Male Reproductive Physiology Lecture
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Questions and Answers

Which function is NOT directly attributed to testosterone?

  • Maintenance of secondary sexual characteristics
  • Development of the penis and scrotum
  • Inhibition of inhibin release (correct)
  • Promotion of spermatogenesis
  • What initiates the release of GnRH at puberty?

  • Breakthrough of childhood inhibition (correct)
  • Increased production of testosterone
  • Decrease in body fat
  • Increased inhibin production
  • What does FSH primarily bind to in order to promote spermatogenesis?

  • Leydig cells
  • Gonadotropes
  • Sertoli cells (correct)
  • Seminiferous tubules
  • Which hormone is responsible for the negative feedback mechanism affecting GnRH and LH secretion?

    <p>Testosterone</p> Signup and view all the answers

    What triggers an increase in FSH secretion from the anterior pituitary?

    <p>Low sperm production</p> Signup and view all the answers

    What is the primary role of inhibin in the male reproductive system?

    <p>Inhibit FSH release</p> Signup and view all the answers

    Testosterone secretion from the testes primarily occurs in response to which hormone?

    <p>LH</p> Signup and view all the answers

    What physiological feature is NOT a result of the anabolic functions of testosterone?

    <p>Increased fat storage</p> Signup and view all the answers

    What muscle contraction is primarily responsible for propelling semen out of the urethra?

    <p>Bulbocavernosus muscle</p> Signup and view all the answers

    Which condition is characterized by a persistent inability to achieve or maintain an erection?

    <p>Erectile dysfunction</p> Signup and view all the answers

    What distinguishes primary hypogonadism from secondary hypogonadism?

    <p>Location of testosterone deficiency</p> Signup and view all the answers

    Infertility in males can be caused by which of the following factors?

    <p>Ejaculatory dysfunction</p> Signup and view all the answers

    What percentage of infertility cases in both males and females is categorized as unexplained?

    <p>20-25%</p> Signup and view all the answers

    Which organic factor is NOT typically associated with contributing to erectile dysfunction?

    <p>Depression</p> Signup and view all the answers

    What is the primary goal of infertility treatment?

    <p>Address the underlying cause if identifiable</p> Signup and view all the answers

    Which male reproductive abnormality is characterized by the failure of one or both testicles to descend?

    <p>Cryptorchidism</p> Signup and view all the answers

    What is the primary effect of the hormone that inhibits the secretion of FSH from the anterior pituitary gland?

    <p>Direct inhibitory effect</p> Signup and view all the answers

    Which of the following structures is NOT part of the erectile tissue of the penis?

    <p>Pelvic splanchnic nerves</p> Signup and view all the answers

    What initiates the process of penile erection?

    <p>Dilation of arterioles and relaxation of sinusoids</p> Signup and view all the answers

    What physiological process is characterized by the movement of semen into the urethra?

    <p>Emission</p> Signup and view all the answers

    Which neurotransmitter is NOT involved in mediating the erection response?

    <p>Vasopressin</p> Signup and view all the answers

    Which segment of the nervous system is responsible for terminating the erection process?

    <p>Sympathetic nervous system</p> Signup and view all the answers

    Which component is considered to correlate with the phenomenon of detumescence?

    <p>Smooth muscle contraction</p> Signup and view all the answers

    Which receptors are primarily responsible for transmitting sensory input related to ejaculation?

    <p>Receptors in the glans penis</p> Signup and view all the answers

    What is the primary purpose of In Vitro Fertilization (IVF) in the context of assisted reproductive techniques?

    <p>To directly bypass the fallopian tubes in certain infertility cases</p> Signup and view all the answers

    Which step is NOT typically included in the process of IVF?

    <p>Hormonal therapy</p> Signup and view all the answers

    Which type of assisted reproductive technique directly involves handling eggs or embryos in vitro?

    <p>In Vitro Fertilization (IVF)</p> Signup and view all the answers

    What role does preimplantation genetic testing (PGT) play in assisted reproductive techniques?

    <p>To screen embryos for genetic disorders</p> Signup and view all the answers

    In what context is cryopreservation with vitrification primarily used in ARTs?

    <p>For preserving excess embryos or gametes</p> Signup and view all the answers

    Which of the following infertility etiologies is NOT commonly treated with IVF?

    <p>Hormonal imbalance unrelated to reproduction</p> Signup and view all the answers

    What is the first step in the process of In Vitro Fertilization (IVF)?

    <p>Controlled ovarian stimulation</p> Signup and view all the answers

    Which ART technique involves the transferring of the fertilized embryo into the uterus?

    <p>Both B and C</p> Signup and view all the answers

    What is the primary role of Luteinizing Hormone (LH) in male reproductive physiology?

    <p>Stimulates testosterone production from Leydig cells</p> Signup and view all the answers

    Which of the following hormones is primarily responsible for the support and regulation of spermatogenesis?

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

    Which enzyme is responsible for the conversion of testosterone to dihydrotestosterone (DHT)?

    <p>5α-reductase</p> Signup and view all the answers

    What percentage of testosterone in the plasma is unbound and free to exert its metabolic effects?

    <p>2%</p> Signup and view all the answers

    Which hormones produced by the Leydig cells are notable for male development apart from testosterone?

    <p>Dihydrotestosterone (DHT) and dehydroepiandrosterone (DHEA)</p> Signup and view all the answers

    What hormone primarily stimulates the Sertoli cells in the testes?

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

    What is the primary source of testosterone in males?

    <p>Leydig cells</p> Signup and view all the answers

    Which of the following plays a role in the physiological mechanisms of erection?

    <p>Nitric oxide</p> Signup and view all the answers

    Study Notes

    Male Reproductive Physiology Lecture Notes

    • Objectives: Students will be able to identify hormones in spermatogenesis, describe hormonal control of the male reproductive system, understand testosterone function, describe erection and ejaculation, identify infertility causes, and learn about assisted reproductive technologies.

    Hormones Involved in Spermatogenesis

    • GnRH (Gonadotropin-Releasing Hormone): Released from the hypothalamus, stimulates the anterior pituitary gland to release FSH (Follicle-Stimulating Hormone) and LH (Luteinizing Hormone).
    • FSH and LH: Stimulate Leydig cells in the testes to produce testosterone.
    • Leydig Cells: Also produce other important sex hormones including dehydroepiandrosterone (DHEA), dihydrotestosterone (DHT), and estradiol.
    • Testosterone Conversion: Testosterone can be converted into estrogen by aromatase and into dihydrotestosterone (DHT) by 5α-reductase.
    • Sertoli Cells: Stimulated by FSH, regulate and support spermatogenesis, produce inhibin, androgen-binding protein (ABP), and anti-Müllerian hormone (AMH).
    • Other Hormones: Growth hormone, prolactin, thyroid hormones, and glucocorticoids also affect spermatogenesis and male reproductive hormones.

    Testosterone

    • Primary Androgen: Testosterone is the main androgen produced by Leydig cells, with significantly higher concentrations in the testes compared to circulation.
    • Secretion: Adrenal glands also secrete a small amount of testosterone.
    • Binding: Most testosterone (98%) binds to sex hormone-binding globulin (SHBG) or albumin in the plasma. The remaining 2% is unbound and can enter cells.
    • Functions: Essential for development of male traits (penis, scrotum, testes descent), spermatogenesis, sexual desire, secondary sexual characteristics (Body Hair, Voice, etc.), muscle development, bone density, and other metabolic functions.

    Hormonal Control of Spermatogenesis

    • Puberty: GnRH secretion increases, initiating LH and FSH production in the anterior pituitary.
    • FSH Role: Primarily acts on Sertoli cells in the seminiferous tubules to promote spermatogenesis.
    • LH Role: Stimulates Leydig cells to produce testosterone, which has negative feedback effects on the hypothalamus and anterior pituitary.

    Physiology of Erection

    • Process: Involves engorgement of the penis with blood due to sexual arousal, neurovascular factors, and hormonal influences.
    • Cylindrical Chambers: The paired corpora cavernosa and the corpus spongiosum contain specialized arteries, shunts, and venous sinusoids in a matrix of connective tissue and smooth muscle.

    Physiology of Ejaculation

    • Emission: Movement of semen into the urethra.
    • Ejaculation proper: Propulsion of semen out of the urethra.
    • Nerve Pathways: Afferent pathways from the glans penis transmit impulses to the spinal cord; efferent pathways involve the lumbar segments, seminal vesicles, and bulbocavernosus muscle.

    Abnormalities of Male Reproductive System

    • Infertility: Inability to achieve pregnancy after 12 months of unprotected intercourse. Potential causes include varicocele, cryptorchidism, infections, genetic factors, and environmental factors.
    • Erectile Dysfunction: Persistent inability to achieve or maintain an erection adequate for satisfactory sexual activity. Organic factors such as diabetes, hypertension, and psychological factors can contribute.

    Treatment of Infertility

    • Medical, Surgical, and ARTs: Infertility treatments may include medical interventions, surgery, and assisted reproductive techniques (ARTs).

    Assisted Reproductive Techniques (ARTs)

    • IVF (In Vitro Fertilization): Oocyte retrieval, fertilization in vitro, embryo culture, and embryo transfer.
    • IUI (Intrauterine Insemination): Sperm placement directly into the uterus.
    • Other techniques: Include Intracytoplasmic Sperm Injection (ICSI) and others.

    Suggested Further Reading and Activities

    • YouTube video on hormonal regulation of male reproduction.
    • Research the effects of thyroid hormones, prolactin, and diabetes on reproductive function.
    • Read about the blood-testis barrier.

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    Description

    This quiz covers the fundamental aspects of male reproductive physiology, including hormones involved in spermatogenesis, hormonal control mechanisms, and the role of testosterone. Students will explore the processes of erection, ejaculation, causes of infertility, and assisted reproductive technologies. Prepare to test your understanding of how these systems function together.

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