Spermatogenesis And Male Infertility Flashcards
What chromosome contains the sex determining region?
The Y chromosome
Development of testis occurs from what?
Bipotential gland
What does the foetal testes secrete?
Testosterone and mullerian inhibiting factors
What are the two primitive genital tracts?
Wolffian
Mullerian
What causes development of female genital tract?
Müllerian ducts -> repro tract
Wolffian ducts degenerate
What causes male repro tract to develop?
Wolffian ducts -> repro tract
Müllerian ducts degenerate
What is androgen insensitivity syndrome?
Testicular feminisation
Genetics of androgen insensitivity syndrome?
X linked recessive
46 XY
What happens in androgen insensitivity syndrome?
Androgen induction of wolffian duct doesn’t occur but mullerian inhibition does occur.
Testis develop but don’t descend.
Born phenotypically with female external genitalia - absence of ovaries and uterus
When does androgen insensitivity syndrome tend to present?
At puberty with primary amenorrhea and lack of public hair
How do the testes adapt to external temperature?
Nervous reflexes trigger dartos muscle contraction in scrotal sac to lower/ raise testes according to external temp
What is cryptorchidism?
Undescended testes
Management of cryptorchidism?
Orchidopexy before age of 14 to reduce risk of testicular germ cell cancer .
If an adult, consider orchidectomy
Function of the testis?
Spermatogenesis (seminiferous tubules)
Production of testosterone (leydig cells)
What do Sertoli cells do?
Form blood- testis barrier Provide nutrients for developing cells Phagocytosis Secrete seminiferous tubule fluid Secrete androgen binding globulin Secrete inhibit and activin hormones
Where is GnRH secreted from?
Hypothalamus, every 2-3 hours