Page 226 - Physiology and Pathophysiology MNU 2024-2025 نظرى
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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)
                                    Male Reproductive Physiology


            •  The male gonads, testis, secrets androgenic hormones, mainly Testosterone.

               Through Hypothalamic–Pituitary–Testicular Axis

                                                            Testis

            ♠  The testis contains.
            a)  Leydig cells that produce testosterone.

            b)  Blood vessels
            c)  Seminiferous tubules ➔ produce sperm and house Sertoli cells.
         ►  The testicular endocrine functions reside in Leydig cells and Sertoli cells ➔which

             work to synthesize testosterone and, to a lesser extent, estradiol.


                 Leydig cells                                       Sertoli cells
          secretes testosterone in          ✓  (In response to FSH) convert a small fraction of
          response to LH.                      testosterone into estradiol.

          Testosterone diffuses to          ✓  secrete androgen binding protein (ABP) along with
          Sertoli cells                        testosterone into the seminiferous tubular lumen


                                                     Spermatogenesis:

                                    Definition                                      regulated by
             ✓  The development of spermatogonia into 1ry                ✓  testosterone, and
                spermatocytes; 2ry spermatocytes;                            testosterone level is

                spermatids; and, finally, into spermatozoa.                  maintained by ABP.



































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