Chapter 19 II. Introduction The functions of the male & female reproductive systems are : a) the production and nurturing of sex cells and transporting those sex cells to sites of fertilization; b) secrete hormones essential to the development of secondary sexual characteristics and the regulation of reproductive physiology. III. A. 2. The primary functions of the male reproductive system are to: a) produce & maintain sperm; b) transport sperm & supporting fluids to the outside (of the male body); c) secrete male hormones. 3. The primary organs of the male reproductive system are the 2 testes. 1 B. 1. The seminiferous tubules are lined with specialized stratified epithelial cells called spermatogenic cells (aka spermatogonia). The spermatogonia are undifferentiated, diploid cells (46 chromosomes) that give rise to sperm cells. 2. The interstitial cells, (aka cells of Leydig) lie in the spaces between the seminiferous tubules and are responsible for producing & secreting male hormones. 3. The epithelial cells of the seminiferous tubules can give rise to testicular cancer. This type of cancer is relatively rare and occurs most often in young men. Usually the first sign is a painless, testis enlargement or a scrotal mass that is attached to a testes. C. & D. 1. Spermatogenesis occurs throughout the reproductive life of a male (from puberty to death). in the male embryo there are undifferentiated, diploid (46 chromosomes) cells called spermatogonia, or spermatogenic cells during embryonic development hormones stimulate the spermatogonia to undergo mitosis; some of the spermatogonia enlarge to become primary spermatocytes at puberty, the primary spermatocytes undergo meiosis (meiosis I and meiosis II) 2 as a result of meiosis I each primary spermatocyte (46 chromosomes) results in 2 secondary spermatocytes (23 chromosomes) during meiosis II each secondary spermatocyte results in 2 spermatids (23 chromosomes, haploid) which will mature into sperm cells. Four sperm cells are the result of meiosis / spermatogenesis 2. Once formed, the sperm cells collect in the lumen of the seminiferous tubules and pass into the epididymis where they accumulate and are stored. 3. A mature sperm looks like a tadpole (see ppt. slides 7-9) D. E. 1. The accessory organs of the male reproductive systems are the epididymis, vas deferens, ejaculatory ducts, uretha, seminal vesicles, prostate glands, and bulbourethral gland. 2. a) The epididymis is a tightly coiled tube adjacent to the testes and leading to the vas deferens. b) The epididymis’ function is to move non-motile, immature sperm from the testes to the vas deferens by the action of peristalsis. The sperm cells mature as they move through the epididymis and by the time they reach the vas 3 deferens sperm have acquired the potential to move independently (they can swim!). 3. The vas deferens is a muscular tube about 45cm in length that leads from the epididymis into the pelvic cavity behind the urinary bladder. Just outside of the prostate gland it unites with the duct of a seminal vesicle to form an ejaculatory duct which passes through the prostate gland & empties into the urethra. 4. a) The seminal vesicles are attached to the vas deferens near the base if the urinary bladder. b) The seminal vesicles secrete a slightly alkaline fluid that contains fructose and prostaglandins. The alkalinity is to regulate the pH of fluid as sperm exit the male tract; fructose to provide energy for sperm; prostaglandins stimulate muscular contractions within the female reproductive organs aiding the movement of sperm toward the egg cell. 5. a) The prostate gland surrounds the proximal portion of the urethra just inferior to the urinary bladder. b) It secretes thin, milky alkaline fluid that enhances the motility of sperm cells & neutralizes the acidity of the byproducts of spermatogenesis and the acidity of the female reproductive tract. 6. a) The bulbourethral glands are inferior to the prostate gland and secrete a mucus-like fluid in response to sexual 4 stimulation, lubricating the tip of the penis in preparation for sexual intercourse. b) The stimulation for release of the secretions of the bulbourethral glands is sexual excitation. 7. Seminal fluid (semen) is released in volumes between 2 to 5 mL per ejaculation and consists of sperm cells (~120 million per mL), and secretions from seminal vesicles, prostate gland, and bulbourethral gland. The pH is ~7.5 (slightly alkaline) and includes prostaglandins and nutrients. NOTE: Sperm cannot naturally fertilize an egg cell but must undergo capacitation within the female reproductive tract before being capable of fertilizing an egg. This capacitation reflects a weakening of the sperm cells’ acrosomal membranes. F. 1. The scrotum is a pouch of skin and subcutaneous tissue that hangs from the lower abdominal wall behind the penis. Each chamber contains a testis. The smooth muscle of the scrotum contracts in cold conditions (bringing testes closer to the pelvic cavity) and relaxes in warm conditions (allowing the scrotum to hang loosely). This action keeps the temperature of the testes relatively constant. Optimum temperature for sperm production is 3°C (5°F) below body temperature. 5 2. The penis is a cylindrical organ consisting of a body, or shaft, and a cone-shaped glans penis. The shaft contains 3 columns of erectile tissue. 3. Parasympathetic impulses trigger the release of nitric oxide (NO) which dilates the arteries, increasing blood flow into the erectile tissues of the penis. This, in turn, compresses the veins reducing blood flow away from the penis – the result is an erection. Emission is the movement of seminal fluid into the urethra. Ejaculation is the forcing of semen to the outside of the body. 4. Male infertility is the inability of sperm cells to fertilize an egg cell. There are multiple causes including failure of the testes to descent into the scrotum during fetal development, diseases such as mumps, and failure to produce sperm of adequate number and of normal quality. IV. Hormonal Control Of male Reproductive System A. 1. The hypothalamus begins to secrete gonadotropin-releasing hormone. This stimulates the secretion of gonadotropins, luteinizing hormone (LH) and follicle stimulating hormone (FSH), by the anterior pituitary gland. 2. Luteinizing hormone, also known as interstitial cell stimulating hormone (ICSH) promotes the development of testicular interstitial cells. The testicular interstitial cells 6 then secrete male sex hormones (androgens), the most abundant of which is testosterone FSH stimulates the supporting cells of the seminiferous tubules to respond to testosterone. Both testosterone and FSH are needed to stimulate spermatogenic cells to undergo spermatogenesis and produce sperm cells. B. 1. 2. 3. Testosterone is produced in the interstitial cells of the testes. During puberty, testosterone stimulates enlargement of the testes and the accessory organs of the male reproductive system. Also, it stimulates development of male secondary sexual characteristics. Male secondary sexual characteristics include increased growth of body hair, enlargement of the larynx which deepens the voice, thickening of the skin, increased muscular growth resulting in broadening of the shoulders and narrowing of the waist, and the thickening and strengthening of the bones. C. By a negative feedback system controlled by the hypothalamus: as blood levels of testosterone rise, the hypothalamus secretes less gonadotropin. The level of LH (ICSH) production by the pituitary falls and the amount of testosterone release by the cells of the testes decreases; as testosterone levels fall, the hypothalamus stimulates the pituitary to secrete LH (ICSH). Female Reproductive System 7 Functions: to produce & maintain oocytes (egg cells) to transport oocytes to the site of fertilization to provide a favorable environment for a developing offspring & to move the offspring into the outside to produce female hormones Primary female sex organs are the ovaries. B. The ovaries are solid, ovoid structures found in the lateral walls of the pelvic cavity consisting of 2 layers. Inner layer – medulla is composed of loose connective tissue with many blood vessels, lymphatic vessels, and nerve fibers. Outer cortex – has more compact tissue that contains many ovarian follicles; the outer surface of the ovary is covered with cuboidal epithelial tissue. C. 1. Prenatal: Ovarian cortex forms several million primordial follicles. Each follicle contains a single large cell (the primary oocyte - diploid) surrounded by follicle cells At Puberty: Some of the primary oocytes are stimulated to continue meiosis & form a secondary oocyte (haploid) and a first polar body (this is an unequal division – the polar body is small) Upon Fertilization: When the large secondary oocyte is fertilized it divides again to form a large fertilized egg (zygote) and a second polar body. 8 The reason for the polar bodies is to concentrate the cytoplasm in the oocyte. The polar bodies have no reproductive functions and will degenerate. D. 1. 2. E. 1. 2. F. 1. 2. 3. The release of FSH (follicle stimulating hormone) by the anterior pituitary gland stimulates the maturation of a primary follicle. The primary oocyte enlarges and surrounding follicular cells proliferate by mitosis. The surrounding cells organize into layers and a cavity forms. When the follicle matures a secondary oocyte is released. A surge of luteinizing hormone (LH) is released from the anterior pituitary gland. The oocyte & its surrounding layers of follicular cells is propelled toward the opening of the uterine tube (aka fallopian tube). Drawing to label The uterine tube is lined with simple columnar epithelial cells, some of which are ciliated. The epithelial cells secrete mucus and the cilia beat toward the uterus. These actions help draw the secondary oocyte into the uterine tube. Once in the tube, ciliary action and peristaltic contractions move the egg along the tube to the uterus. b) The layers of the uterine wall are the inner glandular endometrium, the middle (smooth) muscular layer or 9 myometrium, and the outer serosal perimetrium (serous membrane. The endometrium and the myometrium undergo regular changes during the monthly reproductive cycles and during pregnancy. 4. a) The functions of the vagina are: to convey uterine secretions to the outside to receive the penis during sexual intercourse to provide an open channel for offspring during birth b) The vagina is a 3- layered fibromuscular tube extending upward and back into the pelvic cavity anterior to the rectum and posterior to the bladder. The hymen is a thick layer of connective tissue and stratified squamous epithelium that partially obscures the vaginal orifice. The wall of the vagina consists of an inner mucosal layer, a middle muscular layer, and an outer fibrous layer that attaches the uterus to the surrounding organs. G. 1. 2. 3. 4. The labia majora correspond to the scrotum in the male; they both surround and protect the other external female reproductive organs. The labia minora are flattened longitudinal folds between the labia major that form a hood around the clitoris. The clitoris corresponds to, and has structures similar to, the penis. a) The space enclosed by the labia minora is the vestibule. The vestibule contains the vagina; the vagina opens into the posterior portion. The urethra opens in the midline of the 10 5. vestibule and is anterior to the vagina. The vestibule also contains the vestibular glands that correspond to the bulbourethral glands in the male. b) The function of the vestibular glands is to secrete a mucus-like lubricating fluid. Erectile tissues in the clitoris and around the vaginal orifice respond to sexual stimulation. Parasympathetic nerve impulses from the sacral portion of the spinal cord release nitric oxide, causing vasodilatation & swelling of erectile tissue and expansion & elongation of the vagina. VI. A. 1. The hypothalamus begins to secrete increasing amounts of gonadotropin-releasing hormones (GnRH), which in turn stimulates the pituitary to release LH (luteinizing hormone) & FSH (follicle-stimulating hormone). 2. Female sex hormones are secreted by the ovaries, the adrenal cortices (endocrine gland above the kidney) and during pregnancy the placenta secretes hormones. 3. Estrogen is responsible for the development & maintenance of female secondary sex characteristics which include breast development and the ductile system of the mammary glands, increased deposition of fat tissue in the subcutaneous layer generally and in the breasts, thighs, and buttocks, and increased vascularization of the skin. 4. Progesterone promotes changes in the uterus during the female cycle, affects mammary glands, and helps regulate the secretion of gonadotropins from the anterior pituitary. 5. Androgens are responsible for increased hair growth in the axillary (underarm) and pubic areas during adolescence. Low concentrations of androgens account for the female 11 skeletal development, which includes narrow shoulders and broad hips. B. 1. When the ovaries & other reproductive organs are mature enough to respond to threshold levels of FSH and LH, these hormones are released from the pituitary gland and the female’s first menstrual cycle called menarche occurs. FSH stimulates the maturation of follicular cells. LH stimulates certain ovarian cells to produce precursor molecules of testosterone that is then converted to estrogen. 2. During the first week of the menstrual cycle, estrogen levels increase causing a thickening of the glandular endometrium of the uterus. This is called the proliferative phase. As the proliferative phase proceeds, the estrogen is also causing maturation of a primary follicle. By the fourteenth day of the cycle the follicle appears on the surface of the ovary and follicular fluid accumulates rapidly. Maturation of the follicle was accompanied by inhibition of LH secretion by the pituitary. When the follicle is mature, this inhibition ceases producing a surge in LH secretion. The LH surge produces rupture of the mature follicle and release of the oocyte in ovulation. Once the follicle is ruptured, blood fills the empty follicle. The blood clots. LH causes the follicular cells to enlarge and form a temporary glandular structure called the corpus luteum. The cells of the corpus luteum secrete large amount of progesterone and estrogen during the last stage of the menstrual cycle. 12 Progesterone stimulates the endometrium of the uterus to become more vascular and glandular as well as stimulating uterine glands to secrete glycogen and lipids. This creates an environment that will support development of an embryo. Additional follicles cannot mature and rupture because the levels of estrogen and progesterone produced by the corpus luteum prevent release of FSH and LH. If a sperm fails to fertilize the oocyte, the corpus luteum begins to degenerate about the twenty-fourth day of the cycle. This results in the formation of a corpus albicans. Levels of estrogen and progesterone decline as the corpus luteum degenerates, blood vessels in the endometrium constrict decreasing the supply of oxygen and nutrients to the endometrium. The lining begins to degenerate and is shed as menstrual flow on about the twenty-eighth day of the menstrual cycle. This is the end of the cycle and the process begins again with the release of increasing levels of FSH and LH. 3. C. 1. Women athletes may have decreased menstrual flow or complete cessation of menses due to low levels of adipose tissue. This leads to a decrease in estrogen. Menopause (aka female climacteric) is the cessation of the menstrual cycle and occurs in the fourth to fifth decade of life. 13 2. Menopause is due to aging of the ovaries - few primary follicles remain that are capable of responding to stimulation by FSH and LH. This leads to decreased levels of estrogen and progesterone resulting in changes in the secondary sex characteristics. VII A. The function of the mammary glands is to secrete milk following delivery of a neonate. There is increasing acceptance of the concept that breastfeeding is the optimal way to provide nutrition to an infant. B. C. D. The mammary glands are located in the breasts. (The breasts lie over the pectoral muscles of the anterior chest from the second to the sixth ribs). A mammary gland consists of fifteen to twenty lobes. Each lobe contains alveolar glands and an alveolar duct that leads to a lactiferous duct that brings mammary gland secretions to the surface of the breast. The mammary glands produce milk in response to hormonal stimulation. The purpose of monthly breast self examination is to detect changes in the texture and appearance of the breast that may indicate cancer of the breast. VIII. Birth Control Coitus interruptus is withdrawal of the penis from the vagina prior to ejaculation of semen. It is an ineffective method of contraception. Rhythm method depends on avoidance of sexual intercourse a few days before and after anticipated 14 ovulation. It is relatively ineffective in preventing pregnancy. Mechanical barriers prevent sperm from entering the female reproductive tract during intercourse. Mechanical barriers include male and female condoms, diaphragms and cervical caps. Used correctly, mechanical methods are effective contraceptives. Male and female condoms are the only contraceptive methods that prevent transmission of sexually transmitted diseases. Chemical barriers are spermicidal jellies, creams, and foams. They are most effective when used with a condom or a diaphragm. Combined hormone contraceptives and birth control pills contain synthetic estrogen and progesterone like chemicals. They work by preventing ovulation and by interfering with the proliferation of the endometrium. They are effective contraceptives if taken as prescribed. They can have serious side effects such as blood clots, liver disorders, most frequently in women over 35 years of age. They are not prescribed to women over 35 who continue to smoke. One contraceptive (Lunelle) can be injected monthly. A plastic ring impregnated with hormones can be inserted into the vagina and provides contraception for 3 months. A transdermal patch is another delivery method for hormone contraceptives. 15 Injectable contraception such as Depo-Provera is a progesterone contraceptive that lasts for three months. It prevents the maturation and release of a secondary oocyte. Intrauterine devices are small, solid objects placed in the uterine cavity through the cervix. They interfere with implantation of a blastocyst in the endometrium. They are thought to be the most effective means of contraception and may stay in place for several years. Surgical methods of contraception are not reversible except in very unusual cases. They may sterilize either the male or the female by a vasectomy or a tubal ligation. IX STDs A. Many sexually transmitted diseases do not produce symptoms early in the infection and so are symptomless. Common symptoms include fever, weakness, painful urination and intercourse, mucous discharge from the penis or vagina, warts or ulcers on the genitalia or mouth or anus. Acquired Immune Deficiency Syndrome destroys the immune system and may present with repeated infections of various parts of the body. B. Complications of STD’s include sterility as a result of pelvic inflammatory disease, decreased immunity, nervous system damage and death. 16 17