Male Reproductive Physiology Flashcards

1
Q

Why are the scrotum situated outside of the abdominal cavity?

A

Because a lower temperature than abdominal body temp. is required for sperm production

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2
Q

What is the epididymis?

A

Long coiled tube where sperm produced in the testes is stored and allowed to mature

Located on posterior of testes

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3
Q

Describe the pathway of sperm from formation to ejaculation

A
  • Testes
  • Epididymis
  • Vas deferens
    (combines with seminal & prostate secretions)
  • Urethra
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4
Q

How are the testes organized anatomically?

A
  • Surrounded by CT sheath called Tunica Albuginea
  • Tunica albuginea penetrates into the testes and divides it into several lobules
  • Inside each lobule are seminiferous tubules which are the site of sperm production
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5
Q

What are the three segments of the epididymis?

A
  • Head (receives sperm from testes)
  • Body
  • Tail (joined to the vas deferens)
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6
Q

What are the three types of cell types in the seminiferous tubules? Function of each?

A

Germ cells - produce sperm

Sertoli / Sustentacular Cells - support sperm production, produce inhibin (located in between germ cell layers)

Interstitial / Leydig Cells - produce testosterone (surround the seminiferous tubules)

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7
Q

What are the two main functions of the testes?

A
  • Sperm production

- Testosterone production

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8
Q

Functions of testosterone?

A

Development and maintenance of male secondary characteristics

Control spermatogenesis

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9
Q

How long does it take sperm to mature, from production to ejaculation?

A

About 64 days (3 months)

The time from when a sperm is produced to when it is ejaculated

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10
Q

What are the effects of FSH and LH on the testes?

A

FSH - stimulates the sertoli cells to increase spermatogenesis

LH - stimulates the Leydig Cells to increase testosterone production

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11
Q

What is the function of inhibin? Where is it produced?

A

Produced by sertoli cells

Acts to negatively feedback on production of FSH & LH from the anterior pituitary when there is adequate sperm production occurring

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12
Q

What feedback mechanisms is testosterone involved in?

A

Negative feedback on both the hypothalamus and the anterior pituitary

When there is adequate testosterone it negatively feedbacks to inhibit the release of GnRH, FSH & LH

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13
Q

What is the effect of testosterone on sperm production?

A

Testosterone stimulates sertoli cells to increase spermatogenesis

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14
Q

What are the two stages of spermatogenesis? Brief description of what occurs during each?

A

Spermatocytogenesis - clonal expansion and maturation through mitotic and meiotic processes

Spermiogenesis - differentiation into mature sperm cells

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15
Q

How long does the process of spermatogenesis take?

A

64 days

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16
Q

What are the stages of spermatocytogenesis?

A
  1. Clonal expansion - mitotic division of spermatogonia A to 2 spermatogonia B
  2. First meiotic division - primary spermatocyte meiotic division into secondary spermatocyte
  3. Second meiotic division - secondary spermatocyte into spermatid
17
Q

What occurs during spermiogenesis?

A

Maturation of spermatids into spermatozoa

18
Q

What are some possible pre-testicular (hormonal) causes of low spermatogenesis?

A
  • Excessive weight gain / loss
  • Intracranial tumours / cysts
  • Prolactinoma
  • Medications (opiates, testosterone supps, steroids)
  • Genetic (Kallmann’s syndrome - low GnRH)
19
Q

What are some testicular causes of low spermatogenesis?

A
  • Surgery (orchidectomy / orchidopexy)
  • Previous or current STI
  • Mumps orchitis
  • Testicular trauma / torsion
  • Radiotherapy or chemotherapy
  • Genetic (Klinefelters - XXY)
20
Q

What are some examinations that could be done if a male presents with low sperm count?

A
  • Examination: size of testicles, absence of vas deferens (CF)
  • Hormonal profile: FSH, LH, Prolactin (prolactinoma), Testosterone
  • Genetic tests: karyotype, Cystic Fibrosis
  • USS testes: testicular volume, hydrocoele, varicocoele