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Reproductive system
1. Reproductive System
Dr. Mrs. Deepa K. Ingawale (Mandlik)
Department of Pharmacology
Poona College of Pharmacy, Pune
2. Learning Objectives
ā¢ To describe the structure & functions of organs of the
male reproductive system.
ā¢ To discuss the process of spermatogenesis in the testes.
ā¢ To describe the structure & functions of organs of the
female reproductive system.
ā¢ To discuss the process of oogenesis in the ovaries.
ā¢ To explain the female reproductive cycle.
2
3. Definitions
ā¢ Gynecology: It is the branch of science deals with the
diagnosis & treatment of female reproductive system
diseases.
ā¢ Andrology: It is the branch of science deals with the
diagnosis & treatment of male reproductive system
diseases.
3
4. Sexual Reproduction
ā¢ It is the process by which organisms produces off
springs by making germ cells called as gametes.
ā¢ The testes in males and ovaries in females produce
gametes & secrete sex hormones.
ā¢ After the male gamete (sperm) unites with the
female gamete (2ā° oocytes) an event called as
fertilization.
ā¢ The resulting cell contains one set of chromosomes
from each parent
4
6. Male reproductive system
ā¢ It consist of;
ā¢ Testis (male gonad): produces sperms & secretes
testosterone hormones.
ā¢ Duct system: storage of sperm, assist in their maturation
and transport them to the exterior.
ā¢ Penis: delivers sperms into the female reproductive tract.
ā¢ Scrotum: supports the testes.
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7. Penis
ā¢ The penis contains the urethra & is a passageway for
the ejaculation of semen & excretion of urine.
ā¢ It is cylindrical in shape & consists of three parts.
ā¢ Root of penis
ā¢ Body of penis
ā¢ Glans penis
ā¢ The body of penis is composed cylindrical masses of
fibrous tissue called as tunica albuginea.
ā¢ Two dorsoventral masses are called as corpora
canvernosa penis.
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9. Penis
ā¢ The smaller midventeral masses called as corpus
spongiosum penis, contains spongy urethra.
ā¢ The distal end of penis is slightly enlarged called as glans
penis.
ā¢ The glans penis is covered with prepuce or foreskin.
ā¢ The urethra opens at glans penis in the form of slit called
as external urethral orifice.
ā¢ The root of penis is made up of;
ā¢ Bulb of the penis
ā¢ Crus of the penis
9
11. Scrotum
ā¢ It is the supporting structure of testes consists of loose
skin & hangs from the root of penis.
ā¢ It looks like a single pouch of skin, thin, wrinkled &
pigmented.
ā¢ Internally the scrotal septum divides the scrotum into
two sacs, each containing a single testis.
ā¢ Normal sperm production occurs at a temperature of 2-
3ā°C below body temperature.
11
13. Testes
ā¢ These are paired oval glands in the scrotum about 5 cm
in length & 2.5 cm in diameter.
ā¢ It has a weight of 10-15 gm.
ā¢ These are suspended in the scrotum by the spermatic
cords.
ā¢ They are surrounded by three layers of tissue.
ā¢ Tunica vaginalis
ā¢ Tunica albuginea
ā¢ Tunica vasculosa
13
14. Testes
ā¢ Tunica vaginalis: Double membrane forming the outer
covering of testes.
ā¢ Tunica albuginea: Present internal to the tunica vaginalis.
ā¢ It extends inwards forming septa that divides testis into a
series of internal compartments called as lobules.
ā¢ Tunica vasculosa: It consists of a network of capillaries.
14
15. Structure of the testes
ā¢ Each testis consist of 200-300 lobules.
ā¢ Each lobules consist of 1-4 convoluted loops composed
of germinal epithelial cells called as seminiferous
tubules, where sperm are produced.
ā¢ The process by which the seminiferous tubules produce
sperm is called as spermatogenesis.
ā¢ The seminiferous tubules contain two types of cells.
ā¢ Spermatogenic cells: It is the sperm forming cells.
ā¢ Sertoli cells: It supports spermatogenesis process.
15
16. Structure of the testes
ā¢ In the spaces between adjacent seminiferous tubules
Leydig cells are present.
ā¢ These cells secrete testosterone, the most common
androgen.
ā¢ At the upper pole of testes the tubules combines to form
a single tubule.
ā¢ This tubule is 6 m in length is repeatedly folded & tightly
packed into a mass called as epididymis.
ā¢ It leaves the scrotum as a vas deferens in the spermatic
cord.
ā¢ Blood & lymph vessels pass to the testes in the spermatic
cords.
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18. Sperm
ā¢ The spermatogenesis produces about 300 millions sperm
per day.
ā¢ Once ejaculated do not survive for more than 48 hours
within female reproductive tract.
ā¢ It consist of three parts;
ā¢ Head
ā¢ Body: Mid piece
ā¢ Tail: Used for motility
18
19. Sperm
ā¢ Head: It is 4-5 Āµm long. It contains an acrosome a
lysosome like vesicles & nucleus.
ā¢ It also contains the enzymes required to penetrate the
outer layers of ovum to fuse with its nucleus.
ā¢ Body: It consists of many mitochondria, that provide ATP
for locomotion into female reproductive system.
ā¢ Tail: A typical flagellum used for motility into female
reproductive tract.
ā¢ Human sperm length is about 70 Āµm in length.
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20. Ducts of testis
ā¢ Epididymis:
ā¢ Comma shaped organ about 4 cm long.
ā¢ It consists of 3 parts;
ā¢ Head: Superior portion
ā¢ Body: Mid-portion
ā¢ Tail: Inferior portion
ā¢ It is a site for sperm maturation the process by which sperm
acquires motility & the ability to fertilize the ovum.
ā¢ It also propels sperm into vas deferens during sexual arousal.
ā¢ It also stores sperm, which remain viable for up to several
months.
20
21. Ducts of testis
ā¢ Vas deferens:
ā¢ It starts from epididymis, 45 cm long.
ā¢ It transport sperms from epididymis to urethra.
ā¢ It also stores sperms for several months.
21
22. Spermatic cords
ā¢ It suspend the testes in the scrotum.
ā¢ Each cord contains
ļ¼ Testicular artery
ļ¼ Testicular veins
ļ¼ Lymphatic vessels
ļ¼ Deferent duct
ļ¼ Testicular nerves
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23. Ejaculatory Ducts
ā¢ These are located posterior to urinary bladder, 2 cm
long.
ā¢ These eject sperm into urethra before ejaculation.
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24. Urethra
ā¢ It is a common passageway for urine & semen.
ā¢ It is 20 cm long.
ā¢ It passes through the prostrate & the penis.
ā¢ Divided into 3 parts
ā¢ Prostatic Urethra: It is 2-3 cm long & passes through
prostate.
ā¢ Membranes Urethra: Is the shortest part & extends from
prostate gland to bulbs of penis.
ā¢ Spongy (Penile urethra): It is 15-20 cm long. It ends at
external urethral orifice.
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27. Accessory Sex Glands
ā¢ The ducts system stores & transport sperm, but
accessory gland secretes semen.
ā¢ It includes,
ļ¼ Seminal vesicles
ļ¼ Prostrate gland
ļ¼ Bulbourethral glands
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28. Seminal Vesicle
ā¢ It contains five lobes;
ļ¼ Anterior lobe
ļ¼ Posterior lobe
ļ¼ Median lobe
ļ¼ Right lobe
ļ¼ Left lobe
ā¢ It secretes a milky, slightly acidic fluid (pH 6.5) that
contains several substances.
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29. Seminal Vesicle
ā¢ Citric acid: Used for ATP production by sperm.
ā¢ Proteolytic enzymes (Pepsinogen, lysosomes, amylase
and hyaluronidase)
ā¢ It break down clotting proteins in seminal vesicles.
ā¢ Acid phosphates: Its function is unknown.
ā¢ Seminalplasmin: Is an antibiotic that destroy bacteria.
ā¢ Prostatic fluid acts as a nutritive for male gametes.
29
30. Semen
ā¢ It is a mixture of sperm & seminal fluid.
ā¢ The volume of semen in typical ejaculation is 2.5-5
ml with 50-150 million sperm/ml.
ā¢ When the number falls below 20 million/ml the male
is likely to be infertile.
ā¢ A large number is required for successful fertilization
because only a tiny fraction reaches the 2ā° oocytes.
ā¢ pH is slightly alkaline 7.2-7.7
30
31. Prostate Gland
ā¢ The prostatic secretion gives milky appearance to
semen, whereas seminal vesicles & bulbourethral
glands fluid gives it sticky consistency.
ā¢ Semen also contains seminalplasmin, an antibiotic
that can destroy certain bacteria.
ā¢ Once ejaculated, liquid semen within 5 min get
coagulated due to clotting proteins.
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33. Spermatogenesis
ā¢ In humans spermatogenesis process takes 65 to 75 days.
ā¢ It begins in the spermatogonia (The seminiferous tubules
contains large no. of germinal epithelial cells called as
spermatagonia.
ā¢ Spermatogonia contain diploid (2n) number of
chromosome.
ā¢ Spermatogonia are stem cells because after mitosis, one
daughter cell stays near the basement membrane of the
seminiferous tubule in an undifferentiated state.
ā¢ Other daughter cell loses contact with the basement
membrane & differentiates into 1ā° spermatocyte.
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34. Spermatogenesis
ā¢ Primary spermatocytes are diploid (2n), they have 46
chromosomes.
ā¢ Each 1ā° spermatocytes enlarges & undergo meiosis.
ā¢ In meiosis-I, DNA replicates i.e reduction division to form
two haploid 2ā° spermatocytes.
ā¢ The two cells formed by meiosis-I called as secondary
spermatocytes.
ā¢ Each spermatocyte has 23 chromosomes, the haploid
number. (Each chromosomes within a 2ā° spermatocytes
is made up of two chromatids i.e two copies of DNA).
ā¢ In meiosis-II no further replication of DNA occurs.
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35. Spermatogenesis
ā¢ The 2ā° spermatocytes further undergo the nuclear
division (equatorial division) to form 4 haploid cells called
as spermatids.
ā¢ Therefore, 1ā° spermatocytes produce 4 spermatids via
two rounds of cell division (meiosis-I & II).
ā¢ The final stage of spermatogenesis.
ā¢ Spermiogenesis is the maturation of haploid spermatids
into sperm.
ā¢ Because, no cell division occurs in spermiogenesis, each
spermatids develops into a single sperm cell.
ā¢ During this process, spherical spermatids transforms into
elongated, slender sperm.
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36. Spermatogenesis
ā¢ An acrosome forms a top of the nucleus which
elongates, a flagellum develops & mitochondria
multiply.
ā¢ Finally sperms are released from their connection to
sertoli cells called as spermiation.
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37. Hormonal secreted by testes
ā¢ At puberty certain hypothalamic neurosecretory cells
increases the secretion of gonadotropin-releasing
hormone (GnRH).
ā¢ This hormone stimulates gonadotrophs in the anterior
pituitary.
ā¢ They produce secretion of two hormones.
ā¢ Luteinizing hormone (LH)
ā¢ Follicle Stimulating hormone (FSH)
ā¢ LH stimulates Leydig cells located between seminiferous
tubules to secrete the hormone testosterone.
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38. Hormonal secreted by testes
ā¢ In some target cells, in prostate & seminal vesicles the
enzyme 5 Ī±-reductase converts testosterone to another
androgen called as dihydrotestosterone (DHT).
ā¢ Actions of testosterone:
ā¢ Male pattern development (Before birth)
ā¢ Enlargement of male sex organs & expression of male 2ā°
sex characteristics ( starting of puberty)
ā¢ Anabolism (protein synthesis)
ā¢ Stimulates the spermatogenesis
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44. Ovaries
ā¢ These are female gonads & paired glands.
ā¢ The ovaries produce;
ā¢ Gametes: It produces 2ā° oocytes that develops into mature
ova (eggs) after fertilization
ā¢ Hormones: Progesterone, estrogen, inhibin & relaxin
ā¢ Each ovary lies on either side of uterus.
ā¢ They are 2.5 to 3.5 cm long, 2 cm wide & 1 cm thick.
ā¢ A series of ligament holds the ovary in position.
ā¢ Broad Ligament
ā¢ Ovarian Ligament
ā¢ Suspensory Ligament
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46. Histology of ovary
ā¢ Each ovary contains hilum the point of entrance & exit
for blood vessels & nerve.
ā¢ Each ovary consists of following parts;
ā¢ Germinal epithelium: Simple epithelium that covers the
ovary.
ā¢ Tunica albuginea: Whitish capsule located below the
germinal epithelium.
ā¢ Ovarian cortex: Present below the tunica albuginea &
consists of ovarian follicles.
ā¢ Ovarian medulla: Present deep to ovarian cortex. It
consists of blood vessels, lymphatic vessels & nerves.
46
47. Histology of ovary
ā¢ Ovarian Follicles: These are present in the cortex &
consists of oocytes in various shapes of development.
Also consisting of cells surrounding them. When
surrounding cells nourishes the developing oocytes &
begin to secrete estrogen as the follicle grows larger.
ā¢ Mature (graafian) follicle: It is a large, fluid-filled follicle
that is ready to rupture & expel its 2ā° oocytes, a process
known as ovulation.
ā¢ Corpus Luteum: After ovulation the structure is called as
corpus luteum. It produces progesterone & estrogen until
it degenerates into fibrous scar tissue called as corpus
albicans.
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48. Oogensis
ā¢ The process of formation of female gametes in the
ovaries is called as oogenesis.
ā¢ The cortex of two ovaries contain around 3, 00,000 to 5,
00,000 1ā° follicles.
ā¢ Each primary follicle consists of primary oocyte (ova) is
surrounded by several layers of granulosa cells.
ā¢ The primary oocyte is about 100 mm in diameter.
ā¢ As 1ā° follicle grows, it forms a clear glycoprotein layer
forms between the 1ā° oocyte & the granulosa cells called
as zona pellucida.
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51. Oogensis
ā¢ The outermost layers of granulosa cells rest on a
basement membrane.
ā¢ Encircling the basement membrane is a region called as
theca folliculi.
ā¢ As 1ā° follicle develops into 2ā° follicle the theca
differentiates into two layers of cells.
ļ¼ Theca interna
ļ¼ Theca externa
ā¢ The granulosa cells begin to secrete follicular fluid in a
cavity called as antrum.
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52. Oogensis
ā¢ Innermost layer of granulosa cells becomes firmly
attached to the zona pellucida called as corona radiate.
ā¢ The secondary follicle becomes larger, turning into a
mature (graafian follicle).
ā¢ The germ cells differentiate into the ovaries to form
oogonia (2n) which divide to form 1ā° oocyte (2n).
ā¢ 1ā° oocyte undergoes reduction division to form two
haploid cells (n) of unequal size.
ā¢ The large one is secondary oocyte (n) & smaller one is
first polar body (n).
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54. Oogensis
ā¢ After ovulation the 2ā° oocyte undergoes equatorial
division & it splits into two haploid cells of unequal size.
ā¢ The lager is ovum (n) & the smaller is second polar body
(n).
ā¢ The nuclei of sperm (n) & ovum (n) then unite to form a
diploid (2n) zygote.
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56. Uterine Tubes (Fallopian tubes)
ā¢ There are two uterine tubes extend laterally from the
uterus.
ā¢ It is 10 cm long.
ā¢ They transport 2ā° oocytes from ovaries to the uterus.
ā¢ It is divided into 3 parts;
ā¢ Infundibulum: The funnel-shaped portion, present
near to ovary. The infundibulum contains finger like
projections called as fimbriae.
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57. Uterine Tubes (Fallopian tubes)
ā¢ Ampulla: Middle part of fallopian tube.
ā¢ Isthmus: Last part of fallopian tube.
ā¢ Histologically it composed of 3 layers;
ā¢ Mucosa: Inner Layer
ā¢ Muscularis: Middle Layer
ā¢ Serosa: Outer Layer
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59. Uterus (Womb)
ā¢ It is situated between urinary bladder & rectum.
ā¢ It is pear shaped organ.
ā¢ The non-pregnant uterus is around 7.5 cm long, 5 cm
wide, 2.5 cm thick.
ā¢ It is the site of implantation of a fertilized ovum,
development of fetus during pregnancy & labor.
ā¢ During reproductive cycles when implantation does not
occur, the uterus is the source of menstrual flow.
ā¢ Histologically it is made up of 3 layers:
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60. Uterus (Womb)
ā¢ Perimetrium: Outer layer
ā¢ Myometrium: Middle layer
ā¢ Endometrium: Inner layer
ā¢ The endometrium is divided into 2 layers;
ā¢ Stratum Functionalis: It lines the uterus. It shed during
menstruation.
ā¢ Stratum Basalis: It is located below the stratum functionalis &
it is permanent
ā¢ It divides into 3 parts;
ā¢ Fundus: It is dome-shaped portion.
ā¢ Body: It is central portion.
ā¢ Cervix: It is inferior narrow portion that opens into vagina.
60
61. Vagina
ā¢ It is a tubular passage of about 10 cm long.
ā¢ In virgins this cleft is covered by a thin membrane called
as hymen.
ā¢ Vagina serves as a passage way for the menstrual flow.
ā¢ It also receives semen from the penis during sexual
intercourse.
ā¢ Vagina is situated between the urinary bladder and
rectum.
ā¢ Vagina consists of three layers;
ā¢ Mucosa
ā¢ Muscularis
ā¢ Adventitia
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62. Vulva (Pudendum)
ā¢ It is the external genitals of female.
ā¢ It consists of following components;
ā¢ Mons pubis: Anterior to the vaginal & urethral opening is
the mons penis, an elevation of the adipose tissue
covered by skin & coarse pubic hair that cushions the
pubic symphysis of skin called as labia majora. It covered
by pubic hair & contains an abundance of adipose tissue,
oil glands, and sweat glands.
ā¢ Labia minora: Medial to the labia majora is two smaller
folds of skin called as labia minora. They do not contain
fatty tissue & hair.
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63. Vulva (Pudendum)
ā¢ Clitoris: It is a small, cylindrical mass of erectile tissue &
nerves. It is located at anterior junction of labia minora.
The clitoris is homologous to penis & enlarges on
excitation.
ā¢ Vestibule: It is the region between labia minora.
ā¢ The vaginal orifice is the opening of vagina to the exterior
and is bordered by the hymen.
ā¢ External urethral orifice is the opening of the urethra to
the exterior.
63
64. Vulva (Pudendum)
ā¢ The Bartholins glands are present on either side of
vaginal orifice & produce a small quantity of mucus
during sexual arousal & intercourse.
ā¢ Bulb of the vestibule: It consists of two elongated
masses of erectile tissue just deep to the labia on either
side of the vaginal orifice
ā¢ The bulb of the vestibule is homologous to the corpus
spongiosum and bulb of the penis in males.
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66. Female Reproductive Cycle
(Menstrual cycle)
ā¢ Consider the cycle of 28 days;
ā¢ It consists of 4 phases;
ļ¶ Menstrual phase
ļ¶ Preovulatory phase
ļ¶ Ovulation phase
ļ¶ Postovulatory phase
66
67. Menstrual phase
ā¢ Also called as menstruation or mense.
ā¢ It lasts for first five days of cycle.
ā¢ Menstrual flow from the uterus consists of 50-150 ml of
blood, tissue fluid, mucus & epithelial cells shed from
the endometrium.
ā¢ This discharge occurs due to declining levels of
progesterone & estrogens stimulate the release of
prostaglandins that causes the contraction of uterus.
67
68. Menstrual phase
ā¢ This leads to ischemic condition of endometrium
epithelial cells & they start to die.
ā¢ The dead endometrium part i.e. (stratum functionalis) is
removed & only stratum basalis left adhered to the
uterus.
ā¢ The menstrual flow passes from uterine cavity through
the vagina to exterior.
68
69. Preovulatory phase
ā¢ The preovulatory phase is the time between end of
menstruation & start of ovulation.
ā¢ It lasts for 6-12 days.
ā¢ The estrogens liberated into blood by growing ovarian
follicle.
ā¢ The follicles stimulate the repair of endometrium.
ā¢ The cells of stratum basalis undergo mitosis & produce a
new stratum functionalis.
ā¢ The thickness of endometrium approximately doubles to
about 4-10 mm.
ā¢ The preovulatory phase is called as proliferative phase
because the endometrium is proliferating.
69
70. Ovulation phase
ā¢ Ovulation is the rupture of mature (graafian) follicle &
the release of 2ā° oocytes into the pelvic cavity.
ā¢ It occurs on 14th day of cycle.
ā¢ The small amount of blood that leaks into the pelvic
cavity from the ruptured follicle can cause pain known as
mittelschmerz.
70
71. Postovulatory phase
ā¢ The time between ovulation & onset of next menses
called as postovulatory phases.
ā¢ It start from 16 to 28 days.
ā¢ Progesterone & estrogen produced by corpus luteum
promotes the growth of endometrium & thickness of
endometrium increases to 12-18 mm.
ā¢ All these are preovulatory changes for implantation of
fertilized ovum lasts for one week.
ā¢ If the ovum is not fertilized, the corpus luteum gets
converted to corpus albicans & the secretion of estrogen
& progesterone is stopped, leads to menstruation.
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72. Breast (Mammary glands)
ā¢ Accessory glands of female reproductive system.
ā¢ Each breast has one pigmented projection called as
nipple
ā¢ Nipple consist of opening of ducts called as lactiferous
ducts, where milk emerge.
ā¢ The circular pigmented area around the nipple called as
areola, it is rough because of presence of sebaceous
glands.
ā¢ Each breast consists of 15-20 lobes separated by variable
amount of adipose tissue.
72
73. Breast (Mammary glands)
ā¢ Functions:
ā¢ Secretion & ejection of milk
called as lactation.
ā¢ Milk production is stimulated
by Prolactin hormone from
anterior pituitary
73
74. Disorders of reproduction system
ā¢ Testicular Cancer:
ā¢ It is common cancer in males between the ages of 20-35.
ā¢ More than 95% of testicular cancer arises from
spermatogonia within the seminiferous tubules.
ā¢ Prostate cancer:
ā¢ The leading cause of cancer in men in the United States.
ā¢ Acute prostatitis: Short term inflammation of prostate
ā¢ Chronic prostatitis: Long term inflammation of prostate.
74
75. Disorders of reproduction system
ā¢ Premenstrual syndrome (PMS):
ā¢ It is a cyclical disorder of severe physical and emotional
distress.
ā¢ The symptoms includes, edema, weight gain, breast
swelling, abdominal tension, back ache, joint pain,
constitipation, skin eruptions, fatigue, greater need of
sleep, depression-anxiety, irritability and coordination.
ā¢ Endometriosis:
ā¢ It is characterized by the growth of endometrial tissue
outside the uterus.
ā¢ The symptoms include premenstrual pain or usually
sever menstrual pain.
75
76. Disorders of reproduction system
ā¢ Breast cancer:
ā¢ One in eight womens in the US faces the problem of
breast cancer.
ā¢ The most effective technique in detecting tumor less
then 1 cm in diameter is mammography.
ā¢ The treatment for breast cancer may include hormone
therapy, chemotherapy, radiation therapy or combination
of this therapy.
ā¢ Cervical cancer:
ā¢ It is the carcinoma of cervix of uterus.
76
77. Disorders of reproduction system
ā¢ Ovarian cancer:
ā¢ It is the carcinoma of ovaries.
ā¢ The symptoms include abdominal discomfort, heart burn,
and nausea and loss of appetite.
ā¢ A later sign includes enlarged abdomins, abdominal-
pelvic pain, urinary complications, menstrual
irregularities and heavy menstrual bleeding.
77
78. Disorders of reproduction system
ā¢ Chlamydia:
ā¢ It is a sexually transmitted disease caused by bacterium
Chlamydia trachomatis.
ā¢ Syphilis:
ā¢ It is caused by the bacterium Treponema pallidum, is
transmitted through sexual contact or exchange of blood,
or through the placenta to a fetus.
78
79. Disorders of reproduction system
ā¢ Genital Herpes:
ā¢ It is an incurable STD.
ā¢ It is caused due to type II herpes simplex virus (HSV-2)
ā¢ Vulvovaginal Candidiasis:
ā¢ Candia albicans is yeast like fungus commonly grows on
mucus of GIT and genitourinary tracts.
ā¢ It is the inflammation of vagina.
ā¢ Candidiasis is characterized by sever itching, a thick,
yellow, cheesy discharge, yeasty or dour.
79