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The Reproductive
System
2
Similarities and differences between males
and females, but same goal: new life
 Primary sex organs: gonads
 Testes in males
 Ovaries in females
 These produce the gametes (sex cells)
 Sperm in males
 Ovum (egg) in females
 Endocrine function also: secretion of hormones
 Accessory sex organs
 Internal glands and ducts
 External genitalia
3
Male reproductive system
 Testes (singular testis) or testicles: the gonads
 In embryo, first develop in posterior abdominal wall, then migrate
 Internal body temp too hot for viable sperm
 Temp cooler in the scrotum because of superficial position
4
 Scrotum (=pouch) has septum dividing it
 Each testis is about 2.5cm x 4 cm in size, within scrotum
 Dartos and cremaster muscles move testes in response to hot or cold
 Serous sac partially encloses each testis: the tunica vaginalis*
 Develops as outpocketing of peritoneal cavity
 Just deep to tunica vaginalis is tunica albuginea* - fibrous capsule
 Septal extensions of it divide testis into 250-300 lobules
 Each lobule contains 1-4 coiled seminiferous tubules: make sperm
*
*
5
 Just deep to tunica vaginalis is tunica albuginea* - fibrous capsule
 Septal extensions of it divide testis into 250-300 lobules*
 Each lobule contains 1-4 coiled seminiferous tubules*: make sperm
 Converge to form straight tube (tubulus rectus), then conveys sperm into rete testis
 Sperm leave testis through efferent ductules which enter epididymis*
 Blood supply: pampiniform plexus: from L2 not pelvic level, since descended
from abdomen
*
*
*
* Epididymis is
comma-shaped
*
*
*
*
epididymis
Pampiniform
plexus
(lateral views)
6
Spermatogenesis:
sperm formation
 Begins at puberty
 400 million sperm/day
For baby not to end up with
twice as many chromosomes
as the parents, the sperm (as
well as the egg) needs to
have only half (1n) the # of
chromosomes (1 of each of
the 23)
(2n means 2 of each
chromosome, one from each
parent, totaling 23 pairs = 46
chromosomes)
 Three stages:
 Formation of spermatocytes
 Meiosis
 Spermiogenesis
Cross section of seminiferous
tubule
7
 1st stage: formation of
spermatocytes
 Spermatogonia are stem
cells
 Least differentiated
(earliest in the process)
 Lie in basal lamina
 Divide continuously by
mitosis (result 2n or diploid):
daughter cells A (remains a
stem cell) or B (goes on)
 When start to undergo
meiosis are by definition
called spermatocytes
 2nd stage: meiosis I
 Each primary spermatocytes
(2n) undergoes meiosis I to
become 2 secondary
spermatocytes:
 Each secondary
spermatocyte undergoes
meiosis II to become 2
spermatids
 Therefore 4 total spermatids
from each spermatogonium
 3rd stage: spermiogenesis
 Spermatids differentiate into
sperm
Cross section of seminiferous
tubule
8
Stage 3: Spermiogenesis: spermatid streamlined to sperm
 Head contains
 Nucleus with chromatid (genetic material)
 Acrosome with enzymes for penetrating egg
 Midpiece: mitochondria spiraled around the core of the tail
 Tail is an elaborate flagellum (allows sperm to swim) know
these
parts
9
 Sperm can swim only after they have left the
testis
 Process of spermatogenesis is controlled by
two hormones
 FSH (follicle stimulating hormones) from anterior
pituitary
 Testosterone
 primary male hormone
 produces by testes
 Sperm surrounded by Sertoli* (sustenacular)
cells: tight junctions
 Prevents escape of unique antigens seen as foreign
 These would activate the immune system
 Autoimmune response would cause sterility
 Other functions as well
 Interstitial or Leydig cells: secrete androgens
 Male sex hormones
 Main one is testosterone
 Into blood, sustain all male sex characteristic and sex
organs
*
10
 Sperm leave testis though efferent ductules
 Lined by simple columnar epithelium
 Cilia and smooth muscle in wall help move sperm along
 Sperm mature in epididymus (20 days)
 Head of epididymus contains the efferent ductules which empty
into duct of the epididymus
 Sperm gain ability to swim
 Sperm can be stored in epididymus for several months
Duct of epididymis: highly
coiled 6m long duct (pic left
is multiple coils of same
duct)
*Note pseudostratified
columnar epithelium
*
(reabsorbs fluid)
Ductus (vas)
deferens:
note thick layers of
smooth muscle
11
 Sperm are ejaculated from the epididymus
 Not directly from the testes
 Vas deferens* (or ductus deferens) 45cm (18”)
 Stores and transports sperm during ejaculation
 Runs superiorly from scrotum within spermatic cord, through
inguinal canal and enters pelvis
 Histo: see previous slide •Vas* arches
medially over ureter
•Descends along
posterior wall of
bladder
•Ends in ampulla
which joins duct of
seminal vesicle to
form short
ejaculatory duct
•Each ejaculatory
duct runs within
prostate where
empties into
prostatic urethra
*
12
Spermatic cord:
• Vas deference is the largest
component
• Is a tube of fascia also
containing nerves and
vessels
• Runs in inguinal canal
Inguinal canal has 2 rings:
1. Superficial (medial)
2. Deep
Inguinal hernia
13
 Seminal vesicles
 On posterior bladder
 Secrete fluids and substances
which constitute 60% of semen
 Their ducts join vas deferens
 Sperm and seminal fluid mix
in ejaculatory duct
 Prostate: note here and next
slide
 Bulbourethral glands
 Secrete mucus during sexual
excitement and ejaculation
(lubricant)
Posterior view
Lateral view
14
The Prostate
 Size & shape of a chestnut
 Encircles 1st part of urethra
 3 types of glands
 Contribute to semen (milky
fluid and enzymes)
 PSA measured as indicator
of prostate cancer (“prostate
specific antigen”)
 Fibromuscular stroma
15
 Male external genitalia
 Scrotum
 Penis
 Penis: 3 parts
 Root (attached)
 Free shaft or body
 Enlarged tip called glans penis
 Skin of penis is loose
 Prepuce or foreskin
 Cuff around glans
 Removed if circumcision
 See cross section, penis
 Urethra (called spongy or penile urethra
here)
 3 erectile bodies (parasympathetic
stimulation during sexual excitation
causes engorgement with blood allowing
erection):
 Corpus spongiosum
 Pair of corpora cavernosa
 Vessels and nerves
 Ejaculation caused by sympathetic
nerves
 Contraction of smooth muscle of ducts
and penis
Posterior view
16
Review pics
17
The Female Reproductive System
 Production of gametes (ova, or eggs)
 Preparation for support of developing
embryo during pregnancy
 Cyclic changes: menstrual cycle
 Averages 28 days
 Complex interplay between hormones and
organs: at level of brain, ovaries and uterus
18
 Gonads: the ovaries
 Paired, almond-shaped,
flanking the uterus in
lateral wall of true pelvis
 3 x 1.5 x 1 cm in size Posterior view
19
Anterior view
Ovaries are
retroperitoneal,
but surrounded
by peritoneal
cavity
Held in place by
mesentery and
ligaments:
•Broad ligament
•Suspensory
ligament of the
ovary
•Ovarian
ligament
Innervation:
•Sympathetic
and
parasympathetic
20
Structure of ovary
 Fibrous capsule is called tunica albuginea
 Outer cortex houses developing gametes the
oocytes, within follicles
 Inner medulla is loose connective tissue with largest
vessels and nerves
21
 Follicular phase
 1st approx 14 days but variable
 Egg develops in a follicle
 Stimulated by FSH (see next
slide)
 Estrogen produced
 Ovulation
 Egg released from follicle (LH
surge)
 Egg in abdominal cavity
 Picked up by fimbria of fallopian
tube
 Not necessarily halfway point
 Luteal phase
 Postovulatory phase 14 days
(more constant)
 Corpus luteum develops from
exploded follicle
 Produces progesterone as well
as estrogen
 Progesterone stimulates
uterus to be ready for baby
 If no pregnancy, corpus luteum
degenerates into corpus
albicans
The Ovarian Cycle
22
Nearly mature follicle
 Oocyte develops the zona pellucida
 Glycoprotein coat
 Protective shell (egg shell)
 Sperm must penetrate to fertilize the oocyte
 Thecal cells stimulated by LH to secrete androgens
 Granulosa cells (with FSH influence) convert androgens to
estrogen (follicular cells called granulosa cells now)
 Clear liquid gathers to form fluid-filled antrum: now a
secondary follicle
 Surrounding coat of granulosa cells: corona radiata
 Fully mature, ready to ovulate, called: ”Graafian follicle”
23
Ovulation
 Signal for ovulation is
LH surge
 Ovarian wall ruptures
and egg released,
surrounded by its
corona radiata
24
Oogenesis
Generation of eggs
 Starts in fetal period
 No more oocytes made
after about 7th month
 Developed only to early
stage of meiosis I by birth
and stops (called primary
oocyte)
 6-12 primordial oocytes
each cycle selected to
develop for ovulation (most
die)
 Only then is meiosis I
completed
 Secondary oocyte is then
arrested in meiosis II
 Meiosis II not completed
(now an ovum) unless
sperm penetrates its plasma
membrane
 Of the 4 daughter cells, only
one becomes ovum (needs
a lot of cytoplasm)
 The other 3 become “polar
bodies”
25
Fallopian (uterine) tubes, AKA oviducts
Fimbriae (fingers) pick
up egg
Beating cilia and
muscular peristalsis
propel egg to uterus
Empties into superior
part of uterus*
____Fallopian tubes__
Fimbriae *
Cross section
through entire
tube
Enlargement of
mucosa layer
showing ciliated
columnar
epithelium
PID
26
The Uterus (womb)
 In pelvis anterior to rectum and posterosuperior to
bladder
 Hollow, thick-walled organ
 Receives
 Retains
 Nourishes fertilized egg=embryo
Uterus is pear-shaped
(before babies)
Usually anteverted, can
be retroverted
27
Parts of uterus:
Body (major part)
Fundus
Isthmus
Cervix
Cervix
•Tough, fibrous ring
•Inferior tip projects
into vagina
•Produces mucus
Cavity of uterus
small (except in
pregnancy)
Cervical canal
•Internal os
•External os
Vagina
28
The Uterine Wall*
 Three basic layers
 Perimetrium: outer serous membrane
 Myometrium: middle muscle
 Endometrium: inner mucosal lining
Uterine
supports:
•Mesometrium
(largest division
of broad lig) –
main support
•Cardinal
ligament
•Round ligament
(Prolapse)
*
29
Endometrium (inner mucosal lining of uterine cavity)
 Simple columnar epithelium containing secretory
and ciliated cells
 Lamina propria of connective tissue
2 main layers (Strata)
1. Functionalis (functional layer)
2. Basalis (basal layer)
(not shed)
(shed if no implantation
of baby)
Note:
Uterine glands
Uterine arteries
30
 Pituitary hormones
 FSH: follicle
stimulating hormone
 LH: luteinizing
hormone
 Ovarian hormones
 Estrogen
 Progesterone
Time: one cycle (approx 28 d.)
*
ovulation
Follicular phase Luteal phase
31
The cyclic changes of uterine wall and follicle
(hormone graphs should be above)
Proliferative
phase: rebuilds
itself after slough
Secretory phase: vascular
rich glands enlarge: will
sustain baby (needs
progesterone: corpus luteum
initially then placenta)
If no baby, decreasing
progesterone - slough
32
(inhibin: inhibits pituitary
secretion of FSH)
33
The
Vagina
 Thin-walled
tube
 Inferior to
uterus
 Anterior to
rectum
 Posterior to
urethra &
bladder
 “Birth canal”
 Highly
distensible
wall: 3 layers
 Adventitia
 Muscularis
 mucosa
34
External female genitalia aka vulva or pudendum
 Mons pubis: fatty pad over pubic symphysis, with hair after puberty
 Labia (lips) majora: long fatty hair-covered skin folds
 Labia minora: thin, hairless, folds enclosing vestibule
 Vestibule: houses external openings of urethra and vagina
 Urethra is anterior (drains urine from bladder)
 Baby comes out through vagina (vaginal orifice in pic)
 Clitoris: anterior, homolog of penis (sensitive erectile tissue)
 Perineum: diamond shaped region
35
Mammary glands (breasts)
 Modified sweat glands
 Both sexes but function (normally) only in lactating female
 Produce milk to nourish baby
 Respond to hormonal stimulation
 Lymph drains into parasternal and axillalry lymph nodes
 Nipple surrounded by pigmented ring of skin, the areola
 Muscles underneath: pectoralis major and minor, parts of serratus anterior
and external oblique
36
 Mammary glands consist of 15-25 lobes
 Each a distinct compound alveolar gland opening at the nipple
 Separated by adipose and suspensory ligaments
 Smaller lobules composed of tiny alveoli or acini
 Like bunches of grapes
 Walls: simple cuboidal epithelium of milk-secreting cells
 Don’t develop until half-way through pregnancy (ducts grow during puberty)
 Milk passes from alveoli through progressively larger ducts
 Largest: lactiferous ducts, collect milk into sinuses
37
Conception
 After ejaculation into the vagina, sperm swim to meet an egg
 Sperm live 5-7 days (need cervical mucus)
 Eggs live about 12-24 hours, so conception only occurs during this short window
 Fertilization occurs in the fallopian tube
Events leading to
fertilization:
•Sperm binds to receptors on
zona pellucida
•Acrosomal reaction –
enzymes digest a slit
•Sperm passes through zona
•Fusion of a single sperm’s
plasma membrane with
oocyte’s plasma membrane
•Cortical reaction: sperm
receptors destroyed in zona
so no more enter; sperm
nucleus engulfed by egg’s
cytoplasm
Fertilization occurs
at the moment the
chromosomes from
the male and female
gametes unite
38
Initial days
 Cleavage (cell division)
 Blastocyst stage by day 4: now in uterus
39
Implantation
Blastocyst floats for
2 days: “hatches”
by digesting zona
enough to squeeze
out
6-9 days post
conception -
burrows into
endometrium
40
Formation of Placenta
Both contribute:
•Trophoblast from embryo
•Endometrial tissue from mother
Not called placenta until 4th month
Embryonic
blood
circulates
within chorionic
villi, close to
but not mixing
with mother’s
blood
•Nutrients
to baby
•Wastes to
mom
41
The “Placental Barrier”
 Sugars, fats and oxygen diffuse from mother’s blood to
fetus
 Urea and CO2 diffuse from fetus to mother
 Maternal antibodies actively transported across placenta
 Some resistance to disease (passive immunity)
 Most bacteria are blocked
 Many viruses can pass including rubella, chickenpox,
mono, sometimes HIV
 Many drugs and toxins pass including alcohol, heroin,
mercury
 Placental secretion of hormones
 Progesterone and HCG (human chorionic gonadotropin, the
hormone tested for pregnancy): maintain the uterus
 Estrogens and CRH (corticotropin releasing hormone): promote
labor
42
Childbirth
 Gestational period: averages 266 days
(this is time post conception; 280 days post LMP)
 Parturition: the act of giving birth: 3 stages of labor
1. Dilation: 6-12h (or more in first child); begins with regular uterine
contractions and ends with full dilation of cervix (10cm)
2. Expulsion: full dilation to delivery – minutes up to 2 hours
3. Placental delivery: 15 minutes
Dilation of cervis; head enters true pelvis
Late dilation with head rotation to AP position
Expulsion: head first safest as is largest part
Delivery of the placenta
43
Stages of Life
 Embryologically, males and females start out
“sexually indifferent”
 Gonads, ducts and externally identical structures
 At 5 weeks gestation changes start to take place
 Puberty: reproductive organs grow to adult size
and reproduction becomes possible
 Between 10 and 15
 Influence of rising levels of gonadal hormones
 Testosterone in males
 Estrogen in females
 Female menopause (between 46 and 54):
 Loss of ovulation and fertility
44
45
46

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reproductive system

  • 2. 2 Similarities and differences between males and females, but same goal: new life  Primary sex organs: gonads  Testes in males  Ovaries in females  These produce the gametes (sex cells)  Sperm in males  Ovum (egg) in females  Endocrine function also: secretion of hormones  Accessory sex organs  Internal glands and ducts  External genitalia
  • 3. 3 Male reproductive system  Testes (singular testis) or testicles: the gonads  In embryo, first develop in posterior abdominal wall, then migrate  Internal body temp too hot for viable sperm  Temp cooler in the scrotum because of superficial position
  • 4. 4  Scrotum (=pouch) has septum dividing it  Each testis is about 2.5cm x 4 cm in size, within scrotum  Dartos and cremaster muscles move testes in response to hot or cold  Serous sac partially encloses each testis: the tunica vaginalis*  Develops as outpocketing of peritoneal cavity  Just deep to tunica vaginalis is tunica albuginea* - fibrous capsule  Septal extensions of it divide testis into 250-300 lobules  Each lobule contains 1-4 coiled seminiferous tubules: make sperm * *
  • 5. 5  Just deep to tunica vaginalis is tunica albuginea* - fibrous capsule  Septal extensions of it divide testis into 250-300 lobules*  Each lobule contains 1-4 coiled seminiferous tubules*: make sperm  Converge to form straight tube (tubulus rectus), then conveys sperm into rete testis  Sperm leave testis through efferent ductules which enter epididymis*  Blood supply: pampiniform plexus: from L2 not pelvic level, since descended from abdomen * * * * Epididymis is comma-shaped * * * * epididymis Pampiniform plexus (lateral views)
  • 6. 6 Spermatogenesis: sperm formation  Begins at puberty  400 million sperm/day For baby not to end up with twice as many chromosomes as the parents, the sperm (as well as the egg) needs to have only half (1n) the # of chromosomes (1 of each of the 23) (2n means 2 of each chromosome, one from each parent, totaling 23 pairs = 46 chromosomes)  Three stages:  Formation of spermatocytes  Meiosis  Spermiogenesis Cross section of seminiferous tubule
  • 7. 7  1st stage: formation of spermatocytes  Spermatogonia are stem cells  Least differentiated (earliest in the process)  Lie in basal lamina  Divide continuously by mitosis (result 2n or diploid): daughter cells A (remains a stem cell) or B (goes on)  When start to undergo meiosis are by definition called spermatocytes  2nd stage: meiosis I  Each primary spermatocytes (2n) undergoes meiosis I to become 2 secondary spermatocytes:  Each secondary spermatocyte undergoes meiosis II to become 2 spermatids  Therefore 4 total spermatids from each spermatogonium  3rd stage: spermiogenesis  Spermatids differentiate into sperm Cross section of seminiferous tubule
  • 8. 8 Stage 3: Spermiogenesis: spermatid streamlined to sperm  Head contains  Nucleus with chromatid (genetic material)  Acrosome with enzymes for penetrating egg  Midpiece: mitochondria spiraled around the core of the tail  Tail is an elaborate flagellum (allows sperm to swim) know these parts
  • 9. 9  Sperm can swim only after they have left the testis  Process of spermatogenesis is controlled by two hormones  FSH (follicle stimulating hormones) from anterior pituitary  Testosterone  primary male hormone  produces by testes  Sperm surrounded by Sertoli* (sustenacular) cells: tight junctions  Prevents escape of unique antigens seen as foreign  These would activate the immune system  Autoimmune response would cause sterility  Other functions as well  Interstitial or Leydig cells: secrete androgens  Male sex hormones  Main one is testosterone  Into blood, sustain all male sex characteristic and sex organs *
  • 10. 10  Sperm leave testis though efferent ductules  Lined by simple columnar epithelium  Cilia and smooth muscle in wall help move sperm along  Sperm mature in epididymus (20 days)  Head of epididymus contains the efferent ductules which empty into duct of the epididymus  Sperm gain ability to swim  Sperm can be stored in epididymus for several months Duct of epididymis: highly coiled 6m long duct (pic left is multiple coils of same duct) *Note pseudostratified columnar epithelium * (reabsorbs fluid) Ductus (vas) deferens: note thick layers of smooth muscle
  • 11. 11  Sperm are ejaculated from the epididymus  Not directly from the testes  Vas deferens* (or ductus deferens) 45cm (18”)  Stores and transports sperm during ejaculation  Runs superiorly from scrotum within spermatic cord, through inguinal canal and enters pelvis  Histo: see previous slide •Vas* arches medially over ureter •Descends along posterior wall of bladder •Ends in ampulla which joins duct of seminal vesicle to form short ejaculatory duct •Each ejaculatory duct runs within prostate where empties into prostatic urethra *
  • 12. 12 Spermatic cord: • Vas deference is the largest component • Is a tube of fascia also containing nerves and vessels • Runs in inguinal canal Inguinal canal has 2 rings: 1. Superficial (medial) 2. Deep Inguinal hernia
  • 13. 13  Seminal vesicles  On posterior bladder  Secrete fluids and substances which constitute 60% of semen  Their ducts join vas deferens  Sperm and seminal fluid mix in ejaculatory duct  Prostate: note here and next slide  Bulbourethral glands  Secrete mucus during sexual excitement and ejaculation (lubricant) Posterior view Lateral view
  • 14. 14 The Prostate  Size & shape of a chestnut  Encircles 1st part of urethra  3 types of glands  Contribute to semen (milky fluid and enzymes)  PSA measured as indicator of prostate cancer (“prostate specific antigen”)  Fibromuscular stroma
  • 15. 15  Male external genitalia  Scrotum  Penis  Penis: 3 parts  Root (attached)  Free shaft or body  Enlarged tip called glans penis  Skin of penis is loose  Prepuce or foreskin  Cuff around glans  Removed if circumcision  See cross section, penis  Urethra (called spongy or penile urethra here)  3 erectile bodies (parasympathetic stimulation during sexual excitation causes engorgement with blood allowing erection):  Corpus spongiosum  Pair of corpora cavernosa  Vessels and nerves  Ejaculation caused by sympathetic nerves  Contraction of smooth muscle of ducts and penis Posterior view
  • 17. 17 The Female Reproductive System  Production of gametes (ova, or eggs)  Preparation for support of developing embryo during pregnancy  Cyclic changes: menstrual cycle  Averages 28 days  Complex interplay between hormones and organs: at level of brain, ovaries and uterus
  • 18. 18  Gonads: the ovaries  Paired, almond-shaped, flanking the uterus in lateral wall of true pelvis  3 x 1.5 x 1 cm in size Posterior view
  • 19. 19 Anterior view Ovaries are retroperitoneal, but surrounded by peritoneal cavity Held in place by mesentery and ligaments: •Broad ligament •Suspensory ligament of the ovary •Ovarian ligament Innervation: •Sympathetic and parasympathetic
  • 20. 20 Structure of ovary  Fibrous capsule is called tunica albuginea  Outer cortex houses developing gametes the oocytes, within follicles  Inner medulla is loose connective tissue with largest vessels and nerves
  • 21. 21  Follicular phase  1st approx 14 days but variable  Egg develops in a follicle  Stimulated by FSH (see next slide)  Estrogen produced  Ovulation  Egg released from follicle (LH surge)  Egg in abdominal cavity  Picked up by fimbria of fallopian tube  Not necessarily halfway point  Luteal phase  Postovulatory phase 14 days (more constant)  Corpus luteum develops from exploded follicle  Produces progesterone as well as estrogen  Progesterone stimulates uterus to be ready for baby  If no pregnancy, corpus luteum degenerates into corpus albicans The Ovarian Cycle
  • 22. 22 Nearly mature follicle  Oocyte develops the zona pellucida  Glycoprotein coat  Protective shell (egg shell)  Sperm must penetrate to fertilize the oocyte  Thecal cells stimulated by LH to secrete androgens  Granulosa cells (with FSH influence) convert androgens to estrogen (follicular cells called granulosa cells now)  Clear liquid gathers to form fluid-filled antrum: now a secondary follicle  Surrounding coat of granulosa cells: corona radiata  Fully mature, ready to ovulate, called: ”Graafian follicle”
  • 23. 23 Ovulation  Signal for ovulation is LH surge  Ovarian wall ruptures and egg released, surrounded by its corona radiata
  • 24. 24 Oogenesis Generation of eggs  Starts in fetal period  No more oocytes made after about 7th month  Developed only to early stage of meiosis I by birth and stops (called primary oocyte)  6-12 primordial oocytes each cycle selected to develop for ovulation (most die)  Only then is meiosis I completed  Secondary oocyte is then arrested in meiosis II  Meiosis II not completed (now an ovum) unless sperm penetrates its plasma membrane  Of the 4 daughter cells, only one becomes ovum (needs a lot of cytoplasm)  The other 3 become “polar bodies”
  • 25. 25 Fallopian (uterine) tubes, AKA oviducts Fimbriae (fingers) pick up egg Beating cilia and muscular peristalsis propel egg to uterus Empties into superior part of uterus* ____Fallopian tubes__ Fimbriae * Cross section through entire tube Enlargement of mucosa layer showing ciliated columnar epithelium PID
  • 26. 26 The Uterus (womb)  In pelvis anterior to rectum and posterosuperior to bladder  Hollow, thick-walled organ  Receives  Retains  Nourishes fertilized egg=embryo Uterus is pear-shaped (before babies) Usually anteverted, can be retroverted
  • 27. 27 Parts of uterus: Body (major part) Fundus Isthmus Cervix Cervix •Tough, fibrous ring •Inferior tip projects into vagina •Produces mucus Cavity of uterus small (except in pregnancy) Cervical canal •Internal os •External os Vagina
  • 28. 28 The Uterine Wall*  Three basic layers  Perimetrium: outer serous membrane  Myometrium: middle muscle  Endometrium: inner mucosal lining Uterine supports: •Mesometrium (largest division of broad lig) – main support •Cardinal ligament •Round ligament (Prolapse) *
  • 29. 29 Endometrium (inner mucosal lining of uterine cavity)  Simple columnar epithelium containing secretory and ciliated cells  Lamina propria of connective tissue 2 main layers (Strata) 1. Functionalis (functional layer) 2. Basalis (basal layer) (not shed) (shed if no implantation of baby) Note: Uterine glands Uterine arteries
  • 30. 30  Pituitary hormones  FSH: follicle stimulating hormone  LH: luteinizing hormone  Ovarian hormones  Estrogen  Progesterone Time: one cycle (approx 28 d.) * ovulation Follicular phase Luteal phase
  • 31. 31 The cyclic changes of uterine wall and follicle (hormone graphs should be above) Proliferative phase: rebuilds itself after slough Secretory phase: vascular rich glands enlarge: will sustain baby (needs progesterone: corpus luteum initially then placenta) If no baby, decreasing progesterone - slough
  • 33. 33 The Vagina  Thin-walled tube  Inferior to uterus  Anterior to rectum  Posterior to urethra & bladder  “Birth canal”  Highly distensible wall: 3 layers  Adventitia  Muscularis  mucosa
  • 34. 34 External female genitalia aka vulva or pudendum  Mons pubis: fatty pad over pubic symphysis, with hair after puberty  Labia (lips) majora: long fatty hair-covered skin folds  Labia minora: thin, hairless, folds enclosing vestibule  Vestibule: houses external openings of urethra and vagina  Urethra is anterior (drains urine from bladder)  Baby comes out through vagina (vaginal orifice in pic)  Clitoris: anterior, homolog of penis (sensitive erectile tissue)  Perineum: diamond shaped region
  • 35. 35 Mammary glands (breasts)  Modified sweat glands  Both sexes but function (normally) only in lactating female  Produce milk to nourish baby  Respond to hormonal stimulation  Lymph drains into parasternal and axillalry lymph nodes  Nipple surrounded by pigmented ring of skin, the areola  Muscles underneath: pectoralis major and minor, parts of serratus anterior and external oblique
  • 36. 36  Mammary glands consist of 15-25 lobes  Each a distinct compound alveolar gland opening at the nipple  Separated by adipose and suspensory ligaments  Smaller lobules composed of tiny alveoli or acini  Like bunches of grapes  Walls: simple cuboidal epithelium of milk-secreting cells  Don’t develop until half-way through pregnancy (ducts grow during puberty)  Milk passes from alveoli through progressively larger ducts  Largest: lactiferous ducts, collect milk into sinuses
  • 37. 37 Conception  After ejaculation into the vagina, sperm swim to meet an egg  Sperm live 5-7 days (need cervical mucus)  Eggs live about 12-24 hours, so conception only occurs during this short window  Fertilization occurs in the fallopian tube Events leading to fertilization: •Sperm binds to receptors on zona pellucida •Acrosomal reaction – enzymes digest a slit •Sperm passes through zona •Fusion of a single sperm’s plasma membrane with oocyte’s plasma membrane •Cortical reaction: sperm receptors destroyed in zona so no more enter; sperm nucleus engulfed by egg’s cytoplasm Fertilization occurs at the moment the chromosomes from the male and female gametes unite
  • 38. 38 Initial days  Cleavage (cell division)  Blastocyst stage by day 4: now in uterus
  • 39. 39 Implantation Blastocyst floats for 2 days: “hatches” by digesting zona enough to squeeze out 6-9 days post conception - burrows into endometrium
  • 40. 40 Formation of Placenta Both contribute: •Trophoblast from embryo •Endometrial tissue from mother Not called placenta until 4th month Embryonic blood circulates within chorionic villi, close to but not mixing with mother’s blood •Nutrients to baby •Wastes to mom
  • 41. 41 The “Placental Barrier”  Sugars, fats and oxygen diffuse from mother’s blood to fetus  Urea and CO2 diffuse from fetus to mother  Maternal antibodies actively transported across placenta  Some resistance to disease (passive immunity)  Most bacteria are blocked  Many viruses can pass including rubella, chickenpox, mono, sometimes HIV  Many drugs and toxins pass including alcohol, heroin, mercury  Placental secretion of hormones  Progesterone and HCG (human chorionic gonadotropin, the hormone tested for pregnancy): maintain the uterus  Estrogens and CRH (corticotropin releasing hormone): promote labor
  • 42. 42 Childbirth  Gestational period: averages 266 days (this is time post conception; 280 days post LMP)  Parturition: the act of giving birth: 3 stages of labor 1. Dilation: 6-12h (or more in first child); begins with regular uterine contractions and ends with full dilation of cervix (10cm) 2. Expulsion: full dilation to delivery – minutes up to 2 hours 3. Placental delivery: 15 minutes Dilation of cervis; head enters true pelvis Late dilation with head rotation to AP position Expulsion: head first safest as is largest part Delivery of the placenta
  • 43. 43 Stages of Life  Embryologically, males and females start out “sexually indifferent”  Gonads, ducts and externally identical structures  At 5 weeks gestation changes start to take place  Puberty: reproductive organs grow to adult size and reproduction becomes possible  Between 10 and 15  Influence of rising levels of gonadal hormones  Testosterone in males  Estrogen in females  Female menopause (between 46 and 54):  Loss of ovulation and fertility
  • 44. 44
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  • 46. 46