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Reproductive System
Dr. Mrs. Deepa K. Ingawale (Mandlik)
Department of Pharmacology
Poona College of Pharmacy, Pune
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
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
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
Male reproductive system
5
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.
6
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.
7
Penis
8
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
Scrotum
10
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
Testes
12
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
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
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
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.
16
Sperm
17
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
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.
19
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
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
Spermatic cords
ā€¢ It suspend the testes in the scrotum.
ā€¢ Each cord contains
ļƒ¼ Testicular artery
ļƒ¼ Testicular veins
ļƒ¼ Lymphatic vessels
ļƒ¼ Deferent duct
ļƒ¼ Testicular nerves
22
Ejaculatory Ducts
ā€¢ These are located posterior to urinary bladder, 2 cm
long.
ā€¢ These eject sperm into urethra before ejaculation.
23
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.
24
Urethra
25
Accessory Sex Glands
26
Accessory Sex Glands
ā€¢ The ducts system stores & transport sperm, but
accessory gland secretes semen.
ā€¢ It includes,
ļƒ¼ Seminal vesicles
ļƒ¼ Prostrate gland
ļƒ¼ Bulbourethral glands
27
Seminal Vesicle
ā€¢ It contains five lobes;
ļƒ¼ Anterior lobe
ļƒ¼ Posterior lobe
ļƒ¼ Median lobe
ļƒ¼ Right lobe
ļƒ¼ Left lobe
ā€¢ It secretes a milky, slightly acidic fluid (pH 6.5) that
contains several substances.
28
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
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
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.
31
32
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.
33
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.
34
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.
35
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.
36
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.
37
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
38
Hormonal secreted by testes
39
Female reproductive system
40
Organs of Female reproductive system
ā€¢ It consist of;
ļƒ¼ Ovaries (Female gonads)
ļƒ¼ Uterine tube (Fallopian tubes)
ļƒ¼ Uterus
ļƒ¼ Vagina
ļƒ¼ External organs (Vulva / Pudendum)
ļƒ¼ Mammary glands
41
Female reproductive system
ā€¢ Parts of female reproductive system:
ā€¢ Ovaries: Produces 2ā° oocytes & hormones such as
progesterone & estrogens
ā€¢ Uterine tubes: Transport of 2ā° oocytes to uterus.
ā€¢ Uterus: Provides suitable environment for fertilization &
fetal development.
ā€¢ Parturition (childbirth)
ā€¢ Mammary gland: Synthesizes & secrete milk for
nourishment of newborn
42
Ovary
43
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
44
Histology of ovary
45
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
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.
47
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.
48
Primary follicle
49
Secondary follicle
50
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.
ļƒ¼ Theca interna
ļƒ¼ Theca externa
ā€¢ The granulosa cells begin to secrete follicular fluid in a
cavity called as antrum.
51
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).
52
Oogensis
53
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.
54
Uterine Tubes (Fallopian tubes)
55
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.
56
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
57
Uterus (Womb)
58
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:
59
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
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
61
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.
62
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
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.
64
Female Reproductive Cycle
65
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
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
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
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
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
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.
71
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
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
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
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
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
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
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
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

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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. 6
  • 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. 7
  • 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. 16
  • 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. 19
  • 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 ļƒ¼ Testicular artery ļƒ¼ Testicular veins ļƒ¼ Lymphatic vessels ļƒ¼ Deferent duct ļƒ¼ Testicular nerves 22
  • 23. Ejaculatory Ducts ā€¢ These are located posterior to urinary bladder, 2 cm long. ā€¢ These eject sperm into urethra before ejaculation. 23
  • 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. 24
  • 27. Accessory Sex Glands ā€¢ The ducts system stores & transport sperm, but accessory gland secretes semen. ā€¢ It includes, ļƒ¼ Seminal vesicles ļƒ¼ Prostrate gland ļƒ¼ Bulbourethral glands 27
  • 28. Seminal Vesicle ā€¢ It contains five lobes; ļƒ¼ Anterior lobe ļƒ¼ Posterior lobe ļƒ¼ Median lobe ļƒ¼ Right lobe ļƒ¼ Left lobe ā€¢ It secretes a milky, slightly acidic fluid (pH 6.5) that contains several substances. 28
  • 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. 31
  • 32. 32
  • 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. 33
  • 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. 34
  • 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. 35
  • 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. 36
  • 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. 37
  • 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 38
  • 39. Hormonal secreted by testes 39
  • 41. Organs of Female reproductive system ā€¢ It consist of; ļƒ¼ Ovaries (Female gonads) ļƒ¼ Uterine tube (Fallopian tubes) ļƒ¼ Uterus ļƒ¼ Vagina ļƒ¼ External organs (Vulva / Pudendum) ļƒ¼ Mammary glands 41
  • 42. Female reproductive system ā€¢ Parts of female reproductive system: ā€¢ Ovaries: Produces 2ā° oocytes & hormones such as progesterone & estrogens ā€¢ Uterine tubes: Transport of 2ā° oocytes to uterus. ā€¢ Uterus: Provides suitable environment for fertilization & fetal development. ā€¢ Parturition (childbirth) ā€¢ Mammary gland: Synthesizes & secrete milk for nourishment of newborn 42
  • 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 44
  • 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. 47
  • 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. 48
  • 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. ļƒ¼ Theca interna ļƒ¼ Theca externa ā€¢ The granulosa cells begin to secrete follicular fluid in a cavity called as antrum. 51
  • 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). 52
  • 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. 54
  • 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. 56
  • 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 57
  • 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: 59
  • 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 61
  • 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. 62
  • 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. 64
  • 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. 71
  • 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