Males Flashcards

1
Q

What are androgens sythesised from?

A

Cholesterol

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2
Q

What does the delta 4 pathway do?

A

Converts progesterone to androgens

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3
Q

What is the functions of the testis?

A

Sperm production

Steroid hormone production

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4
Q

What is the function of the Epididymis?

A

Sperm collection and maturation

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5
Q

What is the function of the ductus deferens?

A

Transport and storage

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6
Q

What is the function of the accessory glands?

A

Contributions to seminal fluid

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7
Q

What is the function of the urethra?

A

Transport

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8
Q

Which part of the testes are sperm produced in?

A

Seminiferous tubules

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9
Q

Which cells are seminiferous tubles surrounded by?

A

Myoid cells?

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10
Q

What do the spaces between seminiferous tubles contain?

A

Leydig cells

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11
Q

Where does the biosynthesis of testosterone occur?

A

In leydig cells

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12
Q

Where does the conversion of testosterone to dihydrotestosterone (DHT) occur and by which enzyme?

A

Sertoli cell

5a-reductase

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13
Q

What is similar about the receptors for all the major classes of steroid hormone?

A

Proteins that have two binding sites (one for steroid and one for DNA)
The binding of steroid produces a complex that acts on DNA
Binding of complex to DNA alters genes expressed
=Transcription factors

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14
Q

What are androgens?

A

Compounds that interact with the androgen receptor

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15
Q

What processes are androgens responsible for?

A

Development of secondary sex characteristic
Anabolic effecs
Spermatogenesis

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16
Q

Which hormones control male sex steroid production?

A

Gonadotrophins (LH and FSH)

17
Q

What controls Gonadotrophin release from the anterior pituitary?

A

Gonadotrophin Releasing Hormon released from the Hypothalamus
Pulsatile release but constant frequency so no fluctuation in LH and FSH

18
Q

Which cells have receptors for FSH and LH?

A

Sertoli - FSHR

Leydig - LH

19
Q

How do the receptors for sex steroids and gonadotrophins differ?

A

Gonadotrophins need receptors at the cell surface wheras the steroids have intracellular receptors

20
Q

What action does LH have on Leydig cells?

A

Stimulates production of testosterone from cholesterol

Cholesterol transported to Sertoli cell

21
Q

What action does FSH have on sertoli cells?

A

Converts T to DHT
ABP binds to T and DHT and concentrates them in the liminal fluid
Stimulated: spermatogenesis, maturation, accessory gland secretions, myoid cell contractile activity

22
Q

Which hormones exert negative feedback?

A

Inhibin from sertoli (on AP)

Testosterone for Leydig (on AP and H)

23
Q

What moves sperm along the seminifeous tubule?

A

Myoid cell contractility

AR-positive cells so action is androgen dependent

24
Q

Where is the sperms ability to swim aquired?

A

Epididymis (DHT-dependent) and further in the female tract

25
Describe semen
``` 1.5-5ml Sperm count: 40-250 million/ml Leukocyte count: 0-2000ml pH: 7.2 - 7.8 Fructose conc: 150-600mg/100ml ```
26
How much do each of the accessory glands contribute to ejaculate volume?
Epididymis and ductus deferens = 5% Prostatic secretion = 13-33% Seminal vasicle secretion = 46-80% Bulbo-urethral gland secretion = 5%
27
What happens during erection?
Erectile tissue becomes engorged with blood - arterioles dilated (parasympathetic NS) Tissues: corpus cavernosum and corpus spongiosum
28
What controls emission and ejaculate?
Sympathetic
29
Examples of drugs causing erectile dysfunction:
Tricyclics SSRIs Antihypertensives - bb, Ca antagonists
30
Examples of pathological bases for erectile dysfunction:
Psychogenic Neurogenic Vascular Endocrine
31
Which drugs can manage erectile dysfunction?
PGE1 - Alprostadil | PDE5 - Sildenafil
32
What are the risk factors for prostatic cancer?
Age Ethnicity Family History
33
What are the symptoms of prostatic cancer?
Urgent and frequent urination Nocturnal enuresis (involuntary urination) Difficulty starting or emptying the bladder Urine flow weak, interrupted or difficult to contol Back/pelvic pain
34
How is prostate cancer pharmacologically managed?
Gonadorelin (GnRH) agonists and antagonists Androgen antagonist - cyproterone acetate 5-a-reductase inhibitors - dutasteride and finasteride
35
How may a contraceptive for males work?
Exogenous Testosterone given - will reduce LH and FSH and reduce fertility Need high doses Depo
36
What may a male contraceptive cause?
Iatrogenic hypogonadotrophic hypogonadism | Low GnRH and wont have normal growth of cells in intestines