Spermatogenesis and male infertility Flashcards

1
Q

What are the two primitive genital tracts?

A

Wolffian and Mullerian

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2
Q

How does having a Y chromosome usually lead to male genitals?

A

SRY stimulates testes formation; testes secrete testosterone and Mullerian-inhibiting factor

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3
Q

What are the effects of testosterone in determining genital sex?

A

Transforms Wolffian ducts into male reproductive tract; is converted to dihydrosterone which causes external genitalia to develop in a male fashion

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4
Q

Which of the two primitive ducts are degenerated in a)males b) females

A

a) Mullerian

b) Wolffian

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5
Q

Patients with external female genitalia, absent ovaries/uterus and Y chromosome have what condition?

A

Androgen insensitivity syndrome

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6
Q

What is cryptochordism and why is it important?

A

Undescended testicles. Increases cancer risk 6x

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7
Q

What is the role of Leydig cells?

A

Produce testosterone

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8
Q

The first meiotic division of the 2N diploid primary spermatocyte gives rise to…

A

2N haploid secondary spermatocyte

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9
Q

Cells responsible for secreting androgen binding globulin

A

Sertoli cells

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10
Q

What are the roles of FSH and LH within the testes?

A

FSH- stimulates spermatogenesis

LH- stimulates testosterone release

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11
Q

Where does testosterone exert negative feedback?

A
Hypothalamus (GnRH)
Anterior pituitary (FSH and LH)
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12
Q

Role of the seminal vesicles

A

Supply fructose, prostaglandins, fibrinogen

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13
Q

Role of the prostate gland

A

Produces an alkaline fluid, clotting enzymes

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14
Q

Maturation process occurring in the Fallopian tubes which allows the sperm to penetrate the zona pellucida

A

Capacitation

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15
Q

Common causes of male infertility

A

Low sperm count or quality
Obstruction to vas deferens
Testicular failure

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16
Q

When might the vas deferens be congenitally absent?

A

Cystic fibrosis

17
Q

Endocrine causes of sub/infertility

A

Hyperprolactinaemia

Hyper/hypothyroidism

18
Q

Reasons why a man might have erectile difficulties

A

Psychosexual
Diabetes
Spinal cord injury

19
Q

Potential treatments for low sperm quality/count

A

Intra-uterine insemination
Intracytoplasmic sperm injection
Donor sperm insemination