VI-Male Reproduction Flashcards

1
Q

cholesterol side chain cleavage enzyme function

A

convert cholesterol to pregnenolone

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2
Q

17B-hydroxysteroid dehydrogenase function

17B-HSD3

A

convert androstenedione to testosterone

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3
Q

5a-reductase function

A

convert testosterone to DHT

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4
Q

aromatase function

A

convert testosterone to estradiol

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5
Q

effects of testosterone

A

-muscle mass
-bone formation
-spermatogenesis
-erythropoiesis

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6
Q

effects of DHT

A

masculinzation of external genitalia
-prostate growth
-hair growth

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7
Q

effects of estradiol

A

-bone resorption
-epiphyseal closure long bones
-hypothalamic feedback
-fat mass
-libido

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8
Q

steroid abuse mechanism

A

constant levels of testosterone induce neg feedback so dec LH and FSH = inhibit spermatogenesis, testicular atrophy

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9
Q

LH function

A

bind on leydig cells to stim testosterone production thru GPCR

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10
Q

FSH function

A

stimulate sertoli cells to produce ABP
-control sertoli cell prolif and seminiferous tubule growth during testes devel

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11
Q

sertoli cell function

A

-support spermatogonia
-signal spermatogenesis
-produce inhibin B
-produce androgen binding protein

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12
Q

male sex act stages

A
  1. erection
  2. lubricatin
  3. emission
  4. ejaculation
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13
Q

parasymps on erection

A

-initiate erection by relaxing vasculature/dilating thru Ach and NO
-secrete mucus from bulbourethral gland for lubrication

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14
Q

hypergonadism causes

A
  1. activating mutations of LH receptors
  2. congenital adrenal hyperplasia
  3. androgen producing tumors
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15
Q

hypogonadism presentaiton

A

in kids: underdev muscles, sex organs, absent/delayed spermatogenesis, eunuchoid body propotions

in adults: dec bone mass, anemia, muscle atrophy, dec sex function, depression

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16
Q

hypergonadotropic hypogonadism

primary hypogonadism

A

from testicular dysfunction so dec testicular production = inc LH and FSH bc no neg feedback
-cryptorchidism (undescend testes), klinefelter syndrome, chemotherapy

17
Q

hypogonadotropic hypogonadism

secondary hypogonadism

A

from hypothalamic or pituitary dysfunction so low LH, FSH = low testosterone
-kallmann syndrome, chronic systemic illness, drugs