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OJORA K.A
11/18/2022
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GAMETOGENESIS, FERTILIZATION,
EARLY DEVELOPMENT AND
IMPLANTATION
GAMETOGENESIS
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 The sperm and oocyte, the male and female gametes,
are highly specialized sex cells.
 Each of these cells contains half the number of
chromosomes (haploid number) that are present in
somatic (body) cells.
 The number of chromosomes is reduced during
meiosis, a special type of cell division that occurs
during gametogenesis.
 Gamete maturation is called spermatogenesis in males
and oogenesis in females.
 Gametogenesis (gamete formation) is the process of
formation and development of specialized generative
cells, gametes.
SPERMATOGENESIS
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 Sequence Of Events By Which Spermatogonia Are
Transformed Into Spermatozoa.
Begins At Puberty.
Spermatogonia, Which Have Been Dormant In The
Seminiferous Tubules Of The Testes Since The Fetal
Period, Begin To Increase In Number At Puberty.
After Several Mitotic Divisions, The Spermatogonia Grow
And Undergo Changes.
SPERMATOGONIA
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PHASES
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1. SPERMATOCYTOGENESIS
2. MEIOSIS
3. SPERMIOGENESIS
4. SPERMIATION
5. CAPACITATION?
SPERMATOCYTOGENESIS
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 Spermatogonia grow and undergo changes after several
mitotic divisions.
 Spermatogonia are transformed into primary
spermatocytes, the largest germ cells in the seminiferous
tubules.
MEIOSIS
 Each primary spermatocyte subsequently undergoes a
reduction division-the first meiotic division-to form two haploid
secondary spermatocytes, which are approximately half the
size of primary spermatocytes.
 Subsequently, the secondary spermatocytes undergo a
second meiotic division to form four haploid spermatids,
which are approximately half the size of secondary
spermatocytes.
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MEIOSIS
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SPERMIOGENESIS
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The spermatids are gradually transformed into four
mature sperm by a process known as spermiogenesis .
The entire process of spermatogenesis, which includes
spermiogenesis, takes approximately 2 months.
When spermiogenesis is complete, the sperms enter the
lumina of the seminiferous tubules.
SPERMIOGENESIS INVOLVES:
1) formation of the acrosome, which covers half of the
nuclear surface and contains enzymes to assist in
penetration of the egg and its surrounding layers
during fertilization.
2) condensation of the nucleus;
3) formation of neck, middle piece, and tail.
4) shedding of most of the cytoplasm as residual
bodies that are phagocytized by Sertoli cells.
 In humans, the time required for a spermatogonium to
develop into a mature spermatozoon is approximately
74 days, and approximately 300 million sperm cells
are produced daily.
SPERMIOGENESIS
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SPERMIATION
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 Mature sperms are free-swimming, actively motile cells
consisting of a head and a tail.
 The neck of the sperm is the junction between the head and
tail.
 The head of the sperm forms most of the bulk of the sperm
and contains the haploid nucleus.
 The anterior two thirds of the nucleus is covered by the
acrosome, a caplike saccular organelle containing several
enzymes.
 When released, these enzymes facilitate dispersion of the
follicular cells of the corona radiata and sperm penetration of
the zona pellucida during fertilization.
 The tail of the sperm consists of three segments: middle
piece, principal piece, and end piece.
 The tail provides the motility of the sperm that assists its
transport to the site of fertilization.
 The middle piece of the tail contains mitochondria, which
provide the adenosine triphosphate necessary for activity.
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MATURATION OF SPERMS
 Freshly ejaculated sperms are unable to fertilize
oocytes.
 Sperms must undergo a period of conditioning-
capacitation-lasting approximately 7 hours.
 During this period, a glycoprotein coat and seminal
proteins are removed from the surface of the sperm's
acrosome.
 Capacitated sperms are more active.
 Sperms are usually capacitated in the uterus or
uterine tubes by substances secreted by these parts
of the female genital tract.
OOGENESIS
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SEQUENCE OF EVENTS BY WHICH OOGONIA ARE
TRANSFORMED INTO MATURE OOCYTES
BEGINS BEFORE BIRTH, COMPLETED AFTER
PUBERTY
OOGONIA UNDERGO A SERIES OF MITOTIC
DIVISIONS
ARRANGED IN CLUSTERS SURROUNDED BY
FOLLICULAR CELLS BY THE END OF THE THIRD
MONTH
OOGENESIS - PRENATAL
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 The germ cells that migrate into the ovaries during early
embryonic development multiply, so that by about 5
months of gestation the ovaries contain approximately 6
to 7 million oogonia .
 The production of new oogonia stops at this point and
never resumes.
 Toward the end of gestation, the oogonia begin meiosis,
at which time they are called primary oocytes.
 Meiosis is arrested at prophase I of the first meiotic
division, and therefore the primary oocytes are still
diploid (have 46 chromosomes).
 Although the ovaries of a newborn girl contain about 2
million oocytes, this number declines to 300,000 to
400,000 by the time she enters puberty.
 On average, 400 oocytes are ovulated during a woman’s
reproductive lifetime.
OOGENESIS - POSTNATAL
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 Beginning during puberty, usually one follicle matures
each month and ovulation occurs, except when oral
contraceptives are used.
 The primary oocytes remain dormant in the ovarian
follicles until puberty.
 As a follicle matures, the primary oocyte increases in
size and, shortly before ovulation, completes the first
meiotic division to give rise to a secondary oocyte and
the first polar body.
 The polar body is a small, nonfunctional cell that soon
degenerates.
 At ovulation, the nucleus of the secondary oocyte begins
the second meiotic division, but progresses only to
metaphase, when division is arrested.
 If a sperm penetrates the secondary oocyte, the second
meiotic division is completed, and most cytoplasm is
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OOGENESIS
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MATURE (GRAAFIAN) FOLLICLE
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COMPARISON OF GAMETES?
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SIZE
MOTILITY
CYTOPLASM
SUPPORTING CELLS
CHROMOSOMES
CLINICAL APPLICATION
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 THE LONG DURATION OF THE FIRST MEIOTIC DIVISION (UP TO
45 YEARS) MAY ACCOUNT IN PART FOR THE RELATIVELY HIGH
FREQUENCY OF MEIOTIC ERRORS, SUCH AS NONDISJUNCTION
THAT OCCUR WITH INCREASING MATERNAL AGE
CLINICAL APPLICATION
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ORAL CONTRACEPTIVES
ABNORMAL GAMETES
FERTILIZATION
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FERTILIZATION
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 The usual site of fertilization is the ampulla of the uterine
tube, its longest and widest part.
 If the oocyte is not fertilized here, it slowly passes along the
tube to the uterus, where it degenerates and is resorbed.
 Although fertilization may occur in other parts of the tube, it
does not occur in the uterus.
 Fertilization is a complex sequence of coordinated molecular
events that begins with contact between a sperm and an
oocyte and ends with the intermingling of maternal and
paternal chromosomes at metaphase of the first mitotic
division of the zygote, a unicellular embryo .
 Determines a persons’ gender and biological inheritance.
Acrosomal reaction
 the head of each sperm cell is capped by an organelle
called an acrosome (ak'ro˘-so˘m).
 The acrosome contains a trypsin like protein digesting
enzyme and hyaluronidase which digests hyaluronic
acid, an important constituent of connective tissue.
 When a spermatozoon meets an ovum in the uterine
tube, an acrosomal reaction allows the spermatozoon
to penetrate the corona radiata and the zona pellucida.
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PHASES OF FERTILIZATION
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1. Passage of a sperm through the corona radiata. Dispersal of the
follicular cells of the corona radiata surrounding the oocyte and zona
pellucida appears to result mainly from the action of the enzyme
hyaluronidase released from the acrosome of the sperm.
2. Penetration of the zona pellucida. The enzymes esterases, acrosin,
and neuraminidase appear to cause lysis of the zona pellucida, thereby
forming a path for the sperm to follow to the oocyte. Once the sperm
penetrates the zona pellucida, a zona reaction-a change in the
properties of the zona pellucida-occurs that makes it impermeable to
other sperms.
3. Fusion of plasma membranes of the oocyte and sperm. The plasma
or cell membranes of the oocyte and sperm fuse and break down at the
area of fusion. The head and tail of the sperm enter the cytoplasm of the
oocyte, but the sperm's plasma membrane remains behind.
4. Completion of the second meiotic division of oocyte and formation
of female pronucleus. Penetration of the oocyte by a sperm activates
the oocyte into completing the second meiotic division and forming a
mature oocyte and a second polar body. Following decondensation of the
PHASES OF FERTILIZATION
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5. Formation of the male pronucleus. Within the cytoplasm of the oocyte,
the nucleus of the sperm enlarges to form the male pronucleus and the tail of
the sperm degenerates.The oocyte containing two haploid pronuclei is called
an ootid.
6. As the pronuclei fuse into a single diploid aggregation of
chromosomes, the ootid becomes a zygote. The chromosomes in the
zygote become arranged on a cleavage spindle in preparation for cleavage
of the zygote.
FERTILIZATION
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RESULTS OF FERTILIZATION
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COMPLETETION OF OOCYTE 2ND MEIOTIC DIVISION
RESTORATION DIPLOID NUMBER (2N)
SPECIES VARIATION
CHROMOSOMAL SEX DETERMINATION
INITIATION OF CLEAVAGE
FORMATION OF THE ZYGOTE
CLINICAL APPLICATION
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INFERTILITY
Preselection of the Embryo's Sex
Assisted Reproductive Technologies
i. In Vitro Fertilization and Embryo Transfer
ii. Cryopreservation of Embryos
iii. Intracytoplasmic Sperm Injection
iv. Surrogate Mothers
BARRIER METHODS
SURGICAL CONTRACEPTION
MULTIPLE PREGNANCIES
3 – EARLY DEVELOPMENT
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CLEAVAGE
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Repeated mitotic divisions of the zygote, resulting in
a rapid increase in the number of cells.
occurs as the zygote passes along the uterine tube
toward the uterus within the thick zona pellucida.
Division of the zygote into blastomeres begins
approximately 30 hours after fertilization.
 After the nine-cell stage, the blastomeres change
their shape and tightly align themselves against each
other to form a compact ball of cells.
This phenomenon, compaction, is probably
mediated by cell surface adhesion glycoproteins.
CLEAVAGE
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Compaction permits greater cell-to-cell interaction
and is a prerequisite for segregation of the internal
cells that form the inner cell mass or embryoblast of
the blastocyst.
When there are 12 to 32 blastomeres, the
developing human is called a morula (L., morus,
mulberry).
Internal cells of the morula (inner cell mass) are
surrounded by a layer of cells that form the outer cell
layer.
The spherical morula forms approximately 3 days
after fertilization and enters the uterus.
BLASTOMERES
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COMPACTION
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MORULA
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BLASTOCELE
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BLASTOCYST
 Shortly after the morula enters the uterus
(approximately 4 days after fertilization), a fluid-filled
space called the blastocystic cavity appears inside the
morula.
 The fluid passes from the uterine cavity through the
zona pellucida to form this space.
 As fluid increases in the blastocystic cavity, it separates
the blastomeres into two parts:
 A thin, outer cell layer, the trophoblast (Greek, trophe,
nutrition), which gives rise to the embryonic part of the
placenta
 A group of centrally located blastomeres, the inner cell
mass, which gives rise to the embryo; because it is the
primordium of the embryo, the inner cell mass is called
the embryoblast.
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 Approximately 6 days after fertilization (day 20 of a 28-
day menstrual cycle), the blastocyst attaches to the
endometrial epithelium, usually adjacent to the
embryonic pole.
 As soon as it attaches to the endometrial epithelium, the
trophoblast starts to proliferate rapidly and gradually
differentiates into two layers:
I. An inner layer of cytotrophoblast
II. An outer layer of syncytiotrophoblast consisting of a
multinucleated protoplasmic mass in which no cell
boundaries can be observed
 At approximately 7 days, a layer of cells, the hypoblast
(primary endoderm), appears on the surface of the
embryoblast facing the blastocystic cavity
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2ND WEEK OF DEVELOPMENT
 TIMING
 SIZE
 CELL MASSES
 POLES
 LAYERS OF TROPHOBLAST
 CAVITIES
 LAYERS OF THE EMBRYO
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COMPLETION OF IMPLANTATION AND
CONTINUATION OF EMBRYONIC
DEVELOPMENT
 Implantation of the blastocyst is completed by the end
of the second week.
 As the blastocyst implants, more trophoblast contacts
the endometrium and differentiates into
1. The cytotrophoblast, a layer of cells that is mitotically
active and forms new cells that migrate into the
increasing mass of syncytiotrophoblast, where they
fuse and lose their cell membranes
2. The syncytiotrophoblast, a rapidly expanding,
multinucleated mass in which no cell boundaries are
discernible
 The erosive syncytiotrophoblast invades the
endometrial connective tissue, and the blastocyst slowly
embeds itself in the endometrium.
 The syncytiotrophoblast produces a hormone-human
chorionic gonadotrophin (hCG), which enters the
maternal blood.
 hCG maintains the hormonal activity of the corpus
luteum in the ovary during pregnancy.
 The corpus luteum is an endocrine glandular structure
that secretes estrogen and progesterone to maintain the
pregnancy.
 Highly sensitive radioimmunoassays are available for
detecting hCG and pregnancy and forms the basis for
pregnancy tests.
 Enough hCG is produced by the syncytiotrophoblast at
the end of the second week to give a positive pregnancy
test, even though the woman is probably unaware that
she is pregnant.
FORMATION OF THE AMNIOTIC CAVITY,
EMBRYONIC DISC, AND UMBILICAL VESICLE
 As implantation of the blastocyst progresses, a small
space appears in the embryoblast. (amniotic cavity)
 Concurrently, morphologic changes occur in the
embryoblast that result in the formation of a flat, almost
circular bilaminar plate of cells, the embryonic disc,
consisting of two layers:
 Epiblast, the thicker layer, consisting of high columnar
cells related to the amniotic cavity
 Hypoblast, consisting of small cuboidal cells adjacent
to the exocoelomic cavity
 The embryonic disc now lies between the amniotic
cavity and the umbilical vesicle.
FORMATION OF THE AMNIOTIC CAVITY,
EMBRYONIC DISC, AND UMBILICAL VESICLE
 As the amnion, embryonic disc, and primary umbilical
vesicle form, isolated cavities- lacunae-appear in the
syncytiotrophoblast
 The lacunae soon become filled with a mixture of
maternal blood from ruptured endometrial capillaries and
cellular debris from eroded uterine glands.
 Nourishment passes to the embryonic disc by diffusion
and provides nutritive material to the embryo.
 The communication of the eroded endometrial
capillaries with the lacunae establishes the primordial
uteroplacental circulation.
 Oxygenated blood passes into the lacunae from the
spiral endometrial arteries, and poorly oxygenated blood
FORMATION OF THE AMNIOTIC CAVITY,
EMBRYONIC DISC, AND UMBILICAL VESICLE
 The 10-day human conceptus (embryo and
extraembryonic membranes) is completely embedded in
the endometrium.
 For approximately 2 days, there is a defect in the
endometrial epithelium that is filled by a closing plug, a
fibrinous coagulum of blood.
 By day 12, an almost completely regenerated uterine
epithelium covers the closing plug.
 As the conceptus implants, the endometrial connective
tissue cells undergo a transformation, the decidual
reaction.
 After the cells swell because of the accumulation of
glycogen and lipid in their cytoplasm, they are known as
decidual cells.
 The primary function of the decidual reaction is to
Photograph of the endometrial surface of the uterus, showing the
implantation site of the 12-day embryo
IMPLANTATION SITES OF
BLASTOCYSTS
 Implantation of blastocysts usually occurs in the
endometrium of the uterus, superior in the body of the
uterus, slightly more often on the posterior than on the
anterior wall.
 Implantation of a blastocyst can be detected by
ultrasonography and highly sensitive
radioimmunoassays of hCG as early as the end of the
second week.
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Extrauterine Implantation
 Blastocysts may implant outside the uterus.
 These implantations result in ectopic pregnancies; 95% to
98% of ectopic implantations occur in the uterine tubes, most
often in the ampulla and isthmus.
 A woman with a tubal pregnancy has signs and symptoms
of pregnancy (e.g., misses her menstrual period). She may
also experience abdominal pain and tenderness because of
distention of the uterine tube, abnormal bleeding, and
irritation of the pelvic peritoneum (peritonitis).
 There are several causes of tubal pregnancy, but they are
often related to factors that delay or prevent transport of the
cleaving zygote to the uterus, for example, by mucosal
adhesions in the uterine tube or from blockage of it that is
caused by scarring resulting from pelvic inflammatory
disease.
 Ectopic tubal pregnancies usually result in rupture of the
uterine tube and hemorrhage into the peritoneal cavity
during the first 8 weeks, followed by death of the embryo.
 Tubal rupture and hemorrhage constitute a threat to the
mother's life. The affected tube and conceptus are usually
ECTOPIC PREGNANCY
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Placenta Previa
 Implantation of a blastocyst in the inferior
segment of the uterus near the internal os results
in placenta previa, a placenta that partially or
completely covers the os.
 Placenta previa may cause bleeding because of
premature separation of the placenta during
pregnancy or at delivery of the fetus
Spontaneous Abortion of Embryos
 Most spontaneous abortions of embryos occur during the
first 3 weeks.
 Sporadic and recurrent spontaneous abortions are two of
the most common gynecologic problems.
 An abortion occurring several days after the first missed
period is very likely to be mistaken for a delayed
menstruation.
 Detection of a conceptus in the menses (menstrual blood) is
very difficult because of its small size.
 Study of most early spontaneous abortions resulting from
medical problems reveals abnormal conceptuses.
 More than 50% of all known spontaneous abortions result
from chromosomal abnormalities.
 The higher incidence of early abortions in older women
probably results from the increasing frequency of
 The end

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3_GAMETOGENESIS,_FERTILIZATION,[1].pptx

  • 2. GAMETOGENESIS 11/18/2022 2  The sperm and oocyte, the male and female gametes, are highly specialized sex cells.  Each of these cells contains half the number of chromosomes (haploid number) that are present in somatic (body) cells.  The number of chromosomes is reduced during meiosis, a special type of cell division that occurs during gametogenesis.  Gamete maturation is called spermatogenesis in males and oogenesis in females.  Gametogenesis (gamete formation) is the process of formation and development of specialized generative cells, gametes.
  • 3. SPERMATOGENESIS 11/18/2022 3  Sequence Of Events By Which Spermatogonia Are Transformed Into Spermatozoa. Begins At Puberty. Spermatogonia, Which Have Been Dormant In The Seminiferous Tubules Of The Testes Since The Fetal Period, Begin To Increase In Number At Puberty. After Several Mitotic Divisions, The Spermatogonia Grow And Undergo Changes.
  • 5. PHASES 11/18/2022 5 1. SPERMATOCYTOGENESIS 2. MEIOSIS 3. SPERMIOGENESIS 4. SPERMIATION 5. CAPACITATION?
  • 6. SPERMATOCYTOGENESIS 11/18/2022 6  Spermatogonia grow and undergo changes after several mitotic divisions.  Spermatogonia are transformed into primary spermatocytes, the largest germ cells in the seminiferous tubules. MEIOSIS  Each primary spermatocyte subsequently undergoes a reduction division-the first meiotic division-to form two haploid secondary spermatocytes, which are approximately half the size of primary spermatocytes.  Subsequently, the secondary spermatocytes undergo a second meiotic division to form four haploid spermatids, which are approximately half the size of secondary spermatocytes.
  • 9. SPERMIOGENESIS 11/18/2022 9 The spermatids are gradually transformed into four mature sperm by a process known as spermiogenesis . The entire process of spermatogenesis, which includes spermiogenesis, takes approximately 2 months. When spermiogenesis is complete, the sperms enter the lumina of the seminiferous tubules.
  • 10. SPERMIOGENESIS INVOLVES: 1) formation of the acrosome, which covers half of the nuclear surface and contains enzymes to assist in penetration of the egg and its surrounding layers during fertilization. 2) condensation of the nucleus; 3) formation of neck, middle piece, and tail. 4) shedding of most of the cytoplasm as residual bodies that are phagocytized by Sertoli cells.  In humans, the time required for a spermatogonium to develop into a mature spermatozoon is approximately 74 days, and approximately 300 million sperm cells are produced daily.
  • 13.  Mature sperms are free-swimming, actively motile cells consisting of a head and a tail.  The neck of the sperm is the junction between the head and tail.  The head of the sperm forms most of the bulk of the sperm and contains the haploid nucleus.  The anterior two thirds of the nucleus is covered by the acrosome, a caplike saccular organelle containing several enzymes.  When released, these enzymes facilitate dispersion of the follicular cells of the corona radiata and sperm penetration of the zona pellucida during fertilization.  The tail of the sperm consists of three segments: middle piece, principal piece, and end piece.  The tail provides the motility of the sperm that assists its transport to the site of fertilization.  The middle piece of the tail contains mitochondria, which provide the adenosine triphosphate necessary for activity.
  • 15. MATURATION OF SPERMS  Freshly ejaculated sperms are unable to fertilize oocytes.  Sperms must undergo a period of conditioning- capacitation-lasting approximately 7 hours.  During this period, a glycoprotein coat and seminal proteins are removed from the surface of the sperm's acrosome.  Capacitated sperms are more active.  Sperms are usually capacitated in the uterus or uterine tubes by substances secreted by these parts of the female genital tract.
  • 16. OOGENESIS 11/18/2022 16 SEQUENCE OF EVENTS BY WHICH OOGONIA ARE TRANSFORMED INTO MATURE OOCYTES BEGINS BEFORE BIRTH, COMPLETED AFTER PUBERTY OOGONIA UNDERGO A SERIES OF MITOTIC DIVISIONS ARRANGED IN CLUSTERS SURROUNDED BY FOLLICULAR CELLS BY THE END OF THE THIRD MONTH
  • 17. OOGENESIS - PRENATAL 11/18/2022 17  The germ cells that migrate into the ovaries during early embryonic development multiply, so that by about 5 months of gestation the ovaries contain approximately 6 to 7 million oogonia .  The production of new oogonia stops at this point and never resumes.  Toward the end of gestation, the oogonia begin meiosis, at which time they are called primary oocytes.  Meiosis is arrested at prophase I of the first meiotic division, and therefore the primary oocytes are still diploid (have 46 chromosomes).  Although the ovaries of a newborn girl contain about 2 million oocytes, this number declines to 300,000 to 400,000 by the time she enters puberty.  On average, 400 oocytes are ovulated during a woman’s reproductive lifetime.
  • 18. OOGENESIS - POSTNATAL 11/18/2022 18  Beginning during puberty, usually one follicle matures each month and ovulation occurs, except when oral contraceptives are used.  The primary oocytes remain dormant in the ovarian follicles until puberty.  As a follicle matures, the primary oocyte increases in size and, shortly before ovulation, completes the first meiotic division to give rise to a secondary oocyte and the first polar body.  The polar body is a small, nonfunctional cell that soon degenerates.  At ovulation, the nucleus of the secondary oocyte begins the second meiotic division, but progresses only to metaphase, when division is arrested.  If a sperm penetrates the secondary oocyte, the second meiotic division is completed, and most cytoplasm is
  • 25. CLINICAL APPLICATION 11/18/2022 25  THE LONG DURATION OF THE FIRST MEIOTIC DIVISION (UP TO 45 YEARS) MAY ACCOUNT IN PART FOR THE RELATIVELY HIGH FREQUENCY OF MEIOTIC ERRORS, SUCH AS NONDISJUNCTION THAT OCCUR WITH INCREASING MATERNAL AGE
  • 28. FERTILIZATION 11/18/2022 28  The usual site of fertilization is the ampulla of the uterine tube, its longest and widest part.  If the oocyte is not fertilized here, it slowly passes along the tube to the uterus, where it degenerates and is resorbed.  Although fertilization may occur in other parts of the tube, it does not occur in the uterus.  Fertilization is a complex sequence of coordinated molecular events that begins with contact between a sperm and an oocyte and ends with the intermingling of maternal and paternal chromosomes at metaphase of the first mitotic division of the zygote, a unicellular embryo .  Determines a persons’ gender and biological inheritance.
  • 29. Acrosomal reaction  the head of each sperm cell is capped by an organelle called an acrosome (ak'ro˘-so˘m).  The acrosome contains a trypsin like protein digesting enzyme and hyaluronidase which digests hyaluronic acid, an important constituent of connective tissue.  When a spermatozoon meets an ovum in the uterine tube, an acrosomal reaction allows the spermatozoon to penetrate the corona radiata and the zona pellucida.
  • 31. PHASES OF FERTILIZATION 11/18/2022 31 1. Passage of a sperm through the corona radiata. Dispersal of the follicular cells of the corona radiata surrounding the oocyte and zona pellucida appears to result mainly from the action of the enzyme hyaluronidase released from the acrosome of the sperm. 2. Penetration of the zona pellucida. The enzymes esterases, acrosin, and neuraminidase appear to cause lysis of the zona pellucida, thereby forming a path for the sperm to follow to the oocyte. Once the sperm penetrates the zona pellucida, a zona reaction-a change in the properties of the zona pellucida-occurs that makes it impermeable to other sperms. 3. Fusion of plasma membranes of the oocyte and sperm. The plasma or cell membranes of the oocyte and sperm fuse and break down at the area of fusion. The head and tail of the sperm enter the cytoplasm of the oocyte, but the sperm's plasma membrane remains behind. 4. Completion of the second meiotic division of oocyte and formation of female pronucleus. Penetration of the oocyte by a sperm activates the oocyte into completing the second meiotic division and forming a mature oocyte and a second polar body. Following decondensation of the
  • 32. PHASES OF FERTILIZATION 11/18/2022 32 5. Formation of the male pronucleus. Within the cytoplasm of the oocyte, the nucleus of the sperm enlarges to form the male pronucleus and the tail of the sperm degenerates.The oocyte containing two haploid pronuclei is called an ootid. 6. As the pronuclei fuse into a single diploid aggregation of chromosomes, the ootid becomes a zygote. The chromosomes in the zygote become arranged on a cleavage spindle in preparation for cleavage of the zygote.
  • 35. RESULTS OF FERTILIZATION 11/18/2022 35 COMPLETETION OF OOCYTE 2ND MEIOTIC DIVISION RESTORATION DIPLOID NUMBER (2N) SPECIES VARIATION CHROMOSOMAL SEX DETERMINATION INITIATION OF CLEAVAGE FORMATION OF THE ZYGOTE
  • 36. CLINICAL APPLICATION 11/18/2022 36 INFERTILITY Preselection of the Embryo's Sex Assisted Reproductive Technologies i. In Vitro Fertilization and Embryo Transfer ii. Cryopreservation of Embryos iii. Intracytoplasmic Sperm Injection iv. Surrogate Mothers BARRIER METHODS SURGICAL CONTRACEPTION MULTIPLE PREGNANCIES
  • 37. 3 – EARLY DEVELOPMENT 11/18/2022 37
  • 39. CLEAVAGE 11/18/2022 39 Repeated mitotic divisions of the zygote, resulting in a rapid increase in the number of cells. occurs as the zygote passes along the uterine tube toward the uterus within the thick zona pellucida. Division of the zygote into blastomeres begins approximately 30 hours after fertilization.  After the nine-cell stage, the blastomeres change their shape and tightly align themselves against each other to form a compact ball of cells. This phenomenon, compaction, is probably mediated by cell surface adhesion glycoproteins.
  • 40. CLEAVAGE 11/18/2022 40 Compaction permits greater cell-to-cell interaction and is a prerequisite for segregation of the internal cells that form the inner cell mass or embryoblast of the blastocyst. When there are 12 to 32 blastomeres, the developing human is called a morula (L., morus, mulberry). Internal cells of the morula (inner cell mass) are surrounded by a layer of cells that form the outer cell layer. The spherical morula forms approximately 3 days after fertilization and enters the uterus.
  • 46. BLASTOCYST  Shortly after the morula enters the uterus (approximately 4 days after fertilization), a fluid-filled space called the blastocystic cavity appears inside the morula.  The fluid passes from the uterine cavity through the zona pellucida to form this space.  As fluid increases in the blastocystic cavity, it separates the blastomeres into two parts:  A thin, outer cell layer, the trophoblast (Greek, trophe, nutrition), which gives rise to the embryonic part of the placenta  A group of centrally located blastomeres, the inner cell mass, which gives rise to the embryo; because it is the primordium of the embryo, the inner cell mass is called the embryoblast.
  • 51.  Approximately 6 days after fertilization (day 20 of a 28- day menstrual cycle), the blastocyst attaches to the endometrial epithelium, usually adjacent to the embryonic pole.  As soon as it attaches to the endometrial epithelium, the trophoblast starts to proliferate rapidly and gradually differentiates into two layers: I. An inner layer of cytotrophoblast II. An outer layer of syncytiotrophoblast consisting of a multinucleated protoplasmic mass in which no cell boundaries can be observed  At approximately 7 days, a layer of cells, the hypoblast (primary endoderm), appears on the surface of the embryoblast facing the blastocystic cavity
  • 52.
  • 54. 2ND WEEK OF DEVELOPMENT  TIMING  SIZE  CELL MASSES  POLES  LAYERS OF TROPHOBLAST  CAVITIES  LAYERS OF THE EMBRYO 11/18/2022 54
  • 55. COMPLETION OF IMPLANTATION AND CONTINUATION OF EMBRYONIC DEVELOPMENT  Implantation of the blastocyst is completed by the end of the second week.  As the blastocyst implants, more trophoblast contacts the endometrium and differentiates into 1. The cytotrophoblast, a layer of cells that is mitotically active and forms new cells that migrate into the increasing mass of syncytiotrophoblast, where they fuse and lose their cell membranes 2. The syncytiotrophoblast, a rapidly expanding, multinucleated mass in which no cell boundaries are discernible  The erosive syncytiotrophoblast invades the endometrial connective tissue, and the blastocyst slowly embeds itself in the endometrium.
  • 56.  The syncytiotrophoblast produces a hormone-human chorionic gonadotrophin (hCG), which enters the maternal blood.  hCG maintains the hormonal activity of the corpus luteum in the ovary during pregnancy.  The corpus luteum is an endocrine glandular structure that secretes estrogen and progesterone to maintain the pregnancy.  Highly sensitive radioimmunoassays are available for detecting hCG and pregnancy and forms the basis for pregnancy tests.  Enough hCG is produced by the syncytiotrophoblast at the end of the second week to give a positive pregnancy test, even though the woman is probably unaware that she is pregnant.
  • 57.
  • 58. FORMATION OF THE AMNIOTIC CAVITY, EMBRYONIC DISC, AND UMBILICAL VESICLE  As implantation of the blastocyst progresses, a small space appears in the embryoblast. (amniotic cavity)  Concurrently, morphologic changes occur in the embryoblast that result in the formation of a flat, almost circular bilaminar plate of cells, the embryonic disc, consisting of two layers:  Epiblast, the thicker layer, consisting of high columnar cells related to the amniotic cavity  Hypoblast, consisting of small cuboidal cells adjacent to the exocoelomic cavity  The embryonic disc now lies between the amniotic cavity and the umbilical vesicle.
  • 59. FORMATION OF THE AMNIOTIC CAVITY, EMBRYONIC DISC, AND UMBILICAL VESICLE  As the amnion, embryonic disc, and primary umbilical vesicle form, isolated cavities- lacunae-appear in the syncytiotrophoblast  The lacunae soon become filled with a mixture of maternal blood from ruptured endometrial capillaries and cellular debris from eroded uterine glands.  Nourishment passes to the embryonic disc by diffusion and provides nutritive material to the embryo.  The communication of the eroded endometrial capillaries with the lacunae establishes the primordial uteroplacental circulation.  Oxygenated blood passes into the lacunae from the spiral endometrial arteries, and poorly oxygenated blood
  • 60.
  • 61. FORMATION OF THE AMNIOTIC CAVITY, EMBRYONIC DISC, AND UMBILICAL VESICLE  The 10-day human conceptus (embryo and extraembryonic membranes) is completely embedded in the endometrium.  For approximately 2 days, there is a defect in the endometrial epithelium that is filled by a closing plug, a fibrinous coagulum of blood.  By day 12, an almost completely regenerated uterine epithelium covers the closing plug.  As the conceptus implants, the endometrial connective tissue cells undergo a transformation, the decidual reaction.  After the cells swell because of the accumulation of glycogen and lipid in their cytoplasm, they are known as decidual cells.  The primary function of the decidual reaction is to
  • 62. Photograph of the endometrial surface of the uterus, showing the implantation site of the 12-day embryo
  • 63. IMPLANTATION SITES OF BLASTOCYSTS  Implantation of blastocysts usually occurs in the endometrium of the uterus, superior in the body of the uterus, slightly more often on the posterior than on the anterior wall.  Implantation of a blastocyst can be detected by ultrasonography and highly sensitive radioimmunoassays of hCG as early as the end of the second week.
  • 65. Extrauterine Implantation  Blastocysts may implant outside the uterus.  These implantations result in ectopic pregnancies; 95% to 98% of ectopic implantations occur in the uterine tubes, most often in the ampulla and isthmus.  A woman with a tubal pregnancy has signs and symptoms of pregnancy (e.g., misses her menstrual period). She may also experience abdominal pain and tenderness because of distention of the uterine tube, abnormal bleeding, and irritation of the pelvic peritoneum (peritonitis).  There are several causes of tubal pregnancy, but they are often related to factors that delay or prevent transport of the cleaving zygote to the uterus, for example, by mucosal adhesions in the uterine tube or from blockage of it that is caused by scarring resulting from pelvic inflammatory disease.  Ectopic tubal pregnancies usually result in rupture of the uterine tube and hemorrhage into the peritoneal cavity during the first 8 weeks, followed by death of the embryo.  Tubal rupture and hemorrhage constitute a threat to the mother's life. The affected tube and conceptus are usually
  • 68. Placenta Previa  Implantation of a blastocyst in the inferior segment of the uterus near the internal os results in placenta previa, a placenta that partially or completely covers the os.  Placenta previa may cause bleeding because of premature separation of the placenta during pregnancy or at delivery of the fetus
  • 69. Spontaneous Abortion of Embryos  Most spontaneous abortions of embryos occur during the first 3 weeks.  Sporadic and recurrent spontaneous abortions are two of the most common gynecologic problems.  An abortion occurring several days after the first missed period is very likely to be mistaken for a delayed menstruation.  Detection of a conceptus in the menses (menstrual blood) is very difficult because of its small size.  Study of most early spontaneous abortions resulting from medical problems reveals abnormal conceptuses.  More than 50% of all known spontaneous abortions result from chromosomal abnormalities.  The higher incidence of early abortions in older women probably results from the increasing frequency of