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○ Prostate

ANATOMY OF THE MALE AND ○ Cowper’s glands


FEMALE REPRODUCTIVE
SYSTEM ROLE OF ANDROGENS
• Androgenic hormones- responsible for muscular
WEEK 2B (PPT & REC. LEC.) development, physical growth, and an increase in
sebaceous gland secretions causing typical acne in
THE REPRODUCTIVE SYSTEM both boys & girls.
→ produced by adrenal cortex & testes
(males), and adrenal cortex and ovary
● The major function of the reproductive systems to
(female)
ensure survival of the species. An individual may
ROLE OF ESTROGEN
live a long, healthy, and happy life without
• Estrogen – influences the development of the
producing offspring, but if the species is to
uterus, fallopian tube and vagina, fat distribution,
continue, at least some individuals must produce
hair pattern and breast development
offspring.
● Within the context of producing offspring, the • it also closes the epiphysis of long bone
reproductive system has four functions: SECONDARY SEX CHARACTERISTICS
○ To produce egg and sperm cells ● Girls (Estrogen)
○ Growth Spurt
○ To transport and sustain these cells
○ To nurture the developing offspring ○ Increase in the transverse diameter of the
○ To produce hormones pelvis
REPRODUCTIVE DEVELOPMENT ○ Breast development
○ Growth of pubic hair
● Gonad is a body organ that produces sex cells (the
ovary in females and the testis in males) ○ Onset of menstruation
● Mesonephric ducts develops in males ○ Growth of axillary hair
● tissue that give rise to testis in males ○ Vaginal secretions
● Paramesonephric ducts develops in females ● Boys (testosterone)
● tissue that will give rise to ovaries in females ○ Increase in weight
○ Growth of testes
PUBERTAL DEVELOPMENT
○ Growth of face, axillary & pubic hair
• Puberty is the stage of life at which secondary sex
○ Voice changes
changes begin ○ Penile growth
● is the stage of life that is initiated by hypothalamic- ○ Increase in height
pituitary – gonad complex. ○ spermatogenesis
● Puberty usually starts in Girls at 10-13 years old
and Boys starts at 12-14 years old.
FEMALE REPRODUCTIVE
FEMALE AND MALE REPRODUCTIVE SYSTEM
HOMOLOGUES SYSTEM
● Female • Group of organs with the function of production
○ Clitoral glans and maturation of ovum and production of sex
○ Clitoral shaft hormones
○ Labia majora ● It produces the female egg cells necessary for
○ Ovaries reproduction, called the ova or oocytes.
○ Skene’s glands ● It is designed to transport the ova to the site of
○ Bartholin’s glands fertilization.
● Male ● If fertilization does not take place, the system is
○ Penile glans designed to menstruate.
○ Penile shaft ● It produces female sex hormone that maintain the
○ Scrotum reproductive cycle.
○ Testes

ANNOTATED BY: A. BALLORAN & JME


● The clitoris is sensitive to touch and temperature
and is the center for sexual arousal and orgasm in
the female.
● It contains erectile tissue blood vessels and nerves.
● It is made up of erectile tissue which many large
and small venous channels surrounded by large
amount of involuntary muscle tissue, the
ischiocarvernosa facilitate erection of the organ.
● The clitoris measures 5 – 6 mm. long and 6 – 8 mm.
across.
● It has very rich blood and nerve supplies.
PARTS OF THE FEMALE REPRODCUTIVE SYSTEM ● Functions :
○ Stimulate and elevate levels of sexual
EXTERNAL tension.
○ Serve as a landmark in locating urethral
MONS VENERIS/PUBIS opening during catheterization.
● is a pad of adipose tissue located over the VESTIBULE
symphysis pubis, the pubic bone joint.
● It is covered by a triangle of coarse, curly hairs.
● The purpose is to protect the junction of the pubic
bone from trauma.
● It contains many nerve ending that makes the
mons pubis sensitive to touch and pressure. ● It is a flattened smooth surface inside the labia.
LABIA MAJORA ● The openings of the bladder or the urethra, and the
● Consists of 2 rounded folds of fatty tissue. It is uterus or the vagina, are both arise from the
analogous to the scrotum. vestibule.
● The outer lips separates downward from the mons URETHRAL MEATUS/URETHRAL ORIFICE
and meet again below the vagina introitus.
● It contains multitude of sebaceous and sweat
glands.
● It also serves as protection for the external
genitalia and the distal urethra and vagina.

LABIA MINORA ● although not a true part, it is considered as part of


● Located posterior to the mons pubis veneris, the reproductive system because of its closeness
spread 2 hairless folds of connective tissue. and relationship to the vulva
● It has 2 smaller lips located within the labia majora. VULVOVAGINAL/BARTHOLIN’S GLAND
● It appears thin pale pink in color.
● When stimulated, it turns to dark red or dark pink
due to presence of blood vessels, no hair; smooth
in texture.
● The internal structure is covered with mucous
membrane, and the external portion with skin
CLITORIS
● Located on each side of vaginal opening with ducts
that open into the proximal vaginal near the labia
and hymen
● they correspond to the bulbourethral or Cowper’s
gland in male
●It is a small rounded organ of erectile tissue at the ● the gland secretes a small amount of clear, viscid
forward junction of the labia minora, covered by a mucus during sexual excitement
fold of skin called prepuce.
ANNOTATED BY: A. BALLORAN & JME
PARAURETHRAL/SKENE’S GLAND ● Is a tough but elastic semicircle of tissue that
covers the opening to the vagina in childhood.
● It is comprised mainly of connective tissue both
elastic and collagen. Both surfaces are covered by
stratified squamous epithelium.
● The hymen can be broken through strenuous
physical activities or masturbation.
● It is often torn during the time of first sexual
intercourse.
● some women have imperforated hymen – it is
● a pair of small glands lying on each side of the hymen that covers the vaginal introitus that
urethra prevent the penetration of penis and even the flow
● they produce a small amount of mucus and are of menstruation
especially susceptible to gonorrheal infection ● the only management is
● it is homologous to male prostate hymenectomy/hymenotomy – removal of hymen

VAGINAL ORIFICE/INTROITUS INTERNAL STRUCTURES

● occupies the lower portion of the vestibule and


varies considerably in size and shape
● the vagina has an abundantly vascular supply
FOURCHETTE
● is the ridge of tissue formed by the posterior
joining of the labia minora and the labia major
● this structure is sometimes cut (episiotomy )
during childbirth to enlarge the vaginal opening
OVARY
PERINEUM
● located just posterior to the fourchette
● This is a muscular area, that’s easily stretched
during childbirth to allow enlargement of the
vagina and passage of the fetal head.
● Many exercises (Kegel’s,squatting & tailor-sitting)
are aimed at making the perineal muscle more
● It is approximately 4 cm long by 2 cm in diameter
flexible to allow easier expansion during birth
and approximately 1.5 cm thick or the size and
without tearing of this tissue.
shape of an almond.
● Each ovary contains approximately 200,000 to
HYMEN
400,000 follicles during female’s childbirth.
● It secretes hormones ESTROGEN and
PROGESTERONE which initiate and regulate
menstrual process.
● Layers of ovaries:
○ Tunica albuginea - dense and dull white
and serves as protective layer.

ANNOTATED BY: A. BALLORAN & JME


○ Cortex – main functional part because it ○ Isthmus
contains ova, graafian follicles, corpora ■ next distal portion
lutea, degenerated corpora lutea (corpora ■ 2 cm in length
albicantia). ■ this portion is cut and sealed in
○ Medulla – or central portion of the ovary is tubal ligation
composed of loose connective tissue. ○ Ampulla
● Functions : ■ Longest portion
○ ovulation ■ 5 cm length
○ hormone production ■ Fertilization of ovum occurs
■ These also a counterpart to the ○ Infundibular
testes of male organ. ■ Most distal segment
■ 2 cm in length
■ Funnel shape
■ The rim of the funnel is covered by
fimbriae or small hairs that
■ Help to guide the ovum into the
fallopian tube .
● The wall of the fallopian tube is made up of 4
layers :
○ Peritoneal (serous) – covers the tubes.
INTERNAL ○ Subserous ( adventitial ) – contains the
blood and nerve supply
FALLOPIAN TUBES ○ Muscular - responsible for the peristaltic
movement of the tube.
○ Mucosal – composed of ciliated and
unciliated cells with the number of ciliated
cells more abundant at the fimbria.

● Slender structure that extends from either side of


the uterus and end in a fringed fashion near each
ovary.
● It transports mature ovum from the ovary to the
uterus and to provide place for fertilization of the
ovum. UTERUS
● It takes about 3 days for an egg to travel the length,
but unfertilized egg lives only 24 hours.
● If unfertilized it will die before it arrives in the
uterus.
● Functions :
○ site of fertilization
○ provide transport for the ovum from the
ovary to the uterus
○ serve as a warm, moist, nourishing ● Pear-shaped approximately 3 inches long, located
environment for the ovum or zygote between the urinary bladder and the rectum.
● Parts of the Fallopian Tube ● Its primary purpose is to house and nurture a
○ Interstitial portion pregnancy.
■ Thick-walled ● It receives the ovum from the fallopian tube, to
■ lies within the uterine wall provide a place for implantation and nourishment
■ approximately 1 cm in length during fetal growth and it furnish protection to a
■ lumen is 1 mm in the diameter growing fetus expel from the women’s body.
ANNOTATED BY: A. BALLORAN & JME
● The uterus consists of three divisions: ● Mucus provides for the energy needs of the sperm,
○ THE BODY OR CORPUS – portion of the protects sperm from environment of the vagina,
structure that expands so greatly to and protects them from phagocytes.
contain the growing fetus. ● At other times, mucus becomes thick and can form
■ The portion of the uterus between a cervical plug which impedes passage of
the points of attachment of the pathogens.
fallopian tube is called fundus. ● Layers of uterus
o FUNDUS ○ Perimetrium – a part of visceral
▪ is the portion that can be peritoneum
palpated to measure uterine ○ part that come in contacts with this
growth and the force of uterine internal organs
contraction during labour ○ Myometrium – bulk of uterus – three
○ ISTHMUS – short segment between the layers of muscle that contract under
body & cervix; during pregnancy, this influence of oxytocin during labor.
portion also enlarges greatly to aid in ○ stimulate para magkaroon ng production
accommodating the growing fetus. of oxytocin necessary for the production
■ it is the portion of the uterus that ○ Endometrium – highly vascular mucosa
is cut when a fetus is delivered by ■ Stratum functionalis – shed
CS during menstruation
■ stretch during delivery ■ Stratum basalis – deeper,
○ CERVIX – lowest portion of the uterus permanent layer, gives rise to new
■ cervical canal – central cavity stratum functionalism
■ internal cervical os – junction of
the canal at the isthmus
■ external cervical os – distal
opening to the vagina

● The cervical mucosa has 3 functions


○ provide lubrication for the vaginal canal VAGINA
○ act as a bacteriostatic agent ● Passageway for sperm and menstrual flow
○ provide an alkaline environment to shelter ● Receptacle for penis during intercourse
deposited sperm from the acidic vagina. ● Inferior portion of birth canal
● Secretory cells of the cervix produce about ● Capable of considerable distention (stretching)
● 20 – 60 ml of mucus / day. ● Mucosa is continuous with that of uterus and
● At time of ovulation, this mucus becomes thinner consists of nonkeratinized stratified squamous
and more alkaline. epithelium
■ provide an alkaline environment ● Contains large stores of glycogen which
to shelter deposited sperm from decomposes to organic acids – lower pH = less
the acidic vagina. susceptible to infection & less hospitable to sperm
● Secretory cells of the cervix produce about 20 – 60 ● glycogen content of the vagina can be converted to
ml of mucus / day. lactic acid
● At time of ovulation, this mucus becomes thinner ● this bacteria is normally present in the organ
and more alkaline.
● Mucus provides for the energy needs of the sperm, MAMMARY GLANDS
protects sperm from environment of the vagina ● Accessory organs of the female reproductive
system
● situated over the pectoralis major muscles
ANNOTATED BY: A. BALLORAN & JME
● Modified sweat glands ○ Each breast has 15-20 lobes made up of
● Are attached to fascia by the suspensory ligaments several lobules. Lobules are made of milk-
(of Cooper secreting cells arranged in alveoli.
● Breast size is determined more by fat than by ○ All the glands in each lobe produce milk by
glandular tissue. acini cells & deliver it to the nipple by
● Function is to synthesize, secrete and eject milk lactiferous duct
(lactation) ○ Milk production is stimulated mostly by
● prolactin with some help from Estrogen &
progesterone.

GYNECOMASTIA

● AMPULLA
○ Portion of the duct just posterior to the
nipples serves as reservoir for milk before ● Increase in male breast size
breastfeeding. ● Most evident in obese boys
● Normal change of puberty

THE MALE REPRODUCTIVE


SYSTEM
● NIPPLE
● Made of organs, ducts and glands whose function
○ Composed of smooth muscle that is
is to produce spermatozoa and androgen
capable of erection on manual or sucking
● Production of gametes
stimulation.
○ Male sex cells, i.e., sperm
○ approximately 20 small openings through
● Synthesis of androgens
which milk is secreted.
○ Male sex hormones, e.g., testosterone
○ On stimulation, it transmits sensations to
● Delivery of sperm into the female reproductive
the posterior pituitary gland to release
tract
oxytocin.
○ Oxytocin - acts to constrict milk gland cells
and push milk forward into the ducts that
lead to the nipple
● AREOLA
○ Darkly pigmented area surrounding the
nipple.
○ Rough surface owing many sebaceous
glands, called MONTGOMERY’S
TUBERCLES.
○ It contains the opening of sebaceous and
sweat glands (Montgomery glands) that
secrete lubricating substances for the
nipple
● BREAST OR MAMMARY GLANDS
○ Breasts are located anterior to the pectoral
muscle. In many women, breast tissue
extends well into the axilla.

ANNOTATED BY: A. BALLORAN & JME


● The main reproductive organs of the male body are
the testes, which produce sperm and also male
hormones, in the form of testosterone

MALE EXTERNAL STRUCTURES

TESTES
● Two ovoid glands, 2 to 3 cm wide that lie in the
scrotum (walnut size) Each testis is encased by a
protective white fibrous capsule and is composed
SCROTUM
of a number of lobules, each lobule containing
● loose pouch-like sac of skin that hangs behind the
penis interstitial cells (Leydig’s Cell) and seminiferous
● rugated, skin covered muscular pouch suspended tubules.
from the perineum ● Surrounded by 2 tunics:
● contains testes, epididymis, and the lower portion ○ Tunica vaginalis
of the spermatic cord ■ Derived from the parietal
○ Contains male gonads (testes) peritoneum.
● help regulate the temperature of sperm through ○ Tunica albuginea
contraction and relaxation and moving closer to ○ Feel smooth and are freely movable within
and further away from the perineum the scrotum.
● the looseness of the scrotum is intentional to ○ In most males, one testis is slightly larger
provide expansion and contraction than the other and is suspended slightly
● lowers T by 3C lower in the scrotum than the other
(usually the left one) for less possibility of
trauma to them
○ Spermatozoa do not survive at the body
temperature
○ It is suspended outside the body where the
temperature is approximately 1 F lower
than the body temperature and sperm
Cool Temperature survival is ensured
● Scrotum contracts and draws the testes closer to ○
the body for warmth.
Warm Temperature
● Scrotum becomes very loose and allow the testes
to hand further away from the near of the body.
High temperature can cause delicate sperm cell to
die.

SEMINIFEROUS TUBULES

ANNOTATED BY: A. BALLORAN & JME


● produce spermatozoa

LEYDIG’s CELL
Responsible for producing of the male hormone
testosterone

PENIS
● Tubular structure located above the scrotum,
composed of shaft and glans. ● Aspermia – absence of sperm
● Half of it is an internal root and half is the external ● Oligospermia – less than 20 million per mL
visible shaft. ● These are problems that do not appear to respond
● Three cylindrical masses of erectile tissue in the immediately to therapy but rather only after 2
shaft: Corpus Cavernosa, corpus spongiosum). The months
urethra passes through these 3 layers
● Soft and flaccid (2.5 to 4 inches).
● Erection- blood vessels in the shaft become
congested, penis become hard and erect (5.5 to 7
inches) VAS DEFERENS (DUCTUS VENOSUS)
→ shaft ● hollow tube surrounded by arteries and veins,
→ glans penis: bulging, sensitive ridge of protected by thick, fibrous coating. It carries
tissue sperm from epididymis through the inguinal canal
→ foreskin: retractable casing of the skin into the abdominal cavity where it ends at the
→ urethral meatus: slit-like opening seminal vesicles and ejaculatory ducts.
EPIDIDYMIS ● Sperm mature as they passed through the vas
● seminiferous tubule of each testis leads to a tightly deferens
coiled tube, the EPIDIDYMIS – responsible for ● ejaculatory ducts – these are formed by the fusion
conducting sperm from the tube to the vas of vas deference and seminal vesicle
deferens, the next step in the passage to the ● the ejaculatory ducts empty into the urethra
outside ● It is about 40cm long
● Approximately 20 ft long ● The vas deferens serves a transport function and
● some sperm are stored in epididymis, and a the area of the ampulla serves as a storage
portion of the alkaline fluid that will surround the reservoir of sperm for release at ejaculation.
sperm at maturity (semen, - contains basic sugar ● Sperm mature as they passed through the vas
and mucin? is produced by the cells lining the deferens
epididymis ● It is believed that the vas deferens acts as reservoir
● Sperm are immobile and incapable of fertilization for sperm between ejaculation
as they passed or are stored at the epididymis level
● It takes 12-20 days to travel the length of the
epididymis
● A total of 64 days to reach maturity
● Site of sperm maturation and storage
● Responsible for conducting sperm from the testis
to the vas deferens
● Contains smooth muscle to propel sperm during
ejaculation
PROSTATE GLAND
● a chest-nut size gland that lies just below the
bladder, the urethra passes through the center of
it, like the whole donut. it secretes a thin, alkaline
fluid.
● When added to the secretion from the seminal
vesicles and the accompanying sperm from the

ANNOTATED BY: A. BALLORAN & JME


epididymis, this alkaline fluid further protects ■ Within the urogenital diaphragm
sperm from being immobilized by the naturally low ○ Penile (spongy)
pH level of the urethra ■ Within the penis
● The seminal vesicles, prostate gland and Cowper’s
gland produce a liquid called a seminal plasma.

SEMINAL VESICLES
● 2 convoluted pouches that lie along the lower
portion of posterior surface of the bladder and
empty into the urethra by way of ejaculatory ducts
● Secrete seminal fluid
BULBOURETHRAL GLANDS ● Sperm become increasingly motile because of
• 2 bulbourethral or Cowper’s gland lie beside the viscous portion of the semen secreted by these
prostate gland and by short ducts empty into the glands which serves as nutrients and more
urethra favorable pH)
● Secrete an alkaline fluid that helps counteract the
acid secretions of the urethra and ensure the
passage of spermatozoa
● Produce small droplets of fluid during sexual
activity that neutralizes the acidity of the male
urethra and aid in the transport of sperm
● 5% semen

● Bulbourethral Glands
○ 2 bulbourethral or Cowper’s gland lie
beside the prostate gland and by short
ducts empty into the urethra
● Secrete an alkaline fluid that helps counteract the
acid secretions of the urethra and ensure the
passage of spermatozoa
● Produce small droplets of fluid during sexual
activity that neutralizes the acidity of the male
urethra and aid in the transport of sperm
● 5% semen

URETHRA Seminal Plasma


● a hollow tube leading from the base of the bladder, ● Aids in the transport of sperm
which after passing through the prostate gland ● Provides energizing nutrients for the sperm
continues to the outside through the shaft and ● Contains form of sugar – fructose, mucous, salts,
glans of the penis. It is approximately 8 inch (18-20 water, base buffers and coagulators to aid the
cm) long sperm in their journey
● 3 sections The sperm collectively make up the semen.
○ Prostatic ● Semen / seminal fluid
■ Within the prostate ○ Thick, creamy white fluid with the
○ Membranous consistency of mucus or egg whites
ANNOTATED BY: A. BALLORAN & JME
○ Normal amount is 2 mL – 6 mL per engorgement or an increase in the blood flow to
ejeculation the arteries of the penis →The Ischiocavernosus
○ Fertile man will dispel 20-160 million muscle at the penis base then contracts→ Trapping
sperm per ejaculate. both venous and arterial blood in the 3 sections of
● Spermatozoon – is made up of a head and a tail erectile tissue→ Leading to distention and erection
○ the head carries the male’s haploid of the penis
number of chromosomes (23)
○ the part that enters the ovum at
fertilization
○ the tail specialize in motility
● sperm maybe stored in the male genital system for
42 days
● sperm can live only 2-3 days in the female genital
tract once ejaculated.
GLANS
● The distal end of the organ is bulging sensitive
ridge of tissue which has the external urinary
meatus at its tip.
CORONA
MALE INTERNAL STRUCTURE
● The proximal margin of the glans.
PREPUCE
● Also called the foreskin.
● Loose skin attached to the shaft, allowing for
expansion during erection.
● Retractable casing of skin that protects the nerve
sensitive glans at birth.
FRENULUM
Ventral fold of tissue attaches the skin to the
glans.
● Contains the urethra as well as 3 erectile bodies:
○ 2 dorsal erectile tissues known as the ANALOGOUS STRUCTURES in the MALE AND FEMALE
corpora cavernosa REPRODUCTIVE SYSTEM
○ 1 midventral tissue known as the corpus MALE
spongiosum • spermatozoa
■ Surrounds penile urethra • glans penis
■ Expands distally to form the glans • scrotum
penis • penis
• testes
• vas deference
• prostate glands
• Cowper’s glands
FEMALE
• Ovum
• glans clitoris
• labia majora
• vagina
• ovaries
• fallopian tubes
• skene’s gland
• Bartholin’s glands
● Sexual excitement → Nitric acid is released from
the endothelium of blood vessels → Result in
ANNOTATED BY: A. BALLORAN & JME

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