Sex and Fertilisation Flashcards

1
Q

Describe the source and functions of the main constituents of semen

A
  • Seminal vesicles
    • 60% of volume
    • Alkaline fluid
    • Fructose, prostaglandins, clotting factors
  • Prostate gland
    • 25% volume
    • Milky, slightly acidic fluid
    • Proteolytic enzymes - breakdown clotting proteins
    • Citric acid, acid phosphatase
  • Bulbourethral glands (Cowper’s glands)
    • Alkaline fluid
    • Mucous that lubricates the end of the penis and urethral lining
  • Sperm - 100-200 million
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2
Q

Explain the autonomic control of sexual function

A
  • Parasympathetic system stimulates erection

- Sympathetic system stimulates emission and ejaculation

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3
Q

State the stages of the human sexual response

A
  • Excitement phase - psychogenic and/or somatogenic stimuli
  • Plateau phase
  • Orgasm phase - ejaculation in male
  • Resolution phase - return to haemodynamic norm followed by a refractory period in males
    • Not present in females
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4
Q

Explain the physiological process of erection

A
  1. Nerve stimulation (of pelvic plexus) causes sinusoidal relaxation, allowing the corpus cavernosum to relax
  2. Blood fills the corpus cavernosum spaces through arterial dilation
  3. The blood increases the pressure and causes the penis to expand and erect
  4. Tunica albuginea is compressed, causing venous compression as many veins run within
  5. Prevents blood outflow to sustain erection
    - Does not enlarge corpus spongiosum and cause blood to enter as do not want to compress urethra
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5
Q

Explain the role of nitric oxide in erection

A
  • Post ganglionic fibres release ACh
  • ACh binds to M3 receptor on endothelial cells
  • Rise in [Ca], activation of NOS and formation of NO
  • NO diffuses into vascular smooth muscle and causes relaxation (vasodilation)
  • NO also released directly from cavernous nerves
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6
Q

What are causes of erectile dysfunction

A
  • Psychological - descending inhibition of spinal reflexes
  • Tears in fibrous tissue of corpora cavernosa - tunica albuginea
  • Vascular problems (arterial and venous)
  • Drugs, alcohol
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7
Q

How does viagra maintain erection

A
  • Viagra slows rate at which cGMP is degraded
  • cGMP aids smooth muscle relaxation and vasodilation
  • Nitric oxide effect lasts longer
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8
Q

Explain emission

A
  • Movement of semen into prostatic urethra
  • Contraction of smooth muscle in prostate, vas deferens and seminal vesicles
  • Dry ejaculation - no emission
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9
Q

Explain ejaculation

A
  • Ejaculation - expulsion of semen
  • Contraction of glands and ducts
  • Bladder internal sphincter contracts - prevent retrograde ejaculation
  • Rhythmic striatal muscle contractions - somatic
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10
Q

Explain the changes in cervical mucus

A
  • In the presence of just oestrogen, mucus is thin and stretchy
    • Facilitate sperm entrance
    • Fern test - fern like structure shows thin and stretchy mucus
  • In the presence of oestrogen and progesterone, mucus is thick, sticky and forms a plug
    • Limit entry of sperm from cervix to female reproductive tract
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11
Q

Describe the process of sperm movement in the female

A
  • Sperm are deposited at the external os of the cervix
  • They swim through the body of the uterus and into the fallopian tubes
  • Fertilize at ampulla
  • Sperm transport based on own propulsion
  • Oocyte transport based on beating cilia and peristalsis of fallopian tube
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12
Q

Describe the process of capacitation

A
  • Further maturation of sperm in female reproductive tract
  • Sperm cell membrane changes to allow fusion with oocyte cell surface
    • Removal of glycoproteins and cholesterol from sperm membrane
    • Activation of sperm signalling pathways
  • Tail movement changes from beat to whip-like action (B)
    • Allows physical puncture of egg
  • Now capable of undergoing the acrosome reaction (C)
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13
Q

Explain the acrosome reaction

A
  • Sperm pushes through corona radiata
  • Binding of sperm surface receptor to ZP3 glycoprotein of zona pellucida
  • Triggers acrosome reaction
    • Requires multiple sperm to release hyaluronidase and break corona radiata and granulosa cells
  • Digestion of zona pellucida to enter cytoplasm of oocyte
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14
Q

Explain the process of fertilisation

A
  • One sperm penetrates leading to fusion of ova and sperm membranes
  • Cortical reaction - converts oocyte membrane to prevent further binding
    • Blocks polyspermy
  • Series of calcium waves are activated following fusion of oocyte and sperm membranes
  • Resumption of meiosis II occurs
  • Pronuclei move together and fuse
  • Mitotic spindle forms leading to cleavage - first mitotic division
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15
Q

What is a morula

A
  • Cells in a solid ball
  • Each cell at this stage of development is totipotent
  • Has the capacity to become any cell type
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16
Q

Explain the formation of blastocyst

A
  • First differentiation - inner and outer cell masses
  • Formation of blastocyst
  • Blastocyst hatches from zona pellucida (zona pellucida constricts enlargement)
  • Inner cells are totipotent
  • No longer constrained - now free to enlarge
  • Can now interact with uterine surface to implant
17
Q

Explain the concept of assisted reproductive technology

A
  • Oocytes are fertilised in vitro and allowed to divide to the 4 or 8 cell stage
  • Morula then transferred into the uterus
  • PGD - pre-implantation genetic diagnosis
    • A cell can be safely removed from the morula and tested for serious heritable conditions prior to transfer of the embryo into the mother
18
Q

Explain polycystic ovarian syndrome, including presentation and pathophysiology

A
  • Syndrome of hyperandrogenism and chronic anovulation
  • Presentation - secondary amenorrhea, infertility, hirsutism (male hair growth on woman), obesity
  • Due to lack of pulsatile GnRH release
  • Many follicles develop but a dominant follicle is not selected to mature
    • Respond to pituitary hormones by producing abnormal pattern of oestrogen secretion
  • Chronic anovulation (no ovulation) - inappropriate negative feedback signals from ovary
  • LH - dependent excess androgen production from both ovaries and adrenals
  • Abnormal oestrogen secretion puts women at risk of endometrial malignancy
  • Insulin resistance - risk of diabetes and cardiovascular disease