Male and Female Reproductive Disorders Male and Female Reproductive Disorders • Do Now: • Write down all of the reproductive disorders that you know of (cancers, other problems, etc.) and distinguish whether it’s in males or females Lesson Guidelines • Be respectful of people’s thoughts & feelings. • Assume there is diversity (race, gender, sexual orientation, life experiences) • If it is personal, keep it personal. • Act mature about the subject matter. • When sharing, use the phrase “Someone I know… What is your reproductive health IQ? 1. Sperm are made in the vas deferens 2. Testicular cancer is most common in men over 50 years old. 3. Estrogen is the primary hormone in males. ANSWERS….. 1. False, sperm are made in the testes. 2. False, most cases of testicular cancer occur in males 15-35 years old. 3. False, testosterone is the primary hormone in males and estrogen is the primary hormone in females. Pituitary Gland • The pituitary gland initiates puberty and the production of testosterone in males and estrogen and progesterone in females. • Testosterone is the male sex hormone. • Estrogen is the female sex hormone Puberty • When do boys and girls usually begin puberty? • Girls: 8-16 • Boys: 12-18 • Changes are generally complete by the age of 18 for girls and 20 for boys • *Everyone is different and there is no “correct” time for these changes to happen Changes that occur in the body • Physical • • • • • • • Grow taller Oily Skin Acne Voice Changes Underarm hair Pubic Hair Sweat glands develop • • • • Breasts develop Hips get bigger Menstruation Ovulation • • • • • sperm Ejaculation can occur Testicles get bigger Penis grows bigger Shoulders get wider Facial Hair Changes that occur in the body • Emotional • Sexual Thoughts/Feelings • Become interested in having a boyfriend or girlfriend • Sometimes feel lonely and confused • Stronger feelings of wanting to be liked and “fit in” • Want more independence Male Anatomy • Testes (testicles) : • Produce testosterone and delivers it to the blood stream • Produce sperm • Testes produce millions of sperm per day. • Spermatic cords: suspend the testes, supply blood to the testes, carry sperm from the testes. Male Anatomy • Sperm: male reproductive cell • They carry strings of genes (called chromosomes) or DNA instructions in case the sperm cell meets with an egg cell and fertilizes it. • Normal sperm carries 23 chromosomes in the head. When sperm meets an ovum (egg cell), which also carries 23 chromosomes, the result is 1 cell of 46 chromosomes and the production of human offspring. • Epididymis: • sperm is stored and matures here, located on the backside of each of the testes. When sperm move from testes to epididymis, they are unable to fertilize eggs. Maturation process takes about a month. Male Anatomy • Scrotum: • muscular sac which holds testes and epididymis • Temperature Control-sperm must be stored in temperature slightly cooler than body temperature. • The scrotum will move toward or away from the body to keep it at a lower temperature. • Penis: • Tube-like organ that functions in sexual reproduction, allows passage of urine and of semen, and has many nerve endings. Male Reproductive System • Erection- an involuntary response that occurs when the spongy layers of the penis fill with blood causing the penis to harden and elongate. • During erection, a muscle contracts around the bladder to prevent urine and semen from passing through the urethra at the same time. • Nocturnal Emission- throughout puberty, hormones cause the glands in the reproductive system to begin producing fluids that constitute semen. This fluid causes pressure to build up. While the male is asleep the penis becomes erect and it leads to ejaculation. There is no warning or way of preventing this. It may or may not be accompanied by a dream dealing with sexual content commonly called a “wet dream”. Male Reproductive System Concerns • Hernia- the pushing of a part of the body through the muscle wall normally keeping it in. • Common for males is the inguinal hernia. This is a bulging portion of the intestines or other structure through a weakness in the abdominal wall. It is characterized by a abnormal bulge in abdomen, groin, or scrotum. • Causes- heavy lifting, pre-existing weak spot in the abdomen, chronic coughing or sneezing, • Surgery can correct this. Male Sterility • Sterility is when sperm in the male is weak, malformed, sparse, nonexistent, or unable to join an ovum. • Causes • Temperature changes, exposure to certain chemicals, smoking, drug use, untreated Sexually transmitted infections, emotional stress, and weight, all can cause sterility. Testicular Cancer • Most common cancer in men ages 15-35 • Symptoms • Lump or enlargement of the testicle • A feeling of heaviness in the scrotum • Dull ache in the abdomen or groin • Pain or discomfort in testicle or scrotum • Risk Factors • Family History, Age, Race (more common in white males), undescended testicles • A testicular self-exam should be performed by males at least once a month. • If caught in the early stages, it is very curable. Prostate Gland • Prostate gland: • produces most of the fluid that makes up semen. • about the size of a chestnut • The prostatic fluid helps the sperm swim faster, which is important for getting to the egg cell. Prostate Problems • Prostate Problems- occurs mainly in older men. • As males get older, the prostate may get larger and block the urethra or bladder. • This blockage may cause difficulty in urinating or with sexual function. • Surgery may be needed in order to correct this. • Prostate Cancer- 2nd most common behind lung cancer. • Signs: • • • • • Frequent urination Difficulty urinating Pain or burning when urinating Blood in urine Lingering pain in the back, hips, or pelvis • There are often no early signs for prostate cancer; the only prevention is regular exams by a doctor. Female Reproductive System • The female reproductive system is located in the pelvis, almost entirely internal. • When a girl is born, her ovaries contain hundreds of thousands of eggs, which remain inactive until puberty begins. At puberty, the pituitary gland, located in the center part of the brain, starts making hormones that stimulate the ovaries to produce female hormones, such as estrogen and progesterone. Female Reproductive System • Estrogen is the female sex hormone. • Estrogen & Progesterone- female hormones produced in the ovaries • Ovum= 1 single mature egg cell- female sex cell produced in the ovaries • Ova = Egg Cells (plural) • Fertilization- joining of a sperm cell and an egg cell that occurs in the fallopian tubes Female Reproductive System • The secretion of these hormones causes a girl to mature into a women and toward the end of puberty, girls begin to release eggs as part of a monthly cycle called the menstrual cycle. • Approximately once a month, during ovulation, an ovary sends a tiny egg into one of the fallopian tubes. Unless the egg is fertilized by a sperm while in the fallopian tube, the egg dries up & leaves the body about two weeks later through the uterus along with tissues of the inner lining of the uterus and some blood. Female Reproductive System • Ovaries- two oval shaped organs that lie to the upper right and left of the uterus. They produce, store, and release the eggs into the fallopian tubes in the process called ovulation. They produce hormones estrogen and progesterone. • Ovulation- the process of releasing one mature ovum per month. At birth, the female usually has about 200,000 immature ova in her ovaries. Once puberty begins, hormones are released and ova begin to mature. Takes place about two weeks after menstruation. Fimbria Female Reproductive System • Fallopian Tubes- connect the uterus to the ovaries, they are about four inches long and as wide as a piece of spaghetti. Also, place where fertilization occurs. After fertilization occurs, the embryo moves into the uterus and embeds itself into the uterine lining. Female Reproductive System • Uterus- During childbirth, the uterus dilates allowing the passage of the baby. It is shaped like an upside down pear and houses the fetus during pregnancy. It contains some of the strongest muscles in a women’s body. • Cervix- entrance to the uterus, also know as the neck of the uterus • Embryo- term used to define a baby during the first two months of pregnancy • Fetus- term used to define a baby during the last 7 months of pregnancy Female Reproductive System • Menarche- female’s first menstrual period. • Menstruation- the shedding if the uterine lining(endometrium) each month if fertilization does not take place. • Average length of menstruation is 3-5 days • A woman’s average Menstrual Cycle lasts about 28 days • Endometrium- inner lining of the uterus, richly supplied with blood vessels which is shed during menstruation Female Reproductive System • Pre-menstrual Syndrome- occurs before menstruation and can include: • • • • • • • • Nervous tension Anxeity Irritability Bloating Weight gain Depression Mood Swings Fatigue • Some doctors believe it is caused by a hormonal imbalance, others believe it is caused by a nutritional imbalance. Female Reproductive System Concerns • Dysmenorrhea- menstrual cramps • Cause-contraction of the uterus to excrete the endometrium if the ovum is not fertilized • Some ways to relieve cramps: • Exercise, heating pad, pain relievers such as tylenol/advil Female Reproductive System Concerns • Toxic Shock Syndrome (TSS): A rare illness caused by toxins released into the body during a type of bacterial infection. It is more likely to develop if a tampon is used for too long. • Symptoms include: • • • • High fever Vomiting or Diarrhea Fainting Sunburn-like rash • Prevention • Change tampons every 4-6 hours In most cases TSS can be treated with antibiotics. Female Reproductive System Concerns • Endometriosis- endometrial tissue appears outside the lining of the uterus, commonly around the ovaries. Usually, in 30-40 year old women and in women who postpone childbearing, but the direct cause is unknown. • Symptoms: • Menstrual cramping • Abdominal pain • Back pain • Treated with hormones or hysterectomy. Female Reproductive System Concerns • Female Infertility- the inability to get pregnant. • Reasons for infertility • Blocking of the fallopian tubes • No ovulation • Endometriosis • Untreated STI’s Female Reproductive System Concerns • Female Infertility- the inability to get pregnant. • Reasons for infertility • Blocking of the fallopian tubes • No ovulation • Endometriosis • Untreated STI’s Female Reproductive System Concerns • Breast Cancer- is a cancer that starts in the tissues of the breast. • Symptoms: • Change in breast appearance • Lump or swelling in the breast • Lump under armpit • Breast self-exam is best to do once a month one week after menstruation • Mammography- breast x-ray • Treatment • • • • Surgery-Partial or full Mastectomy Radiation Chemotherapy Hormone Treatment Female Reproductive System Concerns • Cervical Cancer • A pap smear is a test to detect abnormal cervical cells. Development is gradual and begins with precancerous cells called dysplasia. • Pap smear should be done once a year at your annual exam at the gynecologist • This is very treatable and can take years to develop into cancer, once it develops into cancer it moves very quickly. • HPV(Human Papilloma Virus) can lead to cervical cancer. Female Reproductive System Concerns • Ovarian cyst- fluid-filled sacs that grow on or in one or both ovaries . Can cause failure of follicle in ovary to rupture and release an egg; may also be from cancer, but not always. • Symptoms: pain in lower abdomen or pelvis, change in menstrual patter • Cysts often go away but sometimes require surgery. • Ovarian Cancer-starts in the ovaries. Ovarian cancer is the fifth most common cancer among women, and it causes more deaths than any other type of female reproductive cancer. Cause is unknown. • Over half of the deaths occur in women ages 55-74 and 25 % of the deaths in women 35-54. Female Reproductive System Concerns • Two Ovarian Cancer Types: • One in the lining of the ovary • One occurs in the egg-making cells in the ovary and is called the germ cell. Ovarian germ cell tumors usually occur in teenage girls or young women. • Although symptoms are rare, early symptoms are: • Discomfort • Pelvic Pressure • Pain • Unfortunately, by the time many symptoms are noticed the disease is advanced. The only known risk factor is a family history. Female Reproductive System • Menopause- the stoppage of a female’s menstrual cycle. The body stops producing ova. • The average age of menopause in the US is 51 years old. • At this point the female can no longer reproduce.