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Name the main components of the male reproductive system.
main components include the penis, bladder,
prostate gland
,
bulbourethral gland
,
testis
, vas deferens,
seminal vesicle
, and accessory glands.
What are the three parts of the penis?
Root: The proximal, fixed part, containing erectile tissues (two crura and bulb) and muscles (ischiocavernosus and bulbospongiosus).
Body: The free, cylindrical portion with two corpora cavernosa and one corpus spongiosum.
Glans: The distal, conical part containing the external urethral orifice.
What are the two major quantifiable attributes of semen?
The total number of
spermatozoa
, reflecting
testicular
sperm production and duct patency.
The total fluid volume contributed by
accessory glands
, reflecting their
secretory
activity.
List the contributions of the accessory glands to seminal plasma.
Seminal vesicles: ~
70-75%
Prostate gland:
24-30%
Bulbourethral gland
: ~1%
What is the purpose of seminal plasma?
Protect and
nourish
spermatozoa.
Facilitate sperm transport along the
vas
deferens.
Protect sperm from the
acidic
vaginal environment.
Name some key constituents of seminal plasma and their functions.
Fructose: Provides
energy
for sperm metabolism.
Citric acid: Acts as a
calcium
chelator.
Prostaglandins: Stimulate
uterine
contractions.
Zinc: Protects
chromatin
integrity.
Ascorbic acid: Acts as an
antioxidant.
Glycerylphosphorylcholine
: Substrate for phospholipid metabolism.
What is
spermatogenesis
?
It is the process of producing mature
sperm cells
(
spermatozoa
) from
germ cells
in the
seminiferous tubules
of the
testes
.
Outline the stages of spermatogenesis.
Spermatogonial
phase (
Mitosis
): Spermatogonia divide to maintain the stem cell population and form primary spermatocytes.
Spermatocyte phase (
Meiosis
):
Primary spermatocytes → Secondary spermatocytes → Spermatids (
haploid
).
Spermatid phase (
Spermiogenesis
): Structural changes transform
spermatids
into motile
spermatozoa
.
What is the role of Sertoli cells in spermatogenesis?
Provide structural and nutritional
support.
Create a blood-testis
barrier.
Secrete factors necessary for germ cell
development.
Describe the hormonal regulation of spermatogenesis.
FSH
: Stimulates
Sertoli
cells to support spermatogenesis.
LH
: Stimulates Leydig cells to produce
testosterone
.
Testosterone: Essential for spermatogenesis and development of secondary sexual characteristics.
What is the Hypothalamic-Pituitary-Gonadal (HPG) axis?
Hypothalamus
: Releases
GnRH
.
Pituitary gland: Releases
LH
and
FSH
in response to GnRH.
Leydig cells: Produce
testosterone
under LH stimulation.
Sertoli
cells: Support spermatogenesis under FSH stimulation
What factors contribute to a normal erection?
Sexual stimuli (visual, olfactory, tactile).
Sacral parasympathetic input (S2-S4): Causes
arterial
dilation, venous compression, and penile tumescence.
Neurochemicals: Dopamine,
acetylcholine
,
nitric oxide
(NO),
oxytocin
, and others.
What role does nitric oxide (NO) play in erections?
NO is a
vasodilator
, relaxing
penile
blood vessels, facilitating increased blood flow and erection.
How does male reproductive function change with age?
Testicular volume
: Decreases from
29.7 ml
in younger men to
20.6 ml
in older men.
Sperm production
: Reduces by
30%
in
elderly men
.
Serum
FSH
: Increases threefold in men over
70
compared to those under
35
.
Serum
inhibin
: Decreases by
75%
in elderly men.
What is andropause?
Andropause, or male menopause, refers to the age-related decline in
testosterone
production and reproductive function in men.
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