Sex And Fertilisayion Flashcards

1
Q

Outline the epididymal maturation of sperm

A

• On entry, spermatozoa not capable of movement
• Once at the tail of the epididymis they are capable of movement and have the potential to fertilise (capable of interacting with oocyte to begin fertilisation)
• Addition of secretory products to
surface of sperm
• Maturation
– Dependent on support of the epididymis by androgens

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2
Q

What are the functions of semen

A
  • Spermatozoa
  • Seminal plasma - derived from accessory glands of the male reproductive tract
• Function:
– Transport medium
– Nutrition
– Buffering capacity
– ? Role for prostaglandins in stimulating muscular activity in the female tract
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3
Q

What are the phases in the huma sexual response

A

• Excitement phase
– Psychogenic and / or somatogenic stimuli
• Plateau phase
• Orgasm phase
• Resolution phase
– Return to haemodynamic norm followed by a refractory period in males

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4
Q

Explain male sexual response i - erection

A

Stimulants
Psychogenic
Tactile (sensory afferents of penis and perineum)

Efferents
Somatic and autonomic efferents
•Pelvic nerve (PNS)
•Pudendal nerve (somatic)

Result = haemodynamic changes

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5
Q

Describe teh anatomical changes in erection

A
• Tunica albuginea 
• Erection requires
– Sinusoidal relaxation
– Arterial dilation
– Venous compression
Tunica albuginea gives counter pressure to engorgement of corpus spongiosum. This contributes to venous compression
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6
Q

Describe the innervation and neurophysiology of erection

A
• Fibres
– Lumbar and sacral spinal levels 
• Pelvic nerve and pelvic plexus 
• Cavernous nerve to corpora and
vasculature
• Inhibition of sympathetic arterial vasoconstrictor nerves 
• Activation of PNS 
• Activation of non-adrenergic, non-cholinergic, autonomic nerves to arteries, releasing Nitric Oxide (NO)
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7
Q

What are the roles of NO in erection

A
• Post-ganglionic fibres release ACh
• ACh bonds to M3 receptor on
endothelial cells
• A rise in [Ca2+]i  , activation of
NO Synthase and formation of NO
• NO diffuses into vascular smooth
muscle and causes relaxation
(vasodilation)
• NO also released directly from
nerves
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8
Q

What are the causes of erectile dysfunction

A
• Psychological (descending inhibition
of spinal reflexes) - psychogenic smulation may bot be possible/may be interrupted 
• Tears in fibrous tissue of corpora
cavernosa 
• Vascular (arterial and venous) 
• Drugs

Therapy to treat: Viagra™ slows rate at which cGMP is degraded - cGMP rapports erection

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9
Q

Descrime emmission

A

• Under sympathetic auto control
• Emission
– Movement of semen into prostatic urethra
– Contraction of SM in prostate, vas deferens and seminal vesicles - tubular structures with outer covering of SM - propel glandular secretions along duct system
• Ejaculation
– Expulsion of semen

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10
Q

What happens in ejactulation

A

• Contraction of glands and ducts (smooth muscle)
• Bladder internal sphincter contracts
– Preventing retrograde ejaculation
• Rhythmic striatal muscle contractions (pelvic floor, and perineal muscles ischiocavernosus, bulbospongiosus)

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11
Q

Give a summary of the autonomic control of male sexual function

A
Erection
• Sympathetic
– Inhibition (reduction of tone at arterioles) 
• Parasympathetic
– Active 

Ejaculation
• Sympathetic
– Active
• ducts

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12
Q

Describe the changes to cervical mucus over the menstrual cycle

A

• The character of cervical mucus changes over the course of the menstrual cycle
• Oestrogen
– Thin, stretchy - supports movement of male gamete through tract

• Oestrogen and progesterone
– Thick, sticky; forms a plug - inhospitable to sperm, forms a mechanical barrier

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13
Q

What is capacitation

A
  • further maturation of sperm in female reproductive tract (6-8 hours)
  • sperm cell membrane changes to allow fusion with oocyte cell surface
  • tail movement changes from beat to whip-like action (fig B)
  • now capable of undergoing the acrosome reaction (fig C)
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14
Q

What is the fertile window

A
  • Spermatozoa 48 -72hr
  • Oocytes 6 – 24 hr (max)
  • Fertile period: sperm deposition up to 3 days prior to ovulation or day of ovulation
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15
Q

Give an overview o events in fertilisation

A
  • Occurs normally in the ampulla of the uterine tubes
  • requires loss of sperm outer shell (acrosome)
  • penetration of ovum membrane, fusion of ova and sperm membrane
  • eventual formation and fusion of pronuclei
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16
Q

What is teh acrosome ad acrosome reaction

A

• Derived from golgi region of developing spermatid
• Contains enzymes
• Necessary for fertilisation
Acrosome reaction:
• Sperm pushes through corona radiata (granulose cells)
• Binding of sperm surface receptor to ZP3 glycoprotein of zona pellucida
• Triggers acrosome reaction - release enzymes in acrosome - digest glycoprotein wall
• Digestion of zona pellucida

17
Q

What happens during and just after fertilisation

A
• One sperm penetrates leading to fusion of plasma membranes 
• Cortical reaction - complex pathway, calcium wave - change in plasma membrane of oocyte to make any other sperm fusion impossible 
– Blocks polyspermy
• Series of calcium waves are activated
following fusion of oocyte and sperm
membranes 
• Resumption of meiosis II occurs (c) 
• Pronuclei move together 
• Mitotic spindle forms leading to
cleavage
18
Q

What is the morula

A

Small bundle of cells
• each cell at this stage of development is
TOTIPOTENT
• i.e. has the capacity to become any cell type

19
Q

Describe assisted reproductiove technology

A

• Oocytes are fertilised in vitro and allowed to divide to the 4- or 8- cell stage
• The morula is 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

20
Q

Describe the blastocyst and hatching

A

• First differentiation
– Inner and outer cell masses - one gives embryo, one gives placenta
• Formation of the blastocyst
• blastocyst hatches from zona pellucida
• no longer constrained - now free to enlarge
• can now interact with uterine surface to implant

21
Q

Describe implantation

A

• Outer cell mass (trophoblast) interacts with endometrium - at about time to next expected period
• Endometrium controls degree of invasion
• Ectopic implantation
– At sites other than endometrium
lined uterine cavity
– Invasion not controlled - runs unchecked
• Implantation in lower uterine segment can cause placenta praevia