Hormonal Regulation in Male Reproduction
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Questions and Answers

What initiates the secretion of FSH and LH at puberty?

  • Increased secretion of GnRH (correct)
  • Decrease in testosterone levels
  • Suppression of Sertoli cell activity
  • Increase in inhibin levels

Which hormone primarily stimulates Leydig cells to produce testosterone?

  • FSH
  • GnRH
  • LH (correct)
  • Inhibin

What role does FSH play in spermatogenesis?

  • Stimulates Leydig cells to secrete testosterone
  • Suppresses testosterone secretion
  • Inhibits production of androgen-binding protein
  • Acts on Sertoli cells to promote spermatogenesis (correct)

What is the function of androgen-binding protein (ABP) in the testes?

<p>Binds testosterone to maintain high concentrations (D)</p> Signup and view all the answers

How does the negative feedback mechanism control testosterone production?

<p>High testosterone levels inhibit GnRH secretion (D)</p> Signup and view all the answers

What is the most common disorder associated with primary congenital male hypogonadism?

<p>Klinefelter’s syndrome (47XXY) (C)</p> Signup and view all the answers

Which condition is classified as a secondary cause of male hypogonadism?

<p>Hypothalamic tumors (C)</p> Signup and view all the answers

What triggers Sertoli cells to release inhibin?

<p>High sperm production (C)</p> Signup and view all the answers

What is the primary role of testosterone in spermatogenesis?

<p>Facilitates the final stages of sperm maturation (B)</p> Signup and view all the answers

What happens to blood testosterone levels when they become excessively high?

<p>GnRH secretion is inhibited by the hypothalamus (D)</p> Signup and view all the answers

What effect do high levels of oestrogen have on the release of GnRH, LH, and FSH?

<p>They stimulate GnRH, LH, and FSH release. (C)</p> Signup and view all the answers

What hormonal changes occur after the formation of the corpus albicans?

<p>Low levels of oestrogen and progesterone promote GnRH, LH, and FSH release. (B)</p> Signup and view all the answers

Which is one of the primary actions of oestrogen in the hormonal birth control context?

<p>It inhibits the release of FSH. (A)</p> Signup and view all the answers

How does progesterone function in hormonal birth control?

<p>It prevents LH release to inhibit ovulation. (B)</p> Signup and view all the answers

Which phase is primarily associated with low levels of oestrogen and progesterone?

<p>Menstrual phase (A)</p> Signup and view all the answers

What hormonal feedback effect occurs during the pre-ovulatory phase?

<p>Moderate oestrogen levels inhibit GnRH, LH, and FSH. (A)</p> Signup and view all the answers

What is the primary purpose of the combined pill in hormonal birth control?

<p>To create an environment unsuitable for sperm. (B)</p> Signup and view all the answers

What is one consequence of high levels of oestrogen during the menstrual cycle?

<p>It stimulates the release of GnRH, LH, and FSH. (B)</p> Signup and view all the answers

What effect does the progesterone-only pill have on the menstrual cycle?

<p>It makes cervical mucus non-conducive to sperm. (B)</p> Signup and view all the answers

What is the primary hormone secreted by Leydig cells found in the testes?

<p>Testosterone (B)</p> Signup and view all the answers

Which statement accurately describes the function of Sertoli cells?

<p>They form the blood-testis barrier. (B)</p> Signup and view all the answers

Which hormone is primarily responsible for the regulation of spermatogenesis alongside testosterone?

<p>Follicle stimulating hormone (C)</p> Signup and view all the answers

What role does inhibin play in male reproductive physiology?

<p>Inhibits the production of follicle stimulating hormone. (B)</p> Signup and view all the answers

Which hormone is known as interstitial cell-stimulating hormone (ICSH) in males?

<p>Luteinising hormone (B)</p> Signup and view all the answers

What is the function of 5 alpha-reductase in the male reproductive system?

<p>It converts testosterone into dihydrotestosterone. (C)</p> Signup and view all the answers

Which of the following hormones is NOT involved in the hormonal regulation of the male reproductive system?

<p>Human chorionic gonadotropin (D)</p> Signup and view all the answers

Which of the following is a function of FSH in the male reproductive system?

<p>Promotes the development of spermatocytes during spermatogenesis. (D)</p> Signup and view all the answers

What is the primary mechanism by which levonorgestrel inhibits ovulation?

<p>It inhibits the release of GnRH. (D)</p> Signup and view all the answers

During which stage of gestation does the process of organogenesis primarily occur?

<p>17 - 60 days (A)</p> Signup and view all the answers

Thalidomide, when used during pregnancy, is particularly associated with which of the following effects on the fetus?

<p>Phocomelia and heart defects (C)</p> Signup and view all the answers

Which teratogenic drug is characterized by its role as a vitamin K antagonist?

<p>Warfarin (C)</p> Signup and view all the answers

Systemic use of aminoglycosides during pregnancy is primarily associated with which outcome for the fetus?

<p>Deafness (B)</p> Signup and view all the answers

Which drug is known to cause vaginal adenosis in female foetuses when administered during pregnancy?

<p>Stilbestrol (Diethylstilbestrol) (C)</p> Signup and view all the answers

What is a significant effect of retinoids such as etretinate when exposure occurs during pregnancy?

<p>Hydrocephalus (A)</p> Signup and view all the answers

What is the primary role of follicle-stimulating hormone (FSH) in the female reproductive cycle?

<p>Stimulates ovarian follicles to secrete estrogens (D)</p> Signup and view all the answers

Which of the following treatments is an antiandrogen used in prostate cancer therapy?

<p>Flutamide (C)</p> Signup and view all the answers

What mechanism does sildenafil utilize to treat erectile dysfunction?

<p>Increasing cGMP levels (D)</p> Signup and view all the answers

What hormone is primarily secreted by the corpus luteum to prepare the endometrium for implantation?

<p>Progesterone (C)</p> Signup and view all the answers

What is the consequence of GnRH release inhibition by ovarian hormones?

<p>Inhibition of FSH and LH secretion (C)</p> Signup and view all the answers

Which hormone is responsible for inducing relaxation of the uterus during pregnancy?

<p>Relaxin (B)</p> Signup and view all the answers

What common condition affects one-third of males over age 60 related to the prostate?

<p>Benign prostatic hyperplasia (C)</p> Signup and view all the answers

What hormonal change triggers ovulation in the menstrual cycle?

<p>A surge in luteinizing hormone (LH) (B)</p> Signup and view all the answers

What best describes the role of inhibin in the female reproductive system?

<p>Inhibits secretion of FSH and LH (B)</p> Signup and view all the answers

What is a primary characteristic of benign prostatic hyperplasia?

<p>Sensation of incomplete emptying (A)</p> Signup and view all the answers

Which event occurs during the pre-ovulatory phase of the menstrual cycle?

<p>Repair of the endometrium due to oestrogens (D)</p> Signup and view all the answers

What triggers the release of GnRH during the post-ovulatory phase when fertilization does not occur?

<p>Degeneration of the corpus luteum (C)</p> Signup and view all the answers

Which medication is known to prevent estrogen production and is used in the treatment of endometriosis?

<p>Danazol (D)</p> Signup and view all the answers

What is the primary consequence of high oestrogen levels prior to ovulation?

<p>Positive feedback leading to increased LH secretion (A)</p> Signup and view all the answers

Which treatment option has been linked to an increased risk of endometrial cancer among women using hormone replacement therapy?

<p>Combined therapy with estrogen and progesterone (A)</p> Signup and view all the answers

Which hormonal level change occurs during the transition from the post-ovulatory phase to menstruation?

<p>Decrease in both oestrogen and progesterone (A)</p> Signup and view all the answers

What effect does combined hormonal contraceptive have on follicle development?

<p>Inhibits FSH and prevents further follicle development (C)</p> Signup and view all the answers

What is the role of low oestrogen levels after the corpus albicans is formed?

<p>Promotes the release of GnRH, LH, and FSH (C)</p> Signup and view all the answers

How does progesterone function within the combined pill context?

<p>Inhibits LH release to prevent ovulation (B)</p> Signup and view all the answers

What feedback effect predominates during the pre-ovulatory phase of the menstrual cycle?

<p>Positive feedback stimulating GnRH release (A)</p> Signup and view all the answers

Which aspect of hormonal birth control aims to make the endometrium unsuitable for implantation?

<p>Administration of both oestrogen and progesterone (B)</p> Signup and view all the answers

Which physiological changes occur during ovulation as a result of hormonal signals?

<p>Surge in LH due to high levels of oestrogen (C)</p> Signup and view all the answers

What is the primary hormone responsible for stimulating ovulation in the female reproductive cycle?

<p>Luteinizing hormone (LH) (A)</p> Signup and view all the answers

Which hormone functions to relax the uterus during pregnancy by inhibiting contractions of the myometrium?

<p>Relaxin (C)</p> Signup and view all the answers

Which condition is classified as a teratogenic effect observed when certain drugs are used during pregnancy?

<p>Vaginal adenosis in female fetuses (A)</p> Signup and view all the answers

In the female reproductive cycle, what triggers the surge in LH that leads to ovulation?

<p>Increase in estrogen levels (D)</p> Signup and view all the answers

What hormonal change occurs after the corpus luteum forms post-ovulation?

<p>Decreased levels of FSH and LH (C)</p> Signup and view all the answers

Which mechanism describes how hormonal birth control primarily functions to prevent ovulation?

<p>Inhibition of ovary stimulation by GnRH (A)</p> Signup and view all the answers

What excess hormone is associated with negative feedback that inhibits the release of GnRH, LH, and FSH?

<p>Estrogens (C)</p> Signup and view all the answers

What condition is commonly seen in males over 60 years old that relates to the prostate?

<p>Benign prostatic hyperplasia (B)</p> Signup and view all the answers

How does sildenafil treat erectile dysfunction through its physiological mechanism?

<p>Inhibits phosphodiesterase type V (PDE5) (C)</p> Signup and view all the answers

Flashcards

Leydig Cells

Cells that are found in the space between the seminiferous tubules of the testes and secrete the male hormone testosterone.

Sertoli Cells

Large cells located in the seminiferous tubules of the testes, responsible for nourishing developing sperm cells, forming a barrier between the blood and sperm, and responding to hormones like FSH and testosterone.

GnRH (Gonadotropin-Releasing Hormone)

A hormone produced by the hypothalamus that triggers the release of LH and FSH from the pituitary gland.

FSH (Follicle-Stimulating Hormone)

A hormone produced by the pituitary gland that stimulates sperm production in the testes.

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LH (Luteinizing Hormone)

A hormone produced by the pituitary gland that stimulates the Leydig cells to produce testosterone.

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Testosterone

The primary male sex hormone, responsible for developing and maintaining male characteristics and reproductive function.

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Inhibin

A hormone produced by the Sertoli cells in the testes that regulates FSH production, ultimately controlling the rate of sperm production.

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5-Alpha Reductase

An enzyme that converts testosterone into dihydrotestosterone (DHT), which is more potent and plays a crucial role in male sexual development.

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What triggers the start of sperm production?

Puberty marks the start of the process of sperm production, initiated by increased secretion of GnRH from the hypothalamus.

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What happens when GnRH is released?

GnRH acts on the anterior pituitary gland, stimulating the release of two crucial hormones: FSH and LH, which orchestrate sperm production and testosterone.

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What is the role of LH in sperm production?

LH, or luteinizing hormone, acts directly on Leydig cells, located within the testes, to initiate testosterone production.

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How is testosterone made?

Testosterone, a vital male hormone, is synthesized from cholesterol within the testes. Its production involves a series of enzymatic steps.

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How is testosterone production regulated?

Testosterone production is tightly regulated by a negative feedback loop. High levels of testosterone signal the hypothalamus and pituitary to reduce GnRH and LH secretion, thereby reducing testosterone synthesis.

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What does FSH do during sperm production?

FSH, or follicle-stimulating hormone, specifically targets spermatogenesis - the process of sperm production within seminiferous tubules. FSH stimulates the development of sperm precursor cells.

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What is the role of Sertoli cells?

Both FSH and testosterone stimulate Sertoli cells located in the seminiferous tubules to produce androgen-binding protein (ABP). ABP binds to testosterone, keeping its concentration high in the vicinity of developing sperm.

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Why is testosterone important for sperm development?

Testosterone, at sufficiently high concentrations, is essential for the final stages of sperm maturation. This ensures the production of functional, motile sperm.

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How is sperm production regulated?

Sertoli cells, once sufficient sperm have been produced, release inhibin. Inhibin acts on the pituitary to suppress further release of FSH, thus regulating sperm production.

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What is male hypogonadism?

Male hypogonadism refers to disorders characterized by insufficient testosterone production, resulting in impaired development of male sexual characteristics and function.

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What is Kallman's syndrome?

A condition caused by a deficiency in gonadotropin-releasing hormone (GnRH), leading to incomplete sexual development and infertility. It is characterized by a lack of puberty and the absence of secondary sex characteristics.

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What is benign prostatic hyperplasia (BPH)?

A condition where the prostate gland becomes enlarged, often affecting men over 60. It can cause frequent urination, weak urine stream, and difficulty emptying the bladder.

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What is prostate cancer?

A type of cancer that affects the prostate gland, a common cancer among men. It is often detected by a blood test for prostate-specific antigen (PSA).

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What is a PDE5 inhibitor?

A medication like Viagra (Sildenafil citrate) that works by inhibiting the enzyme PDE5, leading to increased blood flow and erection.

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What is the female reproductive cycle?

The natural process through which a female's body prepares itself for potential pregnancy, involving changes in the ovaries and uterus, as well as the release of hormones like estrogen and progesterone.

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What is GnRH?

Hormone produced by the hypothalamus that regulates the release of FSH and LH from the pituitary gland, playing a key role in the female reproductive cycle.

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What is FSH?

A hormone that stimulates the growth of ovarian follicles and the production of estrogen.

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What is LH?

A hormone that stimulates ovulation and the formation of the corpus luteum, which produces estrogen and progesterone.

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What is progesterone?

A hormone produced primarily by the corpus luteum, important for preparing the uterus lining for pregnancy, and for breast development during pregnancy.

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What is relaxin?

A hormone produced by the corpus luteum, which relaxes the uterus and makes the cervix wider for childbirth. It also relaxes pelvic ligaments.

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Levonorgestrel

A synthetic form of the female sex hormone progesterone used in hormonal contraceptives. It prevents ovulation, thickens cervical mucus, and changes the lining of the uterus.

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Teratogens

Substances that can cause birth defects in a developing embryo or fetus. They can be chemicals, drugs, radiation, or infections.

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Teratogenic drugs

A type of teratogen that can cause developmental defects in a fetus.

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Alcohol (ethanol)

A type of teratogen that can cause a range of developmental and health problems in a fetus, including facial abnormalities, heart defects, and learning disabilities.

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Pre-ovulatory Phase

This phase of the menstrual cycle starts after menstruation and lasts until ovulation. During this phase, the lining of the uterus (endometrium) starts to thicken and grow, preparing for a potential pregnancy.

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Ovulation

The release of a mature egg from the ovary, typically occurring around day 14 of a 28-day cycle.

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Post-ovulatory Phase

The period after ovulation, lasting until menstruation. During this phase, the empty follicle transforms into the corpus luteum, which produces progesterone, helping to maintain the uterine lining.

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Positive Feedback (Estrogen)

The level of estrogen during the pre-ovulatory phase, promotes the release of GnRH (Gonadotropin-Releasing Hormone), LH (Luteinizing Hormone), and FSH (Follicle-Stimulating Hormone) from the pituitary gland.

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Negative Feedback (Estrogen)

Moderate estrogen levels secreted by secondary follicles during the pre-ovulatory phase inhibit the release of GnRH, LH, and FSH, preventing the development of new follicles.

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Negative Feedback (Low estrogen, progesterone)

When estrogen and progesterone levels are low after the formation of the corpus albicans, it triggers the release of GnRH, LH, and FSH, leading to menstruation and a new cycle.

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Combined Pill (Hormonal Birth Control)

Combined oral contraceptives contain synthetic estrogen and progesterone. The estrogen inhibits FSH, preventing follicle development, and the progesterone inhibits LH, preventing ovulation. They also make the cervical mucus inhospitable to sperm and the endometrium unsuitable for implantation.

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Progesterone-only Pill (Hormonal Birth Control)

Progesterone-only pills contain synthetic progesterone, which inhibits LH, preventing ovulation. They also thicken cervical mucus, making it difficult for sperm to reach the egg, and can also affect the endometrium, making it unsuitable for implantation.

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How Hormonal Birth Control Works

Hormonal birth control works by altering the normal levels of estrogen and progesterone in the body, preventing the development and release of eggs and making it difficult for sperm to reach the egg and for a fertilized egg to implant in the uterus.

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Hormones in Menstrual Cycle

These are the key hormones involved in the regulation of the menstrual cycle. They work together, often through feedback mechanisms (positive and negative), to ensure the proper development and release of eggs and the regulation of the uterine lining.

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Kallman's Syndrome

A condition caused by deficiency in gonadotropin-releasing hormone (GnRH), leading to incomplete sexual development and infertility. It is characterized by a lack of puberty and the absence of secondary sex characteristics.

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Benign Prostatic Hyperplasia (BPH)

Enlargement of the prostate gland, often affecting men over 60. It can cause frequent urination, weak urine stream, and difficulty emptying the bladder.

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Prostate Cancer

A type of cancer that affects the prostate gland. It is often detected by a blood test for prostate-specific antigen (PSA).

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PDE5 Inhibitor

A medication like Viagra that works by inhibiting the enzyme PDE5, leading to increased blood flow and achieving an erection.

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Ovarian Cycle

Changes that take place in the ovaries during and after the maturation of an oocyte, including the development of follicles and ovulation.

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Uterine (Menstrual) Cycle

A series of changes in the uterine endometrium preparing it for the arrival of a fertilized ovum. If implantation does not occur, the stratum functionalis is shed during menstruation.

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Gonadotropin-Releasing Hormone (GnRH)

A hormone secreted by the hypothalamus that controls the ovarian and uterine cycles. It stimulates the release of FSH and LH from the anterior pituitary gland.

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Estrogen

A hormone secreted by ovarian follicles (mainly β-estradiol). It plays various roles in maintaining female reproductive structures, secondary sex characteristics, protein anabolism, and regulating hormone levels.

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Progesterone

A hormone mainly secreted by the corpus luteum. It works with estrogen to prepare and maintain the endometrium for implantation and mammary glands for milk production and also inhibits the secretion of GnRH and LH.

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Relaxin

A hormone produced by the corpus luteum that relaxes the uterus by inhibiting contraction of its muscles, increases flexibility of the pubic symphysis, and dilates the uterine cervix.

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Menstrual Phase

The first phase of the menstrual cycle, lasting from day 1 to 5. It begins with menstruation, the shedding of the uterine lining. During this phase, the ovaries start to develop follicles, which may take several cycles to mature.

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Menstruation

The event that signals the end of a menstrual cycle, where the uterine lining is shed as blood and tissue. It occurs when progesterone and estrogen levels decrease, which happens if the egg isn't fertilized.

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Study Notes

Reproductive Endocrinology

  • Recommended Reading:
    • Rang and Dales Pharmacology - Chapter 34
    • Tortora and Derrickson's Anatomy and Physiology - Chapter 28
  • Practice MCQ questions: Available on Moodle.
  • Topics to cover:
    • Hormonal regulation of the male reproductive system
    • Hormonal regulation of the female reproductive system
    • Contraceptive pill
    • Reproductive pathology and treatment
    • Pregnancy/birth/lactation
    • Teratogens

Male Reproductive System

  • Cells of the testes:

    • Leydig cells: located between seminiferous tubules, secrete testosterone.
    • Sertoli cells: embedded in the tubules, form the blood-testis barrier, nourish spermatocytes, mediate testosterone/FSH effects on spermatogenesis, phagocytose excess spermatids, and secrete inhibin.
  • Hormone control of Spermatogenesis:

    • GnRH (gonadotrophin-releasing hormone): controls the release of FSH and LH, its release is inhibited by high testosterone levels.
    • FSH (follicle-stimulating hormone): stimulates spermatogenesis.
    • LH (luteinising hormone): stimulates testosterone secretion (also called interstitial cell-stimulating hormone (ICSH)).
    • Testosterone and DHT (dihydrotestosterone): essential for spermatogenesis, development of external genitalia, and prostate function. 5-alpha-reductase converts testosterone to DHT.
  • Inhibin: regulates sperm production by inhibiting FSH.

  • Control of Testosterone Production:

    • Negative feedback system regulates testosterone levels.
    • Hypothalamus receptors detect increased testosterone levels. This inhibits GnRH secretion
    • Reduced LH secretion from the anterior pituitary.
    • Leydig cells produce less testosterone, returning blood levels to normal.
  • Male Hypogonadism:

    • Primary congenital: Testicular agenesis (failure to develop), Klinefelter's syndrome (47XXY).
    • Primary acquired: Bilateral orchitis (inflammation of testes), mumps, irradiation, or cytotoxic drugs.
    • Secondary: Pituitary disorders, hypothalamic disorders (e.g., Kallman's syndrome — GnRH deficiency).
  • Aging in the male reproductive system:

    • Enlargement of prostate (benign hyperplasia): common in men over 60. Symptoms include frequent urination, decreased force of stream, bed wetting, and sensation of incomplete emptying.
  • Prostate Cancer:

    • Leading cause of male cancer death.
    • Blood test for prostate-specific antigen (PSA).
    • Antiandrogens (e.g., flutamide or cyproterone) used in treatment to block testosterone/DHT actions, preventing prostate cancer cell growth.
  • Erectile Dysfunction (Treatment):

    • Viagra (Sildenafil citrate) – PDE5 inhibitor.
    • Nitric oxide (NO) released by nerves diffuses into smooth muscle cells. Activates guanylate cyclase, increasing cGMP. cGMP activates protein kinase G, reduces [Ca2+], leading to vasodilation, and increased blood flow to the penis. Sildenafil is a selective inhibitor of PDE5.

Female Reproductive System

  • The Female Reproductive Cycle:

    • Ovarian cycle: cyclic changes in ovaries, including the maturation of oocytes.
    • Uterine (menstrual) cycle: concurrent changes in the uterine endometrium to prepare for fertilization.
  • Hormonal control (female):

    • GnRH (gonadotropin-releasing hormone): secreted by hypothalamus, stimulates FSH and LH release from anterior pituitary. Its release is continuous but may be pulsatile.
    • FSH (follicle-stimulating hormone): initiates follicular growth, stimulates ovarian follicles to secrete estrogens.
    • LH (luteinising hormone): stimulates further ovarian follicle development, triggers ovulation, promotes corpus luteum formation, and produces estrogens, progesterone, relaxin and inhibin.
    • Estrogens: main estrogen is β-estradiol. Promotes female reproductive structures and secondary sex characteristics, increases protein anabolism (bone building), lowers blood cholesterol and inhibits GnRH, LH and FSH release.
    • Progesterone: primarily secreted by corpus luteum. Works with estrogens to prepare and maintain endometrium for implantation and mammary glands for milk production. Inhibits GnRH and LH secretion.
    • Relaxin: produced by corpus luteum. Relaxes uterus during pregnancy, increasing pubic symphysis and uterine cervix flexibility.
    • Inhibin: secreted by granulosa cells. Inhibits FSH and LH secretion.
  • Phases of the female reproductive cycle:

    • Menstrual phase
    • Pre-ovulatory phase (follicular stage)
    • Ovulation
    • Post-ovulatory phase (luteal phase)
  • Corpus luteum:

    • If oocyte is not fertilized, the corpus luteum degenerates into corpus albicans reducing progesterone and estrogen levels, initiating menstruation.
    • If oocyte is fertilized, the corpus luteum produces high levels of progesterone and estrogen to support pregnancy. Human chorionic gonadotropin (hCG) produced by the embryo maintains corpus luteum function during early pregnancy.
  • Hormonal interactions:

    • Levels of estrogen and progesterone fluctuate throughout the cycle. These fluctuations initiate negative and positive feedback mechanisms, regulating GnRH, LH and FSH release and ovulation.
  • Causes of female hypogonadism:

    • Primary congenital: problems in the ovaries, including Turner's or Noonan's syndromes.
    • Primary acquired: damage to ovaries (e.g., chemotherapy, irradiation).
    • Secondary: problems that stem from pituitary or hypothalamic disorders.
  • Aging in the female reproductive system:

    • Menopause is associated with several symptoms: hot flashes, copious sweating, headache, vaginal dryness, depression, weight gain, and emotional fluctuations.
  • Endometriosis:

    • Growth of endometrial tissue outside of the uterus.
  • Breast Cancer:

    • Common cause of cancer in women
    • Two genes increase susceptibility to breast cancer (BRCA1, BRCA2).
    • Mutations of BRCA1 and BRCA2 also increase risk of ovarian cancer.
    • Treatment involves hormone therapy, surgery (lumpectomy or mastectomy) radiation treatment, and chemotherapy.
  • Hormonal birth control:

  • Combined Pill: Oestrogen and progesterone inhibit FSH and follicle development. Progesterone prevents ovulation and makes cervical mucus inhospitable to sperm, and together they make the endometrium less receptive to implantation.

    • Progesterone-only Pill: Levonorgestrel. Makes cervical mucus inhospitable to sperm, inhibits ovulation (by downregulating LH release).
    • Morning-after Pill: Effective in preventing pregnancy if taken within 72 hours of unprotected intercourse.
  • Teratogens:

    • Agents that cause birth defects.
    • Include chemicals, drugs, cigarette smoking, and irradiation.
    • Teratogens affect different processes depending on the stage of fetal development.

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Explore the intricate hormonal mechanisms that govern male reproduction, including the roles of FSH, LH, and testosterone. This quiz covers topics such as spermatogenesis, feedback mechanisms, and the impact of hormonal changes on reproductive health.

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