Human Reproduction (Reproductive Physiology)

Human Reproduction NEET Notes | Reproductive Physiology PYQs

Male Reproductive System

Location: Pelvis region. Testis situated outside abdominal cavity within pouch called scrotum
Crucial detail: Scrotum helps maintain low temperature of testes (2-2.5°C lower than normal internal body temperature), essential for spermatogenesis 2011

Testis Structure

  • Oval shape; each testis has ~250 compartments called testicular lobules
  • Each lobule contains 1 to 3 highly coiled seminiferous tubules

Seminiferous Tubules

Lined on inside by two types of cells:

  • Male germ cells (Spermatogonia): Undergo meiotic divisions to form sperms
  • Sertoli cells: Provide nutrition to germ cells 2010. Regulated by pituitary hormone FSH 2006, 2024

Interstitial Spaces

Regions outside seminiferous tubules containing blood vessels and Leydig cells (Interstitial cells)

  • Key Function: Leydig cells synthesise and secrete testicular hormones called androgens (mainly testosterone) 1993, 1991, 2024

Accessory Ducts and Transport Pathway

NEET 2019, NEET-II 2016

Pathway: Seminiferous tubules → Rete testis → Vasa efferentia → Epididymis → Vas deferens → joins seminal vesicle duct to form Ejaculatory duct → Urethra → Urethral meatus

Exception/Crucial detail: The Urethra is the shared terminal duct of reproductive and urinary system in human male 2015, 2014

Blockage of vasa efferentia stops gamete transport from testis to epididymis 2011

Male Accessory Glands

Paired seminal vesicles, a prostate, and paired bulbourethral glands

  • Secretions constitute seminal plasma, rich in fructose, calcium, and certain enzymes 2010, 2009, 2020
  • Bulbourethral gland secretions help in penis lubrication

External Genitalia

The penis: Enlarged end is glans penis, covered by loose fold of skin called foreskin

Female Reproductive System

Ovaries

Primary female sex organs producing ovum and steroid ovarian hormones. Covered by thin epithelium enclosing ovarian stroma (peripheral cortex and inner medulla)

Accessory Ducts

Oviducts (Fallopian tubes), uterus, and vagina

Fallopian Tube Parts

  • Infundibulum: Funnel-shaped part closest to ovary 2010. Edges possess finger-like projections called fimbriae (collect ovum after ovulation)
  • Ampulla: Wider part of oviduct
  • Isthmus: Last part with narrow lumen; joins uterus

Uterus (Womb)

Inverted pear shape. Opens into vagina through narrow cervix

Key Term: Cavity of cervix is cervical canal, which along with vagina forms birth canal 2024

Wall Layers

  • Perimetrium: External thin membranous layer
  • Myometrium: Middle thick layer of smooth muscle. Exhibits strong contraction during baby delivery
  • Endometrium: Inner glandular layer. Undergoes cyclical changes during menstrual cycle

Female External Genitalia

  • Mons pubis: Cushion of fatty tissue covered by skin and pubic hair 2024 Re
  • Labia majora & Labia minora: Fleshy tissue folds surrounding vaginal opening
  • Clitoris: Tiny finger-like structure at upper junction of two labia minora above urethral opening
  • Hymen: Membrane partially covering vaginal opening
Crucial detail: Hymen is torn during first coitus but can also break due to sports/tampons. Its presence or absence is NOT a reliable indicator of virginity or sexual experience 2024

Mammary Glands

Contains glandular tissue divided into 15-20 mammary lobes containing clusters of cells called alveoli (secrete milk)

Milk Transport Pathway

2024 Re
Alveoli lumen → Mammary tubule → Mammary duct → Mammary ampulla → Lactiferous duct → Nipple

Gametogenesis

Spermatogenesis

Begins at puberty due to significant increase in GnRH secretion

Cell Stage Process / Action Ploidy & Chromosome No.
Spermatogonia Multiply by mitosis on inside wall of tubules Diploid (46) 2015
Primary Spermatocytes Undergo 1st meiotic division (reductional) Diploid (46)
Secondary Spermatocytes Undergo 2nd meiotic division (1 makes 2 sperms) 1990 Haploid (23)
Spermatids Transformed into spermatozoa Haploid (23)
Spermatozoa (Sperms) Heads embed in Sertoli cells, then released Haploid (23)

Spermiogenesis vs Spermiation

NEET 2018, 2022

  • Spermiogenesis: Transformation of spermatids into spermatozoa (sperms)
  • Spermiation: Release of mature sperms from Sertoli cells into seminiferous tubule cavity

Structure of a Sperm

  • Enveloped by plasma membrane
  • Head: Contains haploid nucleus. Anterior portion covered by acrosome, filled with enzymes that help in fertilisation of ovum 2010
  • Middle Piece: Possesses numerous mitochondria that produce energy for tail movement and sperm motility 1999

Oogenesis

Crucial detail: Initiated during embryonic development stage; no more oogonia are formed and added after birth 2022

Primary Oocyte

  • Oogonia enter prophase-I of meiosis and get temporarily arrested
  • Surrounded by granulosa cells to form Primary follicle
  • At puberty, only 60,000-80,000 primary follicles remain per ovary

Follicular Maturation

Primary → Secondary → Tertiary follicle

  • Tertiary follicle: Characterized by fluid-filled cavity called antrum 2023
  • Inside tertiary follicle, primary oocyte grows and completes 1st meiotic division, forming:
    • Large haploid Secondary oocyte (retaining nutrient-rich cytoplasm)
    • Tiny first polar body Karnataka NEET 2013

Graafian Follicle

Mature tertiary follicle. Secondary oocyte forms new membrane, zona pellucida 2015

Ovulation

Graafian follicle ruptures to release secondary oocyte from ovary 1989, NEET 2020

Exception/Crucial detail: Meiosis-II is NOT completed until fertilisation (when sperm enters) 2015, 1997

Menstrual Cycle

Cycle in female primates lasting about 28/29 days. First menstruation is menarche; cessation around 50 years of age is menopause

Menstrual Phase (Days 1-5)

Menstrual flow occurs due to breakdown of endometrial lining of uterus and blood vessels. Immediate cause is withdrawal/lack of Progesterone 2006, NEET 2013

Follicular (Proliferative) Phase

  • Primary follicles grow into Graafian follicles
  • Endometrium regenerates
  • LH and FSH increase, stimulating estrogen secretion

Ovulatory Phase (~Day 14)

Rapid secretion of LH leading to maximum level (LH surge) induces rupture of Graafian follicle and release of ovum 2011, NEET 2020, 2024 Re

Luteal (Secretory) Phase (~Days 15-28)

  • Ruptured Graafian follicle transforms into Corpus luteum 2012 Mains
  • Key Function: Corpus luteum acts as temporary endocrine gland 2017 and secretes large amounts of progesterone, essential for maintaining endometrium for implantation 1995, 2014, NEET 2018
Note: No new follicles develop during this phase Odisha NEET 2019

If fertilization does NOT occur, corpus luteum degenerates, endometrium disintegrates, initiating new cycle

Fertilisation and Implantation

Capacitation

Final maturation of sperm, occurring in female reproductive tract NEET 2017, 2015

Fertilisation Site

Takes place in ampullary region of fallopian tube NEET-I 2016. Can only occur if ovum and sperms are transported simultaneously

Mechanism

  • Sperm comes in contact with zona pellucida layer and induces changes in membrane that block entry of additional sperms (prevents polyspermy)
  • Acrosome secretions help sperm enter ovum cytoplasm 2011

Completion of Meiosis II

Sperm entry induces secondary oocyte to complete 2nd meiotic division, resulting in second polar body and haploid ovum (ootid)

Crucial timeline: Extrusion of 2nd polar body occurs after entry of sperm but before fertilisation completes 1993, NEET 2019, 2020

Sex Determination

Occurs at zygote formation. Depends entirely on whether X-bearing or Y-bearing sperm fertilises ovum Karnataka NEET 2013

Cleavage & Implantation

  • Mitotic divisions (cleavage) as zygote moves through isthmus forming 2, 4, 8, 16 blastomeres
  • Morula: Embryo with 8-16 blastomeres
  • Blastocyst: Blastomeres arranged into outer trophoblast and inner cell mass
  • Trophoblast attaches to endometrium, uterine cells cover it. This embedding is called implantation 2010 Mains
Disorder: Ectopic pregnancy occurs when embryo implants at site other than uterus 2015

Pregnancy and Embryonic Development

Placenta

Formed by interdigitation of chorionic villi (from trophoblast) and uterine tissue

  • Functions: Supplies oxygen/nutrients to embryo and removes carbon dioxide/excretory waste NEET 2013. Connected via umbilical cord
  • Endocrine role: Placenta produces hCG, hPL, estrogens, progestogens NEET 2018, 2014, 2012
Crucial detail: hCG, hPL, and relaxin (secreted by ovary in later phases) are produced in women ONLY during pregnancy

Germ Layers

Inner cell mass differentiates into:

  • Ectoderm (outer)
  • Mesoderm (middle)
  • Endoderm (inner)

Inner cell mass contains stem cells with potency to form all tissues

Milestones of Foetal Development

  • 1st Month: Foetus heart is formed
  • 2nd Month: Foetus develops limbs and digits
  • 12 Weeks (1st Trimester end): Most major organ systems (limbs, external genital organs) are well-developed 2020
  • 5th Month: First movements of foetus and appearance of hair on head 2010
  • 24 Weeks (2nd Trimester end): Body covered with fine hair, eye-lids separate, eyelashes formed

Parturition and Lactation

Parturition (Childbirth)

Induced by complex neuroendocrine mechanism

Foetal Ejection Reflex

  • Signals originate from fully developed foetus and placenta, inducing mild uterine contractions 2009, 2010, 2012
  • This reflex triggers release of oxytocin from maternal pituitary 2015, Karnataka NEET 2013
  • Oxytocin acts on uterine muscle causing stronger contractions, expelling baby

Lactation

Mammary glands produce milk towards end of pregnancy

Colostrum

Milk produced during initial few days of lactation

High-yield fact: Colostrum contains several antibodies absolutely essential to develop resistance and provide immunity for newborn baby 2021, 2024
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