#35 Flashcards
Mullerian and Wolffian ducts
connected to the undifferentiated gonads.
Mullerian= female
Wolffian=male
What ducts develop if testosterone is present? What happens if MIH is present?
wolffian ducts develop
mullerian ducts regress
explain how the genetic sex is determined
Depends on if sperm has X or Y chromosome
How is the gonadal sex determined?
If there is Y chromosome, sex determinig region of Y (SRY) codes for production of testis determining faactor (TDF). TDF directs differentiation of gonads into testes. If no Y chromosome is present, no TDF and undiffereniated gonads develop into ovaries
how is male phenotypic sex determined?
testes secrete testosterone and mullerian inhibiting factor
what does testosterone do in determining phenotypic sex?
transforms wolffian ducts into male reprodctive tract (internal)
also converted to Dihydrotestosterone (DHT) which promotes development of external genitalia
how is female phenotypic sex determined?
no testosterone or mullerian inhibiting factor secreted, so wolffian ducts are degenerated. Mullerian ducts develop into female reproductive tract (absense of mullerian inhibiting factor) and external genitalia (absense of testosterone)
hermaphroditism
ovarian and testicular tissue is present
Pseudohermaphroditism
individual has ovaries or testes, but accessory sex organs or external genitalia are not appropriate for their chromosomal sex
female pseudohermaphroditism
chromosomal female with male external genitalia (congenital adrenal hyperplasia)
male pseudohermaphroditism
chromosomal male with female genitalia (5-alpha reductase deficiency, androgen insensitivity or lack of testosterone receptors)
congenital adrenal hyperplasia- why does it happen?
cholesterol is converted to pregnenolone, bet there is an enzyme (21-hydroxylase) defficiency. So, the pregnenolone is converted to DHEA which is converted to adrenal androgens, leading to precocious puberty in males and ambiguous sex development in females
symptoms of congenital adrenal hyperplasia
enlarged clitoris from genital tubercle, fusion of labiosrotal swellings to form “scrotum”
5 alpha reductase
converts testosterone into DHT
testosterone derrived
epididymus, vas deferens, seminal vesicles