydia • Fever or swollen glands in the neck • Bacteria enter vagina and spread to reproductive organs • Discharge from the vagina or the penis • Can scar uterine tubes, resulting in infertility • Pain, itch, or inflammation in the genital or the anal area • Sores, blisters, bumps, or rashes • Itchy, runny eyes Acquired immune deficiency syndrome (AIDS): • HIV can be transmitted through semen (in unprotected sex), blood, milk • Causes deterioration of body’s immune defenses Copyright 2022 © McGraw Hill LLC. All rights reserved. No reproduction or distribution without the prior written consent of McGraw Hill LLC. 61