Structure and Function Function of the reproductive system is to produce offspring or perpetuate life A person is able to reproduce after the onset of puberty Youngest pregnancy 5 ½ years old Oldest 70 years old ID: 779592
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Slide1
CHAPTER 21REPRODUCTIVE SYSTEM
Slide2Structure and Function
Function of the reproductive system is to produce offspring or perpetuate life
A person is able to reproduce after the onset of puberty; Youngest pregnancy: 5 ½ years old, Oldest: 70 years old
https://youtu.be/3f8I19vRqWM
Early Puberty
Slide3http://www.innerbody.com/image_repmov/repo09-new4.html#full-description
Slide4Organs of The Male Reproductive Organs
Testicle
: Sperm Production
Epididymis:
Portion of the vas deferens where the more mature sperm are stored.Vas Deferens: Long tube that carry the semen from the testicle to the seminal vesicles.
Seminal Vesicles: Where the seminal fluid (nutrient) is formed Prostate Gland:
Contracts for ejaculation and secretes nutrients to protect the DNA
Cowpers
Gland:
Sectretes
lubricant and alkalizes the male urethra as well as the vagina
Slide5Chemical Make-Up of Ejaculate
Sperm
(2–5%) ideal temp 93.2 200- to 500-million spermatozoa, per ejaculation, contain the genetic material.
Semen from the seminal vesicles: (65–75%) produce the main food/energy source for the sperm, contains sugars and amino acids.
Prostate: (25–30% ) citric acid,
proteolytic
enzymes, and zinc which serves to
help to stabilize the DNA and thins the seminal fluid
Cowpers
Gland
or
pre-ejaculate (1%), responsible for adding lubricant to the urethra and neutralizes the acids present it as well.
Slide6Assessment Techniques of the Male
Reproductive System
Palpation: To examine or explore by touching
Most disorders of the reproductive system can be assessed by palpation
Visualization
https://youtu.be/OUOb5tA-bbM
BPH
Benign Prostatic Hyperplasia
Slide7Disorders of the Male Reproductive System
Infection:
Men are at risk for bacterial, viral and other infections of the prostate and other reproductive glands
BPH or Benign Prostatic Hyperplasia: Hyper growth of the prostate tissue, leading to infection and urinary problems.
Cancer: Can develop in the testicles and prostateInfertility:
Multiple causesPenile Problems: Inability to obtain an erection, etc.
Slide8Female Reproductive System
Slide9Female Organs of Reproduction
Ovaries:
Produce eggs and hormones estrogen and progesterone
Fallopian tubes:Transport the eggs from the ovary to the uterus
Uterus: A muscular structure where the egg is implanted after conception
Cervix:
Neck of the uterus; for delivery of a fetus
Vagina:
A muscular tube that extends from the cervix to the exterior of the body
Slide10The Uterus
Pear shaped
Fundus
-upper portionCervix- lower portionThree layers:Perimetrium – outer layer
Myometrium - middle muscular layerEndometrium – inner layer
Slide11Menstrual Cycle
Lasts approximately 28 days
A complex process of hormone secretion and tissue changes in the uterus
A mature ovum is released from an ovary on about the fourteenth day of each cycle
If the released ovum is not fertilized, the endometrium is released from the body along with the ovum causing menses
The sloughing of this bloody tissue, or menses, lasts from 3 to 7 daysThe menstrual cycle continues until 45 to 50 years of age
Slide12Table 21-1 Menstrual Cycle
https://youtu.be/lCYqLtmo670
Menstral
Cycle
https://youtu.be/UJm6xlvd3sM
Slide13Assessment Techniques of the
Female Reproductive Tract
Palpation
Most disorders of the reproductive system can be assessed by palpation
Slide14Visualization: PAP Smear
Cells of the cervix are removed and studied
Assessment Techniques of the
Female Reproductive Tract
Slide15Assessment Techniques
Mammography
X-ray technique used to visualize breast tissue
Visualization Example:
Cystoscopy
Used to view the bladder & urethra
Assessment for frequent UTI’s, cancer, bladder stones, or for prostate issues in men
Slide16Disorders of the Female Reproductive System
Infertility:
Variety of causes
Infection:
Bacterial, yeast etc…
STD: Caused by bacteria yeast and viruses
Left untreated can lead to PID, Infertility and Ectopic Pregnancies
Cancer:
Cervical, uterine, ovarian and breast
Premenstrual syndrome (PMS)
Ovarian cysts:
Fluid or semisolid filled sacs that surround the ovaries
Endometriosis:
Endometrial tissue grows outside the uterus
Slide17Slide18Disorders of the Reproductive System
Endometriosis
Presence of endometrial tissue outside the uterus; occurs during child bearing years when estrogen levels are high
Symptoms: pain – sometimes severe- especially during your period. Fertility problems, heavy periods, painful intercourse, pain with bowel movements or urination (especially during period).
Slide19STD’s
Human
Papillomavirus
- HPV
Most prevalent cause of the development of cervical cancerCaused by a virus
Two vaccines are available to(Cervarix and
Gardasil
) protect against cervical cancers in women.
Gardasil
also protects against genital warts and cancers of the anus, vagina and vulva. Vaccines available for males & females.
Recommended for preteen girls and boys at age 11 or 12 years.
Slide20A defect in the
EVER1 or EVER2
genes is responsible for this
condition
, one that has been nicknamed “
treeman
syndrome” after its unusual symptoms. Epidermodysplasia
verruciformis
makes victims incredibly susceptible to human papillomavirus, also known as HPV. They can get multiple strands of the virus at once, some of which are exclusive to people suffering from this specific disorder.
Over time, warts will begin to form on every inch of the afflicted person's body, particularly the hands
and feet.
These hardened warts bare an
eery
resemblance to tree bark and can be severely cumbersome. Many people with this genetic disorder develop skin cancer as a result, which can be fatal. Surgery is often required to remove the warts, and there have been
cases
where even the most severely afflicted regain some control of their limbs.
Slide21STD’s
Herpes simplex virus
Caused by a virus; causes blister & open sores
One-in-five in the U.S. has some form of herpes
No cure, have Type I (oral) or II (genital) for life
One of the most common sexually transmitted diseases
Slide22STD’s
Syphilis
Caused by a spirochete bacteria
Three stages:
Primary syphilis: Painless sores that appear 7-21 days after exposure
Secondary: Skin rash and mucous membrane lesions
Tertiary or latent: Goes dormant and attacks the organs, causes dementia, heart failure
etc
…
https://www.cdc.gov/std/stats16/Syphilis.htm
Slide23STD’s Continued
Gonorrhea
Highly contagious disease
Caused by bacteriaCan be transmitted to child during birth
Slide24Infertility & Pregnancy Options
One
out of every six couples are infertile
1/3 of all cases are due to male abnormalities
1/3 due to female only abnormalities
1/3 from male and female and unknown causes
Slide25Common Female Reproduction Issues
Ovulation disorders
,
hinder or prevent the ovaries from releasing eggs.
Uterine or cervical abnormalities
, including problems with the opening of the cervix, abnormalities in the shape or cavity of the uterus.
Fallopian tube damage or blockage
,
which usually results from inflammation of the fallopian tube (
salpingitis
). Caused by pelvic inflammatory disease, endometriosis or adhesions.
https://youtu.be/zCL_2COlclg
Slide26Common Causes of Male Infertility
Abnormal sperm production or function
due to various problems, such as undescended testicles, genetic defects, health problems including diabetes, prior infections such as mumps, and trauma.
Problems with the delivery of sperm
such as premature ejaculation, semen entering the bladder during orgasm, certain genetic diseases, blockages or damage to the reproductive organs.
Overexposure to certain chemicals and toxins
,
such as pesticides, radiation, tobacco smoke, alcohol, marijuana, and steroids (including testosterone). In addition, frequent exposure to heat, such as in saunas or hot tubs, can elevate the testicular temperature, impairing sperm production.
Slide27Birth Control
Abstinence: 100% effective
Barrier methods: Male & female
Male condoms are 82–98% Female condoms are 79–95%
diaphragm is 84–94% effective
Slide28The Pill
Oral contraceptives
Contain estrogen & progestin
Prescribed by a doctor
Taken at the same time each dayRisks: DVT if 35 years and smoke, have a history of blood clots or breast cancer
91–99% effective at preventing pregnancy if taken daily.Injection
Progestin injections in the buttocks / arm every three months
94–99% effective
Patch
W
orn on the lower abdomen, buttocks, or upper body (not on the breasts)
Releases hormones progestin and estrogen into the bloodstream
Put on a new patch once a week for three weeks. No patch week 4 for a normal period
91–99% effective
Slide29Contraceptives
IUD
Small device shaped in a “T” inserted inside the uterus It can stay in your uterus for up to 10 years. More than 99% effective.
NuvaRing
A small, flexible vaginal ring used to prevent pregnancy. You put it in for 3 weeks, take it out, then put a new one in a week later. It's just as effective as the pill when used as directed, and you don't have to think about taking it every day.
Slide30Pregnancy and ConceptionOvum (egg) becomes a
zygote after fertilization
After fertilized egg implants into the endometrium it’s called an
embryo for 8 weeksFrom the 8th week to the 38-40
th week it is called a fetus
Slide31Pregnancy Terms
Gestation (Synonym for Pregnancy) means to bear…
Gravida /Para are terms used to describe a woman's birth history
Gravida – denotes number of times a woman has been pregnantPara – denotes how many live births occurred after 20 weeks of
pregnanceyAbortus – denotes the number of pregnancies that were lost before 20 weeks whether miscarried or induced.
Slide32Common Pregnancy Testing
Blood Test
Urine Test
Rh-factor TestingUltrasoundAmneocentesis
Slide33Rh Factor Testing
When a mother is Rh-negative, her body may respond as if it were allergic to the baby & may develop antibodies to an Rh-positive baby.
An injection or
Rh
immunoglobin (RhIg), a blood product that can prevent sensitization of an Rh-negative mother
Slide34Amniocentesis
A needle is inserted through the abdominal wall into the uterus, sample of amniotic fluid is removed to analyze for:
Chromosomal abnormalitiesInfection
Sex of the babyhttps://youtu.be/XXIW8GHwJ_M
Slide35Birthing Process
Three stages of labor
Stage I
:
muscle contractions of the uterus cause the
amniotic sac to rupture and the cervix to open (dilate) to about 10 cm in diameter allowing passage of the fetusSecond stage:
delivery of the
baby
Third stage
:
delivery of the afterbirth, or
placenta
, which takes place about 15 minutes later
http://www.youtube.com/watch?v=Xath6kOf0NE&feature=related
Slide36Slide37epidural
https://youtu.be/zIoCKN9Bt-I
http//www.babycenter.com/2_inside-pregnancy-labor-and-birth_3658872.bc
Conception to birth
https://youtu.be/fKyljukBE70
Birthing Video:3-D Animation
Slide38APGAR
Slide39http://www.youtube.com/watch?v=Vtxsxv1BQek&feature=topics
Slide40PREGNANCY & CONCEPTIONVideos
The Great Sperm Race
Nova conception to birth
Life Before Birth In The Womb