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Male Sexual Anatomy, Physiology, and Response. Male Sex Organs Sex organs serve a reproductive function Sex organs serve a reproductive function Also.

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Presentation on theme: "Male Sexual Anatomy, Physiology, and Response. Male Sex Organs Sex organs serve a reproductive function Sex organs serve a reproductive function Also."— Presentation transcript:

1 Male Sexual Anatomy, Physiology, and Response

2 Male Sex Organs Sex organs serve a reproductive function Sex organs serve a reproductive function Also serve other functions: Also serve other functions: Bringing pleasure to self Bringing pleasure to self Giving pleasure to others Giving pleasure to others May serve to attract potential sexual partners May serve to attract potential sexual partners Sharing of genital sexuality can play a bonding role in relationships Sharing of genital sexuality can play a bonding role in relationships

3 External Structures Penis, Scrotum Penis, Scrotum

4 The Penis Penis: from Latin word for tail Penis: from Latin word for tail organ through which sperm and urine pass organ through which sperm and urine pass Contains urethra for urine and semen transport Contains urethra for urine and semen transport Becomes erect to better penetrate the vagina and deposit sperm near the os Becomes erect to better penetrate the vagina and deposit sperm near the os No bone, little muscle No bone, little muscle

5 The Penis Myths about the penis abound Myths about the penis abound Penis size not linked to body size or weight, muscular structure, race or ethnicity or sexual orientation. Determined by heredity. Penis size not linked to body size or weight, muscular structure, race or ethnicity or sexual orientation. Determined by heredity. No relationship between penis size and ability to have sexual intercourse or satisfy a partner. No relationship between penis size and ability to have sexual intercourse or satisfy a partner.

6 The Penis Three main sections: Three main sections: Root: attaches penis within the pelvic cavity Root: attaches penis within the pelvic cavity Shaft: body of the penis (hangs free) Shaft: body of the penis (hangs free) Contains 3 parallel columns of erectile tissue Contains 3 parallel columns of erectile tissue corpora cavernosa: 2 columns along the front surface corpora cavernosa: 2 columns along the front surface corpus spongiosum: runs beneath corpora cavernosa, also forms the glans corpus spongiosum: runs beneath corpora cavernosa, also forms the glans

7 The Root of the Penis Extends into the body below the pubic bone Extends into the body below the pubic bone Attached to internal pelvic muscles and can be felt in the perineum Attached to internal pelvic muscles and can be felt in the perineum

8 Figure 6.1 The internal structure of the penis.

9 The Penis: Cross-Section of the Shaft

10 The Penis Glans penis: head of penis; most sensitive Glans penis: head of penis; most sensitive Corona: rim at base of the glans Corona: rim at base of the glans Frenulum: on underside of penis; triangle of sensitive skin; attaches glans to foreskin. Frenulum: on underside of penis; triangle of sensitive skin; attaches glans to foreskin.

11 The Penis Foreskin: sleeve-like covering of the glans Foreskin: sleeve-like covering of the glans Often surgically removed in infancy: circumcision Often surgically removed in infancy: circumcision Crura (pl.): formed by the corpora cavernosa; anchored by muscle to public bone Crura (pl.): formed by the corpora cavernosa; anchored by muscle to public bone Urethra: a tube that transports urine & semen Urethra: a tube that transports urine & semen Runs from bladder through penis. Opens at tip of glans. Runs from bladder through penis. Opens at tip of glans. When penis erect, urinary duct is blocked When penis erect, urinary duct is blocked

12 Figure 6.2 The male reproductive organs.

13 The Scrotum Scrotum: a pouch of skin that holds the two testicles Scrotum: a pouch of skin that holds the two testicles Scrotum skin more heavily pigmented Scrotum skin more heavily pigmented Sparsely covered with hair Sparsely covered with hair Divided in the middle by a ridge of skin Divided in the middle by a ridge of skin During sexual arousal or cold conditions, scrotum retracts to keep testicle temperature consistent (about 93°F) Cremaster muscle moves the scrotum closer to or farther from the body (protects) During sexual arousal or cold conditions, scrotum retracts to keep testicle temperature consistent (about 93°F) Cremaster muscle moves the scrotum closer to or farther from the body (protects)

14 Internal Structures Testes: Testes: Two major functions: sperm and hormone production Two major functions: sperm and hormone production Shaped like olives; 1.5” long and 1” diameter. Shaped like olives; 1.5” long and 1” diameter. Size and weight decrease as men age Size and weight decrease as men age Not usually symmetrical in the way they hang Not usually symmetrical in the way they hang Suspended by spermatic cord Suspended by spermatic cord Within each testicle, there are about 1000 Seminiferous tubules: tiny compressed tubes 1-3 feet long Within each testicle, there are about 1000 Seminiferous tubules: tiny compressed tubes 1-3 feet long Production of sperm takes place in these tubes Production of sperm takes place in these tubes

15 Internal Structures: Cross- Section of a Testis

16 Internal Structures Epididymis & Vas Deferens Epididymis & Vas Deferens The ducts that carry sperm from testicles to urethra for ejaculation The ducts that carry sperm from testicles to urethra for ejaculation Sperm mature in epididymis, which joins with vas deferens Sperm mature in epididymis, which joins with vas deferens Vas deferens joins the ejaculatory duct within prostate gland Vas deferens joins the ejaculatory duct within prostate gland Vas deferens can be felt within scrotal sac Vas deferens can be felt within scrotal sac

17 Internal Structures Seminal vesicles Seminal vesicles Secrete fluid that makes up 60% of semen Secrete fluid that makes up 60% of semen Prostate gland Prostate gland Secretes fluid that makes up 30-35% of semen Secretes fluid that makes up 30-35% of semen Can be stimulated in anal play Can be stimulated in anal play Cowper’s (bulbourethral) glands Cowper’s (bulbourethral) glands Secrete thick clear mucus prior to ejaculation Secrete thick clear mucus prior to ejaculation

18 Male Sexual Physiology Reproductive processes of the male body include: Reproductive processes of the male body include: production of hormones production of hormones production and delivery of sperm production and delivery of sperm

19 Male Reproductive Hormones Testosterone Testosterone Acts on seminiferous tubules to produce sperm Acts on seminiferous tubules to produce sperm Regulates sex drive Regulates sex drive Is responsible for development of secondary sex characteristics in puberty Is responsible for development of secondary sex characteristics in puberty Influences growth of bones and muscle mass Influences growth of bones and muscle mass May affect personality May affect personality

20 Testosterone Production Testosterone is the most important male hormone Testosterone is the most important male hormone Interstitial, or Leydig, cells in the testicles produce testosterone out of cholesterol Interstitial, or Leydig, cells in the testicles produce testosterone out of cholesterol

21 Testosterone Fluctuations in a Day

22 Spermatogenesis Ongoing process from puberty onward Ongoing process from puberty onward Sperm produced within seminiferous tubules of testicles (64-72 days) Sperm produced within seminiferous tubules of testicles (64-72 days) Several 100 million sperm produced daily Several 100 million sperm produced daily 20 days for sperm to travel through epididymis 20 days for sperm to travel through epididymis During this time they become fertile & motile During this time they become fertile & motile Upon ejaculation, sperm expelled through urethra by muscular contractions Upon ejaculation, sperm expelled through urethra by muscular contractions

23 Spermatogenesis Seminiferous tubules produce and store sperm Seminiferous tubules produce and store sperm Sertoli cells (in the tubules) provide nutrition for the development of sperm Sertoli cells (in the tubules) provide nutrition for the development of sperm This process begins with spermatogonium on the outer wall of the tubules; they move toward the center during development as primary spermatocytes, then divide to form secondary spermatocytes, and divide again into spermatids This process begins with spermatogonium on the outer wall of the tubules; they move toward the center during development as primary spermatocytes, then divide to form secondary spermatocytes, and divide again into spermatids

24 Spermatogenesis (Cont.) Spermatids form the compact head covered by an acrosome that contains enzymes to penetrate the egg Spermatids form the compact head covered by an acrosome that contains enzymes to penetrate the egg The midpiece is formed and serves as the energy source The midpiece is formed and serves as the energy source The flagellum propels the mature sperm The flagellum propels the mature sperm Sperm production takes 72 days, but is constant and each male produces about 300 million sperm a day Sperm production takes 72 days, but is constant and each male produces about 300 million sperm a day

25 Figure 6.5 Spermatogenesis is continually taking place with various levels of sperm development throughout the testis.

26 Spermatogenesis Immature sperm travel from the tubules to the epididymis; organ that rests atop the testicle Immature sperm travel from the tubules to the epididymis; organ that rests atop the testicle Old and faulty sperm are reabsorbed here Old and faulty sperm are reabsorbed here They mature in 10-14 days in the epididymis They mature in 10-14 days in the epididymis Upon maturity they are transferred to the vas deferens for storage Upon maturity they are transferred to the vas deferens for storage

27 Male Sexual Response Erection Erection Blood vessels expand and increase blood in penis Blood vessels expand and increase blood in penis Veins that normally carry blood out are compressed, leading to engorgement of penis Veins that normally carry blood out are compressed, leading to engorgement of penis Secretions from Cowper’s glands appear at tip Secretions from Cowper’s glands appear at tip

28 The Ejaculatory Pathway Ejaculation – physiological process where seminal fluid is powerfully expelled from the penis Ejaculation – physiological process where seminal fluid is powerfully expelled from the penis Pathway organs: Pathway organs: Vas deferens Vas deferens Seminal vesicles Seminal vesicles Prostate gland Prostate gland Cowper’s glands Cowper’s glands

29 Ejaculation Begins in the spinal cord once a threshold is reached, and proceeds until the conclusion Begins in the spinal cord once a threshold is reached, and proceeds until the conclusion

30 Ejaculation (Cont.) Once the threshold is reached: Once the threshold is reached: Epididymis, seminal vesicles, and prostate empty their fluids into the urethral bulb Epididymis, seminal vesicles, and prostate empty their fluids into the urethral bulb A sphincter closes off the bladder A sphincter closes off the bladder 5-15 contractions at the base of the penis squeeze the urethral bulb 5-15 contractions at the base of the penis squeeze the urethral bulb Ejaculate is expelled Ejaculate is expelled Orgasm Orgasm Return to flaccid state Return to flaccid state

31 Ejaculation & Orgasm Emission stage Emission stage Sperm sent into vas deferens Sperm sent into vas deferens Rhythmic contractions begin Rhythmic contractions begin Feeling of ejaculatory inevitability Feeling of ejaculatory inevitability Expulsion stage Expulsion stage Rapid contractions Rapid contractions Semen spurts from urethral opening Semen spurts from urethral opening Orgasm Orgasm Intensely pleasurable physical sensations that usually accompany ejaculation Intensely pleasurable physical sensations that usually accompany ejaculation Followed by refractory period Followed by refractory period

32 Ejaculate/Semen 2-5 milliliters of fluid 2-5 milliliters of fluid 50-150 million sperm per milliliter 50-150 million sperm per milliliter Few sperm reach the ovum Few sperm reach the ovum Sperm work together in order to fertilize the egg Sperm work together in order to fertilize the egg Semen coagulates upon ejaculation; this helps it remain in the vagina and travel into the uterus Semen coagulates upon ejaculation; this helps it remain in the vagina and travel into the uterus 5-20 minutes later it thins out 5-20 minutes later it thins out

33 The Breasts and Anus Male anatomical structures that do not serve a reproductive function but may be involved in sexual activities include: Male anatomical structures that do not serve a reproductive function but may be involved in sexual activities include: Breasts Breasts Urethra Urethra Buttocks Buttocks Rectum Rectum Anus Anus

34 The Male Maturation Cycle Male puberty Male puberty Andropause Andropause

35 Male Puberty Around 10 years of age, the hypothalamus starts to release gonadotropin releasing hormone (GnRH) which signals the pituitary to release FSH and LH Around 10 years of age, the hypothalamus starts to release gonadotropin releasing hormone (GnRH) which signals the pituitary to release FSH and LH At the testes, LH stimulates testosterone production; the two combine and FSH stimulate sperm production (around 12 years) At the testes, LH stimulates testosterone production; the two combine and FSH stimulate sperm production (around 12 years) Negative feedback loop Negative feedback loop

36 Figure 6.6 The cycle of male hormones.

37 Male Puberty (Cont.) Many organs and glands increase in size: testicles, penis, epididymis, prostate, seminal vesicles, Cowper’s glands Many organs and glands increase in size: testicles, penis, epididymis, prostate, seminal vesicles, Cowper’s glands Growth spurt initiated by testosterone levels Growth spurt initiated by testosterone levels Testosterone and DHT develop the secondary sex characteristics: larger muscles and bones, pubic hair, thick and tough skin, deep voice, facial and chest hair, increased sex drive Testosterone and DHT develop the secondary sex characteristics: larger muscles and bones, pubic hair, thick and tough skin, deep voice, facial and chest hair, increased sex drive

38 Andropause Testosterone levels decrease about 1% per year after 40 years of age Testosterone levels decrease about 1% per year after 40 years of age In the 70s and 80s, andropause occurs In the 70s and 80s, andropause occurs Andropause symptoms: decreased spermatogenesis, thinner ejaculate, less ejaculatory force, libido decreases, fatigue, mood disturbances, decreased strength Andropause symptoms: decreased spermatogenesis, thinner ejaculate, less ejaculatory force, libido decreases, fatigue, mood disturbances, decreased strength Controversy over hormone treatments Controversy over hormone treatments

39 Male Reproductive and Sexual Health Diseases of the male reproductive organs Diseases of the male reproductive organs Other conditions that affect the male reproductive organs Other conditions that affect the male reproductive organs Cancer of the male reproductive organs Cancer of the male reproductive organs

40 Diseases of the Male Reproductive Organs Cryptorchidism – testes do not descend into the scrotum; surgery necessary to correct Cryptorchidism – testes do not descend into the scrotum; surgery necessary to correct

41 Male Reproductive and Sexual Health Diseases of the male reproductive organs Diseases of the male reproductive organs Other conditions that affect the male reproductive organs Other conditions that affect the male reproductive organs Cancer of the male reproductive organs Cancer of the male reproductive organs

42 Diseases of the Male Reproductive Organs Cryptorchidism – testes do not descend into the scrotum; surgery necessary to correct Cryptorchidism – testes do not descend into the scrotum; surgery necessary to correct

43 Figure 6.7 Although the testicles of a fetus begin high in the abdomen, they must descend into the scrotum during fetal development. If they do not, the male may become infertile.

44 Diseases of the Male Reproductive Organs Testicular torsion – testis is twisted on its spermatic cord; many causes (sex, exercise, sleep); symptoms are pain and swelling; immediate surgery is required to maintain the testicle Testicular torsion – testis is twisted on its spermatic cord; many causes (sex, exercise, sleep); symptoms are pain and swelling; immediate surgery is required to maintain the testicle

45 Figure 6.8 Testicular torsion can occur after exercise, sexual intercourse, and even while sleeping.

46 Diseases of the Male Reproductive Organs Priapism – persistent, painful erection not related to sexual excitement; blood is trapped in erectile tissue; common causes are drug use and unknown; treatment is cessation of drug use and, possibly, surgery Priapism – persistent, painful erection not related to sexual excitement; blood is trapped in erectile tissue; common causes are drug use and unknown; treatment is cessation of drug use and, possibly, surgery Peyronie’s disease – painful curvature of the penis making penetration impossible; cause is unknown; may disappear within 2 years, or require drugs or surgery Peyronie’s disease – painful curvature of the penis making penetration impossible; cause is unknown; may disappear within 2 years, or require drugs or surgery

47 Other Conditions that Affect the Male Reproductive Organs Anabolic-androgenic steroid use – synthetic testosterone can increase muscle mass and endurance; there are also numerous physical, psychological, and emotional side effects, including erectile problems Anabolic-androgenic steroid use – synthetic testosterone can increase muscle mass and endurance; there are also numerous physical, psychological, and emotional side effects, including erectile problems

48 Other Conditions that Affect the Male Reproductive Organs (Cont.) Inguinal hernia – intestine goes through an abdominal opening into the scrotum, creating a bulge; can be due to heavy lifting and straining; surgery may be required Inguinal hernia – intestine goes through an abdominal opening into the scrotum, creating a bulge; can be due to heavy lifting and straining; surgery may be required Hydrocele – fluid accrues & forms a scrotal mass Hydrocele – fluid accrues & forms a scrotal mass

49 Cancer of the Male Reproductive Organs Testicular Testicular Penile Penile Prostate Prostate

50 Testicular Cancer Most common cancer in men 15-44 years Most common cancer in men 15-44 years Few early symptoms, early detection important; testicular self-exam Few early symptoms, early detection important; testicular self-exam Symptoms: painless mass or hardness in the testes; pain or increase in size of the testes, lower back pain, gynecomastia, shortness of breath, urethral obstruction Symptoms: painless mass or hardness in the testes; pain or increase in size of the testes, lower back pain, gynecomastia, shortness of breath, urethral obstruction High cure rate: radiation, chemotherapy, removal of testicle High cure rate: radiation, chemotherapy, removal of testicle

51 Penile Cancer Lesions on the penis may be benign or malignant and are usually treatable; may also be a STI Lesions on the penis may be benign or malignant and are usually treatable; may also be a STI Penile cancer is not common Penile cancer is not common

52 Prostate Cancer Prostate glands enlarge with age and this is typically unproblematic, other than interfering with urination Prostate glands enlarge with age and this is typically unproblematic, other than interfering with urination Prostate cancer is one of the most common in American men, typically in men over 50 years Prostate cancer is one of the most common in American men, typically in men over 50 years Risk factors: age, high fat diet, race, genetics Risk factors: age, high fat diet, race, genetics Symptoms: pain in the lower back, pelvis, or upper thigh, and urinary abnormalities Symptoms: pain in the lower back, pelvis, or upper thigh, and urinary abnormalities Detected through rectal exam and blood test Detected through rectal exam and blood test

53 Prostate Cancer (Cont.) Treatments: “watchful waiting”, radical prostatectomy, radiation, cryosurgery, drugs that attack cancerous cells Treatments: “watchful waiting”, radical prostatectomy, radiation, cryosurgery, drugs that attack cancerous cells


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