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Physiological Anatomy of the Male Sexual Organs – Lec: # 1, P # 1037, Ch:# 81

  • Male reproductive functions have 3 major parts:
    • Spermatogenesis → formation of sperm.
    • Male sexual act.
    • Hormonal regulation of male reproductive functions.
  • Male sex hormones also affect:
    • Accessory sexual organs.
    • Cellular metabolism.
    • Growth.
    • Other body functions.
  • Fig. 81.1A shows the main parts of the male reproductive system, while Fig. 81.1B shows the testis and epididymis in more detail.
  • Each testis contains up to 900 coiled seminiferous tubules.
    • Each tubule is more than 0.5 meter long.
    • Sperm are formed here.
  • After formation, sperm pass into the epididymis.
    • Epididymis is a highly coiled tube about 6 meters long.
  • The epididymis continues into the vas deferens.
    • Near the prostate, the vas deferens enlarges to form the ampulla of the vas deferens.
  • There are 2 seminal vesicles, one on each side of the prostate.
    • They empty their secretions into the prostatic end of the ampulla.
  • Contents from the ampulla + seminal vesicles enter the ejaculatory duct.
    • The ejaculatory duct passes through the prostate gland.
    • It then opens into the internal/prostatic urethra.
  • Prostatic ducts also empty their secretions into this pathway and finally into the prostatic urethra.
  • The urethra is the final passage connecting the reproductive tract to the exterior.
  • The urethra receives mucus mainly from:
    • Many small urethral glands along its length.
    • Paired bulbourethral (Cowper) glands, located near the beginning of the urethra.

KEY CONCEPT

Sperm pathway:
Seminiferous tubules → Epididymis → Vas deferens → Ampulla → Ejaculatory duct → Urethra → Exterior

Accessory secretions join this pathway:
Seminal vesicles + Prostate + Urethral/Cowper glands

Conceptual Examples

  • Sperm formation → occurs in the seminiferous tubules.
  • Sperm transport/storage pathway → seminiferous tubules → epididymis → vas deferens.
  • Before entering the urethra → sperm-containing fluid receives secretions from the seminal vesicles and prostate.
  • Final exit pathwayurethra carries the contents to the exterior.

Physiological Anatomy of the Male Sexual Organs

  • Fig. 81.1A shows the main parts of the male reproductive system, while Fig. 81.1B shows the testis and epididymis in more detail.
  • Each testis contains up to 900 coiled seminiferous tubules.
    • Each tubule is more than 0.5 meter long.
    • Sperm are formed in these tubules.
  • After formation, sperm pass into the epididymis.
    • The epididymis is another highly coiled tube, about 6 meters long.
  • The epididymis continues into the vas deferens.
  • Just before the vas deferens enters the prostate gland, it becomes enlarged to form the ampulla of the vas deferens.
  • There are two seminal vesicles, one on each side of the prostate.
    • They empty into the prostatic end of the ampulla.
  • Contents from the ampulla + seminal vesicles enter the ejaculatory duct.
  • The ejaculatory duct:
    • Passes through the prostate gland.
    • Opens into the internal urethra.
  • Prostatic ducts also empty prostatic secretions into this pathway and then into the prostatic urethra.
  • The urethra is the final passage carrying contents from the reproductive tract to the exterior.
  • The urethra receives mucus from:
    • Numerous small urethral glands along its length.
    • Mainly the paired bulbourethral (Cowper) glands near the beginning of the urethra.

KEY CONCEPT

Sperm pathway:
Seminiferous tubules → Epididymis → Vas deferens → Ampulla → Ejaculatory duct → Urethra → Exterior

Accessory secretions join the pathway from:
Seminal vesicles + Prostate + Urethral/Cowper glands

Conceptual Examples

  • Where are sperm formed? → Seminiferous tubules.
  • Where do sperm go next? → Epididymis.
  • Which tube carries sperm from the epididymis? → Vas deferens.
  • Where do seminal vesicle secretions join? → Near the ampulla/ejaculatory duct.
  • Final passage to the exterior? → Urethra.

SPERMATOGENESIS

  • During embryonic development, primordial germ cells migrate into the testes.
  • These cells become immature germ cells called spermatogonia.
  • Spermatogonia lie in 2–3 layers along the inner surface of the seminiferous tubules (Fig. 81.2A).
  • At puberty, spermatogonia begin repeated mitotic divisions.
  • They continuously:
    Proliferate → Differentiate through definite stages → Form sperm (Fig. 81.2B).

STEPS OF SPERMATOGENESIS

  • Spermatogenesis occurs in the seminiferous tubules during active sexual life.
  • It is stimulated by gonadotropic hormones from the anterior pituitary.
  • It begins at an average age of about 13 years.
  • It continues through most of life but decreases markedly in old age.
  • In the first stage, spermatogonia move between the Sertoli cells toward the central lumen of the seminiferous tubule.
  • Sertoli cells are large cells with extensive cytoplasm that surround and support the developing germ cells as they move toward the lumen.

KEY CONCEPT

Primordial germ cell → Spermatogonium → Mitotic proliferation + differentiation → Sperm

Site: Seminiferous tubules
Starts: Puberty (~13 years)
Stimulus: Anterior pituitary gonadotropic hormones
Direction of development: Outer part of tubule → Between Sertoli cells → Central lumen

Conceptual Examples

  • Before puberty: Spermatogonia are present, but active sperm production has not yet begun.
  • At puberty: Gonadotropic stimulation activates spermatogonia → sperm formation starts.
  • Think of Sertoli cells as supporting cells: developing germ cells remain surrounded by them while moving toward the tubular lumen.

Meiosis

  • Spermatogonia that cross into the Sertoli cell layer enlarge and develop into primary spermatocytes (Fig. 81.3).
  • Each primary spermatocyte undergoes meiosis and forms 2 secondary spermatocytes.
  • After a few days, the secondary spermatocytes divide again to form spermatids.
  • Spermatids are then modified into mature spermatozoa (sperm).
  • During meiosis, the chromosome number is reduced:
    • Spermatocyte = 46 chromosomes (23 pairs)
    • Spermatid = 23 chromosomes
  • Therefore, each sperm carries only half of the father’s genetic information needed by the future fetus.
  • At fertilization:
    • Half of the genetic material comes from the father’s sperm.
    • Half comes from the mother’s oocyte.
  • The complete process from spermatogonium → spermatozoon takes about 74 days.

Sex Chromosomes

  • Each spermatogonium contains 23 pairs of chromosomes.
  • One pair determines the sex of the offspring:
    • X chromosome → female chromosome.
    • Y chromosome → male chromosome.
  • During meiosis, X and Y chromosomes separate into different sperm:
    • Some sperm carry X chromosome.
    • Other sperm carry Y chromosome.
  • Therefore, the type of sperm that fertilizes the ovum determines the sex of the offspring.

KEY CONCEPT

Spermatogonium → Primary spermatocyte → 2 Secondary spermatocytes → Spermatids → Spermatozoa

46 chromosomes → Meiosis → 23 chromosomes in each sperm

X-bearing sperm → female offspring
Y-bearing sperm → male offspring

Total spermatogenesis time ≈ 74 days

Conceptual Examples

  • Sperm with X + Ovum with X → XX → Female
  • Sperm with Y + Ovum with X → XY → Male
  • So, the father’s sperm determines whether the offspring is XX or XY.

Formation of Sperm

  • Newly formed spermatids initially look like ordinary epithelial-like cells.
  • They soon differentiate and elongate to become mature spermatozoa (sperm).
  • Each sperm has 2 main parts: head and tail (Fig. 81.4).
  • The head contains:
    • A tightly condensed nucleus.
    • Only a thin layer of cytoplasm and cell membrane around it.
  • The anterior two-thirds of the head is covered by a thick cap called the acrosome.
    • It is formed mainly from the Golgi apparatus.
    • It contains enzymes similar to lysosomal enzymes.
  • Important acrosomal enzymes include:
    • Hyaluronidase → digests proteoglycan filaments of tissues.
    • Proteolytic enzymes → digest proteins.
    • These enzymes help the sperm enter and fertilize the ovum.
  • The sperm tail is called the flagellum and has 3 major components:
    • Axoneme → central skeleton made of 11 microtubules.
    • Thin cell membrane → surrounds the axoneme.
    • Mitochondria → surround the proximal part of the axoneme and form the body of the tail.
  • The back-and-forth movement of the flagellum gives the sperm its motility.
  • This movement occurs by rhythmic longitudinal sliding between the tubules of the axoneme.
  • Energy for movement is supplied as ATP, produced by the mitochondria in the body of the tail.
  • Normal sperm move through fluid at about 1–4 mm/min, helping them travel through the female genital tract toward the ovum.

KEY CONCEPT

Spermatid → Differentiation + elongation → Spermatozoon

Head: Nucleus + acrosome → helps in fertilization
Tail: Axoneme + mitochondria → produces movement
Mitochondria → ATP → Flagellar movement → Sperm motility

Conceptual Examples

  • Acrosome = penetration part → its enzymes help sperm enter the ovum.
  • Mitochondria = energy source → produce ATP for tail movement.
  • Flagellum = movement part → propels sperm toward the ovum.

Hormonal Factors That Stimulate Spermatogenesis

  • Several hormones are essential for normal sperm formation.
  1. Testosterone
    • Secreted by Leydig cells in the interstitial tissue of the testis (Fig. 81.2).
    • Essential for growth and division of testicular germ cells, the early step of sperm formation.
  2. Luteinizing hormone (LH)
    • Secreted by the anterior pituitary.
    • Stimulates Leydig cells → testosterone secretion.
  3. Follicle-stimulating hormone (FSH)
    • Also secreted by the anterior pituitary.
    • Stimulates Sertoli cells.
    • Without FSH stimulation, spermatids cannot convert into sperm.
    • This conversion is called spermiogenesis.
  4. Estrogens
    • Formed from testosterone by Sertoli cells when stimulated by FSH.
    • Probably also essential for spermiogenesis.
  5. Growth hormone (GH)
    • Maintains the basic metabolic functions of the testes.
    • Specifically promotes the early division of spermatogonia.
    • Severe GH deficiency can cause poor or absent spermatogenesis → infertility.

Maturation of Sperm in the Epididymis

  • After formation in the seminiferous tubules, sperm take several days to travel through the approximately 6-meter-long epididymis.
  • Fresh sperm from the seminiferous tubules and early epididymis are:
    • Nonmotile.
    • Unable to fertilize an ovum.
  • After about 18–24 hours in the epididymis, sperm develop the ability to become motile.
  • However, inhibitory proteins in epididymal fluid keep their final motility suppressed until after ejaculation.

Storage of Sperm in the Testes

  • The two adult testes can produce up to 120 million sperm/day.
  • Most sperm are stored in the epididymis, with a smaller amount stored in the vas deferens.
  • Sperm can remain stored and fertile for at least 1 month.
  • During storage, substances in duct secretions keep sperm in a strongly suppressed, inactive state.
  • With frequent sexual activity and ejaculation, sperm may remain stored for only a few days.
  • After ejaculation, sperm become motile and capable of fertilizing the ovum; this functional development is called maturation.
  • Sertoli cells + epididymal epithelium produce a nutrient fluid that is ejaculated with sperm.
  • This fluid contains:
    • Testosterone and estrogens.
    • Enzymes.
    • Special nutrients needed for sperm maturation.

KEY CONCEPT

LH → Leydig cells → Testosterone → Germ-cell growth and division

FSH → Sertoli cells → Spermiogenesis + Estrogen formation

GH → Early spermatogonial division

Seminiferous tubules → Immature, nonmotile sperm → Epididymis → Maturation potential → Ejaculation → Motile, fertilizing sperm

Conceptual Examples

  • Low LH → less Leydig-cell stimulation → less testosterone → impaired spermatogenesis.
  • Low FSH → poor Sertoli-cell stimulation → spermatids fail to become mature sperm.
  • Freshly formed sperm cannot immediately fertilize an ovum; they first need epididymal maturation.
  • Epididymis = main storage and maturation site for sperm.

Physiology of the Mature Sperm

  • Normal mature sperm are motile and fertile and move by their flagella at about 1–4 mm/min.
  • Sperm activity is greatest in a neutral or slightly alkaline medium, such as ejaculated semen.
  • A mildly acidic medium reduces sperm activity, while a strongly acidic medium can rapidly kill sperm.
  • Increasing temperature:
    • Increases sperm activity.
    • Also increases metabolism, so sperm survive for a shorter time.
  • Sperm can remain alive for many weeks while inactive in the male genital ducts.
  • After ejaculation into the female genital tract, sperm usually survive only about 1–2 days.

FUNCTION OF THE SEMINAL VESICLES

  • Each seminal vesicle is a coiled, sac-like secretory tube.
  • Its secretion contains:
    • Fructose
    • Citric acid
    • Other nutrients
    • Prostaglandins
    • Fibrinogen
  • During emission and ejaculation, seminal vesicle fluid enters the ejaculatory duct shortly after sperm from the vas deferens.
  • Seminal vesicle secretion forms a large part of semen.
  • Fructose and other nutrients provide energy and nourishment to ejaculated sperm until fertilization occurs.
  • Prostaglandins may help fertilization in two ways:
    1. Make cervical mucus more favorable for sperm movement.
    2. May produce reverse contractions of the uterus and fallopian tubes, helping move sperm toward the ovaries.
  • Because of this transport, a few sperm can reach the upper fallopian tubes within about 5 minutes.

KEY CONCEPT

Neutral/slightly alkaline medium → ↑ sperm activity
Acidic medium → ↓ sperm activity / sperm death

Higher temperature → ↑ activity + ↑ metabolism → shorter sperm life

Seminal vesicles → Fructose + nutrients + prostaglandins → nourish sperm and help sperm movement through the female tract

Conceptual Examples

  • Alkaline semen → provides a better environment for sperm movement.
  • Fructose → acts as an energy source for sperm.
  • Prostaglandins → help sperm move through the cervix, uterus, and fallopian tubes.
  • After ejaculation → sperm generally remain viable for only 1–2 days.

FUNCTION OF THE PROSTATE GLAND

  • The prostate gland secretes a thin, milky fluid containing:
    • Calcium
    • Citrate ions
    • Phosphate ions
    • Clotting enzyme
    • Profibrinolysin
  • During emission, the prostate capsule contracts at the same time as the vas deferens.
  • This pushes prostatic fluid into the reproductive tract and adds to the volume of semen.
  • Prostatic fluid is slightly alkaline, which is important for sperm function.
  • The fluid in the vas deferens is relatively acidic because of:
    • Citric acid
    • Metabolic end products of sperm
  • This acidity tends to reduce sperm fertility.
  • Female vaginal secretions are also acidic, with a pH of about 3.5–4.0.
  • Sperm become optimally motile when the surrounding pH rises to about 6.0–6.5.
  • Therefore, the slightly alkaline prostatic fluid helps neutralize acidity during ejaculation.
  • This improves sperm motility and fertility.

KEY CONCEPT

Prostate → Slightly alkaline fluid → Neutralizes acidic seminal/vaginal environment → Better sperm motility → Better fertility

Conceptual Examples

  • Acidic environment → sperm movement decreases.
  • Prostatic alkaline fluid → raises pH toward 6.0–6.5.
  • Better pH → sperm become more motile and more capable of fertilization.

SEMEN

  • Semen is the fluid ejaculated during the male sexual act and contains sperm + secretions from several glands.
  • Main components of semen:
    • Vas deferens fluid + sperm → ~10%
    • Seminal vesicle fluid → almost 60%
    • Prostatic fluid → ~30%
    • Small amount → mucous glands, especially the bulbourethral glands.
  • Therefore, the seminal vesicles contribute the largest portion of semen.
  • Seminal vesicle fluid is ejaculated last and helps wash sperm through the ejaculatory duct and urethra.
  • The average pH of semen is about 7.5.
  • The alkaline prostatic fluid more than neutralizes the mild acidity of the other seminal fluids.
  • Prostatic fluid gives semen its milky appearance.
  • Seminal vesicle + mucous gland secretions give semen its mucoid consistency.
  • After ejaculation:
    • A prostatic clotting enzyme acts on fibrinogen from seminal vesicle fluid.
    • This forms a weak fibrin coagulum (clot).
    • The clot helps keep semen in the deeper vagina near the cervix.
  • After about 15–30 minutes, the coagulum dissolves.
    • Prostatic profibrinolysin → fibrinolysin
    • Fibrinolysin breaks down the coagulum.
  • During the first few minutes, sperm are relatively immobile, possibly because the coagulum is viscous.
  • As the coagulum dissolves, sperm become highly motile.
  • Sperm can survive for many weeks inside the male genital ducts, but after ejaculation their maximum survival at body temperature is only about 24–48 hours.
  • At lower temperatures, semen can be stored for several weeks.
  • When frozen below −100°C, sperm can be preserved for years.

KEY CONCEPT

Semen composition:
Seminal vesicles ~60% + Prostate ~30% + Vas deferens/sperm ~10% + small mucous gland secretion

After ejaculation:
Semen coagulates → holds semen near cervix → 15–30 min → fibrinolysin dissolves clot → sperm become highly motile

Average semen pH ≈ 7.5
Ejaculated sperm survival at body temperature ≈ 24–48 hours

Conceptual Examples

  • Largest contributor to semen?Seminal vesicles (~60%)
  • Milky appearance?Prostatic fluid
  • Mucoid consistency?Seminal vesicle + mucous gland fluids
  • Why semen initially clots? → To help keep sperm-containing semen near the cervix.
  • Why sperm later move freely?Fibrinolysin dissolves the coagulum after 15–30 minutes.

“Capacitation” of Spermatozoa Is Required for Fertilization of the Ovum

  • Sperm are considered mature when they leave the epididymis, but their activity is still suppressed by inhibitory factors from the male genital ducts.
  • Therefore, freshly ejaculated sperm are not yet able to fertilize the ovum.
  • After entering the female genital tract, sperm undergo several activating changes called capacitation.
  • Capacitation normally takes about 1–10 hours.
  1. Removal of inhibitory factors
    • Fluids of the uterus and fallopian tubes wash away substances that were suppressing sperm activity.
  2. Loss of excess cholesterol
    • In the male genital ducts, sperm are exposed to cholesterol-rich vesicles.
    • Cholesterol is added to the membrane covering the acrosome, making it stronger and preventing enzyme release.
    • After ejaculation, sperm move away from these cholesterol-rich vesicles and gradually lose excess cholesterol.
    • Therefore, the acrosomal membrane becomes weaker and easier to open.
  3. Increased calcium entry
    • The sperm membrane becomes more permeable to Ca²⁺.
    • Increased Ca²⁺ changes flagellar movement from a weak undulating movement → powerful whiplash movement.
    • Ca²⁺ also changes the membrane over the acrosome so that acrosomal enzymes can be released rapidly.
    • These enzymes help sperm pass through the granulosa cell mass and especially the zona pellucida surrounding the ovum.
  • Without capacitation, sperm cannot penetrate into the ovum and fertilization cannot occur.

KEY CONCEPT

Ejaculated sperm → Female genital tract → Capacitation (1–10 h) → Fertilization ability

Capacitation =
Remove inhibitory factors + Lose excess cholesterol + ↑ Ca²⁺ entry

↑ Ca²⁺ → Powerful flagellar movement + Easier acrosomal enzyme release → Ovum penetration

Conceptual Examples

  • Before capacitation: sperm is mature but not ready to fertilize.
  • Loss of cholesterol: makes the acrosomal membrane easier to break/open.
  • More Ca²⁺: gives the sperm a strong whiplash movement.
  • Acrosomal enzyme release: helps sperm penetrate the coverings of the ovum.

Bibliography
Anawalt BD, Matsumoto AM. Aging and androgens: physi￾ology and clinical implications. Rev Endocr Metab Disord.
2022;23:1123–1137.
Argente J, Dunkel L, Kaiser UB, et al. Molecular basis of normal and
pathological puberty: from basic mechanisms to clinical implica￾tions. Lancet Diabetes Endocrinol. 2023;11:203–216.

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