Reproductive system

Normal Adult Sexual Behaviour

Read from notes! Sexual arousal is triggered by both physical & phychological stimuli. Phase 1 Desire Phase 2 Excitement Phase 3 Orgasm: peaking of sexual pleasure Phase 4 Resolution: if orgasm does not occur, resolution may take from 2-6 hours Cause for sexual problem Physical causes physical handicap medical disorders (hemophilia) hormonal problems Psychological causes…

Pathology of cervix

Read from Dr. Vijay Singh’s notes and also cases! Dr. Goljan’s book will also be good. Risk factors: multiple sex partners early menarche HPV infection Infection Chlamydia Trachomatis Smoking Oral contraceptives Transplantation Clinical features Abnormal bleeding between periods : metrorrhagia with intercourse: postcoital spotting after menopause cervical ulceration bloody/purulent discharge no pruritus bladder & rectal…

Menstrual disorders

Read from Dr. Sheila Rani’s notes! Normal menstruation normal volume 30ml – 80ml interval between cycles 28 days duration of flow 2-7 days Amenorrhea absence of menstruation in excess of 6 months Primary: Rokitansky’s syndrome no onset of menstruation by age 16 with normal sexual development no onset of menstruation by age with no normal…

Puberty

Very brief notes. Growth spurt females 2 years earlier than males due to steroid hormones, GH, insulin-like growth hormone adrenal androgens not involved Changes male increase muscle mass female increase fat deposition in hips & breast increase in sebaceous glands & thickness of secretion in male female have oestrogens: more fluid larynx enlarge in males…

Reproductive hormones – Applied Aspects

Read from foundation 1 & Dr. Nyunt Wai’s notes! Synthesis of steroid hormones cholesterol progesterone androgens (C19) via aromatase Oestrogens (C19) In male testes secrete testosterone increases LDL, decreases HDL (bad) more susceptible to arterosclerosis protein sysnthesis anabolic steroid: chemical analogue of testosterone breast growth, shrinking of testicles formation of male internal genitalia spermatogenesis feedback…

Female reproductive system (X)

Read from foundation 1 ! Here are some of the important things to know about the female reproductive system. However, the notes are not complete. Will be updated on a later date. Ovaries Functions produce ovum produce hormones (oestrogen & progesterone) 3 ligaments attached to it ovarian ligament suspensory ligament mesovarium (broad ligament) function: anchor…

Testicular lesions & abnormality of the male genitalia (X)

Read cases instead! Disorders of penis Congenital Hypospadias ventral (down) Epispadias dorsal (up) Phimosis Paraphymosis Clinical consequences: Constriction of orifice, urinary tract obstruction/infection, impaired reproductive function Inflammation Balanoposthitis/Balanitis inflammation of the glans poor local hygience (uncircumcised) distal penis swollen (with/without purulent discharge) Phimosis prepuce cannot be easily retracted over glans may be congenital associated with…

Breast Structure & Function)

Read from Dr. JPJ’s notes! Location Vertically 2-6 ribs in mid-clavicular line Horizontally lateral border of the sternum to the mid axillary line Mammary bed: Pectoralis major Serratus anterior Rectus abdominis Retromammary space Loose connective tissue between base of gland and the fascia covering the muscles Gives mobility Axillary tail (of Spence) Tail like projection…

Spermatogenesis (X)

Begins at puberty Continuous production Declines with age 2 functional units needed for spermatogenesis Seminiferous tubules spermatogenesis in the germinal epithelium Interstitial cells/Leydig cells secrete androgens Blood-testes barrier barrier between basal & apical compartments of seminiferous tubules prevent large substances from blood & ISF from reaching steroids can pass through (because fat soluble?) formed by…

Male reproductive system (X)

Sperm passage SEVEN UP Seminiferous tubule Epididymis Vas Deferens Ejaculatory ducts N (nothing) Urethra Penis Testes situated in the scrotum 2 covering tunica vaginalis parietal & visceral layer in between the layer: thin cavity with little fluid tunica albugenia fibrous capsule thickened posteriorly (mediastinum) septa divides the testis into lobules 250-300 Functions spermatogenesis secretion of…