Chapter 19 Lecture PowerPoint Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Hole’s Human Anatomy and Physiology Twelfth Edition Shier w Butler w Lewis Chapter 19 Reproductive Systems Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 2 19.1: Introduction • Male and female reproductive systems are connected by a series of organs and glands that produce and nurture sex cells and transport them to sites of fertilization • Male sex cells are sperm • Female sex cells are eggs or oocytes • Sex cells are produced by a special type of division called meiosis • Meiosis includes two successive divisions , called the first (meiosis I) and second (meiosis II) meiotic divisions 3 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Second meiotic division First meiotic division (23 chromosomes, each with 2 chromatids) Paired homologous chromosomes (46 chromosomes, each with 2 chromatids) (23 chromosomes, each with 2 chromatids) (23 chromosomes, each chromatid now an independent chromosome) 4 First Meiotic Division • Meiosis I separates homologous (the same, gene for gene) pairs • They may not be identical because a gene may have variants • There are four phases in this division • Prophase I • Metaphase I • Anaphase I • Telophase I 5 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) (b) (c) 6 Second Meiotic Division • Meiosis II begins after telophase I • This division is similar to mitosis • There are four phases in this division: • Prophase II • Metaphase II • Anaphase II • Telophase II • This division completes with each sex cell having one set of genetic instructions, or 23 chromosomes (compared to two sets (46 chromosomes) in other cells) 7 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Parent cell Maternal chromatids Paternal chromatids Gene for blood type Gene for eye color Gene for hair color Result of crossing over 8 19.2: Organs of the Male Reproductive System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ureter Urinary bladder Superior pubic ramus (cut) Ductus (vas) deferens Large intestine Seminal vesicle Ejaculatory duct Prostate gland Urethra Corpus cavernosum Corpus spongiosum Penis Bulbourethral gland Urogenital diaphragm Anus Epididymis Glans penis Prepuce Testis Scrotum 9 (a) Testes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ureter Urinary bladder Ampulla Seminal vesicle Ejaculatory duct Bulbourethral gland Prostate gland Bulb of penis Crus of penis Root of penis Ductus (vas) deferens Epididymis Testis Penis Urethra Glans penis (b) Body of penis 10 Descent of the Testes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Abdominal wall Lower abdominal cavity Developing penis (a) Testis Rectum Gubernaculum Symphysis pubis Peritoneum Vaginal process (cavity) (b) Testis Inguinal canal Gubernaculum Ductus deferens Tunica vaginalis Scrotum (c) Spermatic cord Testis Gubernaculum 11 Structure of the Testes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Epididymis Ductus deferens Basement membrane Rete testis Spermatogenic cells Spermatogonia Seminiferous tubule Plane of section (a) Tunica albuginea Lumen of seminiferous tubule Testis Seminiferous tubules Interstitial cells (Cells of Leydig) Sperm cells Interstitial cells (cells of Leydig) Basement membrane Sperm cells © The McGraw-Hill Companies, Inc./Al Telser, photographer Spermatogonia (b) 12 Formation of Sperm Cells Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Secondary spermatocyte First meiotic division Primary spermatocyte Paired homologous chromosomes Second meiotic division Spermatids Sperm cells (23 chromosomes, each with 2 chromatids) (46 chromosomes, each with 2 chromatids) (23 chromosomes, each with 2 chromatids) (23 chromosomes, each chromatid now an independent chromosome) 13 Formation of Sperm Cells Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Changes in chromosome structure Spermatozoa (Sperm cells, 23 chromosomes, 1 chromatid per chromosome) Lumen of seminiferous tubule Sustentacular cells Developmental sequence Spermatid (23 chromosomes, 1 chromatid per chromosome) Nucleus of sustentacular cell Meiosis II Secondary spermatocyte (23 chromosomes, 2 chromatids per chromosome) Primary spermatocyte (46 chromosomes, 2 chromatids per chromosome) Meiosis I Tight junction between sustentacular cells (blood-testis barrier) Daughter cell in late interphase ( Type B Spermatogonium, 46 chromosomes 2 chromatids per chromosome) Spermatogonium mitosis Daughter cell in late interphase (New type A spermatogonium, 46 chromosomes 2 chromatids per chromosome) 14 Basement membrane Wall of seminiferous tubule Structure of a Sperm Cell Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Nucleus Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Flagellum Mitochondria Golgi apparatus Excess cytoplasm Excess cytoplasm and most organelles lost Mitochondria Centriole Tail Midpiece Head Acrosome Acrosome Head Nucleus (a) Midpiece (with mitochondria) Tail © Brand X Pictures/CORBIS 15 (b) Male Internal Accessory Organs • The male internal accessory organs include: • Epididymides • Ductus deferentia • Seminal vesicles Ampulla Seminal vesicle • Prostate gland Ejaculatory duct • Bulbourethral glands Bulbourethral Bulb of Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. gland penis Crus of penis Ureter Urinary bladder Prostate gland Root of penis Ductus (vas) deferens Epididymis Testis Penis Urethra Glans penis (b) Body of penis 16 Epididymides Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. • Tightly coiled tubes • Connected to ducts within the testis • Promote maturation of sperm cells Epithelial cells Nonmotile cilia Sperm cells 17 © Image Source Ductus Deferentia Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. • Are muscular tubes • About 45 centimeters each • Extends from the epididymis to the ejaculatory duct Lumen Epithelium Smooth muscle (a) Sperm in lumen of ductus deferens Pseudostratified columnar epithelium Smooth muscle 18 (b) © The McGraw-Hill Companies, Inc./Al Telser, photographer Seminal Vesicles • Attached to the vas deferens near base of the urinary bladder • Secrete alkaline fluid • Secrete fructose and prostaglandins • Contents empty into the ejaculatory duct Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ureter Urinary bladder Ampulla Seminal vesicle Ejaculatory duct Bulbourethral gland Epididymis Prostate gland Bulb of penis Crus of penis Root of penis Ductus (vas) deferens Testis Penis Urethra Glans penis (b) Body of penis 19 Prostate Gland • Surrounds the proximal portion of the urethra • The ducts of the gland open into the urethra • Secretes a thin, milky, alkaline fluid • Secretion enhances fluid mobility • Composed of tubular glands in connective tissue • Also contains smooth muscle Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Secretory cells of the prostate gland Smooth muscle Lumen of urethra Manfred Kage/Peter Arnold 20 Bulbourethral Glands • Inferior to the prostate gland • Secrete mucus-like fluid • Fluid released in response to sexual stimulation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ureter Urinary bladder Ampulla Seminal vesicle Ejaculatory duct Bulbourethral gland Epididymis Prostate gland Bulb of penis Crus of penis Root of penis Ductus (vas) deferens Testis Penis Urethra Glans penis (b) Body of penis 21 Semen • The fluid the urethra conveys to the outside during ejaculation is called semen • Semen consists of: • Sperm cells • Secretions of the seminal vesicles, prostate gland, and bulbourethral glands • It is slightly alkaline • Contains prostaglandins • Contains nutrients • Volume is 2-5 milliliters of semen per ejaculation • Average 120 million sperm cells per milliliter of semen 22 Male External Reproductive Organs • Includes the: • Scrotum • two testes Urinary bladder • Penis Superior pubic ramus (cut) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ureter Large intestine Seminal vesicle Ductus (vas) deferens Urethra Corpus cavernosum Corpus spongiosum Penis Glans penis Prepuce Ejaculatory duct Prostate gland Bulbourethral gland Urogenital diaphragm Anus Epididymis Testis Scrotum (a) 23 Scrotum • Pouch of skin and subcutaneous tissue • Dartos muscle – smooth muscle in subcutaneous tissue; contracts to cause wrinkling of the scrotum • Medial septum divides the scrotum into two chambers • Each chamber is lined with a serous membrane • Each chamber houses a testis and epididymis 24 Penis • Conveys urine and semen • Specialized to become erect for insertion into the vagina Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Superficial dorsal vein Deep dorsal vein Dorsal nerve Dorsal artery Deep artery Corpora cavernosa Skin Subcutaneous tissue Connective tissue (fascia) External urethral orifice (a) Tunica albuginea Urethra Corpus spongiosum Prepuce Glans penis (b) 25 Erection, Orgasm, and Ejaculation • The erection: • Parasympathetic nerve impulses • Blood accumulates in the erectile tissues • The orgasm: • Culmination of sexual stimulation • Accompanied by emission and ejaculation • The ejaculation: • Emission is the movement of semen into the urethra • Ejaculation is the movement of semen out of the urethra • This is largely dependent on sympathetic nerve impulses 26 Erection, Orgasm, and Ejaculation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Sexual stimulation Parasympathetic neurons release nitric oxide, causing dilation of small arteries to penis Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Culmination of intense sexual stimulation Veins are compressed, reducing blood flow away from penis Blood accumulates in the vascular spaces within erectile tissues of penis Sympathetic impulses contract smooth muscle Peristaltic contractions in testicular ducts, epididymides, ductus deferentia, and ejaculatory ducts Rhythmic contractions in erectile columns of penis Rhythmic contractions in bulbourethral glands, prostate gland, and seminal vesicles Emission—semen moves into urethra Penis swells and becomes erect Ejaculation—semen is forcefully expelled from urethra 27 28 19.3: Hormonal Control of Male Reproductive Functions • Hormones secreted by the hypothalamus, the anterior pituitary gland, and the testes control male reproductive functions • Hormones initiate and maintain sperm cell production and oversee the development and maintenance of male sex characteristics 29 Hypothalamic and Pituitary Hormones • The hypothalamus controls maturation of sperm cells and development of male secondary sex characteristics • Negative feedback among the hypothalamus, the anterior lobe of the pituitary gland, and the testes controls the concentration of testosterone 30 Male Sex Hormones • The male sex hormones are called androgens • Interstitial cells in the testes produce most of them, but small amounts are made in the adrenal cortex • Testosterone is the most important 31 Actions of Testosterone • 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 skeletal bones 32 Regulation of Male Sex Hormones Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Hypothalamus GnRH + – – Pituitary gland FSH Bloodstream Inhibin Androgens stimulate the development of male secondary sex characteristics and maturation of sperm cells Testosterone and other androgens Release into bloodstream + LH stimulates interstitial cells to secrete androgens (primarily testosterone) Androgens prevent oversecretion of LH Inhibin prevents oversecretion of FSH LH FSH stimulates meiosis in primary spermatocytes to form immature sperm cells; FSH stimulates secretion of inhibin by supporting cells Androgens prevent oversecretion of GnRH Stimulation Inhibition + 33 Testes 19.4: Organs of the Female Reproductive System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Uterine tube Ovary Uterus Urinary bladder Symphysis pubis Fimbriae Rectouterine pouch Fornix External os of Cervix Urethra Rectum Glans of Clitoris Vagina Labium minus Anus Labium majus Vaginal orifice (a) 34 19.4: Organs of the Female Reproductive System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Level of section Coccyx Inferior gluteal vein and artery Gluteus maximus m. Sciatic nerve Rectum Femur Levator ani m. Ureter Uterus Ischium Urinary bladder Femoral nerve, artery, and vein (b) Symphysis pubis Anterior 35 Ovarian Attachments • Several ligaments hold each ovary in position • The largest is called the broad ligament and is attached to the uterine tubes and uterus • The suspensory ligament holds the ovary at the upper end • The ovarian ligament is a rounded, cord-like thickening of the broad ligament 36 Ovaries Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Suspensory ligament of ovary Fimbriae of uterine tube Uterine tube (retracted) Ovarian ligament Round ligament of uterus Left ovary Uterus Broad ligament 37 Ovarian Descent • Like the testes in the male fetus, the ovaries develop from masses of tissue posterior to the parietal peritoneum, near the developing kidney • They descend to locations just inferior to the pelvic brim where they remain attached to the lateral pelvic wall 38 Ovary Structure • The tissues of an ovary can be divided into an inner medulla and an outer cortex • The ovarian medulla is mostly composed of loose connective tissue and contains many blood vessels, lymphatic vessels, and nerve fibers • The ovarian cortex consists of more compact tissue and has a granular appearance due to tiny masses of cells called ovarian follicles 39 Primordial Follicles • During prenatal development of a female, oogonia divide by mitosis to produce more oogonia • 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 40 Oogenesis • The process of egg cell formation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Secondary oocyte Second meiotic division Zygote 46 chromosomes, 23 from sperm cell and 23 from egg cell (each chromatid now an independent chromosome) Fertilization First meiotic division Primary oocyte Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (23 chromosomes, each with Sperm 2 chromatids) nucleus Sperm cell Second (23 chromosomes) polar body degenerating (46 chromosomes, each with 2 chromatids) (b) Courtesy of R.J. Blandau (a) First polar body (23 chromosomes, each with 2 chromatids) Second meiotic division First polar body degenerating 41 Polar bodies degenerating Follicle Maturation • At puberty, the anterior pituitary gland secretes increased amounts of FSH, and the ovaries enlarge in response • With each reproductive cycle, some of the primordial follicles mature Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Theca externa Theca interna Granulosa cells Primordial follicles Fluid-filled antrum Corona radiata Zona pellucida Primary oocyte Secondary oocyte (a) Maturing follicle (b) b: © The McGraw-Hill Companies, Inc./Al Telser, photographer © The McGraw-Hill Companies, Inc./Al Telser, photographer 42 Follicle Maturation • As many as twenty primary follicles may begin maturing at any one time • One dominant follicle usually out-grows the others • Typically only the dominant follicle fully develops and the others degenerate 43 Ovulation • As a follicle matures, its primary oocyte undergoes meiosis I, giving rise to a secondary oocyte and a first polar body • The process of ovulation releases these cells from the follicle Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Uterine tube Secondary oocyte Ovary © 2007 Landrum B. Shettles 44 Ovulation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Corpus albicans Corpus luteum Ovulation Time Uterine tube Time Secondary oocyte Primordial follicle Primary follicle Zona pellucida Ovary Corona radiata Follicular cells Primary oocyte Follicular fluid First polar body 45 Female Internal Accessory Organs • The female internal accessory organs include: • Uterine tubes • Uterus • Vagina Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Uterine tube Ovary Uterus Urinary bladder Symphysis pubis Fimbriae Rectouterine pouch Fornix External os of Cer Urethra Rectum Glans of Clitoris Vagina Labium minus Anus Labium majus Vaginal orifice (a) 46 Uterine Tubes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Suspensory ligament with ovarian blood vessels and nerves Uterine tube Ovary Ovarian ligament Body of uterus Infundibulum Round ligament Fimbriae Secondary oocyte Broad ligament Uterine blood vessels Endometrium Follicle Myometrium Perimetrium Ureter Cervix Cervical orifice Vagina 47 Uterine Tubes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cilia Cytoplasm Nucleus Basement membrane Connective tissue layer (a) (b) a: © The McGraw-Hill Companies, Inc./Al Telser, photographer; b: © Mediscan/Visuals Unlimited 48 Uterine Wall Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Lumen Endometrium Myometrium Perimetrium 49 © McGraw-Hill Higher Education, Inc./Carol D. Jacobson, PhD., Dept. of Veterinary Anatomy, Iowa State University Vagina • A fibromuscular tube that conveys uterine secretions, receives the penis during intercourse, and provides an open channel for offspring Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Glans of Clitoris Mons pubis Labium majus Urethral orifice Vaginal orifice Vestibule Labium minus Opening of vestibular gland Perineum Anus 50 Female External Reproductive Organs • The female external reproductive organs surround the openings of the urethra and vagina and is known as the vulva, and include: • Labia majora • Labia minora • Clitoris Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Glans of Clitoris Mons pubis Labium majus Urethral orifice Vaginal orifice Vestibule Labium minus Opening of vestibular gland Perineum Anus • Vestibular glands 51 Labia Majora • Rounded folds of adipose tissue and skin • Enclose and protect the other external reproductive parts Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clitoris Mons pubis Urethral orifice Labium majus Vestibule • Ends form a rounded elevation over the symphysis pubis Vaginal orifice Labium minus Opening of vestibular gland Perineum Anus 52 Labia Minora • Flattened, longitudinal folds between the labia majora Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clitoris Mons pubis • Well supplied with blood vessels Urethral orifice Labium majus Vestibule Labium minus Vaginal orifice Opening of vestibular gland Perineum Anus 53 Clitoris • Glans of clitoris is the small projection at the anterior end of the vulva • Analogous to the male penis • Composed of two columns of erectile tissue • Root is attached to the sides of the pubic arch Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clitoris Mons pubis Urethral orifice Labium majus Vestibule Labium minus Vaginal orifice Opening of vestibular gland Perineum Anus 54 Vestibule • Space between the labia minora that encloses the vaginal and the urethral openings • The vestibular glands secrete mucus into the vestibule during sexual stimulation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clitoris Mons pubis Urethral orifice Labium majus Vestibule Labium minus Vaginal orifice Opening of vestibular gland Perineum Anus 55 Erection, Orgasm, Ejaculation Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Sexual stimulation Arteries in the erectile tissue dilate; vagina expands and elongates Parasympathetic nerve impulses from the sacral portion of the spinal cord Sexual stimulation intensifies Vestibular glands secrete mucus to lubricate Engorged and swollen vagina increases friction from movement of the penis Orgasm-—rhythmic contraction of muscles of the perineum; muscular walls of uterus and uterine tubes contract 56 57 19.5: Hormonal Control of Female Reproductive Functions • Hormones secreted by the hypothalamus, the anterior pituitary gland, and the ovaries control development and maintenance of female secondary sex characteristics, maturation of female sex cells, and changes during the monthly reproductive cycle 58 Female Sex Hormones Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Hypothalamus + GnRH Pituitary gland FSH, LH (gonadotropins) – Estrogens inhibit oversecretion of gonadotropins Breasts develop Increased vascularization of the skin Accessory reproductive organs enlarge Bloodstream Gonadotropins Estrogens + Increased deposition of adipose tissue in breasts, thighs, and buttocks Stimulates endometrium of uterus to thicken Release into bloodstream Ovaries Stimulation Inhibition 59 Female Reproductive Cycle 60 61 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ovarian activity Plasma hormonal concentration LH FSH FSH Developing follicle LH Early corpus luteum Mature follicle Regressive corpus luteum Ovarian events Follicular phase 7 Days 1 Ovulation 14 Corpus albicans 28 Luteal phase 21 Uterine activity Estrogens Progesterone Plasma hormonal concentration Progesterone Estrogens Thickness of endometrium Days 1 3 5 Menstruation 7 9 11 13 Proliferative phase 15 17 19 21 23 Secretory phase 25 27 1 3 Menstruation 62 Menopause • Usually occurs in the late 40s or the early 50s • The reproductive cycles stop • The ovaries no longer produce as much estrogens and progesterone as previously • Some female secondary sex characteristics may disappear • It may produce hot flashes and fatigue • Migraine headaches, backaches and fatigue is possible • Hormone therapy may prevent effects on bone tissue 63 19.6: Mammary Glands • The mammary glands are accessory organs of the female reproductive system specialized to secrete milk following pregnancy 64 Location of the Glands • Located in the subcutaneous tissue of the anterior thorax within the breasts • Composed of lobes • Estrogens stimulate breast development in females Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Clavicle Rib Adipose tissue Intercostal muscles Alveolar glands Lactiferous duct Pectoralis major m. Areola Nipple Ampulla Pectoralis minor m. Alveolar duct Alveolar duct 65 (a) (b) Structure of the Glands • A mammary gland is composed of fifteen to twenty irregularly shaped lobes • Each lobe contains glands (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 66 Development of the Breasts • The mammary glands of males and females are similar • As puberty is reached, ovarian hormones stimulate development of the glands in females 67 19.7: Birth Control • Birth control is the voluntary regulation of the number of offspring produced and the time they are conceived • This control requires a method of contraception 68 69 Coitus Interruptus • The practice of withdrawing the penis from the vagina before ejaculation, preventing entry of sperm cells into the female reproductive tract 70 Rhythm Method • Requires abstinence from sexual intercourse two days before and one day after ovulation 71 Mechanical Barriers • Mechanical barriers include the use of a: • Condom • Diaphragm • Cervical cap • Spermicidal foams or jellies 72 Chemical Barriers • Chemical barriers include: • Spermicides 73 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) (b) (c) (d) (e) a,b: © The McGraw-Hill Companies, Inc./Jill Braaten, photographer; c: © Photolink/Getty Images; d: © Don Farrall/Getty Images; e: © The McGraw-Hill Companies, Inc./Jill Braaten, photographer 74 Combined Hormone Contraceptives • These deliver estrogen and progesterone to prevent pregnancy • Various methods are used to deliver hormones including: • A flexible chemical ring (Nuvaring) • A plastic patch (Ortho Evra) • The pill orally (Similar to these combined hormones is the “minipill” which contains only progestin) 75 Injectable Contraception • An intramuscular injection of Depo-Provera protects against pregnancy for three months by preventing maturation and release of a secondary oocyte 76 Intrauterine Devices • An intrauterine device, or IUD, is a small, solid object that a physician places in the uterine cavity • An IUD interferes with implantation of a blastocyst 77 Surgical Methods Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cut and ligated uterine tubes Path of egg Path of sperm Ovary Uterus (a) Cut and ligated ductus (vas) deferens Cervix Scrotum Vagina (b) 78 19.8: Sexually Transmitted Diseases • These are silent infections • Most are bacterial and can be cured • Herpes, warts, and AIDS are viral and cannot be cured • Many cause infertility • AIDS causes death • Symptoms of STDs include: • Burning sensation during urination • Pain in the lower abdomen • Fever or swollen glands • Discharge from the vagina or the penis • Pain, itch, or inflammation in the genital or the anal area • Sores, blisters, bumps or rashes • Itchy, runny eyes 79 80 Important Points in Chapter 19: Outcomes to be Assessed 19.1: Introduction State the general functions of the male and female reproductive systems. Outline the process of meiosis and explain how it mixes up parental genes. 19.2: Organs of the Male Reproductive System Describe the function(s) of each part of the male reproductive system. Outline the process of spermatogenesis. Describe semen production and exit from the body. Describe the structure of the penis, and explain how its parts produce an erection. 81 Important Points in Chapter 19: Outcomes to be Assessed 19.3: Hormonal Control of Male Reproductive Functions Explain how hormones control the activities of the male reproductive organs and the development of male secondary sex characteristics. 19.4: Organs of the Female Reproductive System Describe the function(s) of each part of the female reproductive system. Outline the process of oogenesis. 19.5: Hormonal Control of Female Reproductive Functions Explain how hormones control the activities of the female reproductive organs and the development of female secondary sex characteristics. 82 Important Points in Chapter 19: Outcomes to be Assessed Describe the major events that occur during a reproductive cycle. 19.6: Mammary Glands Review the structure of the mammary glands. 19.7: Birth Control Describe several methods of birth control, including the relative effectiveness of each method. 19.8: Sexually Transmitted Diseases List the general symptoms of sexually transmitted diseases. 83