Chapter 22 The Reproductive Systems Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Sexual Reproduction • Gametes—sex cells that fuse at fertilization to form a one-celled zygote. – Sperm—gamete from the male parent – Ovum—gamete from the female parent 2 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 3 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • Testes—gonads of men • Testes in scrotum—lower temp • Covered by tunica albuginea, which divides testis into lobules containing seminiferous tubules • Interstitial cells produce testosterone 4 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 5 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 6 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • Testes – Functions • Spermatogenesis is process of sperm production – Meiosis forms four spermatids with 23 chromosomes • Head contains genetic material • Acrosome contains enzymes to assist sperm in penetration of ovum • Mitochondria provide energy for movement 7 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 8 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 9 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • Testes • Production of testosterone by interstitial cells –Testosterone “masculinizes” and promotes development of male accessory organs –Stimulates protein anabolism and development of muscle strength 10 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • Reproductive ducts—sperm pass after exiting testes until they leave the body – Epididymis—coiled tube about 6 m in length; lies along the top and behind the testis in the scrotum • Sperm mature and develop the capacity for motility as they pass through the epididymis • Epididymitis—painful inflammation 11 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • Reproductive ducts – Ductus (vas) deferens—receives sperm from the epididymis and transports them from scrotum out of body • Passes through inguinal canal • Joins duct of seminal vesicle to form the ejaculatory duct 12 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 13 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • Accessory sex glands – Semen (seminal fluid): mixture of sperm and secretions of accessory sex glands • Averages 3 to 5 mL per ejaculation • Each milliliter contains about 100 million sperm – Seminal vesicles • Produce about 60% of seminal fluid volume • Secretion is yellowish, thick, and rich in fructose to provide energy needed by sperm for motility 14 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System – Prostate gland • • • • Shaped like a doughnut and located below bladder Urethra passes through the gland Milk-colored secretion ~30% of seminal fluid volume Activates sperm Bulbourethral (Cowper) glands • Resemble peas in size and shape • Secrete mucus-like fluid (5% of seminal fluid volume) that lubricates terminal portion of urethra 15 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Male Reproductive System • External genitals – Penis and scrotum called genitalia – Penis has three columns of erectile tissue • Two dorsal columns called corpora cavernosa • One ventral column surrounding urethra called corpus spongiosum – Glans penis—distal end of penis • Covered by foreskin (prepuce) • Surgical removal of foreskin called circumcision 16 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 17 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Male Reproductive System • May cause infertility • Disorders of the testes – Oligospermia—low sperm production – Cryptorchidism—undescended testes – Testicular cancer—most common in young adult men ages 25 to 35 18 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Male Reproductive System • Disorders of the prostate – Benign prostatic hypertrophy—enlargement of prostate common in older men – Prostate cancer is a leading cause of cancer deaths in men over age 50 – Brachytherapy—small radioactive “seeds” placed in prostate 19 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 20 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 21 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System • Ovaries • • • • Paired glands weighing about 3 g each Resemble large almonds Attached to pelvic cavity on each side of uterus Microscopic structure – Ovarian follicles— immature oocyte, 1 million at birth – About 400,000 at puberty – About 350 to 500 mature follicles ovulate during the reproductive lifetime 22 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 23 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System • Oogenesis—meiotic cell division produces daughter cells with equal chromosome numbers (23) but unequal cytoplasm – Resulting ovum is large – Polar bodies are small and degenerate • Production of estrogen and progesterone – Granulosa cells surrounding the oocyte in the mature and growing follicles produce estrogen – Corpus luteum produces progesterone 24 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System • Production of estrogen and progesterone – Estrogen causes development and maintenance of secondary sex characteristics – Progesterone stimulates secretory activity of uterine epithelium and assists estrogen in initiating menses 25 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System • Reproductive ducts – Uterine (fallopian) tubes (or oviducts) • Extend 10 cm from uterus into abdominal cavity • Expanded distal end surrounded by fimbriae 26 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System – Uterus • Surgical removal called hysterectomy – Removal may be abdominal, vaginal, or laparoscopic – Total hysterectomy—removal of body and cervix of uterus – Subtotal hysterectomy—removal of body of uterus only (cervix remains) 27 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 28 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Uterine Wall • Three layers 1. Perimetrium: serous layer (visceral peritoneum) 2. Myometrium: interlacing layers of smooth muscle 3. Endometrium: mucosal lining Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 30 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. • Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region. • http://vimeo.com/endometriosis/en 31 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System – Vagina • Distensible tube about 10 cm long • Located between urinary bladder and rectum in the pelvis • Receives penis during intercourse and is birth canal for delivery of baby 32 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System – Breasts • Size determined by fat quantity more than amount of glandular (milk-secreting) tissue • Lactiferous ducts drain at nipple, which is surrounded by pigmented areola • Lymphatic drainage leads to spread of cancer cells to other body areas 33 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 34 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System 35 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System – Phases • Menses—about the first 4 or 5 days of the cycle; varies somewhat – Characterized by sloughing of bits of endometrium (uterine lining) with bleeding – First day of flow is day 1 of menstrual cycle • Proliferative phase—days between the end of menses and secretory phase; varies in length – The shorter the cycle, the shorter the proliferative phase; longer the cycle, longer the proliferative phase – Characterized by repair of endometrium 36 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Female Reproductive System • Secretory phase—days between ovulation and beginning of next menses – Characterized by further thickening of endometrium and secretion by its glands in preparation for implantation of fertilized ovum – Combined actions of the anterior pituitary hormones FSH and LH cause ovulation – Sudden sharp decrease in estrogens and progesterone bring on menstruation if pregnancy does not occur 37 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 38 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 39 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 40 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Female Reproductive System • Tumors and related conditions – Myoma, or fibroids—benign tumors of the uterus – Polycystic ovary syndrome (PCOS)— enlarged ovaries with many fluid-filled cysts • Affects 10% of reproductive-age women • Most common cause of female infertility 41 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 42 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. PCOS: Polycystic Ovary Syndrome 43 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Female Reproductive System – Ovarian cysts—fluid-filled enlargements; usually benign • Follicular cysts—most common • Luteal cysts—most symptomatic • Most resolve in 60 days – Endometriosis—presence of functioning endometrial tissue outside the uterus 44 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Female Reproductive System – Breast cancer is the most common type of cancer in women – Ovarian cancer can result from metastasis of breast cancer or can arise independently – Cervical cancer is often detected by a Papanicolaou test (Pap smear) – Infertility can result from factors such as infection and inflammation, tumors, and hormonal imbalances 45 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 46 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Summary of Male and Female Reproductive Systems • Organs of reproductive system adapted for specific sequence of functions that permit development of sperm or ova followed by successful fertilization and normal development and birth of offspring • Male organs produce, store, and ultimately introduce mature sperm into female reproductive tract 47 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 48 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Hormonal Changes During Pregnancy • Human chorionic gonadotropin (hCG) – Secreted by trophoblast cells, later chorion – Prompts CL to continue secretion of progesterone and estrogen – hCG rise until end of second month, then decline as placenta secrete progesterone and estrogen Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. 50 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Estrogen Oxytocin (+) from placenta from fetus and mother’s posterior pituitary Induces oxytocin receptors on uterus Stimulates uterus to contract Stimulates placenta to make (+) Prostaglandins Stimulate more vigorous contractions of uterus Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc. Figure 28.17 Summary of Male and Female Reproductive Systems • Female system produces ova, receives the sperm, and permits fertilization followed by fetal development and birth, with lactation afterward • Production of sex hormones is required for development of secondary sex characteristics and for normal reproductive functions in both sexes 52 Mosby items and derived items © 2010, 2006, 2002, 1997, 1992 by Mosby, Inc., an affiliate of Elsevier Inc.