Male Reproductive Physiology Flashcards

1
Q

What is the general timeline of gonadal development in gestation?

A

weeks 1-5: bipotential

6-7: testes begin to develop

week 9: the ovaries begin to develop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Gonadotropin secretion like over the lifetime?

A

high in fetus

low in childhood (FSH>LH)

starts to increase in puberty

plateau in men in adulthood, fluctuates in women (LH>FSH)

increases in senescense, moreso in women (FSH>LH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What initiates puberty?

A

pulsatile secretion of GnRH –> gonadal tesroud hormones

secondary sex characteristics bc of T and estrogen

pulses of GnRH are essential - if you administer long-acting, puberty not initiated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can delay onset of puberty?

A

extreme stress or caloric deprivation in girls

melatonin may be a natural inhibitor of GnRH release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the scrotum essential for?

A

maintaining lower temperature essential for spermatogenesis (1-2C below body temp)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the primary function of the epididymis?

A

location for the maturation and storage of sperm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where do spermatogonia mature into spermatozoa?

A

seminiferous tubules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the general composition of an adult testis?

A

80% seminiferous tubules

20% CT w/ leydig cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the androgens secreted by the testes?

A

testosterone (most abundant)

DHT

androstenedione

most T goes to DHT in target tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When enzymes do the testes have and lack?

A

Lack: 21beta-hydroxylase and 11beta-hydroxylase (no glucocorticoids or mineralcorticoids are made)

have: 17beta-hydroxysteroid dehydrogenase (androstenedione –> T)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does 17B-hydroxysteroid dehydrogenase do?

A

converts androstenedione to testosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What occurs to T in the lumen of seminiferous tubules?

A

concentrated by binding to androgen-binding protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When do Leydig cells do?

A

synthesize cholesterol de nove and also aquire it from LDL receptors

store cholesterol esters – HSL –> free cholesterol for androgen production

cholesterol – StAR –> mitochondrial membranes –> pregnolone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is estrogen produced in the male?

A

In sertoli cells: T – aromatase –> estradiol

concentration of E is high in seminiferous tubule fluid - potential role in spermatogenesis

most of E is produced in other tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is 17,20 desmolase?

A

same as 17-alpha hydroxylase

converts 17alpha-hydroxyprogesterone to androstenedione

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the rate limiting step in the synthesis of testosterone?

A

conversion of cholesterol to pregnenolone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does LH do in a male?

A

increases affinity for cholesterol desmolase for cholesterol

stimulates synthesis of cholesterol desmolase

regulates overall rate of T synthesis by leydig cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is P450scc?

A

cholesterol desmolase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When does Testosterone production begin?

A

7-8 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the androgen receptor?

A

nuclear receptor that directs protein synthesis

found in prostate, testis, epididymis and seminal vesicles

also in non-repro tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is the significance of DHT?

A

binds to AR w/ greater affinity than T alone

has important role in causing changes at puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How is T found in the blood?

A

60% bound to SHBG

38% bound to albumin

2% free T = bio active form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How is T excreted?

A

primarily in urine

50% of excreted androgens found as urinary 17-ketosteroids

remainder conjugated androgens or diol or triol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the fetal actions of T?

A

present at 2nd month

differentiation of internal male genital tract

causes descent of testes during last 2-3 months of pregnancy

25
Q

What are the specific actions of DHT?

A

fetal differentiation of external male genitalia

hair distribution and baldness

sebaceous gland activity

growth of prostate

26
Q

What are the anabolic actions of androgens?

A

stimulation of EPO

stimulation os sebaceous glands

control of protein anabolic effects (N retention)

linear body growth, bone growth, and closure of epiphyses

ABP synthesis

behavioral effects, including libido

27
Q

How is DHT involved in BPH?

A

concentrations of DHT in prostatic tissue not higher in men w/ BPH –> might have more DHT receptors on prostates

28
Q

How does LH stimulate leydig cells?

A

Gs receptor –> cAMP/PKA –> steroidogenesis and T production

29
Q

How does do FSH and T stimulate sertoli cells?

A

FSH –> Gs –> new protein synthesis and production of inhibin (inhibits FSH release)

Testosterone contributes to this too by diffusing freely from leydig to sertoli cells

30
Q

What stimulates ABP production?

A

FSH –> sertoli cells –> ABP into lumen of S tubules

31
Q

What are the exocrine fxns of sertoli cells?

A

produce fluid

ABP

determination of release of sperm from seminiferous tubules

32
Q

What are the endocrine fxns of sertoli cells?

A

expression of ABP, T, and FSH

production of AMH

aromatization of T –> estradiol-17B

production of inhibin to regulate FSH

32
Q
A
33
Q

How long does spermatogenesis take?

A

64 days

34
Q

What occurs to spermatogenesis at puberty?

A

mitotic divisions (spermatocytogenesis) increase to produce daughter spermatogonia

35
Q

What occurs in the meiosis phase of spermatogenesis?

A

primary spermatocytes undergo 2 meiotic divisions:

1st: 2 secondary spermatocytes, 1n, 2d
2nd: spermatocytes enter 2nd div, producing 2 spermatids, 1n, 1d

36
Q

What is spermiogenesis?

A

spermatid maturation into spermatozoa

37
Q

What is the residual body and how is it removed?

A

excess cytoplasm ejected during spermatid maturation

phagocytized by sertoli cells

38
Q

What are the hormonal factors that stimulate spermatogenesis?

A

LH –> leydig cells make T

FSH –> sertoli cells nurse and form sperm

GH –> necessary for background metabolic fxns of testes; promotes early div of sperm

T –> growth and div of germinal cells

Estrogens –> might be essential

39
Q

What is seen in sperm in pituitary dwarfs?

A

no GH –> spermatogenesis is severely deficient or absent = infertile

40
Q

What occurs when exogenous T is administered?

A

inhibits LH release –> lowered intratesticular T levels –> insufficient spermatogenesis

41
Q

What occurs to sperm in the epididymis?

A

sperm spend about a month here further maturing after release from rete testis

weakly motile upon entering, strongly motile when exiting

decapacitation

storage site for mature sperm for several months

42
Q

What is decapacitation?

A

adding molecules to membranes of sperm to prevent acrosomal reaction before contact w/ an egg

43
Q

What are plasma testosterone and sperm production like throughout a male’s life?

A

no sperm production until puberty; high through adulthood and decreases in old age

T high fetally, dips at birth, high neonatally

low in childhood

increases during puberty and stays high throughout adulthood, decreases in old age

44
Q

What do prostaglandidns do and where are they secreted?

A

from seminal vesicles

react w/ female cervical mucus to make it more receptive to sperm movement (less thick)

cause backward peristaltic contractions in uterus and fallopian tubes to move sperm to ovaries

45
Q

When does the prostate gland secrete, and what is in its secretion?

A

secrete during emission

thin fluid w/ Ca, citrate ion, Pi, clotting enzyme, and profibrinolysin

fxns for pH adjustment

46
Q

How long can sperm live once ejaculated?

How many sperm are in each ejaculation?

A

24-48 hrs at body temp

2-6 mL, 20-200 million sperm (<20 million = infertile)

47
Q

What is emission?

A

movement of semen from epididymis, vas deferens, seminal vesicles, and prostate to ejaculatory ducts

under Sympathetic control

peristaltic contraction of SM of vas deferens –> closes internal sphincter of bladder to prevent retrograde ejaculation

usually precedes ejaculation

48
Q

What is ejaculation?

A

propulsion of semen out of male urethra

rhythmic contraction of bulbospongiosus and ischiocavernosus ms

striated muscles innervated by somatic motor nerves

49
Q

What occurs in capacitation?

A

changes occur when sperm come in contact w/ fluids of female tract

uterine tubes wash away inhibitory factors

loss of cholesterol built-up on acrosome

membrane more permeable to Ca –> increased motility

50
Q

What is the acrosome reaction?

A

large quantities of hyaluronidase and proteolytic enzymes stored in acrosomal head

hyaluronidase –> depolymerizes hyaluronic acid polymers in intercellular cement that hold ovarian granulosa cells together

proteolytic enzymes –> digest proteins in structural elements of tissue cells that adhere to ovum

51
Q

What does T deficiency in 2-3rd mo of gestation cause?

3rd trimester?

A

2-3rd mo: varying degrees of ambiguity in male genitalia, DSD

3rd trimester: problems in testicular descent, micropenis

52
Q

What does T deficiency in puberty cause?

A

poor secondary sexual dev and overal eunuchoid features (prepubertal characteristics)

53
Q

What does T deficiency in post-puberty cause?

A

decreased libido, erectile dysfunction, decreased facial and body hair growth, low energy, infertility

54
Q

What is Kallman’s syndrome?

A

genetic disorder

GnRH neurons fail to migrate into hypothalamus during embryo

delayed/absent puberty and impaired sense of smell

hypogonadotropic hypogonadism

55
Q

What is Klinefelter syndrome?

A

male w/ extra X chromosome

at puberty, increased gonadotropins fail to induce normal testicular growth and spermatogenesis

androgen production is low = primary hypogonadism

seminiferous tubules destroyed –> infertility

56
Q

What can treat benign prostatic hypertrophy?

A

5alpha-reductase inhibitor

57
Q

What do tumors of testis often cause?

A

interstitial tumors: large amounts of testosterone

germinal epithelial tumors: produce no hormones

58
Q

What occurs in “andropause”?

A

as men age, gonadal sensitivity to LG decreases and androgen production drops

serm LH and FSH rise (FSH>LH)

T production decreases slowly after age 40

sperm production drops after age 50, but many men can maintain repro fxn and spermatogenesis throughout life