CHAPTER 18
Reproduction in Humans
• Ultrasound is a type of imaging. It uses high-frequency
  sound waves to look at organs and structures inside the
  body. Health care professionals use it to view the heart,
  blood vessels, kidneys, liver, and other organs. During
  pregnancy, doctors use ultrasound to view the fetus
         What you would learn
         in this section…
(18.1)   The Male Reproductive System
(18.2)   The Female Reproductive System
(18.3)   Puberty
(18.4)   Sexual Reproduction in Humans
(18.5)   Sexually Transmitted Infection
         (18.1) The Male Reproductive System
                 Male reproductive system
                       prostate gland
                       seminal vesicle
                         Cowper’s
                            gland
                        sperm duct
                           penis
                          urethra
                           testis
spermatic cord            scrotum
                         epididymis
            (18.1) The Male Reproductive System
                Male reproductive system
                               • Testis
                                 produces sperms and male sex
                                 hormones such as testosterone
                               • Epididymis
                                 stores inactive sperms from the
                                 testis before they are released
                                 into the sperm ducts
                               • Spermatic cord
                     testis
                                 supplies blood to the testis
spermatic         epididymis
  cord
(18.1) The Male Reproductive System
    Male reproductive system
                 • Scrotum (scrotal sac)
                   pouch-like sacs located outside
                   the body cavity to help maintain
         sperm     a lower temperature for the
          duct     development of sperms
                 • Sperm duct (vas deferens)
                   the pathway travelled by sperms
                   after they are released from the
                   testis
       scrotum
       (18.1) The Male Reproductive System
           Male reproductive system
                       • Seminal vesicle
                         stores sperms temporarily
                         before they are released
               seminal
               vesicle
                         through the urethra
                       • Seminal vesicle, prostate
                         gland, and Cowper’s gland
                         activate sperms by secreting a
prostate                 slippery fluid that contains
 gland     Cowper’s      nutrients and enzymes
             gland
                       • The mixture of this fluid and
                         sperms is called semen.
(18.1) The Male Reproductive System
      Male reproductive system
               • Urethra
                 a tube that extends from the
                 bladder, through the penis, to
                 outside the body
               • Both urine and semen exit the
                 body through the urethra, but
                 never at the same time.
               • The sphincter muscles at
                 the base of the urinary
                 bladder prevent urine from
                 exiting the body during
 urethra
                 ejaculation.
(18.1) The Male Reproductive System
    Male reproductive system
                 • Penis
                   erectile organ that becomes
                   erect and hard during sexual
                   intercourse in order to enter
                   and deposit semen into the
                   vagina
                 • An erection occurs when
                   the spongy tissue in the
         penis     penis is filled with blood.
   (18.1) The Male Reproductive System
                    Sperm
Sperms (spermatozoa) are produced throughout
the lifetime of a male human after he reaches
physical maturity.
                                 acrosome
      head                       cytoplasm
                                 nucleus
 middle piece
                                cell surface
                                membrane
      tail                       mitochondrion
       (18.1) The Male Reproductive System
                        Sperm
                          1) The head contains:
              acrosome
                             • a nucleus that carries
head          cytoplasm        one haploid set of
                               chromosomes,
              nucleus
                             • small amount of
                               cytoplasm, and
                             • an acrosome that
                               contains enzymes for
                               breaking down part of
                               the egg membrane for
                               sperm penetration.
         (18.1) The Male Reproductive System
                       Sperm
                             2) The middle piece:
                                 • contains numerous
middle                             mitochondria that
piece            mitochondria      provide energy for
                                   sperm to swim to the
                                   egg.
                            3) The tail (flagellum):
 tail
                                • beats to enable the
                                  sperm to swim
                                  towards the egg.
                  A sperm is motile = it can move on its own
         What you would learn
         in this section…
(18.1)   The Male Reproductive System
(18.2)   The Female Reproductive System
(18.3)   Puberty
(18.4)   Sexual Reproduction in Humans
(18.5)   Sexually Transmitted Infection
(18.2) The Female Reproductive System
    Female reproductive system
                oviduct
                ovary
                 uterus
              uterine lining
                   cervix
                  vagina
                   vulva
(18.2) The Female Reproductive System
    Female reproductive system
                     • Ovary
                        produces eggs and female sex
                        hormones such as oestrogen
                        and progesterone
                     • Oviduct (fallopian tube)
                        a narrow muscular tube with a
                oviduct funnel-like opening at the ovary
        ovary        • Mature eggs are released
                       from the ovary into the
                       oviduct to be fertilised.
(18.2) The Female Reproductive System
    Female reproductive system
                   • Uterus (womb)
                     the location where the
                     foetus develops; it has
                     elastic muscular walls that
                     enable contraction during
                     birth to expel the foetus
         uterus    • Uterine lining
                     (endometrium)
         uterine     the soft, smooth inner lining
          lining     of the uterus that is important
                     for embryo implantation
                                 Why do menstrual
                                  cramps occur?
• During a woman's menstrual cycle an excessive
  amount of the endometrial prostaglandin F is
  released.
• This hormone increases the contraction of the
  muscle of the uterus. If the uterus contracts too
  strongly, it can press against nearby blood
  vessels. The pressure on the blood vessels
  decreases blood flow therefore, the oxygen supply
  to the muscle tissue of the uterus is decreased.
• Pain results when part of the muscle briefly loses
  it's supply of oxygen and ischemia occurs.
• Menstrual pain from secondary dysmenorrhea is
  caused by a disease in the woman's reproductive
  organs.
The zygote is the first diploid cell
formed from the fusion of the
nucleus of a male and female
gamete.
The embryo is a ball of cells
formed from a zygote undergoing
mitosis. Organs begin to develop
at this stage.
The fetal stage begins about 8
weeks after fertilisation (right after
the embryonic stage). At the fetal
stage, all the major organs have
been formed.
(18.2) The Female Reproductive System
    Female reproductive system
                  • Cervix
                    the lower portion of the uterus;
                    Enlarges/dilates to allow
                    passage of fetus during birth.
                  • Vagina (birth canal)
                    the location where semen is
                    deposited during sexual
                    intercourse; spans the area
         cervix
                    from the cervix to the vulva.
         vagina
         vulva
        (18.2) The Female Reproductive System
                           Ovum
       Ova (eggs) are present in the ovaries of a female
       at birth.
       Eggs are released into the oviducts from the time
       a female reaches puberty until she reaches 45-55
       years of age.
A female baby is born with about
70 000 potential eggs. However,
                          An ovum
only about 500 of these eggs will
mature in the ovaries.
       (18.2) The Female Reproductive System
                           Ovum
  nucleus                   The ovum is made up of a:
               cytoplasm
                            • large nucleus containing
                              one haploid set of
                              chromosomes,
                            • large amount of
                              cytoplasm which may
                              contain a small amount of
                              yolk, and
                            • cell surface membrane
cell surface     outer
                              that is surrounded by an
membrane       membrane       outer membrane.
         What you would learn
         in this section…
(18.1)   The Male Reproductive System
(18.2)   The Female Reproductive System
(18.3)   Puberty
(18.4)   Sexual Reproduction in Humans
(18.5)   Sexually Transmitted Infection
                      (18.3) Puberty
                        Puberty
Puberty refers to the stage of human growth and
development in which a person’s body becomes
capable of reproduction.
During this period:
• Sex organs mature
• Sex organs secrete sex hormones:
   • Testosterone (male)
   • Oestrogen and progesterone (female)
• Sex hormones cause secondary sexual
  characteristics to develop.
                        (18.3) Puberty
                            Puberty
Secondary sexual characteristics:
          In males                       In females
• Hair starts to grow in the   • Hair starts to grow in the
  pubic region, at the           pubic region and at the
  armpits and on the face.       armpits.
• The penis and testicles      • Breast and uterus enlarge
  increase in size
                               • Hips broaden
• Larynx enlarges and
                               • Menstruation and ovulation
  voice deepens
                                 begin
• Production of sperm
  begins
                     (18.3) Puberty
                The menstrual cycle
 The cycle of events that takes place in the female
 reproductive organs every month
• Menstruation: Breakdown of the uterine lining, which
  is discharged out of the body, together with blood and the
  unfertilized ovum, via the vagina.
• In a female adult, the average length of a menstrual cycle
  is 28 days.
• There is a natural variation in the length of the menstrual
  cycle; ranging from 21 to 33 days.
• The menstrual cycle can be affected by stress, illness,
  unbalanced diet, and/or malnutrition.
• At the age of 45-55, the eggs in a female’s ovaries will
  stop maturing and stop being released
The menstrual cycle stops.
• At this age, the ovaries will also stop producing the sex
  hormones, oestrogen and progesterone.
This phase in a female’s life is termed as menopause.
                                (18.3) Puberty
                  Changes in a follicle during the
                        menstrual cycle
                 potential egg cell   • The ovary contains
  layer of                              developing follicles.
follicle cells
                                      • Young follicles are called
                                        primary follicles.
             primary follicle
                                      • Each primary follicle
                                        consists of a potential egg
                                        cell surrounded by a layer
                                        of smaller cells known as
    ovary
                                        follicle cells.
                         (18.3) Puberty      A Graafian follicle is
                                             also known as a
                                             mature follicle.
            Changes in a follicle during the
                  menstrual cycle
                                  • A primary follicle may develop
fluid-filled space                  into a Graafian follicle that
                  haploid egg cell contains a mature egg
                                    surrounded by follicle cells
                                    and a fluid-filled space.
            Graafian follicle   • The egg is now ready to be
                                  released into the oviduct.
                                • Generally, one egg is released
                                  every month. The ovaries
  ovary                           take turns to release an egg.
                  (18.3) Puberty
        Changes in a follicle during the
              menstrual cycle
              ovulation
                           • Ovulation occurs when
                             the Graafian follicle
                             ruptures and releases
                             the egg into the oviduct
                             funnel.
                           • Ovulation typically
                             occurs on the 14th day
                             from the start of
Definition of ovulation:
                             menstruation.
Release of a mature ovum
from the ovary.
                   (18.3) Puberty
        Changes in a follicle during the
              menstrual cycle
                         • After ovulation, the ruptured
                           Graafian follicle develops
                           into a corpus luteum.
                         • The corpus luteum
corpus luteum
 breaks down               produces hormones that
                           prepare the body for
                           pregnancy.
                corpus   • If fertilisation does not
                luteum     occur, the corpus
                           luteum will eventually
                           break down.
                         (18.3) Puberty
                  Stages in the menstrual cycle
                          ovulation (day 14)
                                               progesterone
  oestrogen                                    concentration
concentration                                     highest
   highest
                                                      corpus
 follicle stage                                   luteum stage
  (day 6–13)                                       (day 15-28)
   menstrual flow
  stage (day 1–5)
                   (18.3) Puberty
           Stages in the menstrual cycle
Menstrual flow stage (Day 1–5)
                          • The first day of menstruation
                            is the first day of the
                            menstrual cycle.
                          • The uterine lining breaks
                            down and flows out of the
                            body through the vagina.
                          • The anterior pituitary gland
                            secretes follicle-stimulating
                            hormone (FSH) into the
                            bloodstream.
                                     FSH and LH not in syllabus
                     (18.3) Puberty
            Stages in the menstrual cycle
Follicle stage (Day 6–13)
                            • FSH stimulates:
                               • follicle development in the
                                 ovaries, and
                               • oestrogen secretions by
                                 the follicles.
                            • Oestrogen causes the repair
                              and growth of the uterine
                              lining.
                            Uterine lining becomes thick
                             and spongy and full of blood
                             capillaries
                      (18.3) Puberty
               Stages in the menstrual cycle
  Follicle stage (Day 6–13)
High concentration            • A high concentration of
of oestrogen                    oestrogen in the blood:
                                 1) inhibits FSH production,
                                    which prevents the
                                    maturation and growth of
                                    more follicles, and
                                2) stimulates the pituitary
                                   gland to secrete
                                   luteinising hormone (LH).
                     (18.3) Puberty
         Stages in the menstrual cycle
Ovulation (Day 14)
                            • LH causes ovulation
                              and the formation of the
                              corpus luteum.
                            • The corpus luteum
                              secretes progesterone
                              and some oestrogen.
                                   Recall: corpus luteum is
                                   formed from the ruptured
                                   Graafian follicle
                           (18.3) Puberty
                   Stages in the menstrual cycle
 Corpus luteum stage (Day 15–28)
                                          • Progesterone prepares
                         High               the uterine lining for the
                         concentration of   fertilised egg by:
                         progesterone        – Further thickens the
                                                uterine lining and
                                                maintains it by
                                             – supplying it with blood
                                                capillaries.
                                         • Progesterone inhibits:
                                             • ovulation, and
Video: Ovulation                             • FSH production.
                               (18.3)
Ovulation occurs after the concentration Puberty
                                          of oestrogen in the blood peaks. (High
levels of oestrogen result in LH secretion, and LH causes ovulation.)
Progesterone secretion rises with the formation of the corpus luteum (after the
rupture of the Graafian follicle, i.e. after ovulation). Progesterone secretion
                   Stages in the menstrual cycle
results in the further thickening and maintenance of the uterine lining.
   Follicle
   development
                         progesterone
   Hormone
                       oestrogen
   concentration
    Uterine
    lining
    thickness
    Day            0                    14                         28
                           If fertilisation occurs, the corpus luteum is
                          (18.3)       Puberty
                           prevented from breaking down although the high
                           progesterone level results in lower LH level
               If fertilisation does not occur
                           Egg breaks down
      High concentration of progesterone inhibits LH production.
     Lowered LH levels result in the corpus luteum breaking down.
                   Progesterone is no longer secreted.
                      Uterine lining breaks down
   Uterine lining is discharged together with blood through the vagina
               (This marks the beginning of menstruation.)
FSH is produced by the pituitary gland and the menstrual cycle repeats.
The hormone that the implanted embryo secretes, which helps maintain the
                               (18.3) Puberty
corpus luteum, is human chorionic gonadotropin (hCG). hCG signals the corpus
luteum to continue its secretion of progesterone, thereby enabling the
maintenance of the uterine lining.
                         If fertilisation occurs
        Fertilization results in the formation of a zygote, which
          undergoes mitosis and develops into an embryo.
 The embryo will move down the fallopian tube to the uterus, by peristalsis
 and the action of cilia. It will embeds itself in the uterine lining, in a process
 called implantation.
             The embryo secretes a hormone that prevents
                the corpus luteum from breaking down.
        The corpus luteum continues to secrete oestrogen and
         progesterone until the placenta forms and is able to
             take over the production of both hormones.
                      (18.3) Puberty
        Fertile and infertile periods of the
                  menstrual cycle
• Ovulation occurs on day 14.
• The egg can be fertilised up to 48 hours after its release
  from the ovary.
• Sperms can live for up to three days in the female
  reproductive system.
• Therefore, if sexual intercourse takes place between
  days 11 to 16, there is a higher chance of fertilisation.
  This period is known as the fertile period.
• The rest of the days make up the infertile period of the
  menstrual cycle.
         What you would learn
         in this section…
(18.1)   The Male Reproductive System
(18.2)   The Female Reproductive System
(18.3)   Puberty
(18.4)   Sexual Reproduction in Humans
(18.5)   Sexually Transmitted Infection
        (18.4) Sexual Reproduction in Humans
            Sexual intercourse (copulation)
           Sexual arousal                oviduct
  Penis becomes erect as blood is
pumped into the spongy erectile tissue             fertilisation
                                                     egg
Semen containing millions of sperms
   is ejaculated into the vagina.                        ovary
Sperms swim up the oviduct to meet the
                egg.                               **Fertilization happens
                                                   in the oviduct.
     (18.4) Sexual Reproduction in Humans
                    Fertilisation
Fertilisation occurs when the a nucleus of a sperm (n) fuses
with the nucleus of an ovum (n) to form a zygote (2n).
          (18.4) Sexual Reproduction in Humans
                          Fertilisation
follicle cell
                              • For fertilisation to happen, the
                egg nucleus     sperm has to penetrate the egg.
                              • When the sperm makes contact
                                with the egg, the sperm’s
                                acrosome releases an enzyme
                                that:
                                 • disperses the follicle cells,
                                   and
 sperm                           • breaks down part of the egg
                 enzymes           membranes to allow the
                released by        sperm to enter.
                   sperm
     (18.4) Sexual Reproduction in Humans
                    Fertilisation
follicle cells
 dispersed
                         • Only one sperm nucleus
                           enters the egg
                         • The haploid sperm nucleus
                           fuses with the haploid egg
                           nucleus, to form a zygote
                           (a fertilised egg).
            only one sperm
            enters the egg
 (18.4) Sexual Reproduction in Humans
                  Fertilisation
diploid nucleus      • As soon as a sperm enters
                       the egg, the membrane of
                       the egg changes such that
                       no other sperms can enter.
                     • The sperms that were
                       unable to fertilise the egg
                       eventually die.
    zygote
      (18.4) Sexual Reproduction in Humans
             Development of the embryo
1) Implantation                         embryo
                           oviduct
• The cilia lining the
  oviduct sweep the
  fertilised egg towards             zygote
  the uterus.
                                     fertilisation
• As the zygote travels
  along the oviduct, it                      egg
  undergoes mitosis to
  form an embryo.
• It typically takes the embryo      ovary
  five days to reach the uterus.
                            Approximately
       (18.4) Sexual Reproduction         how many
                                  in Humans
                               days after fertilisation does
                               implantation occur?
             Development of the embryo
1) Implantation
• The embryo may float
  freely in the uterus for
  two days before it gets
  implanted into the
  uterine lining.                                        embryo
                                                        implanted
• Implantation refers to the
  event where the embryo
  becomes embedded in the
  uterine lining.
                                 Video: Human Fertilization
       (18.4) Sexual Reproduction in Humans
             Development of the embryo
2) Development of the placenta          placenta
• After implantation,
   finger-like projections    embryonic uterine      blood
   called villi grow from the   villi     lining   capillaries
   embryo into the uterine
   lining. They contain the
   blood capillaries of the
   embryo
 • The embryonic villi and the   umbilical
    uterine lining make up the    cord
    placenta.
• The umbilical cord attaches
   the embryo to the placenta.
Majority of
monozygotic twins
(60–70%) share the
same placenta but
have separate
amniotic sacs.
Fraternal twins each
have their own
placenta and own
amniotic sac.
       (18.4) Sexual Reproduction in Humans
             Development of the embryo
3) Development of the amniotic sac
• The amniotic sac is the
  membrane that encloses
  the embryo in a fluid-filled
  space called the amniotic
  cavity.                                         fetus
• The fluid in this cavity is amniotic cavity             amniotic
  called the amniotic fluid. containing                     sac
                                 amniotic fluid
• The embryo continues to develop, and once all major
  organs are formed, it is known as a fetus.
                    The fetal blood system
                                                fetal blood capillaries
                                placenta   umbilical               umbilical
                                            artery                   vein
Note:
The colour of the umbilical artery in the diagram is blue because it
carries deoxygenated blood.
The colour of the umbilical vein is red because it carries
oxygenated blood.
      (18.4) Sexual Reproduction in Humans
                  The fetal blood system
fetal blood capillaries
       metabolic waste          • Fetal blood capillaries are
       products                   not connected to the maternal
                                  blood capillaries.
                    oxygen
                    and food   • The fetal blood capillaries are
                    substances   surrounded by the maternal
                                  blood spaces.
                     maternal
                                • Diffusion of dissolved
                      blood
                                  substances can occur across
                     spaces
                                  the maternal blood spaces.
    (18.4) Sexual Reproduction in Humans
              The fetal blood system
The fetal blood system is separated from the maternal
blood system because:
• the mother’s blood pressure would be too high
  for the fetus, and
• the fetus’s and mother’s blood type may be
  different.
   If both blood systems were allowed to mix, the
   maternal antibodies would cause the fetus’s
   blood to agglutinate. This could be fatal to both
   the mother and fetus.
       (18.4) Sexual Reproduction in Humans
Allows oxygen and dissolved
                                         Allows excretory
food substances (glucose, aa
                                         products (urea and CO2)
and mineral salts) to diffuse
                                         to diffuse from the fetus’s
from the mother’s blood into the
                                         blood into the mother’s
fetus’s blood
                                         blood
               Functions of
               the placenta
               Video: Structures
               and Functions of the
               Placenta
Produces progesterone                 Allows antibodies to diffuse
to maintain the uterine               from the mother’s blood into
lining                                the fetus’s blood to protect
                                      the fetus against diseases
      (18.4) Sexual Reproduction in Humans
The umbilical cord is made up of two
umbilical arteries and one umbilical
vein.
      Functions of        umbilical
      the umbilical        cord
          cord
  Umbilical vein        Umbilical arteries
transports oxygenated      transport deoxygenated
blood and food             blood and metabolic
substances from the        waste products from
placenta to the fetus      the fetus to the placenta
         (18.4) Sexual Reproduction in Humans
 • The amniotic sac encloses           amniotic
   the fetus in the amniotic cavity.     sac
                                        amniotic
 • It contains amniotic fluid.           fluid
Allows the fetus                                  Supports and
to move freely          Functions of the
                                                  cushions the
during growth            amniotic fluid
                                                  fetus
       Lubricates the              Protects the fetus against
       vagina during               physical injury by
       birth                       absorbing shock
         What you would learn
         in this section…
(18.1)   The Male Reproductive System
(18.2)   The Female Reproductive System
(18.3)   Puberty
(18.4)   Sexual Reproduction in Humans
(18.5)   Sexually Transmitted Infection
        (18.5) Sexually Transmitted Diseases
           Sexually transmitted diseases
• A sexually transmitted infection (STI) is a
  disease that is spread through sexual intercourse.
• STIs are caused by bacteria or viruses.
• STIs can be transmitted from an infected person to
  an uninfected person via:
                               What are some possible situations
   1) semen,                   in which blood could be transferred
   2) fluid in the vagina, and from one person to another?
   3) blood.                    Answer: blood transfusion, sharing
                                of things that could result in blood
                                being transferred: syringe needles,
                                acupuncture needles, razors, etc.)
      (18.5) Sexually Transmitted Diseases
 Acquired Immune Deficiency Syndrome
               (AIDS)
• AIDS is a STI.
• It is caused by the Human Immunodeficiency Virus
  (HIV).
• HIV destroys the body’s immune system.
• A person infected with AIDS is not able to produce
  sufficient antibodies to protect his or herself from
  other infections.
• Infections that are normally mild may become fatal for
  a person with AIDS.
                              Video: Understanding HIV and AIDS. Stop video at 3:09 min
     (18.5) Sexually Transmitted Diseases
                Severe diarrhoea that
                lasts for months
 Chronic        Symptoms of             Pneumonia
 fever             AIDS
Widespread        Brain                 Kaposi’s
tuberculosis      infection             sarcoma =
                                        cancer of the
                                        blood vessels
    (18.5) Sexually Transmitted Diseases
Unprotected sexual            Passed from mother
intercourse with              to fetus during
an infected person            pregnancy
                 Modes of
               transmission
                  of AIDS
 Blood                 Sharing of
 transfusion with      hypodermic
 blood from an         needles with an
 infected person       infected person
         (18.5) Sexually Transmitted Diseases
                     Do not have sex.
  Keep to one                             Use a condom
  sex partner.                            when having
                   How to prevent         sexual
                                          intercourse.
                    HIV infection
Make sure that                            Do not abuse
the needles        Do not share           drugs as drug
used in            instruments that can   addicts tend to
acupuncture,       break skin and get     share needles.
ear-piercing       contaminated with
and/or tattooing   blood (e.g. razors,
are sterilised.    toothbrushes).