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Unit Fourteen: Endocrinology and Reproduction

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1 Unit Fourteen: Endocrinology and Reproduction
Chapter 80: Reproductive and Hormonal Functions of the Male (and Function of the Pineal Gland Guyton and Hall, Textbook of Medical Physiology, 12 edition

2 Physiologic Anatomy of the Male Sexual Organs
Fig Male reproduction system

3 Steps of Spermatogenesis and Meiosis
Fig A: Cross-section of a seminiferous tubule B: Stages in the development of sperm from spermatogonia

4 Steps of Spermatogenesis and Meiosis
Fig Cell divisions during spermatogenesis

5 Spermatogenesis Sex Chromosomes In each spermatogonium, one of the 23 pairs of chromosomes carries the genetic information that determines the sex of each eventual offspring The pair consists of one X chromosome and one Y chromosome

6 Spermatogenesis Formation of Sperm Fig. 80.4 Structure of the human
spermatozoan

7 Spermatogenesis Formation of Sperm Composed of a head and tail; acrosome covers the head (contains enzymes like hyaluronidase) Tail is the flagellum made up of microtubules Back and forth motion provides motility for the sperm

8 Spermatogenesis Hormonal Factors That Stimulate Spermatogenesis Testosterone secreted by Leydig’s cells in the interstitium of the testes; essential for growth and division of the testicular germinal cells, the first stage of forming sperm Leutinizing hormone (LH)-stimulates the Leydig cells Follicle stimulating hormone (FSH)-stimulates the Sertoli cells; stimulates the conversion of spermatids to sperm

9 Spermatogenesis Hormonal Factors That Stimulate Spermatogenesis Estrogens-formed from testosterone by the Sertoli cells when stimulated by FSH Growth hormone-necessary for controlling background metabolic functions of the testes

10 Spermatogenesis Maturation of Sperm in the Epididymis After hours in the epididymis, the sperm acquire the capability of motility Storage of sperm in the testes-form about 120 million sperm per day in the two testes; most are stored in the vas deferens and can remain viable for about one month After ejaculation, the sperm become motile and capable of fertilizing the ovum (called maturation); Sertoli cells and the epididymis secrete a fluid with the sperm that contains nutrients, enzymes, and hormones

11 Spermatogenesis Maturation of Sperm in the Epididymis Physiology of the mature sperm-move at a velocity of 1-4 mm/min Movement is greatly enhanced in neutral or slightly alkaline media; depressed in mildly acidic and highly acidic is rapidly fatal Life expectancy of ejaculated sperm in the female genital tract is 1-2 days

12 Spermatogenesis Function of the Seminal Vesicles Secretes a mucoid material containing fructose, citric acid, prostaglandins, and fibrinogen Prostaglandins (1) react with cervical mucus to make it more receptive to sperm movement, and (2) possibly cause a reverse backward peristalsis in the uterus and Fallopian tubes to move the sperm toward the ovaries

13 Spermatogenesis Function of the Prostate Gland Secretes a thin milky fluid that contains calcium, citrate ion, phosphate ion, a clotting enzyme, and a profibrinolysin Slightly alkaline prostatic fluid helps to neutralize the acidity of the other seminal fluids during ejaculation

14 Spermatogenesis Semen Ejaculated during the male sexual act, is composed of fluid and sperm from the vas deferens (10% of the total), fluid from the seminal vesicles (60%), fluid from the prostate gland (30%), and small amounts from the bulbourethral glands. Average pH is 7.5 Clotting enzymes help form a weak coagulum that holds the semen in the deep recesses of the vagina Eventually lyses due to the fibrinolysin; becomes very motile then

15 Spermatogenesis Capacitation Although sperm are said to be mature when they leave the epididymis, their activity is held in check by many inhibitory factors Upon contact with the female genital tract, multiple changes occur that activate the sperm for the final processes of fertilization c. Changes are referred to as capacitation

16 Spermatogenesis Capacitation Uterine and fallopian tubes fluids wash away the inhibitory factors from the male genital ducts The membrane head of the acrosome becomes weaker Membrane of the sperm becomes more permeable to calcium; activates the flagellar movement and allows the acrosome to release its enzymes more readily

17 Spermatogenesis Acrosome Enzymes When the sperm reaches the zona pellucida of the ovum, the anterior membrane of the sperm binds with specific receptor proteins in the zona pellucida The entire acrosome then rapidly dissolves and the acrosomal enzymes are released The enzymes open a passageway for the sperm and the sperm and ovum nuclei fuse within 30 minutes

18 Abnormal Spermatogenesis and Fertility
Bilateral orchitis (mumps infection) Excessive temperature of the testes Cryptorchidism-failure of descent of the testes Effect of sperm count (<20,000,000/ml) Sperm morphology and motility Fig Abnormal infertile sperm, compared with a normal sperm on the right

19 Male Sexual Act Neuronal Stimulus for Performance of the Male Sexual Act

20 Male Sexual Act Psychic Element Integration in the Spinal Cord

21 Male Sexual Act Stages of the Male Sexual Act Penile erection Lubrication Emission and ejaculation

22 Testosterone and Other Male Hormones
Secretion, Metabolism, and Chemistry Secretion of testosterone by the interstitial cells of Leydig in the testes (also produce dihydrotestosterone, androstenedione) Leydig cells are numerous in the newborn and after puberty

23 Testosterone and Other Male Hormones
Secretion, Metabolism, and Chemistry Fig Interstitial cells of Leydig, the cells that secrete testosterone

24 Testosterone and Other Male Hormones
Secretion, Metabolism, and Chemistry Androgens elsewhere in the body-adrenal secrete about 5 androgens d. All androgens are steroid compounds Fig. 80.8

25 Testosterone and Other Male Hormones
Functions of Testosterone During Development During fetal development-secreted by the genital ridges and later by the fetal testes is responsible for the development of male body characteristics (regulated by the SRY gene) while suppressing the development of female genital organs At 2-3 months of gestation, causes the descent of the testes into the scrotum

26 Testosterone and Other Male Hormones
Functions of Testosterone During Development of the Adult Primary and Secondary Sexual Characteristics Distribution of body hair-over the pubis, upward along the linea alba, chest, and other areas Decreases hair growth on the top of the head Causes hypertrophy of the laryngeal mucosa and enlargement of the larynx-masculine voice Increases the thickness of the skin and can contribute to acne Increases protein formation and muscle development Increases bone matrix and causes calcium retention

27 Testosterone and Other Male Hormones
Functions of Testosterone During Development of the Adult Primary and Secondary Sexual Characteristics Increases the BMR Increases the number of erythrocytes Minor effect increasing the reabsorption of sodium b y the distal tubules of the kidneys

28 Testosterone and Other Male Hormones
Intracellular Mechanism of Action Most of the effects result basically from increased rate of protein synthesis in the target cells Control of Male Sexual Functions Begins with the secretion of GnRH by the hypothalamus Pituitary releases LH and FSH for testosterone release or spermatogenesis

29 Testosterone and Other Male Hormones
Fig Feedback regulationof the hypothalamic-pituitary- testicular axis in males

30 Abnormalities of Male Sexual Function
Male Climacteric Prostate Gland Hypogonadism Hypergonadism and Testicular Tumors Erectile Dysfunction


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