Week 4 A&P 2 Lab Exercise 27.1-27.14
Week 4 A&P 2 Lab Exercise 27.1-27.14
HISTOLOGY
Female Reproductive System fertilized by a sperm. Components of the female reproductive systen
include the ovaries, uterine tubes, uterns, vagina, and mammar:
The female reproductive system has two important functions: pro- glands. Exercises 27. l to 27.4 explore the anatomic details of th
duce the female gametes (ova) and support, protect, and nourish ovary, uterine tube, uterus, and vagina. Mammary glands are covere1
the developing embryo/fetus that is fanned when ao ovum becomes in Exercise 27.12.
EXERCISE 27 .1
Medulla
Primordial follicles
Tunica albuginea 1
Germinal epithelium _ __ /,
Ovarian ligament
~ - - - -- - Corona radiata
- - - - - - Z ona pellucida
----;-;r.;r-------- Ovulated secondary
Corpus albicans Corpus Developing oocyte
luteum corpus luteum
(a)
_.,.;..:::....,-------1- Developing
follicles
"'
:::;
. .J ~-- ---------------------------------'
(b)
Figure 27.1 The Ovary. (a) The ovary is the primary reproductive organ of the female and produces the female gametes, the ova.
(bl Histological structure of the ovary demonstrating the outer cortex containing follicles in various stages of development, and the inner medulla,
which consists mainly of blood vessels and nerves.
(b) ©McGraw-Hill Education/Al Telser, photographer
6. Next move the microscope stage so a vesicular follicle is 0 antrum D secondary oocyte
in the center of the field of view. A vesicular (Graafian) 0 corona radiata D theca externa
follicle (figure 27.3) is a mature follicle that is ready to be
released during ovulation, after stimulation by a surge in 0 cumulus oophorus D theca interna
luteinizing hormone (LH), which is secreted by the anterior 0 granulosa cells D zona pellucida
pituitary gland. Table 27.3 lists the histological featu res 7. identify a corpus luteum and corpus albicans on the slide,
of a vesicular follicle. Identify the following parts of the
using table 27 .2 as a guide.
vesicular follicle, using table 27.3 and figure 27.3 as guides: ( continued on next paj
756 Chapter Twenty-Seven The Reproductive System and Early Development
Photograph
©McGraw-Hill Education/Al Tclser, photographer ©McGraw-Hill Education/Al Telser, photographer ©Ed Reschke/Getty Images
Description Contains a primary oocyte surrounded Contains a primary oocyte surrounded Contains a full-size primary oocyte
and Function by a single layer of flattened follicular by one or more layers of cuboid al surrounded by an extracellular
cells follicular cells glycoprotein coat (the zona pell ucida),
which separates it from the coro na
radiata. Contains one or more fluid-
filled antra. Thecal ce lls deve lop into ,
internal and external layers.
Word Origins primus, first,+ ordior, to begin, primus, first, + ordior, to begin,+ secunda, second,+ ordior, to begin,
+ folliculus, a small sac fol/icu/us, a small sac + follicu/us, a small sac
Germinal epithelium
Corona radiata
Ovarian cortex
Zona pellucida
Secondary oocyte
Cumulus oophorus
INTEGRATE
LEARNING STRATEGY -$> contain a single layer of flattened cells, whe reas primary follicles con-
tain one or more layers of cuboida l cells. Next, look for the presence
There are several distinguishing features used to identify follicles in of fluid-filled antra. Secondary follicles contain one or more fluid-filled
various developmental stages. First, look for the number of cell layers antra, whereas vesicular follicles are characterized by the presence of
and the shape of the cells that surround the oocyte. Primord ial follicles a single large antrum.
Chapter Twenty-Seven The Reproductive System and Early Development
.,.," 8
C\I
::; "'
::;
-' - " " - ~ - " ' - ~ ' - - " " - """"-"'-=--~-'--"' -'
©Ed Reschke ©McGraw-Hill Education/Al Telser, photographer ©McGraw-Hill Education/Al Telser, photographer
Has nearly the same structure and fun ction A "yellow body" that gets its color from the If fertilization does not occ ur, t he corpus
as a secondary follicle, but contains a steroid hormones it secretes, which are luteum stops secretin g hormones after two
secondary oocyte and only a single large lipids. After ovulation, the theca interna cells weeks and becomes a smalle r, inactive
antrum enlarge and conti_nue to secrete the steroid "white body" consisting mainly of scar tissue
hormones estrogen and progesterone. In the
cente r of the corpus luteum is a large blood
clot.
Secondary oocyte NA NA
vesicular, a blister, + fol/icu/us, a sma ll sac corpus, body,+ Juteus, yellow corpus, body, + a/bus, white
Antrum The fluid-filled space in the center of the folli cle antron, a cave
Corona Radiata A single layer of columnar cells derived from the cumulus oophorus that atta ch t o the corona, a crown,+ radiatus,
zona pellucida of the oocyte to shine
Cumulus A " mound" of granulosa cells that supports and surrounds the secondary oocyte within cumulus, a heap,+ oophoron,
Oophorus the follicle ovary
Granulosa Cells Epithelial cells lining the folli cle that will bec ome the luteal ce lls of th e corpus luteum granu/um, a small grain
after ovulation. They secrete the liquor folliculi, which is the fluid that fills the antrum.
Theca Externa The external fibrous layer of a well-developed vesicu lar follicle. The cells and fibers theca, a box, + externus,
are arranged in concentric layers. external
Theca lnterna Th e inner cellular layer of the vesicular follicle; these cells sec rete androgen th at is theca, a box,+ internus,
converted to estrogen by granulosa ce lls internal
Zona Pellucida A thick coat of glycoproteins that surrounds the oocyte zona, zone,+ pellucidus, clear
760 Chapter Twenty-Seven The Reproductive System and Early Development
EXERCISE 27 .3
'
HISTOLOGY OF THE UTERINE WALL three phases of the menstrual cycle and demonstrates the appearance
of the endometrium during each phase.
The uterus is a hollow, pear-shaped, muscular organ whose p1i-
mary function is to support, protect, and nourish the developing 1. Obtain a histology slide that includes a portion of the uterine
embryo/fetus. wall. Place it on the microscope stage and bring the tissue
The uterine wall is composed of three layers: endometrium, sample into focus on low power.
myometrium, and perimetrium. The inner lining of the uterus,
the endometrium, goes through its own cycle of growth during 2. Identify the following structures on the slide of the uterus,
the ovarian cycle. Each time a woman's ovary undergoes a single using tables 27 .5 and 27 .6 as guides:
ovarian cycle, the endornetrium becomes prepared for the possibil- D endometrium (basal layer) D myometrium
ity that a fertilized egg will become implanted. If no implantation
D endometrium (functional layer) D perimetrium
occurs, the innermost layer of the endometrium, the functional
layer, sloughs off in the process of menstruation (menstruus , 3. Move the microscope stage so the functional layer of the
monthly). Table 27.5 describes the layers of the uterine wall and endometii um is in the center of the field of view. Switch
the components that make up each layer. Table 27.6 summarizes to high power and identify uterine glands.
n - - - -- Myometrium
~ - - - Myometrium
Days 1-5; Degeneration of the corpus luteum Days 5-14; The basal layer of the endometrium Days ·14-28; Begins at ovulation.
causes prog esterone and estrogen levels to begins to regenerate the functional layer Progesterone secreted by the corpus
drop. The functional layer of the endometrium luteum within the ovary stimulates the
becomes necrotic due to constriction of the uterine glands to begin secretion.
spiral arteries and is shed.
Endometrium The mucous membrane composing the inner layer of the uterine wa ll. Consists of endon, within, + metra, uterus
simple columnar epithelium and a lamina propria with simple tubular uterine glands.
The structure, thickness, and state of the endometrium undergoes marked changes
during the menstrual cycle.
Functional Layer The apical layer of th e endometrium. Most of this layer is shed during menstruation. stratum, a layer, + functus,
(Stratum Functionalis) to perform
Basa/Layer The basal layer of the endometrium. It undergoes minimal changes during the stratum, a layer, + basalis, basal
(Stratum Basa/is) menstrual cycle and serves as the basis for regrowth of the more apical stratum
functionalis.
Myometrium The muscular wall of the uterus composed of three layers of smooth muscle mys, muscle,+ metra, uterus
Perimetrium The outermost covering of the uterus; a serous membrane formed from peritoneum peri-, around, + metra, uterus
Chapter Twenty-Seven The Reproductive System and Early Development
1
EXERCISE 27 .4
- to be in labor).
1. Obtain a histology slide demonstrating a portion of
the vaginal wall. Place it on the microscope stage and
bring the tissue sample into focus on low power. The
walls of the vagina are composed of a mucosa and
muscularis; the mucosa is lined with a nonkeratinized
stratified squamous epithelium (figure 27.S).
EXERCISE 27 .5
.. HISTOLOGY OF THE SEMINIFEROUS developmental stages of the sperm, and table 27.8 describes the
structw·e and function of the accessory cell types located within
TUBULES the testes.
The testes are the primary reproductive organ in the male, and 1. Obtain a slide of the testes and place it on the microscope
function in the production of sperm and the male sex: steroid stage.
hormone testosterone. Within each testis are several hundred,
coiled seminiferous tubules (figure 27.6), which are the site of 2. Observe the slide on low power and identify several
sperm production, or spermatogenesis (sperma, seed, + genesis, cross sections of the seminiferous tubules. Move the
origin). Within each tubule, spermatogonia undergo succes- microscope stage so that one tubule is at the center of the
sive meiotic divisions as they move from the basal to the api- field of view, and change to high power.
cal surface of the tubule epithelium. Table 27.7 describes the (continued on next page)
762 Chapter Twenty-Seven The Reproductive System and Early Development
Seminiferous tubule
Spermatogonium
Lumen
Lumen - --+-
(c)
Figure 27.6 Testes and Seminiferous Tubules. (a) Testis and epididymis showing seminiferous tu bules within the testes and
tunica al bu ginea surrounding the testis. (b) Medium-power histological appearan ce of seminiferous tubules. (c) High-power histological view of
seminiferous tubules demonstrating stages of spermatogenesis and sustentacular cells.
(a) From Anatomy & Physiology Revealed, ©McGraw-Hill Education/The University of Toledo, photography and dissec tion; (b) ©McGraw-Hill Education/Al Telser,
photographer; (c) ©McGraw-Hill Education/Christine Ecke l, photographer
I Interstitial (Leydig)
Cells
Produ ce the steroid hormone testostero ne, which is required for proper sperm
development and for the development of male second ary sex characteristics
inter-, between,+ sisto, to sta
I Sustentacular (Sertoli)
Cells
Surround multiple developing spermatocytes to provide them with support and
nourishment. Phagocytize excess cytoplasm from developing spermatocytes.
Form the blood-testis barrier, whic h protects the developing spermatocytes from
sustento, to hold upright
I
I 3. Identify the following structures, using tables 27.7 and
27.8 and figure 27.6 as guides:
I • 0
0
primary spermatocyte
seminiferous tubule
D
D
spermatogonia
sustentacular cell
I
I EXERCISE 27 .6
I they are transported through the straight tubules, rete testis, and
efferent ductules to enter the long, coiled tube of the epididymis
D pseudostratified
ciliated columnar
D
D
sperm cells
stereocilia
I
epididymis until ejaculation takes place. One of the most charac-
teristic features of the epididymis is the presence of thousands of the space provided. Be sure to label the structures listed
sperm in the lumen of the tube (figure 27.7). Table 27.9 describes in step 2 in the draw ing.
I
on low power and identify several cross sections of the
epididymis. Move the microscope stage so that one part
of the lumen of the epididymis is at the center of the
L substances from the sperm as they undergo maturation. ( continued on next pag
764 Chapter Twenty-Seven The Reproductive System and Early Development
Sperm in - - - - -
lumen of
duct of
epididymis
Stereocilia -- --
Pseudostratified
ciliated columnar
epithelial cells
(a) (b)
Figure 27. 7 Cross Section Through the Epididymis. Several cross sections through the seminiferous tubules are visible. (a) Note the
numerous sperm w ithin the lumen. (b) A higher magnification view demonstrates pseudostratified columnar epithelium with stereocilia.
(a ) ©Ed Reschke/Getty Images; (b) ©McGraw-Hill Education/Christine Eckel, photographer
Epididymis Pseudostratified columnar Site of storage and maturation of sperm. Walls contain epi-, upon, + didymos, a
epithelium with cilia some smooth muscle that w ill propel sperm into the twin (re lated to didymoi,
ductus deferens during ejaculation. testes)
Ouctus Pseudostratified column ar A thick, muscular tube whose walls undergo peristaltic ductus, to lead, + defero, to
Oeferens (Vas epithelium with stereoc ilia contractions during ejaculation to propel sperm into the carry away
Oeferens)
urethra
Prostate Gland Glandular epithelium Accessory reproductive gland that contributes prostates, one standing
resembling pseudostratified approximately 25% of the volume of semen. The fluid before
or simple columnar produced is rich in Vitamin C (citric acid) and enzymes
(such as PSA, prostate-specific antigen) that are
important for proper sperm function .
Seminal Pseudostratified columnar Accessory reproductive gland that contributes seminal, relating to sperm, +
Vesicles approximately 60% of the volume of semen. The fluid vesicula, a blister
produced is rich in fructose, w hich is a sou rce of energy
for the sperm. They also produce prostaglandins, which
are important in promoting sperm motility and may
stimulate uterine contractions.
Bulbourethral Glandular epithelium Accessory reproductive gland that produces a bu/bus, bulb, + urethral,
Glands consisting of simple and mucus-like lubricating substance during sexual arousal relating to the urethra
pseudostratified columnar (prior to ejacul ation) t hat lubricates the urethra and
neutralizes the acidity of the urine, thus preparing the
way for the spermatozoa to pass
tbtj bC ♦ CU i .CC h C]> •
EXERCISE 27. 7
HISTOLOGY OF THE DUCTUS DEFERENS 3. Sketch a cross section of the ductus deferens as seen
through the microscope in the space provided. Be sure t
I D
D
cilia
lumen
I D
D
mucosa
pseudostratified ciliated colwnnar epithelial cells
I D smooth muscle
I
I -
- - Ductus deferens
~~
I
I
I Cilia - -- - -- - ......;,.,.....e,~.,...."""......
I
Pseudostratified - - - - P~ '-'ac?e,:",,:,ii
ciliated columnar
epithelial cells
Lumen - - -- - - --F.~
Mucosa--- - - -1¥:"'i&,B:c
Longitudinal - - -- --+-<'-"""P--,----'C(-,
I smooth muscle
layer
I Circular - - - --
smooth muscle
layer
- -CT,-- - =•
I (a) (b)
I Figure 27 .8 Ductus Deferens. (a) Cross sect ion t hrough t he entire du ctus deferens, demonstrat ing thick layers of smooth muscle
surrounding th e lumen. (b) Close-up view of the pseudostratified ciliated columnar epithelium.
I
(a ) ©McGraw-Hill Education/Al Telser, photographer; (b) © McGraw-H ill Education/Christine Eckel, photographer
I
I
766 Chapter Tuenty-Seven The Reproductive System and Early Development
EXERCISE 27 .8
3. Sketch the seminal vesicles as seen through the
HISTOLOGY OF THE SEMINAL VESICLES microscope in the space provided. Be sure to label the
Near the posterior wall of the bladder, each ductus defer- structures listed in step 2 in the drawing.
ens comes together with the duct from a seminal vesicle
(figure 27.9). These accessory reproductive glands are lined
with pseudostratified columnar epithelium and produce sub-
stances (including fructose, which is a source of energy for the
sperm) that are an important component of semen. Semen is the
tluid expelled from the penis during ejaculation (table 27.9).
1. Obtain a slide of the seminal vesicles and place it on
the microscope stage. Bring the tissue sample into focus
on low power. Identify cross sections of the seminal
vesicles. Move the microscope stage so the lumen of a
portion of the seminal vesicle is at the center of the field
of view, and then change to high power.
2. Identify the following structures on the slide of the seminal
vesicles, using table 27.9 and figure 27.9 as guides:
_____ x
D lumen
D rnucosalfolds
D muscular wall
(a)
Figure 27.9 The Seminal Vesicles. (a) Low magnification. (b) Medium magnification.
(a) & (b) ©McGraw-Hill Education/Al Telser, photographer
EXERCISE 27.9
I '
vesicles, the prostate produces substances that will become part
of semen and that are important for proper sperm function.
I
). Obtain a slide demonstrating the prostate gland and place
it on the microscope stage. Bring the tissue sample into
focus on low power and identify the prostatic urethra
I D tubuloalveolar glands
3. As men age, calcifications often form in the prostate. Tubuloalveolar - ----.. ~ :..:ca~
I
these are present in the specimen.
I
I
I
I
I
I
I \
I -'
I
I
I
I
768 Chapter Tuenty-Seven The Reproductive System and Early Development
EXERCISE 27 .1 0
HISTOLOGY OF THE PENIS J. Obtain a slide demonstrating a cross section of the penis
and place it on the microscope stage. Observe at low
The penis is the male copulatory organ and is homologous to the power.
female clitoris. It is composed of three erectile bodies, the paired
corpora cavernosa and the single corpus spongiosum, which 2. Identify the following structures on the slide of the penis,
contains the male urethra (figure 27.11). In the center of each using figure 27.11 as a guide:
corpus cavemosum is a central artery that supplies blood to the
penis. During an erection, the veins draining the penis become □ central artery □ dorsal vein
constricted and venous blood fills up the erectile tissues. □ corpus cavernosum □ superficial fascia
(connective tissue)
□ corpus spongiosum
□ ventral surface
3. Sketch a cross section of the penis as seen through the
microscope in the space provided. Be sure to label the
structures listed in step 2 in the drawing.
Dorsal
Dorsal vein
Superficial
fascia
Tunica albuginea
of corpus
cavernosum
Corpora
cavernosa
Central
artery
Corpus spongiosum
Urethra
Tunica albuginea _ __ __ x
of corpus 0
X
st
spongiosum ::e _J
CLINICAL VIEW
stimulated by the sympathetic nervous system. Erectile dysfunction involves
Erectile Dysfunction the interruption of the arousal response, and is most commonly caused by
Erectile dysfunction (ED) occurs when a male is unable to achieve or main- neurological, cardiovascular, or hormonal disturbances. Interestingly, some
tain an erection. Stimulation of the parasympathetic nervous system causes treatments for those suffering from erectile dysfunction, including sildenafil
central arteries within the corpora cavernosa to dilate. This dilation increases (i.e., Viagra), were first introduced as antihypertensive drugs. Sildenafil
local blood flow to the erectile tissues. Concomitant constriction of veins at reduces systemic blood pressure by dilating blood vessels and decreasing
the base of the penis prevents the drainage of blood from the erectile tissues. total peripheral resistance. As concerns an erection, sildenafil dilates the
The resulting engorging of the erectile tissues within the penis with blood central arteries within the penis, which facilitates the process of achieving
causes an erection. The penis remains erect until ejaculation, a process and maintaining an erection.
Chapter Tuenty-Seven The Reproductive System and Early Development 769
GRO~S ANATOMY
of these organs to gain an appreciation of their location within the
Female Reproductive System
female pelvic cavity, and their relationships with each other. Note
The internal detail, wall structures, and f~nctions _of most of ~he that there are numerous supporting ligaments that anchor the ovaries,
l.:rnale reproductive organs were covered m the histology section uterine tubes, and uterus in place within the pelvic cavity. Primary
,ii this chapter. This section involves observing the gross structure anatomic features of the female breast will then be observed.
-,;:
EXERCISE
_, 27 .11
\"
TableJ 7.10 Ligaments Supporting the Ovary, Uterine Tubes, and Uterus
Broad Ligament Fold of peritoneum draped over the superior surface of the uterus. Portions of the broad, wide, + ligamentum,
broad ligament form the mesosalpinx and the mesovarium. a bandage
Mesosalpinx The mesentery of the uterine tube, which is formed as a fold of the most superior mesa-, a mesentery•like
part of the broad ligament structure,+salpinx, trumpet
(tube)
Mesovarium The mesentery of the ovary, which is formed as a posterior extension of the broad mesa·, a mesentery-like
ligament structure,+ovarium, ova ry
Ovarian Ligament Ligament contained within folds of the broad ligament. It extends from the medial ovarium, ovary,+ ligamentum,
part of the ovary to the superolateral surface of the body of the uterus. a bandage
Round Ligament of the Ligament attached to the superolateral surface of the body of the uterus. It extends /igamentum, a bandage,+
Uterus laterally to the deep inguinal ring, passes through the inguinal canal, and attaches uterus, uterus
to the skin of the labia majora.
Suspensory Ligament of A fold of peritoneum draping over the ovarian artery and vein superolateral to the suspensio-, to hang up, +
the Ovary ovary. Anchors the ovary to the lateral body wall. ligamentum, a bandage
Transverse Cervical Ligament extending laterally from the cervix and vagina, connecting them to the transverse-, across,+
(Cardinal) Ligament pelvic wall cervix, neck, + ligamentum, a
bandage
Uterosacra/ Ligaments Ligament connecting the inferior part of the uterus to the sacrum posteriorly utero·, the uterus,+ sacral,
the sac rum
, - - - - - - - - - - - - - - - - - 12
3 Fundus of
uterus
Lumen of
uterus
r--::~~~ - - - -13
l '9rc'c::- - - - -- 14
7J!-'wH.:Fii-- - - - - - - 15
4- - - - - - l , - ~~ ~-~
[[11--_ _ ____L_J~_c:_------J:::;..c==~
Ovary- - - -- ,-,-- ----,;_-===:.-
6 _ _ _ _ _ _ _ _ _ _ _ _-"'"---""----"' +
16
Ovary
I
\.
--~,-;~
(b) Lateral sectional view
n~--- - - - - - - - - - ~
~ - - - - - - - - - - - H i l u m of ovary
Figure 27.12 Supporting Ligaments of the Ovary, Uterine Tubes, and Uterus as Seen from a Posterior View. (a) Posterior
view. (b) Lateral view. Use the terms listed to fill in the numbered labels in the figure. Numbers indicating ligaments are highlighted in green.
Some answers may be used more than once.
□ body of uterus □ infundibulum of uterine tube □ ovarian ligament □ uterine blood vessels
□ cervical canal □ isthmus of uterine tube □ round ligament of the uterus □ uterine tu be
2 - - -- - -- -- - - --.l!j
3 ____________ ~
4 _ __ __ _ _ _ _ _ __ _ _ __
_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ 8
lschiopubic ramus-- - -- - -- - - -
___________________ g
5 _ _ _ _ _ _ _ _ _ _ _ _ _ __ __
6 _ _ __ _ _ _ _ _ _ _ _ _ _ __
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ 17
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ 18
~-- -- - - - - - - - - - - - -- 19
_ _ __ __ _ _ _ _ _ _ __ _ _ _ _ 20
Figure 27.13 Classroom Model of the Female Pelvic Cavity. (a) Sagitta l view with pelvic struct ures intact. (bl Midsagittal view.
Use the terms listed to fill in the numbered labels in the figure. Some answers may be used more t han once.
[J anus □ f imbria of uterine tube □ rectouterine pouc h □ uterine tube
EXERCISE 27 .12
GROSS ANATOMY OF THE FEMALE 1. Observe the breast of a prosected female human cadaver
or a classroom model of the female breast.
BREAST
2. Identify the structures listed in figure 27.14 on the
The female breast consists largely of fatty tissue and suspen-
cadaver or the classroom model of the female breast,
sory ligaments. Imbedded within are numerous modified sweat
using table 27 .11 and the textbook as guides. Then label
glands, the mammary glands (mamma, breast), which are com-
them in figure 27. 14.
pound tubuloal veolar exocrine glands. These glands enlarge
greatly during pregnancy, enabling them to produce milk to
nourish the new baby. Table 27 .11 describes the structures that
compose the female breast.
Alveoli Secretory units of the mammary glands, which produce milk alveolus, a concave vessel,
a bowl
Areolar Glands Sebaceous glands deep to the skin of the areola; produce sebum, which keeps the skin of areolar, relating to the
the areola moist, particularly during lactation areola of the breast
Lactiferous Ducts Ducts that form from the confluence of small ducts draining milk from the alveoli and facto-, milk+ ductus, to lead
lobules
Lactiferous 10-20 large channels that form from the confluence of several lactiferous ducts; the spaces facto-, milk+ sinus, cavity
Sinuses where milk is stored prior to release from the nipple
Lobules Smaller subdivisions of the mammary glands, which contain the alveoli /obu/us, a small lobe
Nipple A cylindrical projection in the center of the breast that contains the openings of the neb, beak or nose
lactiferous ducts
Suspensory Bands of connective tissue that anchor the breast skin and tissue to the deep fascia suspensio, to hang up,+
Ligaments overlying the pectoralis major muscle ligamentum, a band
INTEGRATE
CONCEPT CONNECTION gland, which further increases milk production. Oxytocin also stimulates
Lactation, the process of milk production and release from the mam- myoepithelial cells within mammary glands to contract, thereby releasing
mary glands, involves both positive and negative feedback mechanisms. milk from the breast Milk moves through the lactiferous ducts and sinuses,
Lactation is regulated by hormones that are present during pregnancy and exits the breast through openings in the nipple. Positive feedback
and after childbirth. During pregnancy, estrogen and progesterone levels mechanisms stimulate the production and ejection of milk. Negative
are elevated, which stimulates proliferation of the acini and branching of feedback mechanisms may inhibit GnRH release by the hypothalamus,
the lactiferous ducts within mammary glands. Following birth, estrogen thereby inhibiting FSH and LH release from the anterior pituitary gland
and progesterone levels drop, however prolactin levels are elevated, and preventing ovulation. Even so, women should use alternative methods
which stimulates milk production. The baby suckling on the mother's of birth control while breast feeding because some women continue to
breast stimulates the release of oxytocin from the posterior pituitary ovulate during this time.
_ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ ?
_ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ 8
____________________ 9
./
(a) Anteromedial view
,------------------16
11
12 17
13
Figure 27.14 The Female Breast. (a) Anterior view. (b) Sagittal view . Use the terms listed to fill in the numbered labels in the figure.
Some answers may be used more than once.
CLINICAL VIEW feel "lumpy." Specifically, fibrocystic changes in the breast consist
of fluid-filled cysts and are often surrounded by dense fibrous tissue.
Breast Cancer Screening and Breast This tissue, though often large and dense, is typically mobile (moves
Self-Examination (BSE) around easily), and often mirrors itself on the opposite breast. Th at is,
if you find such changes in the lower-right quadrant of the right breast,
Clinical Breast Exam (CBE) you might also find it on the lower-right quadrant of the left breast. On
All women of reproductive age are encouraged to make annual visits to the contrary, bre ast cancers tend to feel much firmer, like a kernel of
their gynecologist for a clinical breast exam (CBE) and a pap smear to unpopped popcorn, and they are immobile (they do not move wh en you
test for early cervical changes that are risk factors for cervica l cancer. touch them). They are generally painless and sometimes cause dimpling
The physician performing the CBE is palpating for abnormal lumps in the of the skin overlying the tumor.
breast. However, the physician can also help teach a woman how to The following are three procedures for performing a breast
perform breast self-exam (BSE) so she can monitor the condition of her self-exam:
breasts monthly instead of just during yearly visits. The vast majority of
1. In the showe r: Use soapy hands to palpate the breast while
breast cancers are discovered by the patient herself.
raising the arm on the same side as the breast you are
palpating. Starting at the periphery of the breast, use two or
Mammography three fingers to make small circles that progressively move
A mammogram is an x-ray of the breast that is used to look for areas of towa rd the nipple. Squeeze the nipple to look for discharge. Be
extra density or calcifications, which can be early signs of breast cancer. sure to palpate all the way up into the axilla, as the majority of
Most women are advised to start having mammograms at age 40, but tumors arise in the outer/upper quadrant towa rd the axillary
region of the breast.
those with a family history of the disease are often advised to have their
first mammogram at age 35. Mammography is good at locating very small 2. Lying down: Use the same procedure as in the shower. It is good
tumors (especially DCIS), which may not be palpable on self-examinations to do an exam lying down because it makes the breasts lie flat,
which may make it easier to feel certain lumps.
or clinical examinations.
3. Standing in front of a mirror: Place your hands on your hips, tilt
Breast Self-Exam (BSE) your elbows forward (anterior), and look for any indentations in
the skin of the breast or "orange peel"-looking skin, which can
Women should perform a breast self-exam at least once a month to
be indicative of an underlying tumor.
look for any unusual bumps, lumps, or thickening of breast tissue. Upon
palpation, a typical breast feels a bit lumpy, with some firmer areas If you discover anything that concerns you, make an appointment with
and some softer areas. Th e firmer/harder areas can be thickenings of your gynecologist as soon as possible to discuss your findings so the
the suspensory ligaments, or fibrocystic changes to the breast. The physician can help determine if what you felt was something benign or
softer areas are typically just adipose tissue. There are a number of something that nee(.ls further exploration. Always remember that breast
benign (noncancerous) changes to the breast that can make breasts cancer is highly curable when caught early.
Male Reproductive System majority of semen. The bulbouretbral glands are small glands located
within the urogenital diaphragm that produce a mucus-like substance
The testes, the primary male reproductive organs, function in the during sexual arousal that neutralizes the acidity of the male ure-
production of sperm and testosterone. Sperm produced in the testes thra and provides lubrication to ease the passage of semen during
are stored in the epididymis and transported via the ductus deferens ejaculation.
to the male urethra during ejaculation. The seminal vesicles and Exercises 27.5 to 27.10 involved examining the histological
prostate gland are accessory reproductive glands that produce sub- appearance of many of these structures. The following exercise
stances that nourish and protect the sperm and also compose the vast involves observing the male reproductive structures at the gross level.
l EXERCISE 27 .1 3
Chapter Twenty-Seven The Reproductive System and Early Development 775
GROSS ANATOMY OF THE SCROTUM, 2. Identify the structures listed in figures 27.15 and 27.16 on
the cadaver or on classroom models, using the textbook as
TESTIS, SPERMATIC CORD, AND PENIS a guide. Then label them in figures 27 .15 and 27 .16.
1. Observe a prosected male human cadaver or classroom 3. Optional Activity: ~ 14: Reproductive System- In
models of the male reproductive organs. the Quiz section, select the "Structures: Male" option to
test your knowledge of male reproductive gross anatomy.
....
....
•
1k
• 5- - -- - - -- - -- - - -++----- ---=~
..
'
.,
f.
'
•
'
1--- - - - - -- -- -- - -- - - - - - 2 0
- □
Figure 27.15 M ale Reproductive Tract Structures.
h ---i- - - - -- - - - - -- - - - - -- 7
4 ,---'!lli--- -- -- -- - - - - - -- - - - 8
1071-- - - - - - - 1 2
_ __ __ __ _ __ 11J
- -- =---- - -- - - -- - -- - -- - - -- - - - 1 3
5 - - - - - - - - - - - - - - - - - - - - ' i~ - - -- -- -- -- -- - -- - -- - - --14
~ ~ r ~ ~ :::::::=-_ _ ___ ___ ___ _ _ _ _ ___ 15
6--- - - - -- - - - - - -- -- ~
(a) Sagittal view
16
17 26
27
18
28
19 29
30
20
31
21
32
22
33
23
24 34
25 35
(b) Mldsagittal view
Figure 27.16 Classroom Model of the Male Pelvic Cavity. (a) Sagittal view with pelvic structures intact. (b) Midsagittal view. Use
the terms listed to fill in the numbered labels in the figure. Some answers may be used more than once.
0 anus D glans penis O pubic symphysis 0 testicular artery and vein
D corpus cavernosum D internal urethral sphincter 0 rectum □ testis
PHYSIOLOGY
.. Reproductive Physiology Table 27.12 depicts and describes each phase of meiosis and the
defining features of each phase.
.. Gametogenesis, the production of the gametes (sperm and second- Human somatic cells contain 23 pairs of chromosomes, or
ary oocytes) is accomplished by meiosis. Meiosis is similar in many homologous pairs. These include 22 pairs of autosomal chromo-
ways to mitosis, but there are two nuclear divisions (I and II), which somes, and one pair of sex chromosomes. Human gametes (egg and
result in a reduction of chromosome number from a diploid number sperm) contain 22 autosomal chromosomes and one sex chromo-
(2n, or 46) to a haploid number (n, or 23). Another difference in some, an X chromosome for oocytes and an X or Y chromosome for
meiosis is the process of synapsis (crossing over) that occurs when sperm. Meiosis yields four genetically different, haploid daughter
homologous chromosomes are adjacent to each other. Synapsis celJs. The process of fertilization brings haploid sperm together
is a process that introduces variability in the genetic code, which with a haploid secondary oocyte. When a sperm cell has fertilized
ensures that daughter cells are genetically different from parent cells. an oocyte, the resulting cell (called a zygote) is once again diploid.
\J .:.r\
maternal chromosome envelope
and paternal Sister breaks down;
chromosomes <h,omatids chromosomes
pair; crossover
(genetic
va ria bility}
1 gather
-t
occurs
Tetrad
Equator
(continued on next
778 Chapter Twenty-Seven The Reproductive System and Early Development
Description
Phase Meiosis I Meiosis II
Anaphase Separation of Homologous replicated Sister chromatids ana-, upward
chromosome chromosomes separate pulled apart
pairs; reduction (single- stranded
division chromosomes)
potentially be fertilized by sperm. The final phases of meiosis occur (uterine cycle). The overall purpose is to produce viable eggs (ova)
.. after fertilization (see table 27. 12). for fertilization and to provide an attractive place for implantation
'
....
The result of fertilization is formation of a zygote, which will
subsequently undergo mitosis to form a mass of cells that may
of the ferti lized egg. The release of gonadotropin-releasing hormone
(GnRH) from the hypothalamus stimulates the release of luteinizing
implant in the uterine wall. Development in utero continues, as hormone (LH) and follicle-stimulating hormone (FSH) from the
described in exercise 27.16. Figure 27.17 depicts the overall pro- anterior pituitary gland. It is LH and FSH that stimulate the devel-
cess of oogenesis, incl uding identification of the various phases and opment of the follicles during the follicular phase of the ovarian
arrests of meiosis, corresponding stages of the ovarian follicles, and cycle. As the follicles develop, the granulosa cells surrounding the
... histological images of each stage. follicle secrete estrogen. Estrogen stimulates the cells in the uterine
Hormones are responsible for regulating the monthly changes endometrium to proliferate during the proliferative phase of the
that occur both in the ovaries (ovarian cycle) and in the uterus uterine cycle.
- 46 Oogonium
i Follicle cells
-
- - - - Primary oocyte - - - - - -
Primordial follicle
(arrested in prophase I)
Childhood
Meiosis I
arrested
tf
46 , - - - - Primary oocyte --------1
(arrested in
prophase I)
I\Secondary
Meiosis II - ~ . , ,.~ tollicle
arrested
2 3'
• '
) - (arrested
Secondary oocyte
in metaphase II)
. Vesicular
follicle
First
polar body
(degenerates) Ovulated
L ~ulaUoo
! /_
23 ~ tf
, - Sperm
- e-io-s-is_ l_l _ _ ~
~M
secondary
oocyte
~ completed (if
fertilization occurs)
Corpus luteum
23 c,
✓
Second
- -Ovum
polar body
(degenerates) c:JP Corpus albicans
Once ovulation occurs, the ruptured vesicular follicle becomes responsible for maintalllillg a viable pregnancy. Human chori-
the corpus luteum. This structure begins producing progesterone and onic gonadotropin (hCG), the hormone secreted by the developing
estrogen throughout the luteal phase of the ovarian cycle. Increasing embryo, prevents the degradation of the corpus luteum in the event
levels of progesterone result in thickening and increased vasculariza- that fertilization and implantation occur. If fertilization and implan-
tion of the endometrium. In addition, the corpus luteum maintains tation do not occur, the corpus luteum degenerates into the corpus
elevated progesterone and estrogen levels in the event fertilization albicans. This degeneration also decreases levels of progesterone
occurs, but prior to the formation of the placenta, the structure and estrogen. As the progesterone levels drop, blood vessels (spiral
Days
~ - - - 3 - - - 5 - - ~ 7_ _ _9_ _ _1_1_ _ _1~3 t ~1-5_ __1_1_ _ _1_9_ _ _2_1--r-__2_3_ _ _2_5_ __2_1_ __,
Gonadotropln levels
FSH
LH
Days 3 5 7 9 11 13 t 15 17 19 21 23 25 27
Ovulation
Estrogen
Progesterone
Days 3 5 7 9 11 13 15 17 19 21 23 25 27
Uterine cycle
Days 13
EXERCISE 27 .14
A CLINICAL CASE IN REPRODUCTIVE hours, with little time to cook or clean at home. For that rea-
son, they were constantly eating on the go, often getting takeout
PHYSIOLOGY meals that were, admittedly, not the healthiest. Despite this hectic
The purpose of this exerdse is to apply the concept of reproduc- schedule, the couple was ready to have a child of their own. So,
tive physiology to a real scenario, or clinical case study. This they began trying to conceive. Both Elizabeth and Frank were
exercise requires information presented in this chapter, as well optimistic that they would be able to conceive despite having
as in previous chapters. Integrating multiple systems in a case many friends that struggled with infertility. No women in Eliza-
study reinforces a concept that is very important in physiology: beth's family had struggled before, so she had no real concerns.
homeostasis. Frank and Elizabeth's attempts to conceive were met with
Before beginning, state how the ovarian cycle may be influ- disappointment. They "tried" for 1 year with no luck, and ulti-
enced by increasing levels of testosterone. mately sought medical advice, because Elizabeth was con-
cerned that her age would soon make conception more difficult.
Both Frank and Elizabeth visited a fertility cli nic to investigate
their case further. Doctors first tested Frank's sperm count and
sperm viability, because this is. the simplest test to conduct.
There was no evidence of inadequate numbers of sperm or their
Consult with the laboratory instructor as to whether this inability to fertilize an egg. Frank and Elizabeth were relieved,
exercise will be completed individually, in pairs, or in groups. yet still frustrated that they were unsure as to the cause of their
Review the topics of the cardiovascular, lymphatic, respiratory, infertility.
digestive, urinary, and reproductive systems in the textbook and Doctors then made note of Elizabeth' s physical health. At
in previous chapters in this laboratory manual as needed for 5 feet, 0 inches, Elizabeth weighed 175 pounds. In addition to
assistance with the case study. being overweight, she also suffered from chronic hypertension
and an elevated heart rate. Doctors suggested a change in life-
Case Study style to reduce stress, which they hoped would help Elizabeth
Elizabeth, a 32-year-old newlywed, was eager to start a family. lose weight and improve her cardiovascular health. Doctors
She was career focused, as was her husband, Frank, and both also inquired about Elizabeth's reproductive health. Eliza-
thrived under high-stress conditions. Their jobs required Jong beth admitted that she had been prescribed birth control pills
LH(mLU/L) 18 3-20
f. Do you think that Elizabeth is suffering from PCOS?
Testosterone (pg/ml) 15 1.1- 6.3
EXERCISE 27 .15
Table 27.14
using the textbook as a guide.
Pre-Embryonic Period
- ---Sperm pronucleus
·'.>
---Nucleus
-
1--120 µm ----i 1--120 µm - i
4-cell stage 8-cell stage
1--120 µm-i
Morula
-
784 Chapter Twenty-Seven The Reproductive System and Early Development
f--120 µm -----i
Cytotrophoblast - -~ n ~
Embryoblast - - -~ - ---,-"
EXERCISE 27 .16
EARLY DEVELOPMENT: EMBRYONIC 1. Label the structures of the 3-week-old embryo identified
in figure 27.19.
DEVELOPMENT
2. Complete table 27.15 depicting the chronology of events
This laboratory exercise focuses on the changes that occur in an in embryonic development.
organism during the embryonic period. Complete the following
using the textbook as a guide. 3. Label the structures of the 4-week-old embryo identified
in figure 27.20.
~ -~ -+- -- -- - - - - - - 5
',-,,--,' - - -- - - - -- - -- 6 1 - - - - - - - - - - 8
---,,._ _ _ _ __ _ __ _ _ _ 7
Figure 27.19 Structures of the 3-week-old Embryo. Use the terms listed to fill in the numbered la bels in the figure .
-
l f
Week3
- Ne"'"'
Neural 9""'"
fold
- 1.5 mm
Superior/dorsal view
Week4
l
-Head
Heart
4.0mm ")--- Umbilical cord
Limb buds
j
Lateral view
Week5-8
l
30mm
j
Lateral view
f----------------6
;-------------7
___________ 8
_ _ _ _ _ __ _ _ _ _ g
- - - - - - - - - - - - 10
Figure 27 .20 Structures of the 4-week-old (Late) Embryo. Use the terms listed to fill in the numbered labels in the figure.