Male Reproductive Physiology: Difference between revisions

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Components of the Reproductive (Hypothalamus, Pituitary, Testis) Axis
[[File:Hypothalamic hormones.png|thumb|501x501px|Hormones produced by the hypothalamus and pituitary gland]]


===== Components of the Reproductive (Hypothalamus, Pituitary, Testis) Axis =====
* Hypothalamus
* Hypothalamus
** Produces GnRH
** Produces GnRH
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****# Pulsatile, peaks every 90-120 minutes
****# Pulsatile, peaks every 90-120 minutes
****## Pulsatility arises at puberty, around age 12  
****## Pulsatility arises at puberty, around age 12  
[[File:Hypothalamic hormones.png|thumb|389x389px|Hormones produced by the hypothalamus and pituitary gland|center]]'''Anterior pituitary'''
[[File:1000px-1810 Major Pituitary Hormones.jpg|thumb|591x591px|Target and effects of hormonones produced by the anterior and posterior pituitary gland. Source: Wikipedia]]
 
*'''Produces (6):'''
*#'''Luteinizing hormone'''
*#'''Follicle-stimulating hormone'''
*#Growth hormone
*#Thyroid-stimulating hormone
*#Adrenocorticotropic hormone
*#Prolactin


===== '''Anterior pituitary''' =====


* '''Produces (6):'''
*# '''Luteinizing hormone'''
*# '''Follicle-stimulating hormone'''
*# '''Growth hormone'''
*# '''Thyroid-stimulating hormone'''
*# '''Adrenocorticotropic hormone'''
*# '''Prolactin'''<br />
*'''LH and FSH act only on gonads'''
*'''LH and FSH act only on gonads'''
*'''Luteinizing hormone (LH)'''
*'''Luteinizing hormone (LH)'''
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**'''Acts by negative feedback at the pituitary''' [Campbell’s 12th edition, page 1319 says both “hypothalamus or pituitary”, [[wikipedia:Activin_and_inhibin#Inhibin|Wikipedia]] says “Inhibin does not inhibit the secretion of GnRH from the hypothalamus", 2019 AUA Update on Exogenous Testosterone and Male Reproduction agrees with Wikipedia] '''to inhibit FSH production'''
**'''Acts by negative feedback at the pituitary''' [Campbell’s 12th edition, page 1319 says both “hypothalamus or pituitary”, [[wikipedia:Activin_and_inhibin#Inhibin|Wikipedia]] says “Inhibin does not inhibit the secretion of GnRH from the hypothalamus", 2019 AUA Update on Exogenous Testosterone and Male Reproduction agrees with Wikipedia] '''to inhibit FSH production'''
*'''[https://pubmed.ncbi.nlm.nih.gov/2672952/ Inhibin and activin can influence steroid production by Leydig cells]'''<br />
*'''[https://pubmed.ncbi.nlm.nih.gov/2672952/ Inhibin and activin can influence steroid production by Leydig cells]'''<br />
 
[[File:Hypothalamus-Hypophysis-Testicle-Hormone-Axis.svg.png|center|thumb|512x512px|Negative feedback by inhibin and testosterone. Source: Wikipedia]]
*'''Prolactin'''
*'''Prolactin'''
**'''Normal levels may increase concentration of LH receptors on Leydig cells and sustain normal, high intratesticular testosterone levels'''
**'''Normal levels may increase concentration of LH receptors on Leydig cells and sustain normal, high intratesticular testosterone levels'''
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*#* Cellular remodeling and nuclear compaction of spermatid DNA; '''spermatids mature to become spermatozoa'''
*#* Cellular remodeling and nuclear compaction of spermatid DNA; '''spermatids mature to become spermatozoa'''
* '''SpermatOGONIA (least differentiated) --› spermatOCYTE --› spermatID (most differentiated) --› spermatOZOA'''
* '''SpermatOGONIA (least differentiated) --› spermatOCYTE --› spermatID (most differentiated) --› spermatOZOA'''
 
[[File:Spermatogenesis Diagram.jpg.png|center|thumb|610x610px|Differentiation from spermatogonia to spermatozoa. Source: Wikipedia]]
 
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===== '''Epididymis''' =====
===== '''Epididymis''' =====
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* '''Ciliated cells with a 9+2 axonemal structure that allows motility'''
* '''Ciliated cells with a 9+2 axonemal structure that allows motility'''
* Utilize glucose and fructose (from seminal vesicles) for energy
* Utilize glucose and fructose (from seminal vesicles) for energy
 
[[File:Spermatozoa anatomy.png|center|thumb|491x491px|Spermatozoa anatomy. Source: Wikipedia]]
 
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* '''Processes that must occur for a sperm to normally fertilize an egg include (4):'''
* '''Processes that must occur for a sperm to normally fertilize an egg include (4):'''