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Anatomy
Gametogenesis Control ,[object Object],Anterior Pituitary Sertoli Cells GnRH FSH LH Leydig Cells SCF/Inhibin Testosterone Spermatogenesis
S permatogenesis  ( sperm  = seed;  genesis  = to produce) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Testicular Anatomy
A  -  Seminiferous tubules   contain germ cells & Sertoli cells B  –  Leydig cells   produce testosterone in response to LH C  –  Tubal Lumen
Sertoli Cells ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Spermatogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sperm and Fertilization ,[object Object],[object Object],[object Object],[object Object]
Sperm Trivia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Accessory Sex Organs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male Fertility Factors    Determinants of Male Fertility ,[object Object],[object Object],[object Object]
Are Sperm Counts Declining ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Sperm Head Head: EM, LS × 14 000 AC = acrosome; PM = plasma membrane From Wheater’s Functional Histology, 4 th  ed., 2000. The head of a mature sperm, lengthwise, is approximately 1/20 the diameter of a mature ovum.
The Sperm Neck Neck (middle piece and principal piece): EM, LS × 17 000 Mi = mitrochondria; C = cytoplasm; F, Rn, Rb, & An = all parts of flagellum structure From Wheater’s Functional Histology, 4 th  ed., 2000.
Sperm Tail
Sperm GPS or…   How do they know where to go? ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Sperm GPS or…   How do they know where to go?
Capacitation: readying the sperm ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sperm and Egg  A match made in heaven! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infertility Primary infertility  is the inability to conceive a pregnancy, after one year of unprotected intercourse.  Secondary infertility  describes couples who previously conceived at least once, but have achieved another pregnancy
Estrogen-like industrial chemicals in water
Male Fertility Factors    Defects in Spermatogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Male Fertility Factors    Defects in Spermatogenesis
From: Netter, F.H., The CIBA Collection Varicocele   Defects in spermatogenesis
39% of infertile men have a varicocele Varicocele
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heat   Defects in spermatogenesis
Paternal Occupation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Male Fertility Factors    Inadequate Sperm Delivery
Male Fertility Factors    Inadequate Sperm Delivery ,[object Object],[object Object],[object Object],[object Object]
Male Fertility Factors    Clinical Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONSECUTIVE SEMEN DONOR CONCENTRATIONS OVER FOUR YEARS Sperm Count Variability
Sperm Morphology
Round Cell Stain
[object Object],[object Object],[object Object],[object Object],Semen Analysis  Criticism ,[object Object]
[object Object],[object Object],[object Object],[object Object],Semen Analysis  Criticism
[object Object],[object Object],[object Object],Semen Analysis  Criticism ,[object Object]
[object Object],[object Object],[object Object],[object Object],Semen Analysis  Criticism ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DNA Fragmentation
Sperm Chromatin Structure AssaySCSA SCSA/SDFA test is a good predictor, relative to other sperm measures, for the clinical diagnosis of male infertility
[object Object],[object Object],[object Object],[object Object],SCSA/SDFA
DNA Fragmentation Study Results ,[object Object],[object Object],[object Object],[object Object],Bungum,  Human Reprod , 2007
Infertility Treatment    Abnormal DNA Fragmentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SDD  Sperm DNA Decondensation Assay ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Leader, et al: Sperm DNA Decondensation Assay and Selection of Assisted Reproductive Technology Method, ASRM 2007
Y Microdeletion Testing
Sperm Chromosome Testing
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Medical Treatment Outcomes
L-carnitine and Acetyl-L-carnitine   Human Research Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
L-carnitine and Acetyl-L-carnitine   Human Research Findings
L-carnitine and Acetyl-L-carnitine   Human Research Findings ,[object Object],[object Object],[object Object],[object Object],[object Object]
L-carnitine and Acetyl-L-carnitine   Human Research Findings
Placebo-controlled randomized double-blind trial of Proxeed in men with asthenozoospermia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],L-carnitine and Acetyl-L-carnitine   Human Research Findings
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],L-carnitine and Acetyl-L-carnitine   Human Research Findings
L-carnitine and Acetyl-L-carnitine   Human Research Findings
Surgical Treatment Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IUI vs IVF   ,[object Object],[object Object],[object Object],[object Object]
Male Infertility  IUI Effectiveness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ICSI    I ntra- C ytoplasmic  S perm  I njection
ICSI Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
For more information: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Gametogenesis and Spermatogenesis Control

Editor's Notes

  1. It is not a 50/50 chance as to choosing the correct oviduct for a sperm. Sperm have a tropism for ova of their species—they are attracted toward the ovum in the correct oviduct, making species-specific fertilization and fertilization in general more likely.
  2. Passage of sperm: Since sperm can only move 2 to 3 mm per minute using their own power, they must be helped along somehow. At the shortest, sperms can be found in the oviducts only 5 minutes after ejaculation. Other sperms can take 45 minutes. The Natural Family Planning method of attempting pregnancy relies on changes in mucus thickness for the timing of intercourse—the character of the mucus is a good indicator of the presence of a viable egg.
  3. For a test to be useful, it must have a threshold above and below which it will provide discriminatory and predictive capabilities, with little overlap between fertile and infertile men. Conventional semen parameters often do not meet these standards. Although widely used thresholds for normal semen measurements have been published by the World Health Organization (WHO), [World Health Organization. WHO laboratory manual for the examination of human semen and semen-cervical mucus interaction. Singapore: Press Concern, 1980; Idem. WHO laboratory manual for the examination of human semen and semen-cervical mucus interaction. 2nd ed. Cambridge, England: Cambridge University Press, 1987; Idem. WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. 3rd ed. Cambridge, England: Cambridge University Press, 1992; Idem. WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. 4th ed. Cambridge, England: Cambridge University Press, 1999.] the available norms for sperm concentration, motility, and morphology fail to meet rigorous clinical, technical, and statistical standards. In recognition of these limitations, the nomenclature in the most recent WHO manual (1999) for semen evaluation was changed from “normal” to “reference” values. Recent prospective studies of semen quality and fertility concluded that the current WHO reference values should be reconsidered.
  4. For a test to be useful, it must have a threshold above and below which it will provide discriminatory and predictive capabilities, with little overlap between fertile and infertile men. Conventional semen parameters often do not meet these standards. Although widely used thresholds for normal semen measurements have been published by the World Health Organization (WHO), [World Health Organization. WHO laboratory manual for the examination of human semen and semen-cervical mucus interaction. Singapore: Press Concern, 1980; Idem. WHO laboratory manual for the examination of human semen and semen-cervical mucus interaction. 2nd ed. Cambridge, England: Cambridge University Press, 1987; Idem. WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. 3rd ed. Cambridge, England: Cambridge University Press, 1992; Idem. WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction. 4th ed. Cambridge, England: Cambridge University Press, 1999.] the available norms for sperm concentration, motility, and morphology fail to meet rigorous clinical, technical, and statistical standards. In recognition of these limitations, the nomenclature in the most recent WHO manual (1999) for semen evaluation was changed from “normal” to “reference” values. Recent prospective studies of semen quality and fertility concluded that the current WHO reference values should be reconsidered.
  5. Suggests that the coefficient of variation, repeatability and statistical soundness of measures of conventional semen parameters and sperm function tests are weak. Measures of DNA fragmentation independent of standard semen measures and clearly show that motile, morphologically normal sperm may have extensive DNA fragmentation. Spermatozoa with defective DNA can fertilize an oocyte, produce high quality early stage embryos and then, in relationship to extent of DNA damage, fail in producing a successful term pregnancy. The 23 chromosomes in the sperm head are made up of chromatin, which consists of DNA and proteins. DNA packing during the transition of histone to protomine complex at spermiogenesis (late spermatid stage) Apoptosis is a major regulatory mechanism during normal spermiogenesis. Findings suggest that there may be an abortive apoptotic process which extends until late stage of spermatogenesis resulting in fragmented DNA. 3. ROS cause peroxidative damage to the perm plasma membrane and attack DNA, inducing strand breaks and other oxidative-induced DNA damage
  6. Suggests that the coefficient of variation, repeatability and statistical soundness of measures of conventional semen parameters and sperm function tests are weak. Measures of DNA fragmentation independent of standard semen measures and clearly show that motile, morphologically normal sperm may have extensive DNA fragmentation. Spermatozoa with defective DNA can fertilize an oocyte, produce high quality early stage embryos and then, in relationship to extent of DNA damage, fail in producing a successful term pregnancy. The 23 chromosomes in the sperm head are made up of chromatin, which consists of DNA and proteins. DNA packing during the transition of histone to protomine complex at spermiogenesis (late spermatid stage) Apoptosis is a major regulatory mechanism during normal spermiogenesis. Findings suggest that there may be an abortive apoptotic process which extends until late stage of spermatogenesis resulting in fragmented DNA. 3. ROS cause peroxidative damage to the perm plasma membrane and attack DNA, inducing strand breaks and other oxidative-induced DNA damage