Reproductive Physiology

1. Reproductive Physiology Part 1 – The Basics of Reproductive Physiology Part 2 – Female Reproductive Physiology Part 3 – Male Reproductive Physiology

2. Lecture Outline • The Basics • Gametogenesis • Gender determination • The Pituitary-Gonad Axis • Female Reproductive Physiology • Ovarian Cycle • Uterine Cycle • Hormonal control and changes • Male Reproductive Physiology

3. The BasicsGametogenesis • Gametes are produced during Meiosis I & II • Meiosis function • Production of 4 haploid (n) gametes from each diploid oögonium (2n) or spermatogonium (2n) • Differences between ♂ (male) and ♀ (female) gamete development • ♂ • continuous development & production of sperm from onset of puberty until….? • stem cells are retained • Sperm are motile and contain very little cytoplasm • ♀ • the entire complement of dictyate primary oocytes are formed during development with 10-20 continuing development during each ovarian cycle • Oocytes are surrounded by follicular cells – forms ovarian follicle • stem cells are exhausted • oocytes are among the largest cells and are non-motile

4. The BasicsGametogenesis • Sperm Production • During development germ cells are produced • Remain quiescent until puberty • Actions of hormones from pituitary, sertoli cells and Leydig cells • At puberty some spermatogonia will • Undergo mitosis continuously • Enter into meiosis • This ensures a continuous supply of spermatogonia

5. The BasicsGametogenesis • Process of sperm production involves three stages • Spermatocytogenesis • produces secondary spermatocytes from spermatogoium • Spermatidogenesis • stage where meiosis I & II occur • results in spermatid formation • Spermiogenesis • final stage of sperm development • spermatid becomes a motile spermatozoa during spermiation

6. The BasicsGametogenesis • Spermiation • The spermatozoa that are formed are initially unable to move. • The flagella must become motile • Not used however until ejaculated • Prior movement through the male reproductive tract is via peristalsis End result!

7. The BasicsGametogenesis • Oogenesis • Results in formation of secondary oocyte which is released during ovulation • If no fertilization occurs, meiosis II will not occur. • Stages of oogenesis • Oocytogenesis • Forms oögonia • During fetal development starting at week 10 and completing around birth • Results in formation of primary oocytes (~1/2 million) • Ootidogenesis • Results in the formation of secondary oocytes • These are dictyate in prophase I • Formation of ovum (if fertilization occurs)

8. The BasicsGametogenesis

9. The BasicsGender Determination • Chromosomes determine gender • 23 donated by egg (n) • 23 donated by sperm (n) • Syngamy • The fusion of gametes to form a zygote • Consists of • plasmogamy • union of cell membranes and cytosol • Karyogamy • union of genetic material • Autosomes: 44 or 22 pair • Sex chromosomes: 2 or 1 pair • XX chromosomes = female • XY chromosomes = male What happens if karyogamy of sex chromosomes is different?

10. The BasicsGender Determination • Non-disjunction during meiosis I or II • Monosomy or polyploidy • XO (no Y chromosome, or second X) • Turner’s syndrome • Phonotypical female What about YO monosomy?

11. The BasicsGender Determination • Non-disjunction during meiosis I or II • Polyploidy • The incomplete separation of homologues during meiosis results in a zygote with too many chromosomes • Regarding the sex chromosomes, it may be • XXY (47 chromosomes total) • Klinefelter syndrome: Male sex organs; unusually small testes, sterile. Breast enlargement and other feminine body characteristics. Normal intelligence. • XYY • Jacob’s syndrome: Individuals are somewhat taller than average and often have below normal intelligence. At one time (~1970s), it was thought that these men were likely to be criminally aggressive, but this hypothesis has been disproven over time. • XXYY – male and very rare (48 chromosomes) • XXX (Trisomy X) • Individuals are female normal, undistinguishable except for by karyotype.

12. The BasicsGender Determination • The embryo exhibits gender bipotential • Around week seven of fetal development the SRY (Sex-determining Region of Y chromosome) gene becomes activated • The SRY directs the bipotential gonads • The absence of this on the X chromosome causes the gonads to develop into ovaries • Ovaries then produce further gender biased hormones • The presence of this gene and its products causes the gonads to descend and develop into testes • Testes then produce further gender biased hormones • Translocation of the gene to X chromosome results in an XX individual (genotype) but with XY characteristics (phenotype)

13. The BasicsGender Determination Effects of SRY on sex organ development

14. The BasicsGender Determination Indirect effects of SRY on male and female genital development

15. Lecture Outline • The Basics • Gametogenesis • Gender determination • The Pituitary-Gonad Axis • Female Reproductive Physiology • Ovarian Cycle • Uterine Cycle • Hormonal control and changes • Male Reproductive Physiology

16. The Pituitary-Gonad Axis

17. Lecture Outline • The Basics • Gametogenesis • Gender determination • The Pituitary-Gonad Axis • Female Reproductive Physiology • Ovarian Cycle • Uterine Cycle • Hormonal controls & changes • Male Reproductive Physiology

18. Female Reproductive PhysiologyBasics • The hypothalamus-pituitary-gonad axis controls the required physiologic changes that occur both in the ovaries and in the uterus of the menstrual cycle. • The Menstrual Cycle • Duration • Approximately 28 days (ranges 24 – 35 days) • Starts with the removal of the endometrium & release of FSH by the anterior pituitary • The ovarian cycle • Development of ovarian follicle • Production of hormones • Release of ovum during ovulation • The uterine cycle • Removal of endometrium from prior uterine cycle • Preparation for implantation of embryo under the influence of ovarian hormones

19. Female Reproductive PhysiologyThe Cycles • Three Phases of the Ovarian Cycle • Follicular phase • Ovulation phase • Luteal phase • Three Phases of the Uterine Cycle • Menses • Proliferative Phase • Secretory Phase • These ovarian and uterine phases are intimately linked together by the production and release of hormones

20. Female Reproductive PhysiologyThe Cycles Hormonal control of the ovarian cycle

21. Female Reproductive PhysiologyThe Cycles Hormonal control of the uterine cycle

22. Female Reproductive PhysiologyAll together

23. Female Reproductive PhysiologyFertilization Effects • What happens if fertilization occurs? • Uterine endometrium is maintained by • First the release of progesterone from the corpus lutem, • then the release of hCG (human chorionic gonadotropin) which maintains the corpus luteum until the 7th week, • From 7th week on, the placenta produces progesterone which continues to maintain the endometrium & the corpus luteum degenerates • Placenta also produces estrogen and progesterone which at high levels blocks GnRH • Estrogen is also involved in breast development • Progesterone is also involved in uterine maintenance and relaxation (prevents premature contractions) • Placenta also produces hPL (human placental lactogen) • Implicated in breast development and milk production • Though determined not the only factor as lack of hPL has no ill effects • More important is the role hPL plays in fetal nutrition by altering maternal glucose and fatty acid metabolism

24. Female Reproductive PhysiologyFertilization Effects • What changes occur to allow parturition? • Increasing levels of corticotropin-releasing hormone (CRH) from the placenta a few weeks prior to delivery • Early deliveries have been linked to early elevated levels of CRH • During delivery • progesterone levels drop off • Oxytocin levels rise • Oxytocin receptors on the uterus are upregulated during gestation • Inhibin levels increase • Relax the cervix and ligaments of the pelvis • Allows for increased stretch of the cervix which triggers additional oxytocin which triggers stronger uterine contractions which increase stretch of the cervix which triggers oxytocin which triggers stronger uterine contractions which increases stretch of the cervix which increases oxytocin release which increases uterine contractions which increases stretch on cervix which….

25. Female Reproductive PhysiologyOne PossibleOutcome

26. Female Reproductive PhysiologyOr….

27. Lecture Outline • The Basics • Gametogenesis • Gender determination • The Pituitary-Gonad Axis • Female Reproductive Physiology • Ovarian Cycle • Uterine Cycle • Hormonal control and changes • Male Reproductive Physiology

28. Male Reproductive PhysiologyBasic Functions • Function • Produce, maintain & transport viable spermatozoa • Testes • Epididymis • Ductus deferens • Accessory glands • Prostate • Seminal vesicles • Bulbourethral glands • Hormone production that • develops secondary sexual characteristics • Involved in feedback mechanisms relating to spermatogenesis

29. Male Reproductive PhysiologyTestes • Site of Sperm production • Divided into lobules, each with seminiferous tubules. • Seminiferous tubule functions to • Maintain environment for spermatogonia by the basal lamina and the Sertoli cells • Sertoli cells separate the lumen from the basal lamina and create a blood-testis barrier • Creates three compartments • Lumen – low glucose, high K+& steroid hormones • Basal compartment – the baso-lateral side of the sertoli cells & containing the developing spermatogonia • Interstitial fluid space – below the basal lamina and contains the Leydig cells • Produce hormones/paracrines • From Sertoli cells • From Leydig cells

30. Male Reproductive PhysiologyTestis • Sertoli cells • Produce hormones & paracrines involved with control of hypothalamus-pituitary-gonad axis and the testes directly • Anti-Müllerian Hormone (AMH) • Secreted during embryogenesis • Prevents development of the Müllerian ducts • Inhibin & activin • Regulate FSH release from anterior pituitary • inhibin decreases FSH release • activin increases LH function & increases FSH release • Androgen Binding Protein (ABP) • Binds to testosterone and DHT, reduces the loses due to diffusion resulting in an increase in testicular testosterone levels • Estradiols & Aromatase • Support spermatogenesis

31. Male Reproductive PhysiologyTestis • Sertoli cells, cont… • GDNF (glial derived neurotrophic factor) & ERM transcription factor • Maintenance of the stem cell line • Leydig cells • Produce androgens • testosterone, androstenedione and dehydroepiandrosterone (DHEA) • Increase spermatogenesis • Influence secondary sexual characteristics • Stimulated to produce androgens by luteinizing hormone (LH) • FSH increases the response to LH by Leydig cells

32. Male Reproductive PhsyiologyTestes

33. Male Reproductive PhysiologyTestes Spermatogenesis Hormonal Control Flow Chart

34. Male Reproductive PhysiologyAccessory Gland Function • Job of the accessory glands is to • Secrete seminal fluid (99% of semen volume) • Components of seminal fluid • Mucus • Water • Nutrients • Buffers • Enzymes • Prostaglandins • Zinc? • Accessory Glands • Prostate • Seminal vesicles • Bulbourethral glands

35. Male Reproductive PhysiologyAccessory Gland Function Seminal Fluid Components, Function and Location (source) From Table 26-3

36. Male Reproductive PhysiologyThe sexual response • Remember • Function of the reproductive system is to reproduce • Males contribution is • Deliver viable sperm into the vagina • Requires a complex neural reflex – the erection reflex • Creates changes in vascular condition within the penile arterioles • Initiated by erotic stimuli (visual, auditory, tactile, cerebral) • the parasympathetic division of the ANS causes vasodilation of the penile arterioles • Erectile tissue fills with blood creating an erection

37. Male Reproductive PhysiologyThe sexual response • Remember • Function of the reproductive system is to reproduce • Males contribution is • Deliver viable sperm into the vagina • Requires a complex neural reflexes • Starts with the erection reflex which creates changes in vascular condition within the penile arterioles • Initiated by erotic stimuli (visual, auditory, tactile, cerebral) • the parasympathetic division of the ANS causes vasodilation of the penile arterioles • Erectile tissue fills with blood creating an erection • Emission & Ejaculation during climax • Emission is the movment of sperm from vas deferens into the urethra adding seminal fluid along the way, this is under sympathetic control • Ejaculation is the expulsion of semen due to strong muscular contractions – this is a spinal reflex

38. Male Reproductive PhysiologyThe sexual response Erection Reflex Pathway

39. Male Reproductive PhysiologyThe sexual response • Emission & Ejaculation during climax • Emission is the movement of sperm from vas deferens into the urethra adding seminal fluid along the way, this is under sympathetic control • Ejaculation is the expulsion of semen due to strong muscular contractions – this is a spinal reflex • Started with the contraction of the bulbospongiosus muscle • Disorders • Erectile dysfunction (ED) • Premature ejaculation • Prolonged ejaculation / anorgasmic