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Phys. Exam 4 Male Reproduction
male reproduction
35
Physiology
Graduate
12/03/2010

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Term
hypothalamus> GnRH> anterior pituitary> FSH and LH released (which one is released is dependent on frequency of pulses of GnRH)
Definition
Term
what happens with constant supply of GnRH?
Definition
FSH and LH release is inhibited
- curtails fertility
Term
slow GnRH pulses release:
Definition
LH
Term
fast GnRH pulses release:
Definition
FSH
Term
Two process that occur in the testies are ____, which makes the __ __, and ____ , which makes sperm, the male gamete.
Definition
- steroidogenesis, makes the male androgen
- spermatogenesis
Term
In a cross-section of the ____ ____, you will see two types of cells inside the tubule. The outer cells are the ___ cells and the inner cells are the ____ cells.
Definition
- sertoli
- progenitor
Term
Progenitor cells are constantly dividing into two. One stays behind and keeps dividing, and the other moves on to become sperm.
Definition
Term
Sertoli cells have ___ receptors. Sperm do not have fsh or lh receptors, so the interaction between fsh and sertoli cells regulates ____.
Definition
FSH
spermatogenesis
Term
What does FSH determine?
Definition
- number of new sperm that enter the pathway, the time it takes from beginning to end is fixed, but FSH regulates the number
Term
Developing sperm are always in contact with ___ cells.
Definition
sertoli
Term
Sertoli cells are locked together by ___ ___. The compartments between the sertoli cells contain the ___ cells, which are trapped against the wall of the tubule by the sertoli cells.
Definition
- tight junctions
- progenitor cells
Term
___ cells are cells in the ___ between seminiferous tubules and produce testosterone.
Definition
- Leydig
- interstium
Term
Leydig cells have receptors for ___ , while ___ cells have receptors for ____.
Definition
leydig: lh receptors
sertoli: fsh receptors
Term
It is important to keep testosterone high in the testies, especially in the area right next to the seminiferous tubules. What mechanisms does the body have to keep testosterone high ehre?
Definition
- lymphatics next to seminiferous tubules that absorb lots of testosterone and keep it right next to tubules
- pampiniform plexus is the testicular artery and vein wrapped around each other: venous testosterone is transferred to artery, so arterial supply to testies has lots of testosterone
- FSH stimulates synthesis of androgen binding protein which binds testosterone and keeps it in the lumen of the seminiferous tubule
Term
If you take synthetic tesosterone, you inhibit ___, so the concentration of testosterone in the testies ___, so sperm production ___.
Definition
- LH
- decreases
- decreases
Term
LH is trophic neutrative to leydig cells and testicles
Definition
Term
Testosterone is the main male androgen produced, but the most important androgen is ______ (__). Enzyme ___ _ ___ makes ___ from ___. This enzyme doesn't arrive until later in life.
Definition
- dihydrotestosterone (DHT)
- 5-a-reductase
- DHT from testosterone
Term
DHEA and Androstenedione:
Definition
androgen precursors that get made into testosterone
Term
Transport of androgens:
Definition
- hydrophobic so transported by Testosterone binding globulin aka (TeBG) aka sex hormone binding globulin (SHBG) (binds testosterone and estrogen)
Term
Androgens cause:
Definition
- male phenotype
- positive nitrogen balance (building stuff)
- production of IGF-1
- closure of growth plates
- androgens resposible for libido in men and women
Term
Y chromosome causes testies to make ____ ___ which causes regression of female embryoneic structures. Testies also make ____ which causes early differentiation of ___ __. Later in development start making 5-alpha-reductase which is important for development of external genitalia.
Definition
- antimallerian hormone
- testosterone
- wolferian ducts
Term
Male with no DHT or 5-alpha-reductase will have:
Definition
- ambiguous external genitalia, but internal genitalia will be male
Term
Androgen receptor deficiency:
Definition
- internally and externally ambiguous b/c neither testosterone or DHT can act
- high testosterone levels that gets made into estrogens
- appear female from looking at them
Term
If ambiguous genitalia and not sure the defect what can you do?
Definition
- give them DHT
- if pt becomes more masculine it must be a 5 alpha reductase problem
- if doesn't help probably a receptor issue
Term
If pt has 5 alpha reductase issue, and you give them DHT, what repercussions will this have?
Definition
- make them look phenyotypically male
- make them infertile b/c cut off LH so no local testosterone in testies
Term
Spermatogenesis occurs in the ___ ___, is regulted by __ and the ___ ___, and requires local ___.
Definition
- seminiferous tubules
- FSH and sertoli cells
- testosterone
Term
Factors controlling spermatogenesis:
Definition
- FSH
- inhibin
- testosterone and thus LH
Term
Testosterone made by the ___ cells has negative feedback on the ___ ___ to inhibit ___ release. Leydig cells also make local testosterone.
Definition
- Leydig
- anterior pituitary
- LH
Term
FSH acts on the __ cells to make __ ___ ___ ___ (__). When sperm accumulates in the lumen of the tubule, the ___ cells release ____, which feeds back on the ___ ___ to inhibit release of ____.
Definition
- sertoli
- sex hormone binding globulin (SHBG)
- sertoli
- inhibin
- anterior pituitary
- FSH
Term
Taking external androgens causes a reversible form of infertility.
Definition
Term
Capacitation:
Definition
- female body has to make sperm capable of fertilization
- so fertilization cannot happen in petri dish b/c capacitation must occur in female body for fertilization to occur
Term
Parasympathetic needed for ___ and ___, so erection is a ___ mechanism, caused by ___ and ___ ___.
Definition
- erection and lubrication
- vasodilation
- acetylcholine
- nitric oxide
Term
Nitric oxide causes dilation by producting ____. Viagra inhibits the phosphodiesterase that breaks this down.
Definition
cGMP
Term
Growing reason for problem with male performane is Diabetes b/c causes damage to para and symp ns b/c neuropathy. So very common with males with diabetes for a year or two. Also anything else that causes trauma to inguinal region. Damage to pudendal nerve= problem.
Definition
Term
sympathetics responsible for:
Definition
- ejaculation
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