Male and Female reproductive function Flashcards
congenital disorders
hypospadias, epispadias
hypospadias
urethra meatus on ventral surface of penis (bottom); more common than epispadias; unknown cause
increased risk factor for hypospadias
women > 35Y, obesity, fertility treatment, hormone treatment
epispadias
urethral meatus on dorsal surface of penis (top); develops in first 4 weeks gestation; unknown cause; can span entire length of penis; found in clitoris of females
risk factors for development of epispadias
parent with epispadias/exstrophy, maternal age, smoking status, high parity
Exstrophy-epispadias complex (EEC)
bladder exstrophy, cloacal exstrophy
cryptorchidism
one or both testes dont descend from abdomen into scrotum
risk factors for developing cryptorchidism
prematurity/LBW/SGA; fam history of genital development disorder; mult. fetus; maternal estrogen exposure in 1st trimester; EtOH; tobacco; DM; pesticide exposure; retractile testicle; ascending testicle
retractile testicle
back and forth movement of testicle between scrotum and abdomen
ascending testicle
testicle to lower abdomen and cant easily be returned to scrotum
diagnosis of cryptorchidism
History, PE, ABD US, hormone levels, genetic studies
treatment of cryptorchidism
manual manipulation, hormone treatment, surgical repair (orchiopexy between 6-18 months), orchiectomy, testicle implants
fertility issues
erectile dysfunction, priapism
erectile dysfunction
inability to attain/maintain erection enough for sexual intercourse
priapism
prolonged painful erection (urologic emergency) due to shunting or trapping of blood; not caused by sexual stimulation
Causes of priapism
sickle cell anemia, leukemia, trauma, DM, neurological disorder, medication, spinal cord injury (SCI), EtOH/drugs, poisonous venom
male fertility issues
decreased sperm count, sperm abnormalities, hormone deviations, physical impediments
female infertility
ovulation dysfunction, hormone deviations, obstructions, severe infections
infertility
inability to reproduce after 1 year
disorders of penis, scrotum, testes
hydrocele, spermatocele, varicocele, testicular torsion
testicular torsion
abnormal rotation of testes on the spermatic cord