Module 3: Conception and Implantation Flashcards
Four phase model components
-phase 1
-phase 2
-phase 3
-phase 4
Phase 1
-excitement
-increase in arousal that results as a response to sexual stimuli, characterized by increased heart rate, and blood pressure, and increase of blood flow to the genitals etc
Phase 2
-plateau
-characterized by continuation or intensification of responses in phase 1
Phase 3
-orgasm
-conclusion of plateau phase, lasts only a few seconds
-involuntary muscle contractions, peak in heart rate, blood pressure and breathing, and release of muscle tension
Phase 4
-resolution
-body returns to normal state, swelled/erect body parts return to previous size and colour
How is sexual response mediated
-by coordinated activity of autonomic and somatic innervation
Where does innervation for reproductive organs originate from
-sacral (parasympathetic) and lumbar nerve roots (sympathetic) in spine
Vascular dilation
-part of the sex response, causes this of genital organs
Stimulation of secretions
-either prostatic or vaginal secretions
Smooth muscle contractions
-of vas deferens during ejaculation in males
-rhythmic vaginal contractions during orgasm in females
Contractions of the somatic pelvic muscles
-accompany orgasm in both sexes
Phase 1 in males
-erectile reflex caused by stimulation of parasympathetic nerves that supply arterioles of penis
Phase 1 in males molecules
-nitric oxide
-guanylyl cyclase
Nitric oxide
-main molecule responsible for inducing relaxation of smooth muscles of the penile arterioles
Guanylyl cyclase
-activated by nitric oxide
-increases cellular concentration of cGMP to cause a reduction in intracellular ion concentration
Phase 2 in males
-erection continues
-urethral sphincter contracts to prevent retrograde ejactulation
-bulborethral glands produce mucus
-scrotum becomes tightened causing testicles to rise to body
Phase 3 in males components
-emission
-expulsion
-emission continued
-expulsion continues
Phase 3 in males emission
-bladder neck closes to prevent retrograde ejaculation
Phase 3 in males expulsion
-semen is propelled outward via muscular contractions
Phase 3 in males emission continued
-sperm cells are mized with prostatic fluid as they are ejected into prostatic section of urethra, followed by seminal vesicle fluid
Phase 3 in males expulsion continued
-rhythmic contractions are generated by bulbospongiosus and ischiocavernosus modules
Phase 4 in males
-the release of oxytocin is believed to be chiefly responsible for the male refractory period
Erectile disorders
-ischemic priapism
-erectile dysfunction
Ischemic priapism
-condition where the penis remains erect for hours due to inadequate draining of blood from penis
-occurs when there are problems in the resolution phase
NO pathway and erectile dysfunction
-PDE-5 rapidly metabolizes cGMP to GMP
-blocking this enxyme would allow cGMP concentrations to increase which would led to increased vasodilation
Phase 1 in females components
-swelling of external genitalia
-elevation of uterus
-increased vaginal lubrication
-swelling of breasts
Phase 1 in females swelling of external genitalia innervation
-innervated by parasympathetic nerve fibres
Phase 1 in females elevation of the uterus
-uterus raises upward, known as uterine tenting
-causing internal enlargement of vaginal canal
Phase 1 in females increased vaginal lubrication
-production of vaginal lubrication
Phase 1 in females swelling of the breasts
-increased blood pressure causes swelling and enlargement of breasts
Phase 2 in females
-swelling of clitoris, labia minora, and vagina increases
-uterus elevated further
-near orgasm the pubococcygeus muscle tightens, reducing diameter of vaginal opening
Orgasmic platform
-tissues near vaginal opening swell significantly
Phase 3 in females
-orgasm leads to involuntary, rhythmic contractions of the uterus and vaginal muscles, followed by release of muscle tension
Phase 4 in females
-a refractory period occurs but is not as pronounced as in males
-some women can experience multiple orgasms before or after entering refractory period
Persistent genital arousal disorder
-women
-spontanoeus, unwanted and uncontrollable genital arousal experienced by patients is often very painful and significantly disrupts functioning
How has the pelvis changed over time
-relative position shifted downwards
-wider pelvic and vaginal canal to fir bigger heads
How has the penis changed over time
-had to grow larger to maintain compulsory fit necessary to stimulate both partners toward sexual intercourse
Egg transport
-refers to the movement of oocyte from moment of expulsion from ovarian follicle to entry into the distal segment of fallopian tube
Cumulus-oocyte complex
-oocyte is released within this thick layer, and produces large amounts of hyaluronan, which forms an expanded extracellular matrix
Cumulus-oocyte complex function
-aiding of picking up the oocyte by the oviduct
-release of sperm-attracting molecules that increase chances of an encounter