Repro 2 Flashcards

1
Q

Male Reproductive Anatomy:

Penis:

Accessory Glands:

Testes:

  • *
A

Male Reproductive Anatomy:

Penis:

  • glandular and muscular tissue
  • Penile urethra

Accessory Glands:

  • seminal vesicles
  • Prostrate glands
  • Bulbourethral gland

Testes:

  • semineferous tubules
  • Scrotum
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2
Q

Testicular Descent:

Describe the process of Testicular Descent:

  • Embryonic position —>
  • _____ phase —->
  • _______phase —–>
  • elongation of ____
A

Testicular Descent:

Embryonic position—> transabdominal phase where the gonad becomes anchored to the abdominal wall(8-15 weeks) —–> inguinoscrotal phase where the testes breach the abdominal wall and go into the scrotal sack(25-35 wk) —–> elongation of cord (0-10 years)

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3
Q

Model of counter - current transfer of heat in testes:

Testes must be two degrees ____ than rest of body for sperm to live: artery blood needs to ___ and veinous blood needs to _____

Therefore: the gonadal/testicular artery criss crosses with a veinous structure called the ________

A

Model of counter - current transfer of heat in testes:

Testes is two degrees cooler than rest of body for sperm to live: artery blood needs to cool and veinous blood needs to reheat

Therefore: the testicular artery criss crosses with a veinous struture called the pampiniform plexus

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4
Q

Define the term “Cryptochidism”:

  • most common ______ abnormality of urogenital tract
  • Often result of what?

Why is it important that the testes descend into scrotum?

Testes descent maintains _____ temp (1-2 degrees)

A

Cryptochidism: hidden testis

  • most common congenital abnormality (means at birth) of urogenital tract
  • often result of undescended testes that remain in abdominal cavity
  • Testes descent maintains lower temperature (1-2 degrees below core body temp)
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5
Q

Functional Anatomy of Testes”

80% ______ tissue and 20% _____ tissue with __ cells

Describe the tubule within the testes

MILLIONS of sperm per day

A

Functional Anatomy of Testes:

80% is germinal tissue (meaning sperm), and 20% supportive connective tissue with Leydig cells

Anatomy: seminiferous tubules are coiled very tightly, ascend into common “rete testis” which then enter the ductus epididymis head—-> ductus epididymis body—-> ductus epididymis tail, and then finally sperm gets propelled up through the ductus deferens

Sperm gain motility as they travel through the epididimys

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6
Q

Anatomy of Testes:

Peritbular space consists of ____ cells ____ cells, and blood supply

Intratubular: ____ cells, developing ___ cells, lumen

A

Anatomy of Testes:

Peritubular space consists of Leydig cells, myoid cells, and blood supply

Intratubular: sertolic cells, developing germ cells, lumen

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7
Q

Spermatic Cord consists of:

1.

2.

3

A

Spermatic cord consists of

ductus deferns

gonadal artery

gonadal vein

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8
Q

Leydig Sertoli Cell Interactions:

Leydig cells are paratubular (outside tubules)

Sertoli cells are where ______ occurs

Sertoli cells form ______ to create a blood testis barrier

Basal compartmentbasal membrane of the sertoli cells is where the ______ are

A

Leydig-Sertoli Cell Interactions:
Leydig cells are paratubular (outside)
Sertoli cells are where spermatogenesis occurs

Sertoli cells form tight junctions to create a blood-testis barrier

Basal comparement/basal membrane of sertoli cells is where the stem cell niche (projenitor spermatogonia are)

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9
Q

Leydig-Sertoli Cell Interactions:

___ stimulates Leydig cells to make _____

That testosterone enters sertoli cells

____ stimulates sertoli cells

  • increases ____
  • increases ____ protein
  • also increases ____ (enzyme) to turn that testosterone into _____
A

Leydig Sertoli Cell Interations:

LH stimulates Leydig cell to make testosterone (and that testosterone will enter the sertoli cell)

FSH stimulates sertoli cells:

  • increases inhibin release (negative feedback)
  • increases ABP to bind to testosterone in testes
  • also increases aromatase enzyme to turn testosterone into estradiol
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10
Q

Activin and Inhibin have the _____ effects within the testes than they do in the pituitary

Inhibin will _____ LH induced testosterone production in leydig cells

Activin ____ testosterone production in leydig cells

A

Activin and inhibin have the OPPOSITE effects within the testes than they do in the pituitary

Inhibin will increase LH induced testosterone production in leydig cells

Activin inhibits testosterone production in leydig cells

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11
Q

Define the following terms:

Spermatogenesis

Spermiogenesis

Spermiation

All of these processess occure within the _____

A

Spermatogenesis: spermatogonia becoming 4 haploid spermatids

Spermiogenesis: maturation of spermatids into spermatozoa

Spermiation: release of spermatoza from sertoli cells into lumen

All of these processes occur in the seminiferous tubules

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12
Q

Label the things on this diagram

A

note: primary spermatocyte is DIPLOID

and spermatid is haploid

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13
Q

Spermatoza Maturation:

Maturaion of spermatozoa continues after release into lumen

Spermatozoa are initially _______ there is ___ movement from seminiferous tubule into the rete testis

Spermatoza mature along the single tubule of the ___

A

Spermatoza Maturation:

Maturation of spermatoza continues after release into lumen

Spermatoza are initially immobile: there is passive movement from seminiferous tubule into rete testis

Spermatoza mature along the single tubule of the epididymis

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14
Q

Sperm Maturation:

Progressive increase in ____ as sperm matures through the epidydimis

Formation of _____ (aka cap ontop of sperm containing hydrolytic enzymes and receptors necessary to bind ovum)

Deceased cytoplasm and lots of _____

Maturation is not fully complete until when?

A

Sperm Maturation:

Progressive increase in motility as sperm moves through epididymis

Formation of acrosome (which contains hydrolytic enzymes and receptors necessary to penetrate ovum)

Deceased cytoplasm and lots of mitochondria

Maturation is not fully complete until sperm enter vagina (capacitation)

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15
Q

Acessory Glands:

Semen is 10% _____

70% fluid from _____

other 10-20% is fluid from ____

A

Semen is 10% sperm

70% of the fluid is from seminal vesicles

other stuff is from epididymis, prostate, and bulbourethral gland

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16
Q

Seminal Vesicles:
paired structure

The fluid they secrete takes up ___% of semen

Their fluid contains:

  • _____ (nutrients for sperm)
  • the pH is ____
  • contains _____ in order for smooth muscle contraction of the uterus and vagina
A

Seminal Vesicles:

paired structure

fluid they secrete makes up 70% of semen

Seminal Vesicle Fluid:

  • fructose
  • pH is alkaline
  • contains prostaglandins
17
Q

Accessory Glands:

Prostate Gland:

surrounds the urethra

______ fluid to be expelled in ejaculate

Secretes ____ factors that prevent ___ of sperm

fluid is also alkaline

A

PROSTATE GLAND:

surrounds urethra

FIRST fluid to be expelled in the ejaculate

Secretes proteolytic factors to prevent clumping of sperm

18
Q

Benign Prostatic Hyperplegia (BPH):

prevalance is increased with age, all old men have an enlarged prostate, it increases their urgency to pee

How can you figure out if it’s BPH or a malignant prostate tumor? What would you measure

A

BPH: benign prostatic hyperplegia

prevalence is increased with age, prostate grows, pinches urethra

Measure PSA levels (prostate specific androgen)

BPH will increase tissue PSA by 10x

but a malignant tumor would cause WAY more than a 10x increase in serum PSA

19
Q

Bulbourethral Gland (cowper’s gland):

Immediately below the _____

Secrete mucus into urethra upon arounsal…. so bulbourethral ejects _____ fluid

A

Bulbourethral Gland (cowper’s gland)

Immediately below the prostate

Secretes musuc into urethra upon arousal: it secretes PRECUM

20
Q

Penis: Functional Anatomy:

Flaccid state: under tonic ____ control

The ______ arteries contract, to restrict blood flow in the flaccid state

A

Penis: Functional Anatomy:

The helicine arteries contract - restricting blood flow in flaccid state. Controlled by tonic sympathetic activity

21
Q

Penis: Functional Anatomy:

ERECTION:
relaxation of _________ causes an increase in blood flow to the _____

Engoregement compresses the outflow pathway

A

Erection:

relaxation of vascular smooth muscle increases blood flow in cavernous tissue

Engoregement compresses outflow pathway and creates swelling

22
Q

Erection is primarily under _______ control

_______ nerves release ___ and ___ (NT’s)

____ binds to muscarinic receptors on endothelial cells to increase NO release (vasodilator)

____ may also be released directy from nerve terminals

NO stimulates _____ and causes vasodilation

A

Erection is primarily under parasympathetic control

Parasympathetic nerves release ACh and NO

ACh binds to muscarinic receptors on endothelial cells to increase NO release

NO may also be released directly from nerve terminals

NO stimulates cGMP release and causes vasodilation

23
Q

Viagra:
Viagra inhibits ______ (enzyme), which normally does what?

Therefore, viagra keeps ____ from being broken down, and sustains the erection for longer

Viagra only maintains an erection, it cannot ____ one

A

VIAGRA:
Viagra inhibits Type 5 Phosphodiesterase (which normally breaks down cGMP)

Therefore, viagra keeps cGMP from being broken down, and sustains the erection for longer

Viagra only maintains an erection, cant initiate one

24
Q

Sympathetic Control of Emission:

Emission: movement of ejaculate into _____ urethra

Peristaltic rhythmic contractions get it there

There is a direct innervation of the smooth muscle cells via ______ receptors

A

Sympathetic Control of Emission:

Emission: movement of ejaculate into prostatic urethra

Peristaltic rhythmic contractions get it there

There is direct innervation of the smooth muscle cells via alpha adrenergic receptors

25
Q

Spinal Reflex: Ejaculation:

Emission “sets the stage” for ejaculation

Reflex is triggered by entry of semen to ___ from ___

Spinal cord reflex

Afferents reach spinal cord (_____) triggering efferent somatic motor control via ____ nerve

LACK OF VOLUNTARY CONTROL: automatic nervous system then spinal reflex

A

Spinal Reflex: Ejaculation:

Emission “sets the stage” for ejaculation

Reflex is triggered by entry of semen to bulbous urethra from prostatic urethra

Spinal cord reflex

Afferents reach S2-S4 in spinal cord triggering efferent somatic motor control via pudendal nerve

26
Q

Male Fertility Disorder

Explain the following and give examples for each:

  1. Pre-testicular
  2. Testicular
  3. Post-testicular
A
  1. Pretesticular: problems with HPG axis:
  • Primary: (issue with testes): high FSH/LH due to lack of negative feedback and low T/DHT
    • example: enzyme defeciency in testes
  • Tertiary and secondary: issues with higher up…. low GnRH, low FSH/LH, low DHT/T
    • Example: Kallman’s syndrome, hyperprolactenemia (inhibiting GnRH)
  1. Testicular: Klinefelter, cyrptochidism, or variocele (dilated scrotal veins)
  2. Post-testicular: ductal problems, premature ejaculation and impotence
27
Q

Female Reproductive Anatomy:

Gonad is a ____
Primary reproductive unit is a ______

A
28
Q

Explain the layout of the following:
ovary, infundibullum, ampulla, isthmus, utereus, cervix, vagina

A
29
Q

What kind of feedback does estrogen exert on the HPG axis?

A

Estrogen exerts both positive and negative feedback on the HPG axis

Positive feedback important for ovulation

30
Q

Female Pubertal Activation of HPG Axis:

During childhood, GnRH pulse is _____

During puberty, GnRH is activated by ______

Puberty in females: increase in GnRH release during ___ promotes secondary sex characteristics

What happens during menopause?

A
31
Q

Explain the menstral rhythm vs the menstral cycle

A

Menstral Rhythm: HPG axis feedback mechanisms generate a cyclical monthly pattern of hormone release

Menstral cycle: physiological changes in the ovaries and the uterus

32
Q

Female HPG Axis:
Explain what FSH and LH do within females

A

FSH: stimulates follicular development and conversion of androgens to estradiol

LH stimulates biosynthesis of estrogen, induces ovulation and lutinization

33
Q

Female HPG Axis:

Ovary:
Thecal Cells: produce ____ and _____, have what kind of receptors?

Granulosa cells: produce what? have what kind of receptors?

A

Female HPG Axis:
Ovary:
Thecal cells: produce androgens and progestins, have LH receptors

Granulosa cells: produce estrogens, inhibins, activins, have BOTH LH and FSH receptors