Introduction Chapter 23 Reproductive System • Human beings reproduce sexually • Male and female sex cells unite to produce offspring by sexual reproduction __________________________________________________________________________________________ Susan G. Salvo Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1 Anatomy Ducts Gametes Gonads Penis, accessory glands, and urethra in men • Uterus, vagina, and breasts in women • Produces new individuals of a species • Genetic material is passed from one generation to another • The species is continued 3 Sex Cells Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 4 Sex Cells • Oocytes—female sex cells • Spermatozoa—male sex cells Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 2 Physiology • • • • Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. • Fertilization—process of uniting the sperm with an egg 5 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 6 1 Reproductive Organs Male Reproductive Organs • Primary – Gonads • Male—testes • Female—ovaries • Secondary – Combination of ducts used to transport the reproductive cells for possible fertilization and transportation of zygote to place of incubation Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 7 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. Male Reproductive Organs Male Reproductive Organs • Scrotum • Testicles • Spermatic duct—epididymis, vas (ductus) deferens, ejaculatory duct, urethra • Accessory male sex glands—prostate gland, bulbourethral (Cowper’s ) glands, seminal vesicles • Penis Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. • Interstitial cells of Leydig – Produce testosterone 9 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. Female Reproductive Organs 10 Female Reproductive Organs • • • • • • Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 8 11 Ovaries Fallopian tubes (oviducts) Uterus (womb) Vagina (birth canal) Vulva Breasts (mammary glands) Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 12 2 Female Reproductive Organs Female Reproductive Organs • Uterus, fallopian tubes, and vagina • Female breast Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 13 Female Reproductive Cycle Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 14 Female Reproductive Cycle • Four phases – First phase (menstruation): day 1-5 – Second phase (before ovulation): day 5-14 – Third phase (ovulation): day 14 – Fourth phase (after ovulation): day 15-28 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 15 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. Female Reproductive Cycle Sexual Intercourse • Stages of ovarian follicle development Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 16 • Men – Erection—enlargement and stiffening of the penis; penile arteries dilate and fill the sinuses with blood – Lubrication—mucus secreted through urethra from bulbourethral (Cowper’s) glands – Orgasm—semen is expelled from the urethra (ejaculation) 17 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 18 3 Sexual Intercourse Human Development • Women – Erection—clitoral erection and widespread sexual arousal result from stimulation of female genitalia – Lubrication—mucus is secreted by cervical lining and Bartholin glands – Orgasm—occurs when genital stimulation reaches maximal intensity • Ovulation, fertilization, and implantation Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 19 Human Development • • • • Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 20 Primary Germ Layers Implantation Embryonic development Fetal development Birth (parturition) • Ectoderm— outermost layer • Mesoderm— middle layer • Endoderm— innermost layer – Dilation – Expulsion – Placental stage • Lactation (milk production) Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 21 Inheritance 22 Human Genetics • Inheritance—expression of traits and conditions passed from one generation to another through sexual reproduction • Deoxyribonucleic acid (DNA)—chemical found in each cell in the body that codes for the production of enzymes • Gene—section of DNA on a chromosome that codes for a specific enzyme Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. • Mutations—mistakes in the gene-coding system • Chromosomal diseases—caused by having too many or not enough chromosomes or by having a broken or missing piece of a chromosome • Gene diseases—caused by a mistake in the DNA code of a particular gene on a particular chromosome 23 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 24 4 Pathological Conditions • • • • • • • Pathological Conditions Abortion and miscarriage Amenorrhea Benign prostatic hypertrophy Chlamydia Genital or venereal warts Dysmenorrhea Endometriosis Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. • • • • • • • 25 Pathological Conditions • • • • • • Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 26 Summary • The reproductive system allows humans to sexually reproduce an offspring having the characteristics of both parents • Mutations can occur during the pairing of chromosomes • Understanding the reproductive system and its pathologies will help the therapist provide an effective massage Pelvic inflammatory disease Premenstrual syndrome Prostatitis Syphilis Trichomoniasis Vaginal candidiasis Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. Fibrocystic breast disease Genital herpes Gonorrhea Mastitis Menopause Menstruation Ovarian cysts 27 Copyright © 2008 by Saunders, an imprint of Elsevier Inc. All rights reserved. 28 5
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