Male and Female Reproductive Systems Flashcards

1
Q

What is in seminal fluid?

A
  • Fructose
  • Citric acid
  • Bicarbonate (neutralises acidic environment)
  • Fibrinogen
  • Fibrinolytic enzymes
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2
Q

Where is the spermatic cord formed?

A

At deep inguinal ring

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3
Q

What structure are in the spermatic cord?

A
  • Testicular artery
  • Pampiniform plexus (v)
  • Autonomic & GF nerves
  • Lymph vessels
  • Vas deferens
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4
Q

What are the muscles in the penis?

A
  • 2 x Corpora Cavernosa

- 1 x Corpora Spongiosum

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5
Q

In the penis what is due to the parasympathetic and sympathetic stimulation?

A
  • Erection due Parasympathetic stim
  • Ejaculation due Sympathetic stim
  • Point and Shoot
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6
Q

What is the retrial blood supply in the testes?

A

•Testicular arteries from the aorta via the spermatic cord

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7
Q

Where is the sympathetic drainage for the testes?

A

•Para-aortic lymph nodes

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8
Q

Where are the ovaries?

A

inside peritoneal cavity (remainder outside)

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9
Q

Where does fertilisation occur in the female reproductive tract?

A

-Ampulla

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10
Q

What do the Fallopian tubes have?

A

cilia and spiral muscle

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11
Q

What is the uterus supported by?

A

tone of pelvic floor (levator ani & coccygeus) and ligaments (broad, round, uterosacral)

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12
Q

What part of the female reproductive tract is sterile?

A

•All areas superior to cervix are sterile (shedding, thick mucus, narrow os, pH<4.5)

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13
Q

What is 1cm lateral to the cervix?

A

The ureter

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14
Q

Where does the endometrium shed?

A

at menses due to vasoconstriction of arterioles

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15
Q

What is the arterial blood supply for the ovaries and vagina?

A
  • Ovaries: Ovarian arteries (from aorta)

* Uterus/Vagina: Uterine arteries (from internal iliac a)

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16
Q

What is the lymphatic pairing for the ovaries and vagina?

A
  • Ovaries -> Para-aortic LNs

* Uterus/Vagina -> Iliac, sacral, aortic and inguinal LNs

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17
Q

What are the male germ cells like?

A

Gametogenesis begins at puberty

  • Spermatogonia undergo differentiation and self-renewal -> pool available for subsequent spermatogenic cycles throughout life (continuous fertility)
  • Produce ~1,500 mature sperm/second
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18
Q

What are the female germ cells like?

A

BEFORE BIRTH
-Multiplication of Oogonia to ~ 6 million/ovary
-Form 10 Oocytes within ovarian follicles (= primordial follicle)
-These begin meiosis (halted in prophase)
-Some primordial follicles degenerate (atresia).
-At birth ~2 million/ovary remain
PUBERTY
-By puberty <0.5 million/ovary remain (due further atresia

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19
Q

Describe Spermatogenesis

A
Diploid
1. Spermatogonium 44XY
2. Mitosis 
3. Spermatocytes 44XY
4. 1st Meiotic division 
Haploid: 
5. spermatocytes (22X or 22Y) 
6. 2nd meiotic division 
7. Spermatids (22X or 22Y)
8. Differentation 
9. Spermatozoa
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20
Q

Where are Sertoli cells located?

A
  • Within seminiferous tubules

* FSH receptors

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21
Q

What is the function of Sertoli cells?

A

•Support developing germ cells
•Assist movement of germ cells to tubular lumen
•Transfer nutrients from capillaries to developing germ cells
•Phagocytosis of damaged germ cells
-Homrone synthesis

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22
Q

What hormones are secreted by Sertoli cells?

A
  • Inhibin & Activin (-ve or +ve on FSH)
  • Anti-Mullerian Hormone (AMH)
  • Androgen-Binding Protein (ABP)
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23
Q

Where are Leydig cells?

A
  • Between seminiferous tubules
  • Pale cytoplasm as cholesterol-rich
  • LH receptors
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24
Q

What is the function of Leydig cells?

A
•Hormone synthesis
•On LH stimulation, secrete androgens:
•Testosterone (oestrogens)
•Androstenedione
•Dehydroepiandrosterone (DHEA)
(can be aromatised to oestrogens)
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25
Q

Describe the process of oogenesis

A
Diploid:
1. Oogonium (44XX)
2. Oocytes (44X
3. 1st mitotic division 
Haploid
4. Oocytes (22X)
5. 2nd meiotic divino 
6. Ootids (22X)
7. Differentiation 
8. Ova (22X)
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26
Q

What happens in the second trimester of pregnancy?

A

All oogonia develop in 1^0 (step 3) oocytes forming primordial follies

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27
Q

Describe the process of folliculogenesis

A
  1. Primordial follicle (10 Oocyte at birth)
  2. Primary (=Preantral) follicle
    -10 Oocyte and layers of granulosa cells
    and outer theca cells
  3. Secondary (=Antral) follicle
    -Fluid-filled cavity (antrum) develops
    -FSH and LH receptors
  4. Mature (=Graafian/Preovulatory) follicle
    -Forms due to LH surge
    -20 Oocyte formed
  5. Ruptures surface of ovary
    6-7. Corpus Luteum
    -Progesterone & oestrogen (stim by LH)
    -In pregnancy, progesterone & oestrogen production taken over by placenta
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28
Q

What are the reproductive hormones proceed in ovaries?

A
  1. Oestrgoens (oestradiol and oestrone, oestriol)
  2. Progestogens (progesterone)
  3. Androgens (Testosterone, androstenedione, DHEA but not DHEAs which is made in the adrenals)
  4. Relaxin
  5. Inhibin
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29
Q

What are the reproductive hormones proceed in the testes?

A
  1. Androgens (testosterone, dihydrotesterone and androstenedione)
  2. Inhibin
  3. Oestrogens (from androgen aromatisation)
30
Q

Where are theca cells?

A

Associated with outer part of ovarian follicles

31
Q

What is the function of theca cells?

A

Support folliculogenesis
•Structural & nutritional support of growing follicle
-Hormone synthesis

32
Q

What hormones are secreted from the theca cells?

A
  • LH stimulates synthesis of androgens

* Overactivity -> high androgen levels

33
Q

Where is the granulosa cell?

A

Associated with inner part of ovarian follicles

34
Q

What is the function of the granulosa cell?

A

Hormone synthesis
•FSH stimulates granulosa cells to convert androgens to oestrogens (by aromatase)
•Secrete Inhibin & Activin (effects on FSH)
After ovulation
•Turn into granulosa lutein cells that produce:
•Progesterone (-ve feedback, promote pregnancy by maintaining endometrium)
Relaxin (helps endometrium prepare for pregnancy and softens pelvic ligaments/cervix

35
Q

What is the hypothalamic pituitary Gland Axes for reproduction?

A
  1. Hypothalamus: Kisspeptin which acts on GnRH receptors
  2. Pituitary: LH/FSH
  3. Glands/targets: Gonads
  4. Target Hormones: oestrogen / protest/sndrogen
  5. Fuction: Reproduction
36
Q

What happens after signal related from GnRH ns?

A
  • In hypophyseal Portal circulation
  • Released in pulsatile fashion
  • Reachs gonadotråophs in anterior pituitary gland
  • Release LH and FSH in pulsatile function into systemic circulation
  • Goes to gonads: diurnal
  • Oestrogen and progesterone have a negative/positive feedback directly onto pituitary or the kisspeptin neurones
37
Q

What happens in hyperprolactinaemia?

A
  1. Prolactin binds to prolactin receptors on kisspeptin neurone in hypothalamus
  2. Inhibits kisspeptin relase
  3. Decreases in downstream GnRH/LH/FSH/T/oest
  4. Oligo-amenorrhoea/low libido/infertility/osteoporosis
38
Q

Why does menstrual cycle occur?

A

Female reproduce system prepares for possible fertilisation of 2^0 oocytes

39
Q

What is day 1 of menstual cycle?

A
  • First day of bleeding

- Blood and cellular debris form necrotic endometrial lining

40
Q

When is ovulation?

A

Day 14

41
Q

What is the length of the period?

A
Average 28d (21-35) 
>35 = oligomenorrhoea
42
Q

How does LH change in menstrual cycle?

A
  • LH slowly increase then peak around day 14

- Switch from negative to positive feedback from oestrogen so more LH helps final stage of folice maturation

43
Q

How does oestrogen change in menstrual cycle?

A

-Increase as follicle develops and beyond threshold changes LH and FSH form negative to positive feedback which helps to mature

44
Q

What happens after day 14?

A
  • Secondary oocyte out
  • Corpus lutem
  • Corpus lutem secretes progesterone so help endometrium secretory ready for possible implantation mucus thicken to protect possible impalnantion
  • Oestrogen at start allow thin uterine mucus so sperm can pass
45
Q

What is the menstrual cycle drive by?

A

Driven by feedback loops involving:
•Hypothalamic Kisspeptin & GnRH
•Pituitary LH & FSH
•Ovarian Oestrogen, Progesterone, Activin, Inhibin

46
Q

What is the ovarian cycle?

A
  • Follicular Phase
  • Ovulation (=pre-ovulatory phase)
  • Luteal Phase
47
Q

What is the uterine cycle?

A

Uterine Cycle (=Endometrial cycle):
•Menstrual Phase
•Proliferative Phase
•Secretory Phase

48
Q

What does the menstrual cycle comprise of?

A

Ovarian Cycle & Uterine Cycle driven by hormonal level changes

49
Q

What happens the day after ovulation?

A

Body temperature increases by at least 0.5 degrees (due to progesterone)

50
Q

What happens when spermatozoa

A
  • Spermatozoa go through tubules
    1. Tubular fluid reabsorption resulting in concentration (induced by oestrogen)
    2. Nutrients (e.g. fructose) and glycoprotein secretion into epididymal fluid (induced by androgens).
51
Q

How far does spermatozoa happen?

A
  • Travels 100,000 x its length from Testis to Fallopian tube
  • equivalent to 150km for a 1.5m human
  • (South Ken → Brighton → South Ken)
52
Q

What is in ejaculation?

A
-Semen:
Spermatozoa 15-120 million/ml
Seminal fluid  2-5ml
-Leucocytes
-(potentially viruses e.g. hepatitis B, HIV) 
-1/100 of spermatozoa in ejaculate enter the cervix
-1/10,000 cervix to ovum
-Overall 1/million reach ovum
53
Q

Where has seminal fluid happened?

A

-Small contribution from:
Epididymis/testis
-Mainly from accessory sex glands: Seminal vesicles, Prostate, Bulbourethral glands

54
Q

What is in seminal fluid?

A
  • Fructose
  • Citric acid
  • Bicarbonate
  • Fibrinogen
  • Fibrinolytic enzymes
55
Q

When does capacitation occur? What happens during it?

A
  • Loss of glycoprotein ‘coat’
  • Change in surface membrane characteristics
  • Develop whiplash movements of tail
  • Takes place in ionic & proteolytic environment of the Fallopian tube
56
Q

What is capacitation dependent on?

A
  • Oestrogen-dependent

* Ca2+-dependent

57
Q

What is the acrosome reaction?

A
•Sperm binds to ZP3 
•(= sperm receptor)
•Ca2+ influx into sperm 
•(stimulated by progesterone)
•Release of hyaluronidase &amp; proteolytic enzymes 
•(from acrosome)
-In ampulla
• Spermatozoon penetrates the Zona Pellucida
58
Q

When does fertilisation occur?

A
  • Occurs within the Fallopian tube

* Triggers cortical reaction

59
Q

What is the cortical reaction?

A
  • Cortical granules release molecules which degrade Zona Pellucida (e.g. ZP2 & 3)
  • Therefore prevents further sperm binding as no receptors
  • Haploid to Diploid
60
Q

Describe the development of the conceptus

A
  • Continues to divide as it moves down Fallopian tube to uterus (3-4 days)
  • Receives nutrients from uterine secretions
  • This free-living phase can last for ~ 9-10 days
61
Q

What is the attachment phase in implantation?

A

outer trophoblast cells contact uterine surface epithelium

62
Q

What happens after attachment phase in implantation?

A
  • Decidualisation phase : changes in underlying uterine stromal tissue (within a few hours)
  • Requires progesterone domination in the presence of oestrogen
63
Q

What factors are involved in attachment?

A

•Leukaemia inhibitory factor (LIF) from endometrial cells stimulates adhesion of blastocyst to endometrial cells
•Interleukin-11 (IL11) also from endometrial cells is released into uterine fluid, and may be involved
•Many other molecules involved in process (e.g. HB-EGF)

64
Q

What are some of the endometrial changes due to progesterone in decidulaisation?

A
  • Glandular epithelial secretion
  • Glycogen accumulation in stromal cell cytoplasm
  • Growth of capillaries
  • Increased vascular permeability (→oedema)
65
Q

What are the factors involved in decidualisation?

A

•Interleukin-11 (IL11), histamine, certain prostaglandins & TGFb (TGFb promotes angiogenesis)

66
Q

What happens in the first 40 days of pregnancy with progesterone and oestrogen production?

A
  • Produced in corpus luteum (in maternal ovary)
  • stimulated by hCG (produced by trophoblasts) which acts on LH receptors
  • Essential for developing fetoplacental unit
  • Inhibits maternal LH & FSH (-ve feedback)
67
Q

What happens from day 40 of pregnancy with progesterone and oestrogen production?

A

–Placenta starts to take over and makes oestradiol and oestrogen na progesterone

  • DHEAS is main substrate
  • Oestriol (from fetes and mother?)
68
Q

What increase in maternal hormones?

A
  • ACTH
  • Adrenal steroids
  • Prolactin (can obstruct visual fields)
  • IGF1 (stimulated by placental GH-variant)
  • Iodothyronines
  • PTH related peptides
69
Q

What decreases in maternal hormone?

A
  • Gonadotrophins
  • Pituitary GH
  • TSH
70
Q

Describe the endocrine control of lactation

A
  1. Mechanical stimulation of nipple and surrounding area activates afferent pathways
  2. Afferent sig al integrated in the hypothalamus and stimulate oxytocin-relating neurone activity and inhibit dopamine relase from dopaminergic neurones
  3. Less dopamines in the hypothalamic pituitary portal system causes less inhibition of anterior pituitary lactrotrophs
    Action potentials travel down oxyctoin neurone and oxytocin is secreted into eh bloodstream
  4. Increased plasma oxytocin increase milk ejection in mammary glands
    Increase plasma prolactin increases milkn secretion in mammary glands
71
Q

How do hormones change in pregnancy?

A
  1. hCG (form placenta) peaks at week 9 and then decreases
  2. Human placental lactogen and oestrogen (mainly oestrous) general increases
  3. Progesterone increase more gradually
72
Q

What is the endocrine control of parturition?

A
  • Oxytocin (from posterior pituitary)
    1. Uterine contraction
    2. Cervical dilation
    3. Milk ejection