Men Contraception Flashcards

1
Q

Spermatogenesis (stem cell to mature spermatozoa)

A

64days

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2
Q

LH receptors are one

A

Leydig cell (steroidogenic cell in testis)

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3
Q

End result of LH and FSH is

A

increase in steroidogenic capacity/activity of cells in the testis

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4
Q

Leydig cell role

A

produce testosterone

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5
Q

Sertoli cells role

A

help the germ cells to communicate and assist the development of germ cells into spermatozoa.

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6
Q

Sertoli cells
Leydig cells
intra or extracellular?

A

S: intracellular (inside seminiferous tubule)
L: extracellular (outside, between the seminiferous tubules)

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7
Q

Daily production of testosterone

A

5-7mg

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8
Q

LG receptors are what type of receptor?

A

G-protein coupled receptors (cAMP activate kinase –> INCREASE AVAILABILITY OF CHOLESTEROL)

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9
Q

Testosterone is converted into:

by the enzyme:

A

Dihydrotestosterone (DHT)

5alpha-reductase

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10
Q

Some male caracteristics attribute to the androgen exposure are due to

A

Dyhydrotestosterone (DHT) NOT TESTOSTERONE

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11
Q

Most potent of the steroid?

A

Estrogens

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12
Q

Testosterone can be converted to

A

Dihydrotestosterone (DHT) and Estrogens

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13
Q

If give aromatase blockers to male, what happen?

A

(inhibite estrogens synthesis) Sexe drive decrease in male bc estrogen play important role in sex drive!

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14
Q

DHT and testosterone bing to

A

androgen receptor

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15
Q

Androgen structure

A

DNA binding domain, N-terminal domain and a ligand-binding domain.

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16
Q

DNA-binding domain or the androgen receptor interact with

A

specific Androgen response element (ARE) in the genome.

17
Q

If we give increase sustained doses of testo, we will observe in the level of testosterone:
we will observe on the spermatogenesis?

A

Level remain constant du to - feedback, but we reach a point after where sudden spike/spurt of testosterone.

We still have endogenous testosterone, no turning off.
After, in middle, shut down by - feedback. No more production of testo. As the level of exogenous testo give,, spermatogenesis turn back ON.

18
Q

To effectively turn OFF spermatogenesis/shutdown the HPG axis we should give

A

a mixture of testo and estradiol (more potent!)

19
Q

When administrating testo-estradiol what do we observe?

A

NO change in seminal vesicle weight, serum testosterone, in the others physiological responses, level of androgen.

20
Q

How chemicals can affect spermatogenesis?

A

Killing mitotic cells

21
Q

What happen if we block or deprived the activation of retinoid acid?

A

No more spermatogenesis bc need retinoid acid.

22
Q

Non-hormonal suppression of sperm production:

A

Gossypol (found in cotton sedd oil extract)

23
Q

Testosterone is useful for

A

ONLY androgen deficiency!

24
Q

Consequences of excess androgen use:

A

Gonadotropin suppression
Sterility
increase LDL & decrease HDL (Atherogenesis)
Support growth of seminal vesicles weight & of prostate (can lead to prostate diseases)

25
Q

Side effect of excess androgen use:

A

Headaches, baldness, impotence, aggressive behavior, shrinkage of testicles, development of breast.

26
Q

Communication of the Leydig and sertoli cells with the germ cells is by:

A

Paracrine