- 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 pathway → urethra 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.
- 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.
- Luteinizing hormone (LH)
- Secreted by the anterior pituitary.
- Stimulates Leydig cells → testosterone secretion.
- 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.
- Estrogens
- Formed from testosterone by Sertoli cells when stimulated by FSH.
- Probably also essential for spermiogenesis.
- 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:
- Make cervical mucus more favorable for sperm movement.
- 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.
- Removal of inhibitory factors
- Fluids of the uterus and fallopian tubes wash away substances that were suppressing sperm activity.
- 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.
- 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: physiology 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 implications. Lancet Diabetes Endocrinol. 2023;11:203–216.