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Bios 205 - Exam 3
Sexual Complications and Dysfunctions
48
Biology
Undergraduate 2
06/02/2009

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Term
Complications and Dysfunction Classifications
Definition
1. Chromosomal abnormalities 2. Hormone receptor disorders 3. Hormone synthesis disorder 4. Stress induced problems 5. Physiologic issues
Term
Chromosomal Abnormalities are due to:
Definition
NON-DISJUNCTION in EITHER MITOSIS OR MEIOSIS
Term
Non-disjunction can occue in:
Definition
either MITOSIS or MEIOSIS
Term
Klinefelter's Syndrome
Definition
XXY. About 1 in 800 MALE births. Slow or missed diagnoses. Treatment w/ testosterone or one of its varients. Sex-reassignment
Term
Klinefelter's Syndrome common side effects:
Definition
Sterility, Small testes, Low testosterone, greater highth, breast development, incomplete masuline body build, social and/or learning problems
Term
Turner's Syndrome
Definition
XO. About 1 in 2500 FEMALE births. Normal intelligence. Treatment w/ growth hormones and estrogen
Term
Turner's Syndrome common side effects:
Definition
Short stature/broad chest. Ovary failure/infertility. Puffy hands & feet. Webbed neck & low neck hairline. High blood pressue. Type II diabetes.
Term
Chimera:
Definition
an individual having more than one genetically distict population of cells
Term
Non-disjunction in MITOSIS can have little effect or result in chimerism if:
Definition
1. Mitotic non-disjunction occures in an ADULT, there is NO problem. 2. It happens LATE in fetal or childhood development, small cell lines will be different. 3. It happens soon after fertilization there can be very distinct genetically different cell lines
Term
Human chimerism is more frequently linked to:
Definition
1. Fusion of fraternal twin embryos (Male & Female twins - most frequent) (Two Female or two Male twins - variation in the genes) 2. Stem cell treatment (e.g. bone marrow) 3. Organ Transplants
Term
Hormone Receptor Disorders
Definition
ANDGROEN Insensitivity Disorder (AIS) & ESTROGEN Insensitivity Disorder (EIS)
Term
Androgen Insensitivity Disorder (AIS)
Definition
Occurs in genetic MALES (XY) who have a mutation on the X-chromosome in the gene that codes for androgen receptors. Receptors may be totally absent, partially or completely non-functional. RESULT is either COMPLETE AIS or PARTIAL AIS. **Y-CHROMOSOME DIRECTS THE FORMATION OF THE TESTES.
Term
No receptors for testosterone to preserve Wolffian ducts, so:
Definition
NO male ducts or glands are present, BUT, anti-Mullerian hormone is fully functional, so NO INTERNAL FEMALE STRUCTURES FORM either.
Term
Partial AIS
Definition
1 to 3 in 130,000 live births
Term
Grades of Partial AIS
Definition
Parital libial fusion, enlarged clitoris, completely fused pabia, hypospadias, penis small
Term
Complete AIS
Definition
1 to 2 in 20,000 live births.
Term
Total inability for testosterone to function causes:
Definition
female body shape, large breast, sparse or absent axillary and pubic hair, absence of balding, blind-ended vagina (1/3 normal vagina), testes not descended, higher levels of estrogen
Term
Estrogen Insensitivity Syndrome (EIS)
Definition
caused by a recessive mutation in the gene for the estrogen receptor, RARE - few documented cases, first in Cincy 1994 - 28 year old man, 6'8" tall and still gorwing, bone age of 15 yrs, pronounced osteoporosis, high circulating estradiol
Term
Hormone Biosynthesis Disorders:
Definition
Androgen Deficiency, 5-Alpha-Reductase Deficiency, Congenital Adrenal Hyperplasia (CAH), Anti-Mullerian Hormone Deficiency, Estrogen Deficiency
Term
Androgen Deficiency
Definition
Klinefelter's Syndrome, Hypothalamic or Pituitary Problems, 5-Alpha-reductase deficiency, Aging in men
Term
5-Alpha-Reductase Deficiency
Definition
Deficiency in the enzyme that converts testosterone to dihydrotestosterone (DHT) - due to a recessive allele mutation. Boys are born with ambiguous genitalia, resembling that of a girl, at puberty, increased testosterone levels cause descent of testis, growth of penis, formation of scrotum, etc.
Term
5-Alpha-Reductase Deficiency
Definition
High incidence in Dominican Republic, Turkey, Papua, New Guinea. Individuals are often raised as girls, then switch at puberty to boy. It is so frequent in come places that it is accepted as a normal event
Term
Androgen Deficiency - MALE AGING
Definition
Androgens levels decrease with age, testosterone levels 60% of young men are sufficient to maintain normal sexual activity in men under 50, TESTOSTERONE supplements do increase lost muscle mass, increase muscle strength and deter abdominal fat deposits
Term
Congenital Adrenal Hyperplasia (CAH)
Definition
Increase androgen production, due to mutation in gene for enzyme that controls adrenal gland steriod production, XX individuals show major effects, Average frequency is 1:60 births
Term
Congenital Adrenal Hyperplasia (CAH Symptoms
Definition
Male - Early adolescence, enhanced masculine characteristics. Female - varied degrees of masculinization of internal and external genitalia, masculinization in childhood, adolescence or adulthood
Term
Congenital Adrenal Hyperplasia (CAH) Symptoms
Definition
MALES && FEMALES - some forms cause hypertension, severe forms result in disruption to salt and water balance and can be fatal if not treated, some forms produce ambiguous genitalia in males and normal in females but lack feminization at puberty
Term
Erectile Dysfunction major causes:
Definition
Cardiovascular disorders, Nervous system damage, Smooth or Connective tissue damage, Side-effect of medications, Psychological factors
Term
Erectile Dysfunction - Cardiovascular problems:
Definition
Age, Diabetes, High blood pressure, Atherosclerosis, CIG SMOKINGGG
Term
Gonadal Gender:
Definition
Ovary OR Testes
Term
Germ Cell Gender:
Definition
Production of ova or sperm
Term
Hormonal Gender:
Definition
Which hormones are produced by the gonads
Term
Brain Gender:
Definition
Sexual dimorphism of brain structures
Term
Phenotypic Gender:
Definition
External appearence of individual
Term
Behavioral Gender:
Definition
Behaviors specific to the individual relative to behaviors of other individuals
Term
Social Gender:
Definition
Social recognition of individual
Term
Psychological Gender:
Definition
What the individual considers themselves
Term
Legal Gender:
Definition
Government recognition of the individual relative to other individuals
Term
Chromosomal Sex --->
Definition
XX or XY or??
Term
Anti-Mullerian Hormone (AMH) Deficiency
Definition
Due to mutation in the gene coding for AMH, fairly rare, found ONLY IN MALES
Term
Anti-Mullerian Hormone Deficiency Symptoms
Definition
Persistent Mullerian Duct Syndrome (PMDS), Cryptorchidism, Infertility, Tendency for tumors of the germ cells
Term
Estrogen Deficiency
Definition
Deficiency in AROMATASE, the enzyme that converts androgens to estrogens
Term
Estrogen Deficiency:
Definition
First discovered in 1995 in a brother and sister. Female = high androgen to estrogen ratio, masculinization of external genitalia, further masc at puberty, treated w/ estrogen replacement. Male = low estrogen levels, excessive bone growth, low bone age, osteoporosis
Term
Physical Stress & Reproduction in FEMALE
Definition
Strenuous physical activities often affect females, Accompanying phenomena (low LH and FSH leading to low estrogen). ALL ARE RELATED TO INCREASED ENERGY DEMAND, RESPONSES VARY IN DIFFERENT ATHLETIC FEMALES
Term
Physical Stress & Reproduction in FEMALES
Definition
Body fat influences response to physical exercise, Lean athletes have normal menstrual cycles once activity has stopped, other possible causes...
Term
Physical Stress & Reproduction in MALES
Definition
Chronic stenuous exercise after puberty has been associated with - Impaired testicular functions, reduced testosterone levels, changes in sperm count, lowered libido
Term
Nutritional Stress & Reproduction in FEMALES
Definition
Good nutirition is required for successful pregnancy & birth. Responses to poor nutrition begins with suppressed ovulation
Term
Dietary Restriction Categories (Females)
Definition
Involuntary: hunter gatherer populations with seasonal variation in food availability have seasonal births
Term
Dietary Restriction Categories (Females)
Definition
Voluntary: Dieting, Anorexia Nervosa, Bulimia Nervosa
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