Chapter 2: Reproduction in Lower and Higher Animals

On a summer night in 1978, in a hospital in England, a baby girl named Louise Brown was born. To everyone in the room she looked like any other healthy newborn. Yet news of her birth travelled across the world, because Louise had begun her life in a way no human ever had before. She was not conceived inside her mother’s body. Her mother’s fallopian tubes were blocked, so the egg and the sperm could never meet the natural way, and the couple had been unable to have a child for years.

Two scientists, the physiologist Robert Edwards and the gynaecologist Patrick Steptoe, tried something bold. They took an egg from the mother, brought it together with the father’s sperm in a glass dish in the laboratory, and allowed fertilization to happen outside the body. The tiny early embryo that formed was then gently placed back into the mother’s uterus, where it settled, grew, and nine months later became Louise. The newspapers called her the world’s first “test-tube baby.” Decades later, Robert Edwards received the Nobel Prize for this work.

Louise’s story sits at the very heart of this chapter. To understand how she could be born, you first need to understand how living things normally make new life — from a simple bud on a Hydra to the remarkable journey of a human sperm, egg, embryo and birth.

Diagram

Fig. 2.0 – Split illustration: on one side a laboratory dish with an egg being fertilized by sperm and an early embryo; on the other side a healthy newborn, linked by an arrow to show the IVF journey.

NoteCuriosity Corner

Q1. If the mother’s fallopian tubes were blocked, why did that alone stop a baby from forming — what important event normally happens inside the fallopian tube? Q2. A human male releases about 200 to 400 million sperms at one time, yet only one fertilizes the egg. What happens to all the others, and why does only a single sperm succeed? Q3. How does one fertilized cell, no bigger than a dot, grow into a fully formed baby in about nine months? Q4. Why can a woman naturally bear children only between roughly her early teens and her late forties, while a man stays fertile for most of his adult life? Q5. How do birth control methods such as the pill or a copper-T actually prevent a pregnancy from happening?

As you work through this chapter, you will find the answer to each of these questions.

2.1 Asexual Reproduction in Animals

Every living organism has a fixed lifespan. Individuals grow old and die, yet the species they belong to continues generation after generation. The process that makes this continuity possible is reproduction. Even though a single Hydra or a single human lives for only a limited time, reproduction allows the whole kind to survive across long stretches of time.

NoteDefinition

Reproduction is the biological process by which new living organisms (offspring) are formed from pre-existing organisms of the same kind.

Reproduction is therefore counted among the major life processes of any organism. In this chapter you will study how animals reproduce, the structure of the human reproductive system, the making of gametes (gametogenesis), fertilization, the early development of the embryo, birth (parturition), and finally reproductive health.

Reproduction in animals takes place mainly by two methods — asexual reproduction and sexual reproduction. We begin with the simpler of the two.

What Makes Reproduction “Asexual”

Asexual reproduction is a common method among lower animals. It has three defining features: it does not involve meiosis, it does not involve the formation and fusion of gametes, and the offspring are produced by a single parent alone.

To understand why these points matter, recall two terms. A gamete is a specialised sex cell (such as a sperm or an egg). Meiosis is the special type of cell division that halves the chromosome number to produce these gametes. In asexual reproduction both of these steps are skipped — new individuals arise from ordinary body-cell divisions of one parent.

Because there is no mixing of genetic material from two parents, the offspring are genetically identical to the single parent. Such genetically identical offspring are called clones.

NoteDefinition

Asexual reproduction is the formation of offspring from a single parent, without meiosis and without the formation and fusion of gametes, giving progeny that are genetically identical to the parent (clones).

Q. If asexual reproduction produces exact copies of the parent, why is that both an advantage and a disadvantage?

A. It is an advantage because a single parent can multiply quickly in a favourable, stable environment with no need to find a mate. It is a disadvantage because the clones carry no new genetic variation, so if the environment changes, the whole population may be equally vulnerable.

The lower animals reproduce asexually mainly by two methods — gemmule formation and budding. A related process, fragmentation, is also seen in some of them.

Gemmule Formation

A gemmule is an internal bud formed only in sponges. It is an asexually produced mass, or aggregation, of dormant cells called archaeocytes, which are capable of developing into a whole new organism.

These archaeocytes get coated by a thick, resistant protective layer secreted by cells called amoebocytes. This tough covering allows the gemmule to survive conditions that would kill the adult sponge. The gemmule is formed specifically to overcome unfavourable conditions, such as extreme cold or drying up of water.

When favourable conditions of water and temperature return, the gemmules hatch and each develops into a new individual. A common example is the freshwater sponge Spongilla. The structure of a gemmule is shown in Fig. 2.1.

Diagram

Fig. 2.1 – Section of a gemmule; label micropyle, monaxon spicules, inner membrane, archaeocytes (inner cell mass), and outer membrane.

The way a gemmule tides over bad conditions and then revives is a clear sequence, summarised in FC 2.1.

Flowchart

FC 2.1 – Gemmule survival cycle: unfavourable conditions arise → sponge forms gemmule (dormant archaeocytes) → archaeocytes coated by resistant layer from amoebocytes → gemmule stays dormant through harsh period → favourable water and temperature return → gemmule hatches → archaeocytes develop → new sponge.

Freshwater sponges such as Spongilla live in ponds and lakes that may freeze over or dry out in harsh seasons. By packing dormant archaeocytes into tough gemmules, the sponge survives the bad season as a resistant “seed-like” body and springs back to life when the water returns — a natural strategy very much like how a plant survives winter as a dormant seed.

Budding

Budding is a simple method of asexual reproduction that normally occurs in favourable conditions, when food and resources are plentiful. It is seen in a variety of animals such as coelenterates (for example Hydra and corals) and in some colonial ascidians (sea squirts).

In Hydra, a small outgrowth called a bud is produced towards the basal (lower) end of the body. This bud grows, develops its own tentacles, and gradually transforms into a small but complete new individual. This whole process is called budding. Finally, the young Hydra gets detached from the parent and becomes an independent new organism. The stages are shown in Fig. 2.2.

Diagram

Fig. 2.2 – Budding in Hydra; show the sequence bud → developing bud → fully mature bud → young Hydra separating from the parent.

The developmental sequence of budding can be followed step by step in FC 2.2.

Flowchart

FC 2.2 – Budding in Hydra: parent body wall → small outgrowth (bud) near basal end → bud grows → tentacles develop → fully mature bud (complete young Hydra) → young Hydra detaches → independent new organism.

Gemmule Formation vs Budding | Feature | Gemmule formation | Budding | |—|—|—| | Found in | Sponges only | Coelenterates (Hydra, corals), some colonial ascidians | | Conditions favouring it | Unfavourable (harsh) conditions | Favourable conditions | | Nature of the reproductive body | Internal bud of dormant archaeocytes with a resistant coat | External outgrowth (bud) from the body wall | | Main role | Surviving bad conditions and reviving later | Rapid multiplication when resources are plentiful | | Example | Spongilla | Hydra |

Reef-building corals reproduce partly by budding. When new buds stay attached instead of separating, they build up over time into large coral colonies — the living framework of coral reefs that shelter a huge variety of marine life.

Fragmentation and Regeneration

Some lower animals can also reproduce by fragmentation, in which the body breaks into pieces and each piece grows into a complete new individual. This is well seen in the flatworm Planaria. In Planaria, the anterior end can exert a pull on the posterior end, causing a constriction in the middle and splitting the body into two pieces. Each piece then grows into a new Planaria, so two clones of the original are formed.

Fragmentation is closely tied to the animal’s power of regeneration, but the two ideas must not be confused.

Regeneration, in biology, refers to the process — found in organisms ranging from unicellular bacteria up to complex forms such as humans — by which an organism repairs, regrows or restores a lost or damaged body part. A damaged Hydra, for instance, can regenerate its lost part, and if Planaria is wounded, its cells become active and rebuild the lost part or organ back to its original state. Regeneration involves asexual (mitotic-type) cell activity, yet it differs distinctly from reproduction.

Regeneration vs Reproduction Regeneration only repairs or replaces a lost part of an existing individual — no new organism is created. Reproduction (as in fragmentation) produces a whole new, separate individual. The dividing line is simple: if you end up with one repaired animal, it is regeneration; if you end up with two or more independent animals, it is reproduction.

Recall the common methods of reproduction in unicellular organisms such as Euglena, Amoeba and Paramoecium, and identify which type of asexual reproduction you have just read about occurs in Hydra.

2.2 Sexual Reproduction in Animals

What Makes Reproduction “Sexual”

Sexual reproduction is the process that produces offspring through the formation and fusion of gametes. Because it brings together (mixes) genetic material from two parents, it is also called amphimixis.

In animals, the formation of gametes primarily involves meiosis — the special reduction division that halves the chromosome number. This is a key point: the gametes are haploid (they carry a single set of chromosomes), so that when a male gamete and a female gamete fuse, the normal double set is restored in the offspring.

NoteDefinition

Sexual reproduction is the production of offspring by the formation and fusion of gametes (amphimixis), the gametes normally being formed by meiosis.

Two Phases of Life

A sexually reproducing animal passes through two main phases during its lifetime. The earlier phase is the juvenile phase, which mainly represents the period of physical growth starting from birth. During this phase the animal cannot reproduce sexually.

The later phase is the reproductive maturity phase, usually reached after physical growth is almost complete. It involves the growth and activity of the sex organs, and only in this phase can the animal reproduce sexually. The duration of both phases varies widely in different animals.

Events After Sexual Maturity

Once an animal attains sexual maturity, reproduction unfolds through a set of events that can be grouped into three stages, summarised in FC 2.1.

Flowchart

FC 2.1 – Events of sexual reproduction: pre-fertilization (gametogenesis → gamete transfer) → fertilization (fusion of male and female gametes) → post-fertilization events (zygote formation → embryogenesis).

Pre-fertilization covers the making of gametes (gametogenesis) and the transfer of gametes so they can meet. Fertilization is the actual fusion of the male and female gametes. Post-fertilization events include the formation of the zygote (the single diploid cell produced when the gametes fuse) and embryogenesis (its development into an embryo).

Breeding Patterns

Sexually reproducing animals differ in when they breed. Some, such as the goat, sheep and donkey, are seasonal breeders, reproducing only in particular seasons of the year. Others, such as humans and apes, are continuous breeders, able to breed throughout the year.

Seasonal Breeders vs Continuous Breeders | Feature | Seasonal breeders | Continuous breeders | |—|—|—| | When they breed | Only in certain seasons | Throughout the year | | Examples | Goat, sheep, donkey | Humans, apes |

Human Reproduction: An Overview

Humans are sexually reproducing animals. The whole process runs through a set of sequential steps: gametogenesis, insemination (the release of semen into the female tract), internal fertilization (fusion of the male and female gametes inside the female body), zygote formation and embryogenesis, gestation (pregnancy) and finally parturition (birth). The details of each step form the rest of this chapter.

Primary and Secondary Sex Organs

The gametes — sperms in the male and eggs (ova) in the female — are produced by the primary sex organs: the testis in the male and the ovary in the female. All other reproductive organs, apart from the testis and ovary, are called secondary sex organs.

Males and females can also be told apart externally by certain features called secondary sexual characters, so they are described as sexual dimorphic characters. In males these include a beard, moustache, hair on the chest, a muscular body and an enlarged larynx (the Adam’s apple). In females they include developed breasts, a broader pelvis and a high-pitched voice.

Primary vs Secondary Sex Organs | Feature | Primary sex organs | Secondary sex organs | |—|—|—| | Main job | Produce gametes (and sex hormones) | Support gamete transfer, fertilization, pregnancy | | Examples in male | Testis | Accessory ducts, glands, penis | | Examples in female | Ovary | Oviducts, uterus, vagina, etc. |

Here we meet the word hormone for the first time — a chemical messenger secreted into the blood by an endocrine gland to control the activity of distant organs. The sex organs are important producers of such hormones.

Male Reproductive System

The male reproductive system consists of the primary male organ (the gonad) called the testes, together with the accessory ducts and glands that form the internal and external genitalia.

The Testes

A pair of testes, mesodermal in origin, are formed in the lower abdominal cavity. They lie in a pouch called the scrotum. During early foetal life the testes develop inside the abdominal cavity and only later descend into the scrotal sac through a passage called the inguinal canal. Each testis is oval, 4 to 5 cm long, 2 to 3 cm wide and 3 cm thick. The internal arrangement of a testis is shown in the longitudinal section, Fig. 2.3.

Diagram

Fig. 2.3 – L.S. of testis; label spermatic cord, blood vessels and nerves, head/body/tail of epididymis, vas deferens, vasa efferentia, rete testis, tunica vaginalis, tunica albuginea, lobules, septum, and seminiferous tubule.

A few pointers about the testis: the peritoneal covering around it is a clue to its abdominal origin; it is suspended in the scrotum by the spermatic cord; the hormone testosterone stimulates the descent of the testis along a fibro-muscular band called the gubernaculum; and in some males a loop of the intestine may pass through the inguinal canal into the scrotum, causing a condition called inguinal hernia.

Histology of the Testis

Under the microscope, the testis is seen to be covered externally by a collagenous connective tissue layer called the tunica albuginea. Outside this lies an incomplete peritoneal covering, the tunica vaginalis, and inside it a thin, membranous, vascular layer called the tunica vasculosa.

Fibres from the tunica albuginea divide each testis into about 200–300 testicular lobules. Each lobule contains 1–4 highly coiled seminiferous tubules. Each seminiferous tubule is lined internally by cuboidal germinal epithelial cells (the spermatogonia) and a few large pyramidal cells called Sertoli cells (also called sustentacular cells). A transverse section is shown in Fig. 2.4.

Diagram

Fig. 2.4 – T.S. of testis; label tunica albuginea, seminiferous tubule, germinal epithelium, Sertoli cell, sperm bundle, connective tissue, basement membrane, and interstitial (Leydig) cells.

The germinal epithelial cells undergo gametogenesis to form the spermatozoa (sperms). The Sertoli cells provide nutrition to the developing sperms. The various stages of sperm formation can be seen within the seminiferous tubules: the innermost spermatogonial cell (2n), then the primary spermatocyte (2n), the secondary spermatocyte (n), the spermatids (n) and finally the sperms (n).

Lying in between the seminiferous tubules are the interstitial cells or Leydig cells. These secrete the male hormone androgen, also called testosterone.

Seminiferous tubule and Sertoli cells (Sperm-forming germinal epithelium lines the tubule, while large Sertoli cells sit among the developing sperms → the Sertoli cells supply nourishment and anchor the immature sperms → so the tubule works as a “nursery” where sperms can be produced continuously and fed until they mature.)

the testis Zoom out: the testis is one organ of the male reproductive system. Zoom in: it is packed with lobules → each lobule holds coiled seminiferous tubules → each tubule is lined by germinal epithelial cells → these cells divide to make sperm cells.

Accessory Ducts

The accessory ducts carry the sperms out of the testis. In order, they are the rete testis, vasa efferentia, epididymis, vas deferens, ejaculatory duct and urethra.

All the seminiferous tubules join at the posterior surface of the testis to form a network of tubules called the rete testis. From the rete testis, 12–20 fine tubules called the vasa efferentia arise. These carry the sperms and open into the epididymis.

The epididymis is a long, highly coiled tube divided into an upper caput, a middle corpus and a lower cauda region. Importantly, the sperms undergo maturation in the epididymis. Posteriorly, the epididymis leads into the vas deferens, which travels up to the abdominal cavity and loops over the ureter to open into the urethra.

Just before opening into the urethra, the vas deferens joins the duct of the seminal vesicle to form the ejaculatory duct. The ejaculatory duct passes through the prostate gland and opens into the urethra. The urethra provides a common passage for both urine and semen, and is therefore also called the urinogenital duct. In males it is long and extends through the penis, opening to the outside at the urethral meatus (urethral orifice). All the accessory ducts except the urethra are present in pairs.

Vasa efferentia vs Vas deferens Vasa efferentia are the 12–20 fine tubules that carry sperms from the rete testis into the epididymis. The vas deferens is the single (paired) larger duct that carries sperms onward from the epididymis towards the urethra. Same job (transporting sperm), different position in the line.

Because the sperm’s route from where it is made to where it leaves the body is a fixed sequence, it is easy to trace, as shown in FC 2.2.

Flowchart

FC 2.2 – Path of sperm: seminiferous tubule → rete testis → vasa efferentia → epididymis → vas deferens → ejaculatory duct → urethra → out through the penis.

a sperm leaving the male body 1. A sperm is made in the germinal epithelium of a seminiferous tubule. 2. It passes into the network of the rete testis. 3. It travels through the vasa efferentia into the epididymis, where it matures. 4. It moves into the vas deferens, up over the ureter. 5. The vas deferens joins the seminal vesicle duct to form the ejaculatory duct, which passes through the prostate. 6. Finally it enters the urethra and is carried out through the penis.

order of sperm ducts Read the chain as “Seminiferous → Rete → Vasa efferentia → Epididymis → Vas deferens → Ejaculatory duct → Urethra.” A short cue: “Some Rats Very Easily Visit Every Underground-tunnel.”

Accessory Glands

The male accessory glands add fluids to the sperms to make semen. They are as follows.

The seminal vesicles are a pair of glands lying on the posterior side of the urinary bladder. They secrete an alkaline seminal fluid containing fructose, fibrinogen and prostaglandins, and contribute about 60% of the total volume of semen. The fructose provides energy for sperm movement, the fibrinogen coagulates the semen into a bolus for quick propulsion in the vagina, and the prostaglandins stimulate reverse peristalsis in the vagina and uterus, helping the sperms move faster towards the egg.

The prostate gland is a large, single gland made up of 20–30 lobes, located underneath the urinary bladder. It surrounds the urethra and releases a milky-white, slightly acidic prostatic fluid into it, forming about 30% of the volume of semen. It contains citric acid, acid phosphatase and various other enzymes; the acid phosphatase protects the sperms from the acidic environment of the vagina.

The Cowper’s glands (bulbourethral glands) are a small, pea-sized, paired pair of glands situated on either side of the urethra. They secrete an alkaline, viscous, mucous-like fluid that acts as a lubricant during copulation.

Prostate cancer is cancer of the prostate gland. Men who are over 50 years of age and have a daily high consumption of fat have an increased risk of developing it.

Find out the common symptoms of prostate cancer, and note down what role prostaglandins play in reproduction.

Semen

Semen is the viscous, alkaline, milky fluid (pH 7.2 to 7.7) ejaculated by the male reproductive system. Normally, 2.5 to 4.0 ml of semen is given out during a single ejaculation, and it contains about 400 million sperms.

Semen carries the secretions of the epididymis and the accessory glands, which serve three purposes: nourishing the sperms (fructose), neutralizing acidity (calcium ions, \(Ca^{++}\), and bicarbonates), and activating the sperms for movement (prostaglandins).

The Penis (External Genitalia)

The male external genitalia include the penis and the scrotum. The penis is the male copulatory organ. It is cylindrical and muscular, containing three bundles of erectile tissue — a pair of postero-lateral bundles called the corpora cavernosa and a single median bundle called the corpus spongiosum. The swollen tip of the penis is called the glans penis, which is covered by a loose fold of skin called the foreskin or prepuce.

The Scrotum

The scrotum is a loose pouch of pigmented skin lying behind the penis. It is divided into a right and a left scrotal sac by a septum of the tunica dartos, made of smooth muscle fibres.

During development, the foetal testes are guided into and retained in the scrotum by a short fibro-muscular band called the gubernaculum, and are kept suspended by the spermatic cord. If a testis fails to descend into the scrotum, the condition is called cryptorchidism, which also results in sterility.

The scrotum is not just a container — it is a temperature-control device. The cremaster and dartos muscles of the scrotum help draw the testes closer to or further from the body. In this way they keep the temperature of the testes 2–3 °C lower than normal body temperature, which is necessary for spermatogenesis.

the scrotum outside the body (The scrotum holds the testes in a pouch outside the main body cavity, with muscles that adjust their distance from the body → this keeps the testes 2–3 °C cooler than the core → sperm production, which fails at body temperature, can proceed normally.)

In cryptorchidism, a testis remains stuck in the warmer abdomen instead of descending into the cooler scrotum. Because sperm formation needs the lower temperature, an undescended testis often cannot produce healthy sperms, which is why the condition is linked to infertility and is corrected early in childhood when detected.

Female Reproductive System

The female reproductive system consists of the following parts: a pair of ovaries, a pair of oviducts, the uterus, the vagina, the external genitalia (vulva), a pair of vestibular glands and a pair of mammary glands.

The Ovary

The ovary is the primary female sex organ. Its main functions are the production of the egg (ovum) and of the female reproductive hormones. It is a solid, oval or almond-shaped organ, about 3.0 cm in length, 1.5 cm in breadth and 1.0 cm thick, located in the upper lateral part of the pelvis near the kidneys.

Each ovary is held in place by ligaments that attach it to the uterus and the abdominal wall. The largest of these is the broad ligament, a fold of peritoneum that holds the ovary, oviduct and uterus to the dorsal body wall; the ovarian ligament attaches the ovary specifically to the uterus. The ovary produces five hormones: estrogen, progesterone, relaxin, activin and inhibin.

Structure and Development of the Ovary

Each ovary is a compact structure with a central part called the medulla and an outer part called the cortex, and the cortex is covered externally by a layer of germinal epithelium. The stroma (loose connective tissue) of the medulla contains blood vessels, lymph vessels and nerve fibres, while the outer cortex is more compact and granular. The internal structure is shown in Fig. 2.5.

Diagram

Fig. 2.5 – T.S. of ovary; label germinal epithelium, cortex, medulla, blood vessels, primordial follicle, primary follicle, secondary follicle, tertiary follicle, mature (Graafian) follicle, oocyte, ovulated ovum, corpus luteum and corpus albicans.

The cortex shows large numbers of tiny masses of cells called ovarian follicles. These are formed collectively from the immature ova, which originate from cells of the dorsal endoderm of the yolk sac. These cells migrate to the gonadal ridge during embryonic development and divide mitotically; they are now called oogonia. As the oogonia grow in size they become surrounded by a layer of granulosa cells and form the rudiments of the ovarian follicles.

Notice how early all this begins: the process of oogenesis (egg formation) starts much before the birth of the female baby, and by the end of about twelve weeks the ovary is fully formed, already containing more than two million primordial follicles.

The cells of the germinal epithelium give rise to groups of oogonia that project into the cortex as cords called the egg tubes of Pfluger. Each cord ends in a round mass of oogonial cells called an egg nest, from which the primordial ovarian follicles develop. Each primordial follicle has, at its centre, a large primary oocyte (2n) surrounded by a single layer of flat follicular cells.

The primary oocyte begins its meiotic division but gets arrested at meiosis I. Of the two million primordial follicles present in the foetal ovary, only about one million remain at birth, and only about 60,000–80,000 remain by the time of puberty. This large-scale destruction of primordial follicles during growth is called atresia.

The development of the primordial follicles into mature (Graafian) follicles restarts only with the onset of puberty. During each menstrual cycle, only one of the primordial follicles starts growing to form the Graafian follicle, and in each cycle the two ovaries take turns — one ovary alternately produces the Graafian follicle.

The first menstrual cycle, called menarche, normally begins at about 13 years, and menopause (the stopping of the cycles) happens at 45 to 55 years. The period between menarche and menopause is the reproductive age of the female, roughly 32 years. During this time a female will produce a maximum of about 416 eggs (\(32 \times 13 = 416\) eggs).

how the egg supply changes with age The follicle numbers tell a clear story: more than 2 million primordial follicles are present in the foetal ovary → only about 1 million remain at birth → only about 60,000–80,000 remain at puberty → and only about 416 are actually released across the whole reproductive life. So a female is born with her entire lifetime stock of eggs already set, and this stock only falls with age — it is never refilled.

Ovarian Histology of a Mature Female

In a mature ovary, the cortex shows the different stages through which an oocyte develops. These changes are cyclic, occurring during each menstrual cycle, and involve the maturation of primordial follicles into primary, secondary and finally Graafian follicles.

Each primary follicle has multilayered cuboidal follicular cells. The stroma cells then add a covering called the theca over the follicle, and it becomes a secondary follicle. In the secondary follicle the oocyte grows, the granulosa cells increase in number, and they begin producing the hormone estrogen.

The secondary follicle grows into the Graafian follicle by the addition of more follicular cells. As the follicles mature, they move towards the surface of the ovary. The Graafian follicle presses against the thin wall of the ovary, giving it a blistered appearance. The egg is then released from the Graafian follicle during ovulation, and the remaining part of the follicle changes into a temporary endocrine gland called the corpus luteum.

If fertilization does not take place, the corpus luteum degenerates into a white scar called the corpus albicans.

Corpus luteum vs Corpus albicans The corpus luteum is the yellow, temporary, hormone-secreting body formed from the leftover Graafian follicle right after ovulation. The corpus albicans is the white, non-functional scar it degenerates into when fertilization does not occur. In short: corpus luteum = active and yellow; corpus albicans = inactive and white.

In a single transverse section of an ovary, can all the stages of follicles be seen at the same time? Think about why the ovary contains many follicles at different stages together.

Structure of the Graafian Follicle

The Graafian follicle is a mature ovarian follicle. Its structure, from inside outwards, is shown in Fig. 2.6.

Diagram

Fig. 2.6 – Graafian follicle; label theca externa, theca interna, antrum, membrana granulosa (granulosa cells), corona radiata, and the oocyte.

At its centre lies an eccentrically placed secondary oocyte, surrounded by a non-cellular layer called the zona pellucida, which is secreted by the vitelline membrane of the oocyte. The outermost protective, fibrous covering is the theca externa, and inner to it is the cellular theca interna, which produces the hormone estrogen.

Inner to the theca interna, the follicular cells form the membrana granulosa. From this layer, the cells differentiate into the discus proligerus and the corona radiata cells. The term cumulus oophorus is used for the oocyte together with its surrounding granulosa cells. A fluid-filled cavity called the antrum lies between the oocyte and the membrana granulosa, filled with a fluid called liquor folliculi.

The Oviducts (Fallopian Tubes)

The oviducts, also called fallopian tubes or uterine tubes, are a pair of muscular ducts lying horizontally over the peritoneal cavity. The proximal part lies close to the ovary, and the distal end opens into the uterus. Each tube is 10 to 12 cm long and is lined internally by ciliated epithelium. Each can be divided into three regions.

The infundibulum is the proximal, funnel-like part, with an opening called the ostium. It is surrounded by many finger-like processes called fimbriae, of which at least one is long and connected to the ovary. The cilia and the movement of the fimbriae help drive the ovulated egg into the ostium.

The ampulla is the middle, long and straight part of the oviduct. Fertilization of the ovum takes place in this region. The isthmus (cornua) is the distal, narrow part of the duct that opens into the uterus.

Q1. If the mother’s fallopian tubes were blocked, why did that alone stop a baby from forming — what important event normally happens inside the fallopian tube?

A. Fertilization — the fusion of the sperm and the egg — normally takes place in the ampulla of the fallopian tube. If the tubes are blocked, the sperm and egg simply cannot meet there, so no zygote can form and pregnancy cannot begin naturally. This is exactly why Louise Brown’s parents needed the egg and sperm to be brought together outside the body.

The Uterus

The uterus, commonly called the womb, is a hollow, muscular, pear-shaped organ located above and behind the urinary bladder. It is about 7.5 cm long, 5 cm broad and 2.5 cm thick, and can be divided into three regions.

The fundus is the upper, dome-shaped part, where implantation of the embryo normally occurs. The body is the broad part that gradually tapers downwards. The cervix is the narrow neck, about 2.5 cm long, which extends into the vagina; its passage has two openings — an internal os towards the body and an external os towards the vagina.

The wall of the uterus has three layers. The outermost is the perimetrium. The middle, thick muscular layer is the myometrium, made of thick smooth muscle; the vigorous contractions of these muscles cause labour during parturition (childbirth). The innermost layer is the endometrium (mucosal membrane), made of stratified epithelium; its thickness changes regularly during the menstrual cycle, and it is richly supplied with blood vessels and uterine glands that nourish the developing foetus.

Most uterine cancers begin in the cells that form the lining (endometrium) of the uterus. Symptoms include abnormal bleeding between periods, vaginal bleeding after menopause, an abnormal watery or blood-tinged discharge, and pelvic pain. It is detected by a Pap smear test, biopsy or ultrasound, and treated by chemotherapy, radiation or surgical removal of the uterus (hysterectomy).

The Vagina

The vagina is a tubular, female copulatory organ, 7 to 9 cm long, lying between the cervix and the vestibule. Its wall has an inner mucosal lining, a middle muscular layer and an outer adventitia layer. The mucosal epithelium is stratified and non-keratinised and stores glycogen.

The vagina itself has no glands, but it receives the cervical secretion of mucus. Its opening into the vestibule is called the vaginal orifice, which is partially covered by a fold of mucous membrane called the hymen. The vagina acts as a passage for menstrual flow and also serves as the birth canal during parturition.

External Genitalia (Vulva)

The external genital organs of the female, lying outside the vagina, are collectively called the vulva (meaning covering or wrapping) or pudendum. They include the following parts.

The vestibule is a median vertical depression of the vulva that encloses the urethral and vaginal openings. The labia minora are a pair of thin folds lying inner to the labia majora; posteriorly they merge to form the fourchette, and towards the anterior end they converge into a hood-like covering around the clitoris.

The clitoris is a small, conical, sensitive projection at the anterior end of the labia minora. It contains a pair of erectile tissue, the corpora cavernosa, and is homologous to the penis. The labia majora are a pair of fleshy folds of skin forming the boundary of the vulva; they are homologous to the scrotum, and they surround and protect the other parts of the external genitalia, enclosing the urethral and vaginal openings in the vestibule. The mons pubis is a fleshy elevation above the labia majora; the mons pubis and the outer part of the labia majora bear pubic hair.

Vestibular (Bartholin’s) Glands

The accessory glands, also called vestibular glands or Bartholin’s glands, are a pair of glands homologous to the bulbourethral (Cowper’s) glands of the male. They open into the vestibule and release a lubricating fluid.

Mammary Glands

The mammary glands are accessory organs of the female reproductive system, meant for the production and release of milk after parturition. Development of the mammary gland occurs at puberty under the influence of estrogen and progesterone, while lactotropic hormone (LTH), also called prolactin, helps in the development of the lactiferous (milk-carrying) tubules during pregnancy. Their internal structure is shown in Fig. 2.7.

Diagram

Fig. 2.7 – Section view of the mammary gland; label pectoralis major muscle, intercostal muscles, ribs, lung, suspensory ligaments, gland lobules, fat, lactiferous duct, and lactiferous sinus.

The mammary glands are a pair of rounded structures present in the subcutaneous tissue of the anterior thorax, in the pectoral region (from the 2nd to the 6th rib). They are actually modified sweat glands. Each mammary gland contains fatty connective tissue and numerous lactiferous ducts.

The glandular tissue of each breast is divided into 15–20 irregularly shaped mammary lobes, each with alveolar glands and a lactiferous duct. The alveolar glands secrete milk, which is stored in the lumen of the alveoli. The alveoli open into mammary tubules, the tubules of each lobe join to form a mammary duct, and many mammary ducts join to form a wider mammary ampulla connected to the lactiferous duct. These converge towards the nipple, near the tip of the breast, which is surrounded by a dark-brown, circular area of skin called the areola.

Breast cancer: its first symptom is usually a painless lump in the breast or underarm. Other signs include swelling of all or part of the breast, skin irritation, breast or nipple pain, nipple retraction, and redness, scaliness or thickening of the nipple or breast skin, sometimes with discharge. It is detected by mammogram (X-ray), ultrasound, MRI, biopsy or blood test, and treated by radiation therapy, chemotherapy, lumpectomy or mammoplasty.

Weaning is the process by which a mother’s milk is gradually replaced with solid food after some time.

Puberty and Sexual Maturity in Males

Puberty is the age at which the reproductive system becomes functional — the sex organs begin to produce gametes and sex hormones. In males, the onset of puberty occurs at 12–15 years. Under the influence of testosterone, the secondary sexual characters appear, and thereafter the system remains functional throughout life.

Puberty and Sexual Maturity in Females

In females too, the reproductive system becomes functional at puberty. This is marked by the onset of the menstrual cycle, also called menarche, which usually occurs at 10–14 years of age.

Unlike males, however, mature females show cyclic changes in their reproductive system — the menstrual cycles. These continue only up to menopause, which normally happens at 45–50 years. The period from menarche to menopause is thus the reproductive age of the female. After menopause, a female is unable to bear children by natural means. Menarche, the menstrual cycles and menopause are all controlled by gonadotropic hormones.

Q4. Why can a woman naturally bear children only between roughly her early teens and her late forties, while a man stays fertile for most of his adult life?

A. A female is born with her entire, fixed stock of eggs already present in the ovary (only about 60,000–80,000 follicles remain by puberty), and this stock is never renewed — it steadily falls until the follicles are used up at menopause, after which no eggs are released. A male, by contrast, keeps making fresh sperms from his germinal epithelium continuously after puberty and so remains fertile for most of his life. The woman’s fertility is therefore bounded by menarche at one end and menopause at the other.

2.3 Menstrual Cycle (Ovarian Cycle)

The menstrual cycle is a characteristic feature of primates, including humans. It involves a series of cyclic changes in the ovary and in the female reproductive tract, mainly in the uterus. The changes in the ovary take place under the effect of gonadotropins, while the changes in the uterus respond to the ovarian hormones.

The word gonadotropin appears here for the first time — these are hormones (from the pituitary gland) that act on the gonads. The two main gonadotropins in this cycle are FSH (follicle stimulating hormone) and LH (luteinizing hormone).

The cycle repeats with a periodicity of approximately 28 days. Its middle is marked by the release of an egg, and this egg comes alternately from one of the two ovaries in successive cycles. The whole cycle is divided into four phases.

NoteDefinition

The menstrual cycle is the repeating (roughly 28-day) series of cyclic changes in the ovary and uterus of primate females, controlled by gonadotropins and ovarian hormones, in the middle of which an egg is released.

The way the hormone levels, the ovary and the uterine lining change together across the cycle is shown in Fig. 2.8.

Diagram

Fig. 2.8 – Hormones and the menstrual cycle; plot on a 0–28 day axis the gonadotropic hormones (FSH, and the LH surge near day 14), the ovarian cycle (follicle → ovulation → corpus luteum), the ovarian hormones (estrogen and progesterone), and the uterine cycle (menses → proliferative → secretory phases).

Menstrual Phase

The beginning of each cycle is taken as the first day, on which menses (loss of blood, 45–100 ml) takes place; it lasts for approximately five days (average 3–7 days).

During this phase the endometrium of the uterus breaks down. This happens under the effect of prostaglandins, which are released because the levels of progesterone and estrogen have fallen. As a result, blood, tissue fluid, mucus, the endometrial lining and the unfertilized oocyte are all discharged through the vagina. The endometrial lining becomes very thin, about 1 mm.

Q. Why does menstrual blood not clot like blood from an ordinary wound?

A. Because the menstrual discharge contains an enzyme called fibrinolysin, which breaks down the fibrin threads that would normally form a clot. This keeps the discharge fluid so it can flow out easily.

The menstrual phase occurs when an ovulated egg does not get fertilized and is therefore shed out along with the menstrual flow. For this reason it is sometimes called the “funeral of the unfertilized egg.”

Meanwhile, during these five days, many primordial follicles develop into primary follicles and a few into secondary follicles, under the effect of FSH.

Proliferative Phase (Follicular / Post-menstrual Phase)

This phase, also called the follicular phase or post-menstrual phase, is the duration between the end of menstruation and the release of the ovum (ovulation). Its length is more variable than that of the other phases, but it generally extends from the 5th to the 13th day of the cycle.

During this phase a few secondary follicles (6 to 12) begin to develop, but usually only one of them grows into a Graafian follicle (the mature follicle). The other secondary follicles degenerate, and this degeneration is called atresia. The developing secondary follicles secrete the hormone estrogen. The stimulation for the growth of new follicles is driven by GnRH (gonadotropin releasing hormone, from the hypothalamus), which stimulates the release of FSH.

At the same time, the endometrium begins to regenerate under the effect of the gradually increasing quantity of estrogen. This regeneration involves the formation of endothelial cells, endometrial (uterine) glands and a network of blood vessels. The thickness of the endometrium reaches 3–5 mm.

Ovulatory Phase

This is the shortest phase of the menstrual cycle. It involves the rupture of the mature Graafian follicle and the release of the ovum (the secondary oocyte) into the pelvic cavity, usually on the 14th day of the cycle.

The trigger is a rapid secretion of LH, brought about by a positive feedback mechanism (rising estrogen causes a sharp surge in LH), which makes the mature follicle rupture. This release of the egg is called ovulation. Ovulation may be accompanied by mild or severe pain in the lower abdomen.

Menstruation vs Ovulation Menstruation is the shedding of the uterine lining (blood loss) at the start of the cycle, around days 1–5. Ovulation is the release of the egg from the ovary, around day 14. They occur at opposite parts of the cycle — one marks its beginning, the other its middle.

Secretory Phase (Luteal Phase)

This phase, also called the luteal phase, lies between ovulation and the beginning of the next menses. It is the longest phase, lasting 14 days, from the 15th to the 28th day of the cycle.

After the release of the secondary oocyte, the remaining tissue of the Graafian follicle transforms into the corpus luteum under the effect of LH. The corpus luteum begins to secrete progesterone and estrogen. The ovulated egg may get fertilized within about 24 hours; but if fertilization does not occur, the corpus luteum survives for only about two weeks and then degenerates into a white scar, the corpus albicans.

The corpus luteum releases progesterone, a small amount of estrogen and inhibin. Under the influence of these hormones, the endometrial glands grow, become coiled and start uterine secretions. The endometrium becomes more vascularized and thickens up to 8–10 mm. Inhibin stops the secretion of FSH. All these changes prepare the uterus for fertilization and the subsequent implantation (the embedding of the embryo into the uterine lining).

If the ovulated egg does get fertilized and the embryo is implanted, the developing tissue secretes human chorionic gonadotropin (hCG). This hormone extends the life of the corpus luteum and stimulates its secretory activity, so the endometrium is maintained. In the absence of fertilization, the next menstrual cycle begins.

The presence of hCG in the mother’s blood and urine is an indicator of pregnancy. This is exactly what a home pregnancy test detects: the test strip reacts with hCG in the urine, so a positive result appears only when hCG is being produced — that is, when an embryo has implanted.

Comparing the Four Phases

Phases of the Menstrual Cycle | Feature | Menstrual phase | Proliferative (follicular) phase | Ovulatory phase | Secretory (luteal) phase | |—|—|—|—|—| | Days (of a 28-day cycle) | 1–5 (avg) | 5th–13th | ~14th | 15th–28th | | Ovary event | Follicles start to grow (FSH) | Graafian follicle matures | Graafian follicle ruptures, egg released | Corpus luteum forms | | Uterus (endometrium) | Breaks down, thins to ~1 mm | Regenerates, 3–5 mm | — | Thickens to 8–10 mm | | Dominant hormone(s) | Falling progesterone and estrogen | Rising estrogen (FSH, GnRH) | LH surge | Progesterone (and estrogen, inhibin) |

The whole cycle then repeats itself, which is why it is drawn as a loop in FC 2.1.

Flowchart

FC 2.1 – Menstrual cycle (cyclic): Day 1 menstrual phase (lining shed) → proliferative phase (follicle grows, lining regenerates) → day 14 ovulation (egg released, LH surge) → secretory/luteal phase (corpus luteum, lining thickens) → if no fertilization, corpus luteum degenerates → back to menstrual phase (Day 1).

reading the hormone graph in Fig. 2.8 Follow the curves together, day by day. FSH rises early and helps follicles grow. Estrogen climbs as the follicle matures, which triggers a sharp LH spike around day 14 — the peak that causes ovulation. After ovulation, progesterone rises steeply (from the corpus luteum) and dominates the second half. If no fertilization occurs, both progesterone and estrogen fall at the end, and this drop is what allows the lining to break down and the next cycle to begin. The key reading skill is to link each hormone peak to the event it causes: FSH → follicle growth; LH surge → ovulation; progesterone → thickened, secretory endometrium.

Hygiene during menstruation matters. Keep the area clean, change the sanitary napkin every 4–5 hours, and dispose of used napkins properly. Maintaining personal hygiene reduces the risk of infection, because using damp, dirty cloth or wearing a napkin for too long creates an ideal environment for harmful bacteria to grow.

Find out which primates, besides humans, show a menstrual cycle, and think about why menstruation is painful for some women.

2.4 Gametogenesis

Gametogenesis is the process of formation of gametes in sexually reproducing animals. The male gamete is the sperm and the female gamete is the ovum (egg). Both types of gamete are formed from the primordial germ cells of the gonads — the special reserve cells set aside to make gametes.

Gametogenesis takes two forms: the formation of sperms, called spermatogenesis, and the formation of ova, called oogenesis. We look at each in turn.

Spermatogenesis

Spermatogenesis is the process of formation of the male gamete (sperm or spermatozoon) from the germinal epithelium of the testis.

The process is switched on at puberty by hormones. At the onset of puberty, the hypothalamus begins secreting gonadotropin releasing hormone (GnRH). This triggers a significant increase in the secretion of follicle stimulating hormone (FSH), which induces spermatogenesis. Each seminiferous tubule is lined by a single layer of cuboidal epithelial cells called the germinal epithelium, and it is these cells that undergo spermatogenesis to produce sperms.

The process involves three phases — multiplication, growth and maturation — as summarised in Fig. 2.9 and FC 2.1.

Diagram

Fig. 2.9 – Spermatogenesis; show primordial cell (2n) → mitosis → spermatogonia (2n) [multiplication phase] → growth phase → primary spermatocytes (2n) → meiosis I → secondary spermatocytes (n) → meiosis II → spermatids (n) → spermiogenesis → spermatozoa (n) [maturation phase].

In the multiplication phase, the primordial germ cells (2n) of the seminiferous tubules undergo repeated mitotic divisions to produce a large number of spermatogonia (2n). Each spermatogonium is diploid, with 46 chromosomes.

In the growth phase, some of the spermatogonia stop dividing and grow in size, becoming primary spermatocytes (2n) due to the accumulation of food materials.

In the maturation phase, meiotic (reduction) division takes place. The primary spermatocyte undergoes the first meiotic division (meiosis I) to form two haploid secondary spermatocytes (n), each with 23 chromosomes. Each secondary spermatocyte then undergoes the second meiotic division (meiosis II) to produce four haploid spermatids.

Flowchart

FC 2.1 – Spermatogenesis: primordial germ cell (2n) → [mitosis] spermatogonia (2n) → [growth] primary spermatocyte (2n) → [meiosis I] two secondary spermatocytes (n) → [meiosis II] four spermatids (n) → [spermiogenesis] four spermatozoa (n).

The spermatid is non-motile and non-functional. It is transformed into a functional spermatozoon by a process called spermiogenesis. During this change, the spermatids remain held to one another and to the Sertoli cells by cytoplasmic bridges — the sperm heads stay attached to the Sertoli cells while their tails hang free in the lumen of the seminiferous tubule. During spermiogenesis, the length of the spermatid increases, the centrioles are rearranged as proximal and distal centrioles, the mitochondria become spirally coiled, and the acrosome is formed from the Golgi complex.

Spermatogenesis vs Spermiogenesis Spermatogenesis is the entire process of making sperms, from spermatogonia right through to spermatozoa. Spermiogenesis is only the last step within it — the transformation of a non-motile spermatid into a motile, functional spermatozoon. Every spermiogenesis is part of spermatogenesis, but not the other way round.

Structure of Sperm

The sperm is the male gamete — a motile, microscopic, elongated cell. It can be divided into three parts: head, middle piece and tail. Its structure is shown in Fig. 2.10.

Diagram

Fig. 2.10 – Structure of sperm; label head, neck, middle piece and tail, with acrosome, nucleus, proximal centriole, distal centriole, mitochondria, principal piece and end piece.

The head is oval and contains the haploid nucleus. Above the nucleus is a cap-like structure called the acrosome, formed from the Golgi body. The acrosome contains hydrolytic enzymes — hyaluronidase and proteolytic enzymes such as zona lysins and corona-penetrating enzymes.

the acrosome (The acrosome is a cap loaded with hydrolytic and proteolytic enzymes → these enzymes can dissolve the coverings around the egg → so the sperm head can bore through the corona radiata and zona pellucida to reach the egg.)

The neck is a very short region containing two centrioles — the proximal centriole and the distal centriole.

The middle piece has an axial filament surrounded by 10–14 spiral turns of mitochondria, together called the nebenkern. It produces the energy needed for the movement of the sperm.

the middle piece (Many mitochondria are coiled tightly in the middle piece → they generate a large supply of energy (ATP) → this powers the whiplash beating of the tail that drives the sperm forward.)

The tail is a long, slender, tapering part containing cytoplasm and a fine thread, the axial filament. This filament arises from the distal centriole and runs through the whole length of the tail. The tail is partly surrounded by plasma membrane (this covered region is the principal piece); the part without plasma membrane is called the end piece.

Oogenesis

Oogenesis is the process of formation of the haploid female gamete — the egg or ovum — from the diploid germinal epithelium of the ovary. It involves meiosis (along with mitosis in the earlier phase). Like spermatogenesis, oogenesis can be divided into three stages: multiplication phase, growth phase and maturation phase. The lineage is shown in Fig. 2.11 and FC 2.2.

Diagram

Fig. 2.11 – Oogenesis; show P.G.C. (2n) → [mitotic divisions, multiplication phase] oogonia (2n) → [growth phase] primary oocyte (2n) → [meiosis I] secondary oocyte (n) + first polar body (n) → [meiosis II] ovum (n) + second polar bodies (n) [maturation phase].

In the multiplication phase, the primary germinal cells (PGCs, 2n) of the ovary undergo repeated mitotic divisions to form millions of gamete mother cells or oogonial cells (2n). In humans, this phase is completed during the embryonic stage — that is, before the female is even born.

In the growth phase, some of the oogonia stop dividing and grow in size to form the primary oocytes (2n). Cellular organelles such as the endoplasmic reticulum, Golgi apparatus and mitochondria increase in number.

In the maturation phase, oogenesis (which takes place in the ovaries) is initiated before the birth of the female baby. The primary oocytes (2n) enter meiosis. The diploid primary oocyte undergoes meiosis I (the reduction division) to form two haploid daughter cells, each with 23 chromosomes. This division is peculiar in females: because the cytoplasm divides unequally, one daughter cell is large (the secondary oocyte, n) and the other is a tiny cell called the first polar body (n). Normally the first polar body does not enter meiosis II.

The secondary oocyte (n) then proceeds into meiosis II but only up to metaphase II, where its division is arrested. At this stage the secondary oocyte is shed from the Graafian follicle and the ovary (this is ovulation). The restart and completion of meiosis II happens only when a sperm enters, usually in the ampulla of the fallopian tube at the time of fertilization. Again the division is unequal — the large cell becomes the ovum (n) and the small cell the second polar body (n). This ovum (n) is the true female gamete, ready for fertilization.

In other words, the completion of meiosis II and the completion of fertilization go hand in hand. If the secondary oocyte does not receive a sperm, it is simply shed off along with the menstrual flow.

Secondary oocyte vs Ovum The “egg” released from the ovary at ovulation is not yet a fully formed ovum — it is a secondary oocyte, arrested at metaphase II. It only completes meiosis II and becomes a true ovum when a sperm enters it. So in humans, the mature ovum actually exists for a very short time, formed at the moment of fertilization.

A primary oocyte begins meiosis I before the female is born and can then stay paused for many years — even decades — until it is ovulated. Because the oocyte is held in this long arrest, the chances of errors during chromosome separation increase as a woman ages, which is one reason the risk of chromosomal disorders such as Down syndrome rises with greater maternal age.

Structure of the Secondary Oocyte

In humans, the unfertilized “egg” released at ovulation is really the secondary oocyte. It is non-cleidoic (without a shell) and microlecithal (yolk is present in very small quantity). It is approximately 0.1 mm (100 microns) in size, and is a rounded, non-motile, haploid female gamete.

The nucleus of the egg appears large and is called the germinal vesicle. A typical nucleus (pronucleus) is formed only at the time of fertilization. The cytoplasm of the egg is called ooplasm and is devoid of centrioles. The egg is surrounded by various coverings, shown in Fig. 2.12.

Diagram

Fig. 2.12 – Unfertilized egg / ovum; label vitelline membrane, perivitelline space, zona pellucida, corona radiata, germinal vesicle, and first polar body.

The egg’s own membrane is the vitelline membrane. It secretes a non-cellular, glycoproteinous membrane, the zona pellucida, on its outside. Adhering to the outer surface of the zona pellucida are several radially elongated cells forming the corona radiata; these are derived from the innermost layer of granulosa cells and are firmly held to the zona pellucida and to one another by hyaluronic acid (a mucopolysaccharide). Between the vitelline membrane and the zona pellucida lies a fluid-filled perivitelline space, in which the first polar body lies.

The egg also shows polarity. The side bearing the germinal vesicle and the first polar body is called the animal pole, while the opposite side is the vegetal pole.

Comparing Spermatogenesis and Oogenesis

Spermatogenesis vs Oogenesis | Feature | Spermatogenesis | Oogenesis | |—|—|—| | Site | Seminiferous tubules of the testis | Ovary | | When it starts | At puberty | Before birth (in the embryo) | | Final products per parent cell | Four functional sperms | One functional ovum + polar bodies (2–3) | | Cytoplasm division in meiosis | Equal | Unequal | | Extra transformation step | Yes — spermiogenesis (spermatid → sperm) | No such step | | Size of gamete | Very small, motile | Large, non-motile |

Using the two diagrams and the table above, prepare your own chart comparing spermatogenesis and oogenesis, showing clearly at which step the cells become haploid in each process.

2.5 Fertilization / Syngamy

Sexual reproduction begins with the formation of gametes; fertilization is the later process in which the gametes actually fuse. Fertilization is the fusion of the haploid male and female gametes to form a diploid zygote (2n).

In humans, as in other mammals, fertilization is internal and usually takes place in the ampulla of the fallopian (uterine) tube. The fertilized egg, or zygote, then develops into an embryo, and this development occurs within the uterus.

NoteDefinition

Fertilization (syngamy) is the fusion of a haploid male gamete and a haploid female gamete to form a diploid zygote (2n).

Mechanism of Fertilization

The semen released during ejaculation carries sperms along with various secretions. Right after ejaculation the semen is coagulated; it then undergoes liquefaction, and the sperms become active. The mechanism of fertilization can be followed in three steps — movement of the sperm towards the egg, entry of the sperm into the egg, and activation of the ovum — as summarised in FC 2.1.

Flowchart

FC 2.1 – Mechanism of fertilization: sperms deposited in vagina → capacitation (~5–6 hrs) → sperms swim to the ampulla → acrosome reaction (lysins dissolve corona radiata and zona pellucida) → sperm contacts vitelline membrane → cortical reaction (fertilization membrane forms, polyspermy blocked) → ovum completes meiosis II (releases second polar body) → male and female pronuclei fuse (syngamy / karyogamy) → diploid zygote (2n).

Movement of Sperm Towards the Egg

The sperms first undergo capacitation after reaching the vagina. At this stage as many as 50% of the sperms are demobilised, broken or destroyed. The remaining sperms undergo capacitation, a process that takes about 5–6 hours. During capacitation the acrosome membrane becomes thin, calcium ions (\(Ca^{++}\)) enter the sperm, and the tails begin to show rapid whiplash movements.

NoteDefinition

Capacitation is the set of final functional changes a sperm must undergo in the female reproductive tract before it becomes capable of fertilizing the egg.

As a result of capacitation, the sperms become extra active and begin moving upwards from the vagina to the uterus and on to the oviducts. The prostaglandins in the semen help activate the sperms, and the vestibular secretions of the female further enhance sperm motility. The sperms swim at an average speed of 1.5 to 3.0 mm/min.

The sperms reach the ampulla partly by their own swimming and partly through contractions of the uterus and fallopian tubes, which are stimulated by the female’s oxytocin (a hormone that causes muscular contractions). After capacitation, the sperms may reach the ampulla within 5 minutes. Sperms can remain viable for 24–48 hours, while the ovum survives for only about 24 hours.

Entry of Sperm into the Egg

Out of the 200 to 400 million sperms released, only a few hundred manage to reach the ampulla, and although many arrive there, only a single sperm actually fertilizes the ovum.

A sperm that reaches the egg comes to lie against it. Its acrosome releases lysins — hyaluronidase and corona-penetrating enzymes — which separate and dissolve the cells of the corona radiata, allowing the sperm head to pass through towards the zona pellucida. The zona pellucida carries fertilizin receptor proteins (ZP3, ZP2). The fertilizin of the egg binds to a specific acid protein, the antifertilizin, on the sperm. This binding attracts sperms to the egg and enhances fertilization. Because the fertilizin–antifertilizin interaction is species specific, this reaction is also called the compatibility reaction.

As the sperm head touches the zona pellucida in the animal pole region, its acrosome covering ruptures in what is called the acrosome reaction, releasing lytic enzymes — acrosin or zona lysin — which act on the zona pellucida at the point of contact. This causes an egg reaction: a small fertilization cone (cone of reception) forms on the egg membrane. The sperm head comes in contact with this cone, producing a weak wave of depolarisation. The plasma membranes of both cells then dissolve at the point of contact, and the sperm nucleus and centrioles enter the egg, while the other parts remain outside.

As soon as the sperm head touches the vitelline membrane, a cortical reaction is activated. This changes the vitelline membrane into a fertilization membrane and deactivates the sperm receptors of the zona pellucida. A distinct perivitelline space is created around the fertilization membrane. This blocks the entry of any further sperms, so polyspermy (fertilization by more than one sperm) is avoided.

Acrosome reaction vs Cortical reaction The acrosome reaction happens on the sperm side — the acrosome bursts and releases enzymes so the sperm can penetrate the egg’s coverings. The cortical reaction happens on the egg side — the vitelline membrane changes into a hardened fertilization membrane so that no other sperm can enter. One lets the first sperm in; the other keeps the rest out.

Q2. A human male releases about 200 to 400 million sperms at one time, yet only one fertilizes the egg. What happens to all the others, and why does only a single sperm succeed?

A. Most sperms never even reach the egg: about half are demobilised or destroyed soon after being deposited, and of the millions released, only a few hundred manage to swim all the way up to the ampulla. Even then, only one sperm can fertilize the ovum, because the moment the first sperm enters, the egg’s cortical reaction turns its covering into a hardened fertilization membrane. This block to polyspermy shuts out every other sperm, so a single successful sperm is all that gets through.

Activation of the Ovum

Before fertilization, the ovum was arrested at the metaphase II stage. When the sperm head contacts the vitelline membrane of the egg, the egg is activated to resume and complete meiosis II. In doing so it gives out the second polar body. The germinal vesicle now organises into the female pronucleus. Only at this stage is it the true ovum or egg.

Fusion of Egg and Sperm

The coverings of the male and female pronuclei degenerate, allowing their chromosomes to pair. This results in the formation of a synkaryon by the process called syngamy (or karyogamy), and the diploid zygote is thus formed. The whole event is shown in Fig. 2.13.

Diagram

Fig. 2.13 – Process of fertilization; show the sequence: sperm penetrates the secondary oocyte and it completes meiosis II (forming ovum + second polar body) → sperm and ovum nuclei swell into pronuclei → pronuclei approach and a mitotic spindle forms → chromosomes of both pronuclei intermix, completing fertilization → zygote.

The proximal centriole received from the sperm then helps to form the synkaryon spindle and the cleavage of the cell into two blastomeres (the first daughter cells of the zygote).

Significance of Fertilization

Fertilization is important for several reasons. The secondary oocyte completes oogenesis and is transformed into a mature ovum (n). The diploid chromosome number is restored in the zygote through syngamy. The ovum lacks the centrioles needed for further divisions, and these are supplied by the sperm during fertilization.

Fertilization also brings together gametes from two different parents, which results in variations that are significant for evolution. Finally, the sex of the offspring is determined at fertilization — this depends on whether the fertilizing sperm carries an X or a Y chromosome.

A few facts to remember: the secondary oocyte (egg) is ovulated after the LH surge, at about day 14 of the menstrual cycle; the egg, arrested at metaphase II, reaches the ampulla 12–24 hours after ovulation, guided by the cilia and fimbriae of the fallopian tube; during coitus, semen is deposited into the vagina — this is called insemination; and a human male during ejaculation gives out about 2–4 ml of semen with an average count of 200–400 million sperms.

Under Indian law (the Hindu Marriage Act), the minimum marriageable age is 21 years for a boy and 18 years for a girl at the time of marriage.

Think about these two questions: What would happen if the sperm fused with the egg before it reached the fallopian tube? And what is an ectopic pregnancy — can such a pregnancy continue up to full term?

2.6 Embryonic Development

The zygote formed as a result of syngamy does not stay a single cell for long — it is activated to divide. From this one cell, a whole sequence of stages leads to the embryo, as summarised in FC 2.1.

Flowchart

FC 2.1 – Early embryonic development: zygote → cleavage (2-cell → 4-cell → 8-cell) → morula (16–32 cells) → blastocyst (blastula, with trophoblast + inner cell mass) → implantation in endometrium → gastrula (three germ layers) → histogenesis → organogenesis.

Cleavage

Cleavage is the process of early mitotic division of the zygote into a hollow, multicellular blastula. It does not involve any growth of the daughter cells. The cells produced by cleavage are called blastomeres.

NoteDefinition

Cleavage is the series of rapid mitotic divisions of the zygote, without growth of the daughter cells, that converts the single zygote into a hollow, multicellular blastula.

Because there is no growth phase between successive cleavages, the size of the blastomeres keeps reducing with every division. As the cells become smaller, their metabolic rate increases, so each cleavage is faster than the one before. This rapid dividing requires quick replication of DNA and a high consumption of oxygen.

Process of Cleavage

In humans, cleavage is holoblastic, meaning the whole zygote divides completely. The cleavage planes may be longitudinal (meridional) or equatorial (horizontal). The pattern is radial and indeterminate — that is, the fate of each blastomere is not predetermined.

The first cleavage is meridional and occurs about 30 hours after fertilization, dividing the zygote longitudinally into two blastomeres, one slightly larger than the other. The second cleavage is also longitudinal but at right angles to the first, occurring about 30 hours after the first. The third cleavage is horizontal, and after it the embryo is at the 8-cell stage.

As these cleavages continue, the young embryo is gradually pushed towards the uterus. By the end of the 4th day after fertilization, the embryo is a solid ball of 16–32 cells that externally looks like a mulberry; this stage is called the morula. These stages are shown in Fig. 2.14.

Diagram

Fig. 2.14 – Process of cleavage and formation of blastula; show A. 2-cell stage (12–15 hours), B. 4-cell stage (24–30 hours), C. 8-cell stage, D. morula, E. early blastocyst, F. late blastocyst, labelling polar body, blastomere, inner cell mass, blastocyst cavity and trophoblast.

The morula shows two types of cells: smaller, clearer cells on the outer side, and an inner cell mass of larger cells, all compactly arranged. Until the morula stage, the zona pellucida is retained around the embryo, so there is no change in the overall size from the zygote to the morula. The morula reaches the isthmus and gains entry into the uterus by the end of day 4.

Blastulation

Blastulation is the process of formation of the hollow, multicellular blastocyst. The blastocyst that enters the uterus keeps floating in the uterine cavity for 2–4 days after its entry — that is, until about the end of the 7th day after fertilization. The outer layer of cells of the morula now forms a layer called the trophoblast.

Cells of the trophoblast begin to absorb the glycogen-rich “uterine milk.” The blastocyst doubles in size, from 0.15 mm to 0.30 mm, as more fluid enters and the blastocyst cavity forms. The outer cells become flat and are called trophoblast cells, because they help only in absorbing nutrition for the developing embryo. The inner, larger cells form the inner cell mass or embryoblast, from which the embryo proper develops.

Trophoblast vs Inner Cell Mass (Embryoblast) | Feature | Trophoblast | Inner cell mass (embryoblast) | |—|—|—| | Position | Outer layer of the blastocyst | Inner group of larger cells | | Cell size/shape | Small, flattened | Larger cells | | Main role | Absorbs nutrition; helps in implantation and placenta | Forms the embryo proper |

The inner cell mass remains attached to the trophoblast on only one side. The trophoblast cells in contact with the embryonal knob are called the cells of Rauber. At this stage the blastocyst shows polarity: the side with the inner cell mass is the embryonal end, and the opposite side is the abembryonal end.

By the end of the 7th day the blastocyst is fully formed and is ready for implantation and gastrulation. The zona pellucida has an important protective role here — it prevents the embryo from implanting at an abnormal site by not exposing the sticky, phagocytic trophoblast cells until the embryo reaches the correct implantation site inside the uterus. Once there, the zona pellucida ruptures.

Implantation

After it is formed, the blastocyst gets implanted (embedded) into the endometrium of the uterus. This process usually begins on day 7 after fertilization, and by the end of the 10th day the embryo is completely buried inside the endometrium. The embryo usually implants in the region of the fundus of the uterus.

During implantation, the embryo attaches by its embryonic pole, close to the endometrium, because the trophoblast cells of the animal pole have the power to stick to the uterine wall. The trophoblast cells lying against the embryonal knob divide rapidly, forming two distinct layers — the syncytiotrophoblast and the cytotrophoblast.

The outer layer, the syncytiotrophoblast, is a syncytium — a layer of protoplasm with many nuclei. It sends out processes that extensively invade the endometrium, and the lytic enzymes secreted by the trophoblast rupture the endometrial cells, making a burrow into which the embryo settles. By the end of the 10th day the whole embryo is deeply embedded in the endometrium, completing implantation. The inner layer, the cytotrophoblast, is made of cells that retain their defined cell boundaries.

Syncytiotrophoblast vs Cytotrophoblast The syncytiotrophoblast is the outer layer, a multinucleate mass of protoplasm with no clear cell boundaries, that invades the endometrium. The cytotrophoblast is the inner layer, made of ordinary cells that keep their separate membranes. Outer and boundary-less versus inner and cellular.

Gastrulation and the Three Germ Layers

Gastrulation is the process of formation of the gastrula from the blastocyst. In the gastrula stage the rate of cleavage slows down, but two important events take place actively.

NoteDefinition

Gastrulation is the process in which the cells of the embryoblast rearrange and move to form the three germ layers — ectoderm, mesoderm and endoderm.

The first event is the differentiation of blastomeres, which produces the three germinal (germ) layers — ectoderm, mesoderm and endoderm — from the cells of the embryoblast. The second event is a set of morphogenetic movements, the different cell movements by which cells reach their definite places in the embryo. A section of the late gastrula is shown in Fig. 2.15.

Diagram

Fig. 2.15 – V.S. of late gastrula; label ectoderm, mesoderm, endoderm, chorion, amniotic cavity, yolk sac and coelom.

Gastrulation begins in the embryoblast at about the 8th day after fertilization. The cells at the free end of the inner cell mass, called hypoblasts (primitive endoderm), flatten, start dividing and grow downwards towards the blastocoel (the cavity of the blastocyst). This layer, the endoderm, is the first to differentiate; it grows within the blastocoel and forms a sac called the yolk sac. The remaining cells of the inner cell mass, in contact with the cells of Rauber, are called epiblasts (primary ectoderm). Together these two layers form a flat, bilaminar (two-layered) embryonal disc.

After the endoderm, the second layer to differentiate is the ectoderm. The epiblast cells divide and redivide and move so as to enclose the amniotic cavity. The floor of this cavity carries the embryonal disc, and the pyramidal cells of the disc facing the amniotic cavity form the embryonal ectoderm. The roof of the amniotic cavity is lined by amniogenic cells, which later form the amnion — an extra-embryonic membrane that surrounds and protects the embryo. As a result, the bilaminar embryonic disc comes to lie in between the amniotic cavity and the yolk sac.

Actual gastrulation occurs about 15 days after fertilization, when the bilaminar (two-layered) embryonic disc is transformed into a trilaminar (three-layered) one. This happens through division, rearrangement and migration of the epiblast cells. It begins with the formation of a primitive streak, and a shallow groove along it is the primitive groove. The streak progresses from the posterior to the anterior end of the embryo. From the site of the primitive streak, a third layer of cells, the mesoderm, extends between the ectoderm and the endoderm. The anterior end of the primitive groove communicates with the yolk sac through an aperture called the blastopore (the future anus).

The embryonal disc has now differentiated into three layers — ectoderm, mesoderm and endoderm. The process after gastrulation is called histogenesis (formation of tissues), followed by organogenesis (formation of organs).

Blastula vs Gastrula | Feature | Blastula (blastocyst) | Gastrula | |—|—|—| | Number of layers | Not yet differentiated into germ layers (trophoblast + inner cell mass) | Three germ layers (ectoderm, mesoderm, endoderm) | | Main activity | Rapid cleavage; formation of blastocyst cavity | Slowed cleavage; differentiation and morphogenetic movements | | Timing (after fertilization) | Formed by about day 7 | Three germ layers by about day 15 | | Outcome | Ready for implantation | Sets up the body plan for histogenesis and organogenesis |

Each of the three germ layers goes on to form particular tissues and organs, as listed in Table 2.16.

Ectoderm gives rise to Mesoderm gives rise to Endoderm gives rise to
Epidermis of skin, hair, nails, sweat glands, salivary glands, mammary glands, lacrimal glands, sebaceous glands, cornea, lens, retina, conjunctiva, nasal epithelium, enamel of teeth, internal and external ear, foregut, hindgut, adrenal medulla, anterior and posterior pituitary, pineal gland, and the entire nervous system. All types of muscles (except the iris and ciliary muscles of the eye, which come from ectoderm), connective tissues, dermis of skin, adrenal cortex, heart, blood, blood vessels, lymphatic vessels, middle ear, dentine of teeth, urinary and reproductive ducts, gonads, kidneys, and the sclera and choroid of the eye. Epithelium of the mid-gut, glands of the stomach and intestine, tongue, tonsils, lungs, trachea, bronchi, larynx, urinary bladder, vagina, liver, pancreas, thyroid gland, parathyroid gland, thymus gland, Eustachian tube, epithelium of the urethra, and lining of the middle ear.

broad fate of the three germ layers Think of them by “position”: ectoderm = the outer covering and the nervous system (skin, hair, brain, nerves — the “outside and think” layer); endoderm = the innermost linings and their glands (gut, lungs, liver, pancreas — the “innermost tubes” layer); mesoderm = everything in between that gives the body its bulk (muscles, bones-connective tissue, blood, heart, kidneys — the “middle machinery” layer).

Stem cells are undifferentiated body (somatic) cells of a multicellular organism. They can give rise to many more cells of the same type or differentiate into other cell types. Bone marrow cells, blood stem cells and umbilical cord cells are examples. They can be used in the treatment of conditions such as Parkinson’s disease, Alzheimer’s disease, diabetes, leukemia and arthritis.

Find out what meroblastic cleavage is and in which organisms it is seen. Also recall what is meant by monozygotic, dizygotic and conjoined twins, and relate them to when and how the early embryo splits.

2.7 Pregnancy

Pregnancy is the condition of carrying one or more embryos in the uterus. It is also called gestation, and it refers to the whole period from the fertilization of the egg up to parturition (birth).

NoteDefinition

Pregnancy (gestation) is the period during which one or more developing embryos are carried in the uterus, from fertilization until parturition.

The average period of pregnancy in humans lasts for 266 days counted from fertilization, or 280 days (\(266 + 14\)) if counted from the LMC — the Last Menstruation Cycle (the first day of the mother’s last period). This period of about nine months is divided into three trimesters of three months each.

First Trimester

The first trimester runs from fertilization to the 12th week. It is the time of the most radical changes in both mother and embryo.

In the first 2–4 weeks, the embryo receives nutrients directly from the endometrium. This trimester is the main period of organogenesis — the development of body organs. By the end of about eight weeks, the major structures found in the adult are formed in the embryo in a rudimentary form, and from this point the embryo is called a foetus, now about 3 cm long.

By now the arms, hands, fingers, feet and toes are formed, and the foetus can open and close its mouth and fists. The central nervous system (CNS) is fully formed, and the excretory and circulatory systems begin working. The foetus starts to move, though the mother cannot yet feel it, and the heartbeat can be heard from the 6th week. At the end of the first trimester the foetus is about 7–10 cm long.

Embryo vs Foetus The developing human is called an embryo during the early weeks, while its basic organs are still forming. From about the end of the 8th week, once the major organs have taken shape, the same developing human is called a foetus. So the difference is one of stage, not of a different individual: embryo = earlier, organs forming; foetus = later, organs formed and growing.

Meanwhile, the mother’s body also changes rapidly. The progesterone level becomes high, and the menstrual cycle is suspended until the end of pregnancy. These high progesterone levels bring about changes in her reproductive system; the maternal part of the placenta grows and the uterus becomes larger. During this period the mother often experiences “morning sickness” — nausea, vomiting and mood swings.

Second Trimester

The second trimester runs from the 13th to the 26th week. It is a period of rapid growth of the foetus. The uterus grows enough for the pregnancy to become obvious, and the foetus is very active, growing to about 30 cm. Development of the brain begins.

The hormone levels now stabilize: human chorionic gonadotropin (hCG) declines, the corpus luteum deteriorates (regresses), and the placenta completely takes over the production of progesterone that maintains the pregnancy.

An ultrasound (sonography) done at 18–20 weeks shows the baby’s growth and position, and from this the estimated due date of delivery can be established. By this stage the baby’s movements can be easily felt by the mother, the head has hair, the eyebrows and eyelashes appear, the pinnae (external ears) become distinct, and the baby reaches about half the size of a newborn.

Third (Final) Trimester

The third trimester runs from the 27th week until parturition. The foetus grows to about 3–4 kg in weight and 50 cm in length, the eyes are open, and there is a steady gain in body weight.

As the foetus grows, the uterus expands around it, and the mother’s abdominal organs become compressed and displaced. This leads to frequent urination, digestive blockages and strain in the back muscles. By the end of the third trimester the foetus is fully developed and ready for parturition.

Comparing the Three Trimesters

First, Second and Third Trimesters | Feature | First trimester | Second trimester | Third trimester | |—|—|—|—| | Period | Fertilization to 12th week | 13th to 26th week | 27th week to birth | | Main event | Organogenesis; embryo becomes foetus (~8 weeks) | Rapid growth; brain development | Full development, weight gain | | Foetus size | ~3 cm early; 7–10 cm at end | ~30 cm (about half a newborn) | ~50 cm, 3–4 kg | | Hormone/other notes | High progesterone; morning sickness | hCG declines; placenta takes over progesterone | Mother’s organs compressed |

Q3. How does one fertilized cell, no bigger than a dot, grow into a fully formed baby in about nine months?

A. The single zygote first divides again and again by cleavage into many small cells, forming a morula and then a blastocyst that implants in the uterus. During gastrulation these cells sort themselves into three germ layers, and each layer builds particular tissues and organs (organogenesis) — so by about eight weeks the embryo already has rudimentary organs and becomes a foetus. Across the three trimesters the foetus then grows and matures: organs finish forming in the first trimester, the body grows rapidly in the second, and weight and final development are gained in the third, until a fully formed baby, about 50 cm long and 3–4 kg, is ready to be born.

2.8 Placenta

The placenta is a flattened, discoidal organ found in the uterus of a pregnant woman. It forms a temporary structural and functional connection between the foetal circulation and the maternal circulation. It is attached to the wall of the uterus on one side and to the baby’s umbilical cord on the other.

NoteDefinition

The placenta is a temporary, flattened, discoidal organ that structurally and functionally connects the foetal and maternal circulations in the uterus during pregnancy.

Through this connection the placenta facilitates the supply of oxygen, nutrients, hormones and antibodies to the foetus, and also the removal of carbon dioxide and the excretory wastes produced by the foetus. Its structure is shown in Fig. 2.17.

Diagram

Fig. 2.17 – Placenta; label placenta, villi, intervillous space, uterine wall, umbilical cord, amniotic sac, amniotic fluid, chorion and amnion.

An Organ Built by Two Individuals

The placenta is unique: it is the only organ formed of tissues from two different individuals — the mother and the foetus.

The part of the placenta contributed by the foetus is called the foetal placenta, and it is formed by the chorionic villi (finger-like projections of the chorion, an extra-embryonic membrane). The other part, which is rich in blood supply and is shared by a part of the uterine wall of the mother, is termed the maternal placenta. Because the foetal chorionic villi come into close contact with the mother’s blood in this way, the human placenta is called haemochorial.

chorionic villi of the placenta (The foetal chorionic villi are many, finger-like and thin-walled, and they project into blood-filled intervillous spaces of the mother → this creates a very large surface area with only a thin barrier between the two circulations → oxygen, nutrients and antibodies can diffuse in and carbon dioxide and wastes can diffuse out efficiently, without the two bloods actually mixing.)

Q. If the placenta connects the foetal and maternal circulations, does the mother’s blood actually mix with the baby’s blood?

A. No. The two circulations come very close but stay separate, exchanging materials only by diffusion across the thin walls of the chorionic villi. This is important, because direct mixing could cause harmful immune reactions between mother and foetus.

The Umbilical Cord

The umbilical cord is formed of three blood vessels. Of these, two are small arteries that carry blood towards the placenta, and one is a large vein that returns blood to the foetus.

What the umbilical arteries and vein carry Notice that this is the opposite of the usual pattern you expect. The umbilical arteries carry the foetus’s deoxygenated, waste-laden blood away from the foetus towards the placenta, while the single umbilical vein brings oxygen- and nutrient-rich blood back to the foetus. As always, “artery” means carrying blood away from the heart, not necessarily oxygenated blood.

a molecule of oxygen reaching the foetus 1. Oxygen is carried in the mother’s blood, which flows into the intervillous spaces of the placenta. 2. It diffuses across the thin wall of a chorionic villus into the foetal blood inside the villus. 3. The oxygenated foetal blood collects and enters the single umbilical vein. 4. The umbilical vein carries it through the umbilical cord into the foetus. 5. After the foetal tissues use the oxygen, the carbon dioxide and wastes produced are carried back by the two umbilical arteries to the placenta, and pass into the mother’s blood for removal.

The Placenta as an Endocrine Organ

The placenta is not only a transport organ — it also acts as an endocrine tissue. It produces hormones such as hCG (human chorionic gonadotropin), progesterone and estrogen, while relaxin is secreted by the ovary in the later phase of pregnancy.

The level of hCG increases up to the end of the first trimester and then declines. By the end of the first trimester, progesterone is produced by the placenta itself. All these hormones are required for foetal growth and for the maintenance of pregnancy.

hCG, HPL (human placental lactogen) and relaxin are produced in women only during pregnancy — which is why their presence is a useful sign of pregnancy.

India’s first Government-run cord blood bank, at Kolkata, was established in 2001 and is accredited by the AABB (American Association of Blood Banks). It functions according to central and state government policies, rules and guidelines. Cord blood (umbilical cord blood) is the blood that remains in the umbilical cord and placenta after delivery. Cord blood banking is the process of collecting this blood and cryogenically preserving it for its stem cells and immune-system cells for possible future medical use. Cord blood is rich in stem cells that can transform into all sorts of blood cells, and can be used to treat diseases that harm the blood and immune system, such as leukemia, certain cancers, sickle cell anemia and some metabolic disorders.

Because the placenta is the gateway between mother and foetus, harmful substances in the mother’s blood — such as nicotine from smoking, alcohol, or certain drugs — can also cross it and reach the developing baby. This is why doctors advise pregnant women strictly against smoking, alcohol and unprescribed medicines: the same efficient exchange surface that delivers oxygen and nutrients will just as readily deliver toxins.

2.9 Parturition

Humans are viviparous — they give birth to live young ones rather than laying eggs. Parturition is the process of giving birth to a baby.

NoteDefinition

Parturition is the process by which the fully developed foetus is expelled from the mother’s uterus at the end of gestation.

The physical activities involved in parturition — the uterine and abdominal contractions, the dilation of the cervix and the passage of the baby — are collectively called labour. Labour is accompanied by a localised sensation of discomfort or agony called labour pains.

The Neuroendocrine Trigger

Parturition is controlled by a complex neuroendocrine mechanism — that is, by nerves and hormones working together.

Signals arise from the fully formed foetus and from the placenta, and these cause mild uterine contractions to begin. This is accompanied by a rise in the estrogen–progesterone ratio and an increase in the number of oxytocin receptors in the uterine muscles. These changes make the myometrium of the uterus contract vigorously at the end of pregnancy.

The fully developed foetus itself gives the signal for uterine contractions by secreting adrenocorticotropic hormone (ACTH) from its pituitary and corticosteroids from its adrenal gland. This triggers the release of oxytocin from the mother’s pituitary gland, which acts on her uterine muscles and causes vigorous uterine contractions. These contractions lead to the expulsion of the baby from the uterus. The whole cascade is summarised in FC 2.1.

Flowchart

FC 2.1 – Parturition cascade: fully developed foetus → foetal pituitary secretes ACTH → foetal adrenal gland secretes corticosteroids → signals to placenta and uterus → rise in estrogen–progesterone ratio + increase in oxytocin receptors → mild uterine contractions → release of oxytocin from mother’s pituitary → vigorous contractions of myometrium → (oxytocin and contractions reinforce each other) → expulsion of the baby.

Q. Why do labour contractions get stronger and stronger instead of staying at the same strength?

A. Because oxytocin sets up a positive feedback loop. Oxytocin causes uterine contractions, and the contractions (as the baby’s head presses on the cervix) stimulate the release of still more oxytocin. Each round therefore strengthens the next, until the contractions are powerful enough to push the baby out. Unlike most body controls, which are negative feedback loops that settle things down, this loop deliberately builds up — and it ends only when the baby is delivered.

the myometrium (The myometrium is a thick layer of smooth muscle in the uterine wall, richly supplied with oxytocin receptors → it can contract powerfully and rhythmically when oxytocin levels rise → this generates the force needed to dilate the cervix and expel the foetus.)

The Three Stages of Labour

Parturition involves three steps, shown in Fig. 2.18.

Diagram

Fig. 2.18 – Parturition; show Stage 1 in its initial (latent) phase and active phase (foetus, uterus, cervix becoming effaced, vagina, umbilical cord), Stage 2 (crowning of the head), and Stage 3 (expulsion of the placenta, umbilical cord clamped).

Dilation Stage

In the dilation stage, uterine contractions begin from the top of the uterus and force the baby towards the cervix. The contractions are accompanied by pain caused by the compression of blood vessels. The oxytocin-induced contractions become stronger and stronger due to the stimulatory reflex.

As the baby is pushed down in the uterus, its head comes to lie against the cervix. The cervix gets dilated, and the vagina shows a similar dilation. This stage of labour can normally last up to a few hours. It ends with the rupturing of the amniotic membrane of the foetus — what is commonly described as the “water breaking.”

Expulsion Stage

In the expulsion stage, the uterine and abdominal contractions become stronger. In a normal delivery, the foetus passes out through the cervix and vagina with the head in the forward direction. This stage takes 20 to 60 minutes. The umbilical cord is then tied and cut off close to the baby’s navel.

After Birth

In the third stage, after the delivery of the baby, the placenta separates from the uterus and is expelled out as the “after birth,” due to severe contractions of the uterus. This happens within 10 to 45 minutes of delivery.

The Three Stages of Labour | Feature | Dilation stage | Expulsion stage | After birth | |—|—|—|—| | Main event | Cervix and vagina dilate | Baby is delivered | Placenta is expelled | | Duration | Up to a few hours | 20 to 60 minutes | Within 10 to 45 minutes of delivery | | Ends with | Rupture of the amniotic membrane | Cutting of the umbilical cord | Complete expulsion of the placenta |

the birth of a baby 1. The fully developed foetus signals through ACTH and corticosteroids that it is ready. 2. The estrogen–progesterone ratio rises and oxytocin receptors increase in the uterine muscles; mild contractions begin. 3. The mother’s pituitary releases oxytocin, and myometrial contractions become vigorous and progressively stronger. 4. Contractions push the baby’s head against the cervix; the cervix and vagina dilate and the amniotic membrane ruptures. 5. Stronger uterine and abdominal contractions expel the baby, head first, through the cervix and vagina. 6. The umbilical cord is tied and cut. 7. Further uterine contractions separate and expel the placenta as the after birth.

Because oxytocin is the hormone that drives uterine contractions, a synthetic form of it is used in hospitals to induce or strengthen labour when contractions are too weak or the delivery is overdue. The same hormone also helps the uterus contract back after delivery, which reduces bleeding — a direct medical use of the mechanism described above.

2.10 Lactation

The mammary glands of the female start producing milk at the end of pregnancy, by the process of lactation. Prolactin is the hormone responsible for the production of milk. Lactation helps the mother in feeding her newborn baby.

NoteDefinition

Lactation is the process of production and secretion of milk by the mammary glands, beginning at the end of pregnancy and controlled mainly by the hormone prolactin.

Recall that the mammary glands are modified sweat glands whose alveolar glands secrete milk into the lumen of the alveoli, from where it passes through the mammary tubules and ducts to the nipple. Lactation is the point at which this whole system, prepared during pregnancy, finally begins to work.

Colostrum

The fluid secreted by the mammary glands soon after childbirth is called colostrum.

NoteDefinition

Colostrum is the sticky, yellow fluid secreted by the mammary glands soon after childbirth, rich in proteins and mother’s antibodies and low in fat.

Colostrum contains proteins, lactose and the mother’s antibodies, for example IgA. Its fat content is low. The antibodies present in it help in developing resistance in the newborn baby at a time when the baby’s own immune response is not yet fully developed.

colostrum (Colostrum is thin, low in fat and packed with the mother’s antibodies such as IgA → these ready-made antibodies are absorbed by the newborn’s gut → the baby gets immediate, borrowed protection against infection during the first days, before its own immune system can make antibodies.)

Colostrum vs Mature Milk | Feature | Colostrum | Mature milk | |—|—|—| | When secreted | Soon after childbirth | Later, once lactation is established | | Appearance | Sticky and yellow | Whiter, thinner-looking | | Antibody content | Rich in mother’s antibodies (e.g. IgA) | Much lower | | Fat content | Low | Higher | | Main role | Passive immunity and early nourishment | Complete nutrition for growth |

Q. Why is a mother’s milk said to be the safest and best food for a newborn?

A. Because it is naturally matched to the baby’s needs: it supplies balanced nutrition, it is clean and at the right temperature, and — most importantly — the colostrum secreted in the first days carries the mother’s antibodies, which protect the newborn from infection until its own immune system develops.

This is exactly why doctors and health programmes encourage exclusive breastfeeding of newborns, especially in the very first days. Babies who receive colostrum are better protected against diarrhoea and respiratory infections, which are major causes of infant deaths — so promoting breastfeeding is one of the simplest and most effective ways of reducing the infant mortality rate.

Weaning is the process by which a mother’s milk is gradually replaced by solid food after some time. It is done gradually so that the baby can adjust to new foods while still receiving the nutrition it needs.

2.11 Reproductive Health

According to the World Health Organisation (WHO), reproductive health means total wellbeing in all aspects of reproduction — its emotional, behavioural and social aspects along with the physical ones.

NoteDefinition

Reproductive health, as defined by WHO, is total wellbeing in all aspects of reproduction — physical, emotional, behavioural and social.

Notice how wide this definition is. It is not enough for the reproductive organs to be free of disease. A society may be called reproductively healthy only when its people have physically and functionally normal reproductive organs and also normal emotional and behavioural interactions with one another in all sex-related aspects.

India’s Reproductive Health Programmes

Of all the social goals of India, an important one is to attain total reproductive health. India was among the first few countries in the world to initiate action plans and programmes at a national level to improve reproductive health.

These improved programmes cover wider areas related to reproduction, and are currently in operation under the Reproductive and Child Health Care (RCH) programmes.

Goals of the RCH Programmes

The RCH programmes work towards four main goals. The first is to create awareness among people about the various aspects related to reproduction. The second is to provide people the facilities to understand and build up reproductive health. The third is to provide support for building up a reproductively healthy society.

The fourth goal is to bring about a change mainly in three critical health indicators — reducing the total infertility rate, the infant mortality rate (the number of infant deaths) and the maternal mortality rate (the number of deaths of mothers due to pregnancy and childbirth).

Q. Why are the infant mortality rate and the maternal mortality rate treated as measures of a country’s reproductive health?

A. Because they show whether pregnancy and birth are actually safe in practice. High rates point to poor antenatal care, unsafe deliveries, poor nutrition and lack of awareness. When these rates fall, it means mothers and newborns are getting proper care — so the whole reproductive health system is working.

How the Goals Can Be Achieved

The goals of the RCH programmes can be achieved in the following ways.

By introducing sex education in schools. Schools should be encouraged to provide correct information to the young, so as to discourage children from believing in myths and to clear misconceptions about sex-related matters. This includes proper information about safe and hygienic sexual practices, sexually transmitted diseases (STDs, AIDS), problems related to adolescence, and correct knowledge of the reproductive organs.

By using audio-visual and print media, through which government and non-government organisations can take various steps to create awareness about the various aspects related to reproduction.

By educating the younger generation about birth control measures, about pre-natal care of the pregnant woman and post-natal care of the mother and child, and about the importance of breast feeding.

By developing awareness about the problems arising from uncontrolled population growth, and about social evils such as sex abuse and sex-related crimes, and by taking the necessary steps to prevent them.

By creating awareness about the statutory ban on amniocentesis for sex determination.

By creating awareness about child immunization programmes.

By educating couples so as to reduce the mortality rate of newborns and the maternal mortality rate.

Flowchart

FC 2.1 – Achieving reproductive health: RCH programme → (a) sex education in schools + (b) awareness through media + (c) education on birth control and pre-/post-natal care + (d) awareness of population problems and sex-related crimes + (e) awareness of the ban on amniocentesis for sex determination + (f) child immunization + (g) couple counselling → reduced infertility rate, infant mortality rate and maternal mortality rate → reproductively healthy society.

Child immunization drives such as India’s pulse polio campaign show how one RCH-type measure works in practice: mass awareness plus free vaccination protected millions of children from a crippling disease, and directly cut childhood illness and death — one of the very indicators the RCH programme aims to improve.

The Population Challenge

The population of India, which was approximately 350 million at the time of independence, reached close to the one-billion mark by 2000 and crossed 1.2 billion in May 2011. By 2020 the population of India had crossed 1.35 billion.

The government is taking serious measures to check this population growth. The most important step to overcome this problem is to motivate society to have smaller families by using various birth control methods — which is the subject of the next section.

India’s population growth Read the four figures in order — about 350 million at independence, close to 1 billion by 2000, over 1.2 billion in 2011, and over 1.35 billion by 2020. The gaps tell the story: it took roughly half a century to move from 350 million to about a billion, but only about a decade more to add another 200 million. A large population base means that even a modest growth rate adds very large numbers each year, which is why reducing family size — and not merely slowing the rate — is treated as the key measure.

The reason sonography clinics in India display a board stating that sex selection and detection is not done there is that a rapidly growing population combined with a preference for sons had led to the misuse of prenatal tests to abort female foetuses. Creating awareness about the statutory ban is therefore not a side issue in reproductive health — it directly protects the sex ratio of the coming generation.

2.12 Birth Control

Birth control measures that deliberately prevent fertilization are referred to as contraceptives. Contraceptive methods help to prevent unwanted pregnancies.

NoteDefinition

Contraceptives are birth control measures that deliberately prevent fertilization, and thereby prevent unwanted pregnancy.

An ideal contraceptive should be easily available, user friendly, effective, and have no or the least possible side effects. Contraceptive methods are of two main types — temporary and permanent — and the whole classification is set out in FC 2.1.

Flowchart

FC 2.1 – Classification of birth control methods: Birth control → (a) Temporary methods → natural (safe period/rhythm) → coitus interruptus → lactational amenorrhea → chemical (spermicides) → mechanical/barrier (condom; diaphragm, cervical caps, vaults; IUDs) → physiological (oral pills) → other (implants); and (b) Permanent methods (sterilization) → vasectomy (male) → tubectomy (female).

Temporary Methods
Natural Method (Safe Period / Rhythm Method)

In the natural method, the principle used is that of avoiding the chances of fertilization. A week before and a week after menstrual bleeding is considered the safe period for sexual intercourse. This idea is based on the fact that ovulation occurs on the 14th day of the menstrual cycle, so a couple avoids intercourse around that time. Its drawback is a high rate of failure.

Q. Why does the “safe period” method fail so often?

A. Because it assumes a perfectly regular 28-day cycle with ovulation exactly on day 14. In reality the proliferative phase is the most variable phase, so ovulation can shift by several days. Moreover, sperms can remain viable for 24–48 hours, so intercourse a little before ovulation can still result in fertilization.

Coitus Interruptus (Withdrawal)

In this method, the male partner withdraws his penis from the vagina just before ejaculation, so as to avoid insemination. This method too has drawbacks, because the pre-ejaculation fluid may already contain sperms, and these can cause fertilization.

Lactational Amenorrhea

This method is based on the fact that ovulation does not occur during the period of intense lactation following parturition. Therefore, as long as the mother breastfeeds the child fully, the chances of conception are almost negligible. However, this method also has high chances of failure. (Amenorrhea simply means the absence of menstruation.)

Chemical Means (Spermicides)

In this method, chemicals such as foams, tablets, jellies and creams are used by the female partner. If these chemicals are introduced into the vagina before sexual intercourse, they adhere to the mucous membrane, immobilize the sperms and kill them. They may cause an allergic reaction, and this method also has chances of failure.

Mechanical Means (Barrier Methods)

In barrier methods, the ovum and the sperm are prevented from physically meeting with the help of a barrier. These mechanical barriers are of three types.

A condom is a thin rubber sheath used to cover the penis of the male during copulation. It prevents the entry of the ejaculated semen into the female reproductive tract, and can thus prevent conception. It is a simple and effective method with no side effects. “Nirodh” is the most widely used contraceptive by males in India; it is easily available and is given free by the government. It should be properly discarded after every use. A condom is also a safeguard against STDs and AIDS.

The condom is the only contraceptive on this list that does double duty — it prevents pregnancy and, because it acts as a physical barrier to body fluids, it also blocks the transmission of sexually transmitted infections such as HIV/AIDS, syphilis and gonorrhoea. This is why public health campaigns promote it so heavily even for couples who use other contraceptives.

Diaphragms, cervical caps and vaults are devices used by the female and made of rubber. They prevent conception by blocking the entry of sperms through the cervix. The device is inserted into the female reproductive tract to cover the cervix during copulation.

Intra-uterine devices (IUDs) are clinical devices made of plastic or metal. A doctor or trained nurse places the IUD into the uterus. These devices include the Lippes loop, copper-releasing IUDs (Cu-T, Cu7, multiload 375) and hormone-releasing IUDs (LNG-20, progestasert). Some of these are shown in Fig. 2.19 and Fig. 2.20.

Diagram

Fig. 2.19 – Mechanical means; show a diaphragm and a Lippes loop.

Diagram

Fig. 2.20 – Copper-T; show a hormone-releasing IUD and a copper-releasing IUD, and an IUD placed in the uterus, labelling IUD, strings, uterus, cervix and vagina.

The three kinds of IUD work in three different ways. The Lippes loop is a plastic double “S” loop; it attracts macrophages and stimulates them to accumulate in the uterine cavity, and these macrophages increase the phagocytosis of sperms within the uterus, acting as a contraceptive. Copper-releasing IUDs suppress sperm motility and the fertilizing capacity of the sperms. Hormone-releasing IUDs make the uterus unsuitable for implantation and the cervix hostile to sperms; they delay pregnancy for a longer period. The drawbacks of IUDs include spontaneous expulsion, occasional haemorrhage and chances of infection.

The Three Types of IUD | Feature | Lippes loop | Copper-releasing IUD | Hormone-releasing IUD | |—|—|—|—| | Made of / releases | Plastic double “S” loop | Copper (Cu-T, Cu7, multiload 375) | Hormone (LNG-20, progestasert) | | How it works | Attracts macrophages → increased phagocytosis of sperms | Suppresses sperm motility and fertilizing capacity | Makes uterus unsuitable for implantation and cervix hostile to sperms |

Physiological (Oral) Devices — the Pills

Physiological devices are used in the form of tablets and are therefore popularly called pills. The pill is an oral contraceptive used by the female. It contains progesterone and estrogen.

The pills work in two ways. They inhibit ovulation, so no eggs are released from the ovary of the female using the pill, and conception cannot occur. They also alter the quality of cervical mucus so as to prevent the entry of sperms.

The pills do have side effects, such as nausea, weight gain, tenderness of the breast, and slight blood loss between menstrual periods. The pill “Saheli” is an oral contraceptive for females which is non-steroidal; it is to be taken once a week, and these pills are sponsored by the Government.

Q. How can taking progesterone and estrogen in a pill stop ovulation?

A. Ovulation depends on a surge of LH, which in turn depends on the natural pattern of rising and falling ovarian hormones. When progesterone and estrogen are supplied steadily from outside, the body reads the levels as already “high,” so the gonadotropins are not released in the normal surge. Without the LH surge, the Graafian follicle never ruptures and no egg is released.

Saheli is now a part of the National Family Programme as an oral contraceptive pill in India.

Other Contraceptives — Implants

The birth control implant is a contraceptive used by the female. It is a tiny, thin rod about the size of a matchstick, implanted under the skin of the upper arm, as shown in Fig. 2.21.

Diagram

Fig. 2.21 – Implanon / Nexplanon; show the matchstick-sized rod and its placement under the skin of the upper arm.

Implants contain progesterone and estrogen, and their mode of action is similar to that of the pills. They prevent pregnancy for 3–4 years.

Q5. How do birth control methods such as the pill or a copper-T actually prevent a pregnancy from happening?

A. They interrupt the chain of events leading to pregnancy at different points. The pill supplies progesterone and estrogen, which inhibit ovulation, so no egg is ever released, and it also thickens the cervical mucus to keep sperms out. A copper-T works inside the uterus instead: the copper it releases suppresses sperm motility and their fertilizing capacity, so the sperms cannot fertilize the egg. Other methods act at still other points — condoms and diaphragms block the sperms physically, spermicides kill them, and hormone-releasing IUDs make the uterus unsuitable for implantation.

Permanent Methods

The permanent birth control method in men is called vasectomy and in women it is called tubectomy. These are surgical methods, also called sterilization, and are shown in Fig. 2.22.

Diagram

Fig. 2.22 – Permanent methods; A. Vasectomy, showing the vas deferens tied and cut; B. Tubectomy, showing the fallopian tubes tied and cut.

In vasectomy, a small part of the vas deferens is tied and cut. In tubectomy, a small part of the fallopian tube is tied and cut. In both cases the effect is the same in principle — gamete transport is blocked, and pregnancy is prevented.

Vasectomy vs Tubectomy | Feature | Vasectomy | Tubectomy | |—|—|—| | Performed on | Male | Female | | Duct cut and tied | Vas deferens | Fallopian tube | | What it blocks | Passage of sperms out of the testis | Passage of the ovum (and of sperms up the tube) | | Nature | Surgical, permanent (sterilization) | Surgical, permanent (sterilization) |

Sterilization vs Contraception in general All sterilization procedures are contraceptive, but not all contraceptives are sterilization. Temporary methods (pills, condoms, IUDs) can be stopped, and fertility returns. Vasectomy and tubectomy are surgical and are meant to be permanent.

Medical Termination of Pregnancy (MTP)

An intentional or voluntary termination of pregnancy before full term is called Medical Termination of Pregnancy (MTP) or induced abortion.

NoteDefinition

Medical Termination of Pregnancy (MTP), or induced abortion, is the intentional or voluntary termination of a pregnancy before full term.

MTP is essential in cases of unwanted pregnancies or where there is defective development of the foetus. It is safe during the first trimester of pregnancy. Defective development of the foetus is examined by amniocentesis.

Amniocentesis

Amniocentesis is a process in which amniotic fluid containing foetal cells is collected using a hollow needle inserted into the uterus under ultrasound guidance. The chromosomes of these cells are then studied to look for abnormalities in the developing foetus. The procedure is shown in Fig. 2.23.

Diagram

Fig. 2.23 – Amniocentesis process; show 1. ultrasound used to determine the position of the foetus, 2. needle inserted through the abdominal and uterine wall, 3. amniotic fluid containing foetal cells extracted, 4. centrifuge of the extracted fluid and foetal cells, 5. cells used to prepare a karyotype; and list the risks — miscarriage, needle injury to foetus, leaking amniotic fluid, infection.

But a dangerous trend has been the misuse of amniocentesis to determine the sex of the unborn child. Frequently, if the foetus is found to be female, it is aborted, which is totally illegal. Because of this misuse, the Government of India legalised the MTP Act in 1971, with strict conditions.

The Medical Termination of Pregnancy (Amendment) Act 2017, under section 3 of the MTP Act 1971, was enacted by the Government of India. The intention of the MTP Act is to reduce the incidence of illegal abortion and the consequent maternal mortality. As per the provisions of the Act, only the consent of the woman whose pregnancy is being terminated is required.

According to the MTP Act, a pregnancy may be terminated: (1) within the first 12 weeks; or (2) after more than 12 weeks but less than 20 weeks. In the second case, the registered medical practitioner’s opinion is mandatory, stating that continuing the pregnancy would involve a risk to the life of the pregnant woman, or grave abnormal physical or mental health, or a substantial risk to the child.

The Medical Termination of Pregnancy (MTP) Act 1971 provides the legal framework for the MTP Act 2017.

In sonography clinics one sees a board saying that sex selection and detection is not done there, and is punishable under the PC-PNDT Act. Find out what the PC-PNDT Act is, and explain why such a mandate is essential.

2.13 Sexually Transmitted Diseases (STDs)

Diseases or infections that are transmitted through sexual intercourse are collectively called Sexually Transmitted Diseases (STDs). They are also known as Venereal Diseases (VDs) or Reproductive Tract Infections (RTIs). The major venereal diseases are syphilis and gonorrhoea.

NoteDefinition

Sexually transmitted diseases (STDs), also called venereal diseases (VDs) or reproductive tract infections (RTIs), are diseases or infections transmitted through sexual intercourse.

Both of the major STDs studied here are caused by bacteria. Because they spread through sexual contact, they are closely tied to sexual behaviour and hygiene — which is why the preventive measures for both are largely the same, and why awareness (as discussed under reproductive health) matters so much.

Comparing Syphilis and Gonorrhoea

The two major venereal diseases differ in their causative agent, incubation period, site of infection and symptoms, as set out in Table 2.24.

Name of disease Syphilis Gonorrhoea
Causative agent Treponema pallidum (bacteria) Neisseria gonorrhoeae (bacteria)
Incubation period 3–4 weeks Male – 2 to 14 days; Female – 7 to 21 days
Infection site Mucous membrane in the genital, rectal and oral region Mucous membrane of the urino-genital tract, rectum, throat and eye
Symptoms A primary lesion called a chancre at the site of infection. The chancre is formed on the external genitalia; there are skin rashes and mild fever, inflamed joints, and loss of hair. Later, paralysis and degenerative changes occur in the heart and brain. In males: partial blockage of the urethra and reproductive ducts, pus from the penis, pain and burning sensation during urination, arthritis, etc. In females: pelvic inflammation of the urinary tract, sterility, arthritis; children born to an affected mother suffer from gonococcal ophthalmia, and gonococcal vulvovaginitis occurs in girls before puberty.
Preventive measures Education about sex practices and sex hygiene, avoiding sex with unknown partners or multiple partners, using a condom during coitus. Sex hygiene, using a condom during coitus, avoiding sex with unknown partners or multiple partners.
Treatment Antibiotic – Penicillin Antibiotic – Cefixime

Syphilis vs Gonorrhoea at a glance | Feature | Syphilis | Gonorrhoea | |—|—|—| | Bacterium | Treponema pallidum | Neisseria gonorrhoeae | | Typical first sign | Chancre (primary lesion) at the site of infection | Pus discharge, burning during urination | | Long-term damage | Paralysis, degenerative changes in heart and brain | Sterility, pelvic inflammation, arthritis | | Antibiotic used | Penicillin | Cefixime |

Chancre vs the general skin rash of syphilis The chancre is the single primary lesion that appears right at the site where the bacterium entered, and it is the earliest sign. The skin rashes, mild fever and inflamed joints come later, as the infection spreads through the body. Do not treat the two as the same symptom appearing at the same stage.

Gonorrhoea shows why treating STDs is not only about the infected adult. A baby born to an affected mother can pick up Neisseria gonorrhoeae while passing through the birth canal, developing gonococcal ophthalmia — an eye infection that, if untreated, can lead to blindness. This is why testing and treating the mother during pregnancy, and giving newborns protective eye care, are standard practice in hospitals.

Q. Both syphilis and gonorrhoea are curable by antibiotics, so why is prevention still stressed so strongly?

A. Because these diseases are often silent or mild at first, so people spread them before they know they are infected. Also, by the time syphilis is neglected long enough, the damage to the heart and brain cannot be reversed by antibiotics, and untreated gonorrhoea can already have caused sterility. Cure is possible; the damage done in the meantime may not be.

Preventing STDs

Looking across the table, the preventive measures for both diseases point in the same direction: education about safe and hygienic sexual practices, avoiding sex with unknown or multiple partners, and using a condom during coitus. Timely diagnosis and completing the full course of the prescribed antibiotic are equally important, so that the infection is not passed on and complications are avoided.

Collect information about other sexually transmitted diseases (for example AIDS, chlamydiasis, genital herpes), noting their causal organism, symptoms and control measures.

2.14 Infertility

Infertility is defined as the inability to conceive naturally after (one year of) regular unprotected intercourse.

NoteDefinition

Infertility is the inability of a couple to conceive naturally after one year of regular, unprotected intercourse.

The causes of infertility may be physical, congenital (present from birth), due to diseases, immunological, or even psychological. The common physical causes in females are polycystic ovary syndrome (PCOS), hormonal imbalance and endometriosis, while in males they include a low sperm count and small size of the penis.

Q. Why does the definition insist on “one year of regular unprotected intercourse”?

A. Because conception does not happen instantly even in perfectly healthy couples — the egg survives only about 24 hours in each cycle, so several cycles may pass before fertilization succeeds. A one-year window allows enough cycles for a normal couple to conceive, so failure beyond that points to a genuine problem rather than to chance.

Assisted Reproductive Technologies (ART)

Prior to 1978, an infertile couple had only two options — to adopt, or to remain childless. Today, infertile couples have many options for having a child, such as fertility drugs, test-tube babies, artificial insemination, IUI and surrogate motherhood.

Couples can be assisted to have a child through certain special techniques known collectively as Assisted Reproductive Technologies (ART). The main techniques are compared below and set out in FC 2.1.

Flowchart

FC 2.1 – Choosing an ART technique by the site of the problem: fallopian tubes blocked → IVF (fertilization outside the body) → embryo/zygote transferred back (ZIFT, if the tube’s entrance or upper segment is blocked → GIFT); sperm cannot penetrate the egg → ICSI (single sperm injected into the ovum); very low sperm count / male unable to inseminate → AI (sperms into the cervix) or IUI (sperms into the uterine cavity); problem in implantation in the uterus → surrogacy.

IVF (In Vitro Fertilization)

IVF is the process of fertilization in which an egg is combined with sperm outside the body — in a test tube or glass plate — to form a zygote under simulated conditions in the laboratory. The zygote, or the early embryo (with up to 8 blastomeres), can then be transferred into the fallopian tube for further development. This is the technique popularly known as the test-tube baby technique.

In vitro vs In vivo fertilization “In vitro” means fertilization brought about outside the body, in the glassware of a laboratory (as in IVF). “In vivo” means fertilization occurring inside the body (as in artificial insemination, where only the sperms are introduced artificially, but fusion still happens inside the female tract).

ZIFT (Zygote Intrafallopian Transfer)

ZIFT is an infertility treatment used when there is a blockage in the fallopian tubes that prevents the fertilization of the egg by the sperm.

In this method, the egg is removed from the woman’s ovary. Fertilization of the egg with the sperms is brought about outside the body under sterile conditions, forming a zygote by the process of in vitro fertilization (IVF). The zygote is then transferred to the fallopian tube for further development.

GIFT (Gamete Intrafallopian Transfer)

GIFT is the transfer of an ovum collected from a donor into the fallopian tube of another female who can provide a suitable environment for its fertilization and development.

This technique has been developed for cases in which only the entrance to the oviducts, or the upper segment of the oviducts, is blocked. In this procedure, ova and sperms are directly injected into regions of the oviduct, where fertilization produces a blastocyst, which then enters the uterus via the normal route. GIFT has a success rate of about 30 percent.

ZIFT vs GIFT | Feature | ZIFT | GIFT | |—|—|—| | What is transferred | The zygote (already fertilized) | The gametes — ova and sperms (not yet fertilized) | | Where fertilization occurs | Outside the body (in vitro) | Inside the oviduct of the female | | Where it is transferred | Into the fallopian tube | Into regions of the oviduct | | Used when | The fallopian tubes are blocked | Only the entrance or upper segment of the oviducts is blocked |

ICSI (Intra Cytoplasmic Sperm Injection)

ICSI is an in vitro fertilization procedure in which a single sperm cell is injected directly into the cytoplasm of an ovum in the laboratory. Here the sperm does not have to naturally penetrate the egg.

Recall from fertilization that a sperm must normally use its acrosomal enzymes to dissolve the corona radiata and zona pellucida before it can enter the egg. If a man’s sperms are too few or too weak to accomplish this, natural fertilization fails even in a laboratory dish. ICSI simply bypasses that entire barrier by placing one sperm directly inside the ooplasm with a fine needle — which is why it is the technique of choice in severe male-factor infertility.

Artificial Insemination (AI)

In some infertility cases, the male partner is unable to inseminate the female due to a very low sperm count. This problem can be solved by artificial insemination.

In this technique, sperms are collected from the male and artificially introduced into the cervix of the female, for the purpose of achieving a pregnancy through in vivo fertilization (that is, fertilization inside the body).

IUI (Intra Uterine Insemination)

In this technique the process is somewhat like that of artificial insemination; the only difference is that the sperms are introduced into the uterine cavity instead of the cervix.

AI vs IUI Both introduce sperms artificially and both rely on fertilization inside the body. The single difference is the site of delivery — AI places the sperms in the cervix, while IUI places them further up, directly in the uterine cavity, giving the sperms a shorter distance to travel.

Sperm Bank (Semen Bank)

A sperm bank or semen bank is a place that collects, stores and provides human sperms or semen. The semen is provided by healthy males called sperm donors. The sperms are stored in the sperm bank by the cryopreservation method — that is, at very low temperature, which halts their metabolic activity and keeps them viable for long periods.

Surrogacy

Some women have a problem in the implantation of the embryo in the uterus. Such a woman can take the help of a modern remedial technique called surrogacy. In this technique, the embryo is implanted in a surrogate mother, who is not the biological mother of the child.

Q. In surrogacy, whose genes does the child carry?

A. The child carries the genes of the biological parents — the ones whose egg and sperm formed the embryo. The surrogate mother only provides the uterus in which the embryo implants and develops; she contributes no genetic material to the child.

Adoption

Adoption is a legal process by which a couple, or a single parent, gets the legal rights, privileges and responsibilities that are associated with a biological child, for the upbringing of the adopted child.

An adoptive parent should be medically fit and financially able to take care of the adopted child. A person wishing to adopt a child must be at least 21 years old, and there is no legal upper age limit for adoption.

Tobacco, marijuana and other drugs, and smoking, may cause infertility in both men and women. Nicotine blocks the production of sperm and decreases the size of the testicles. Alcoholism in men interferes with the synthesis of testosterone and has an impact on sperm count. The use of cocaine or marijuana may temporarily reduce the number and quality of sperms.

Consider these two cases. Jayesh, a young married man of 26 years, has been suffering from T.B. for the last 2 years; he and his wife want a child but are unable to have one — what could be the possible reason? And Neeta, aged 45, has been advised by her doctor against such a late pregnancy, yet she wants to be the biological mother of a child without getting pregnant herself — is this possible, and how?

Make a list of IVF centres in Maharashtra, and note down which of the ART techniques described above each one offers.

2.15 Summary

  1. Reproduction is the biological process of forming new life from pre-existing life. It gives a species continuity even though individual organisms live only for a limited lifespan. In animals it occurs by two methods — asexual and sexual.

  2. Asexual reproduction involves a single parent, with no meiosis and no formation or fusion of gametes. The offspring are genetically identical to the parent and are called clones. Lower animals reproduce asexually by gemmule formation and budding.

  3. A gemmule is an internal bud found only in sponges. It is a mass of dormant archaeocytes coated by a resistant layer secreted by amoebocytes, formed to survive unfavourable conditions; on the return of favourable conditions it hatches into a new individual, e.g. Spongilla.

  4. Budding occurs in favourable conditions in animals such as Hydra, corals and some colonial ascidians. In Hydra a bud arises near the basal end, grows tentacles, and finally detaches as an independent individual.

  5. Regeneration is the repair or regrowth of a lost or damaged part. It uses asexual processes but differs from reproduction. Planaria can also reproduce asexually by fragmentation, each piece growing into a new individual.

  6. Sexual reproduction (amphimixis) involves the formation and fusion of gametes, with gamete formation primarily by meiosis. Sexually reproducing animals pass through a juvenile phase and a reproductive maturity phase, after which they show pre-fertilization, fertilization and post-fertilization events. Goat, sheep and donkey are seasonal breeders; humans and apes are continuous breeders.

  7. Gametes are produced by the primary sex organs — testis in the male, ovary in the female. All other reproductive organs are secondary sex organs. Males and females are told apart externally by secondary sexual (sexual dimorphic) characters.

  8. The male reproductive system consists of the testes, accessory ducts and accessory glands. Each testis lies in the scrotum, is 4–5 cm long, 2–3 cm wide and 3 cm thick, and is covered by the tunica albuginea, tunica vaginalis and tunica vasculosa. Each testis has 200–300 lobules, each with 1–4 seminiferous tubules lined by germinal epithelium and Sertoli cells; Leydig (interstitial) cells between the tubules secrete testosterone.

  9. The path of sperm is: seminiferous tubule → rete testis → vasa efferentia → epididymis (site of sperm maturation) → vas deferens → ejaculatory duct → urethra (urinogenital duct).

  10. The accessory glands are the seminal vesicles (alkaline seminal fluid with fructose, fibrinogen and prostaglandins; ~60% of semen), the prostate gland (slightly acidic prostatic fluid; ~30% of semen; contains acid phosphatase) and Cowper’s (bulbourethral) glands (alkaline lubricant).

  11. Semen is a viscous, alkaline, milky fluid (pH 7.2 to 7.7); 2.5 to 4.0 ml is released per ejaculation, containing about 400 million sperms.

  12. The scrotum, with the cremaster and dartos muscles, keeps the testes 2–3 °C below body temperature, which is necessary for spermatogenesis. Failure of the testis to descend is cryptorchidism, and causes sterility.

  13. The female reproductive system consists of a pair of ovaries, a pair of oviducts, the uterus, vagina, external genitalia (vulva), a pair of vestibular glands and a pair of mammary glands.

  14. The ovary (3.0 cm × 1.5 cm × 1.0 cm) produces the ovum and five hormones — estrogen, progesterone, relaxin, activin and inhibin. It has an outer cortex with follicles and an inner medulla. Oogenesis begins before birth: over 2 million primordial follicles in the foetal ovary, about 1 million at birth, and only 60,000–80,000 at puberty; their large-scale destruction is atresia.

  15. Menarche begins at about 13 years and menopause at 45 to 55 years, giving a reproductive age of about 32 years, in which about 416 eggs are released (\(32 \times 13 = 416\)).

  16. Follicles mature in order: primordial → primary → secondary → Graafian follicle. After ovulation the remaining follicle becomes the corpus luteum; if fertilization does not occur it degenerates into the corpus albicans. The Graafian follicle contains a secondary oocyte, zona pellucida, theca externa, theca interna, membrana granulosa, corona radiata, and an antrum filled with liquor folliculi.

  17. The oviduct (10–12 cm) has three parts — infundibulum (with ostium and fimbriae), ampulla (the site of fertilization) and isthmus. The uterus (7.5 cm × 5 cm × 2.5 cm) has a fundus, body and cervix, and three wall layers — perimetrium, myometrium and endometrium. The vagina (7–9 cm) is the copulatory organ and the birth canal.

  18. The menstrual cycle repeats about every 28 days and has four phases: menstrual (days 1–5, endometrium breaks down, blood does not clot due to fibrinolysin), proliferative/follicular (5th–13th day, FSH and estrogen, endometrium regenerates to 3–5 mm), ovulatory (about the 14th day, LH surge ruptures the Graafian follicle) and secretory/luteal (15th–28th day, corpus luteum secretes progesterone, endometrium thickens to 8–10 mm). If implantation occurs, hCG maintains the corpus luteum.

  19. Spermatogenesis has three phases: multiplication (spermatogonia, 2n, 46 chromosomes), growth (primary spermatocytes, 2n) and maturation (meiosis I → two secondary spermatocytes, n, 23 chromosomes each; meiosis II → four spermatids, n). Spermiogenesis converts a spermatid into a functional spermatozoon. A sperm has a head (with acrosome and nucleus), neck (two centrioles), middle piece (mitochondria, nebenkern) and tail.

  20. Oogenesis also has three phases, but the divisions are unequal: primary oocyte (2n) → meiosis I → secondary oocyte (n) + first polar body (n) → meiosis II (completed only on sperm entry) → ovum (n) + second polar body (n). The secondary oocyte is about 0.1 mm (100 microns), microlecithal and non-cleidoic, with vitelline membrane, zona pellucida, corona radiata, perivitelline space, and animal and vegetal poles.

  21. Fertilization (syngamy) is the fusion of the haploid gametes to form a diploid zygote (2n), occurring in the ampulla. It involves capacitation (5–6 hours), the acrosome reaction (release of hyaluronidase, acrosin/zona lysins and corona-penetrating enzymes), the species-specific fertilizin–antifertilizin (compatibility) reaction, the cortical reaction forming the fertilization membrane (which blocks polyspermy), activation of the ovum (completion of meiosis II and release of the second polar body), and fusion of the pronuclei to form the synkaryon. Sperms remain viable 24–48 hours; the ovum for about 24 hours.

  22. Fertilization restores the diploid number, completes oogenesis, supplies the centriole, creates variation important for evolution, and determines the sex of the offspring.

  23. Embryonic development: cleavage (holoblastic, radial, indeterminate; no growth of blastomeres) → morula (16–32 cells, by day 4) → blastocyst with trophoblast and inner cell mass (fully formed by day 7; size doubles from 0.15 mm to 0.30 mm) → implantation in the endometrium (begins day 7, complete by day 10; trophoblast forms syncytiotrophoblast and cytotrophoblast) → gastrulation (from about day 8; trilaminar disc by about day 15) forming ectoderm, mesoderm and endoderm → histogenesis → organogenesis.

  24. Pregnancy (gestation) lasts on average 266 days from fertilization, or 280 days from the LMC, divided into three trimesters. The first trimester is the main period of organogenesis (the embryo becomes a foetus by about 8 weeks); the second is a period of rapid growth in which the placenta takes over progesterone production; in the third the foetus reaches about 3–4 kg and 50 cm and becomes ready for birth.

  25. The placenta is a flattened, discoidal, temporary organ formed from the tissues of two individuals — the foetal placenta (chorionic villi) and the maternal placenta — and is therefore haemochorial. It supplies oxygen, nutrients, hormones and antibodies, removes carbon dioxide and wastes, and acts as an endocrine tissue producing hCG, progesterone and estrogen. The umbilical cord has three vessels — two arteries and one vein.

  26. Parturition is the birth of the baby, controlled by a neuroendocrine mechanism. Foetal ACTH and corticosteroids, a rise in the estrogen–progesterone ratio and increased oxytocin receptors lead to the release of maternal oxytocin, which causes vigorous myometrial contractions. Labour has three stages: dilation (up to a few hours, ending with rupture of the amniotic membrane), expulsion (20 to 60 minutes) and after birth (expulsion of the placenta, within 10 to 45 minutes).

  27. Lactation is milk production by the mammary glands, controlled by prolactin. Colostrum, the sticky yellow fluid secreted soon after childbirth, is rich in proteins, lactose and antibodies (e.g. IgA) and low in fat, and gives the newborn resistance to infection.

  28. Reproductive health, per WHO, is total wellbeing in all aspects of reproduction — physical, emotional, behavioural and social. India’s RCH programmes aim to create awareness, provide facilities and support, and reduce the total infertility rate, infant mortality rate and maternal mortality rate. India’s population grew from about 350 million at independence to over 1.35 billion by 2020.

  29. Birth control methods are temporary or permanent. Temporary methods include the natural (safe period/rhythm) method, coitus interruptus, lactational amenorrhea, spermicides, barrier methods (condom; diaphragm, cervical caps and vaults; IUDs such as the Lippes loop, copper-releasing Cu-T, Cu7, multiload 375 and hormone-releasing LNG-20, progestasert), oral pills (containing progesterone and estrogen; the non-steroidal “Saheli”), and implants (effective for 3–4 years). Permanent methods (sterilization) are vasectomy in men and tubectomy in women.

  30. MTP (induced abortion) is legal under the MTP Act 1971 and its 2017 Amendment, permitted within the first 12 weeks, and between 12 and 20 weeks with a registered medical practitioner’s opinion. Amniocentesis studies foetal chromosomes from amniotic fluid; its misuse for sex determination is illegal.

  31. Sexually transmitted diseases (STDs/VDs/RTIs) are transmitted by sexual intercourse. Syphilis is caused by Treponema pallidum (incubation 3–4 weeks; chancre; treated with penicillin) and gonorrhoea by Neisseria gonorrhoeae (incubation 2–14 days in males, 7–21 days in females; treated with cefixime). Prevention is by sex hygiene, avoiding unknown or multiple partners, and using condoms.

  32. Infertility is the inability to conceive naturally after one year of regular unprotected intercourse. Assisted Reproductive Technologies include IVF (fertilization in vitro), ZIFT (zygote transferred to the fallopian tube), GIFT (gametes transferred to the oviduct; about 30% success), ICSI (single sperm injected into the ovum), AI (sperms into the cervix) and IUI (sperms into the uterine cavity). Sperm banks store donated semen by cryopreservation. Surrogacy and adoption are further options; an adoptive parent must be at least 21 years old.

Flowchart

FC S.1 – The whole chapter in one chain: gametogenesis (spermatogenesis + oogenesis) → gamete transfer (insemination) → fertilization in the ampulla → zygote → cleavage → morula → blastocyst → implantation → gastrulation (three germ layers) → organogenesis → foetus (three trimesters, supported by the placenta) → parturition → lactation.

2.16 Points to Ponder

  1. In a transverse section of an ovary, can all the stages of follicles be seen at the same time? What does your answer tell you about how the ovary works across successive menstrual cycles?

  2. Why is menstruation painful for some women and not for others? Which substance released during the menstrual phase would you look at first, and why?

  3. Menstrual cycles are a feature of primates. Which primates besides humans show one, and how does the reproductive cycle of a non-primate mammal differ from it?

  4. What would happen if a sperm fused with the egg before it reached the fallopian tube? Where would such an embryo implant?

  5. What is an ectopic pregnancy, and can such a pregnancy continue up to full term? Explain your reasoning in terms of where the embryo can and cannot be nourished.

  6. Why is it said that a mother’s milk is the safest food for a newborn? Think about both what colostrum contains and what the newborn’s own immune system cannot yet do.

  7. Cells of the trophoblast form no part of the embryo proper, yet the embryo cannot survive without them. What does this suggest about the difference between “building the baby” and “supporting the baby”?

  8. Human cleavage is described as holoblastic, radial and indeterminate. What is meroblastic cleavage, and in which organisms is it seen? What in the egg itself decides which pattern an animal shows?

  9. What are the extra-embryonic membranes, and why does an embryo developing inside a uterus still need them?

  10. Jayesh, a young married man of 26, has had T.B. for the last two years. He and his wife want a child but are unable to have one. What could be the possible reason, and which stage of reproduction is likely to be affected?

  11. Neeta is 45 years old and her doctor has advised her against a late pregnancy. She still wishes to be the biological mother of a child without becoming pregnant herself. Is this possible, and by what means?

  12. Prostaglandins appear at several different points in this chapter — in seminal fluid, in the menstrual phase and in fertilization. What single common property of prostaglandins explains all these different roles?

  13. What are the effects of alcohol consumption and smoking by a pregnant woman on her foetus? Trace the route by which these substances reach the developing baby.

  14. Sonography clinics display a board stating that sex selection and detection is not done there, as it is punishable under the PC-PNDT Act. Why is such a mandate considered essential for a society, and what would be the long-term consequence of its absence?

  15. Amniocentesis can save a child from a serious genetic disorder, yet the same test has been badly misused. What does this tell you about the relationship between a scientific technique and the ethics of its use?

2.17 Objective Questions

  1. The number of nuclei present in a zygote is ……
    1. two
    2. one
    3. four
    4. eight
  2. Which of these is the male reproductive organ in human?
    1. sperm
    2. seminal fluid
    3. testes
    4. ovary
  3. Attachment of embryo to the wall of the uterus is known as ……..
    1. fertilization
    2. gestation
    3. cleavage
    4. implantation
  4. Rupturing of follicles and discharge of ova is known as …………..
    1. capacitation
    2. gestation
    3. ovulation
    4. copulation
  5. In human female, the fertilized egg gets implanted in uterus ………………….
    1. After about 7 days of fertilization
    2. After about 30 days of fertilization
    3. After about two months of fertilization
    4. After about 3 weeks of fertilization
  6. Test tube baby technique is called………
    1. In vivo fertilization
    2. In situ fertilization
    3. In vitro fertilization
    4. Artificial insemination
  7. The given figure shows a human sperm. Various parts of it are labelled as A, B, C and D. Which labelled part represents acrosome?
    1. B
    2. C
    3. D
    4. A

Diagram

Fig. E.1 – Human sperm with four unlabelled leader lines marked A, B, C and D pointing to parts of the head and neck region.

  1. Presence of beard in boys is a …………

    1. primary sex organ
    2. secondary sexual character
    3. secondary sex organ
    4. primary sexual character
  2. The primary sex organ in human male is ……….

  3. The ………. is also called the womb.

  4. Sperm fertilizes ovum in the ………….. of fallopian tube.

  5. The disc like structure which helps in the transfer of substances to and from the foetus’s body is called…………

  6. Gonorrhoea is caused by …………… bacteria.

  7. The hormone produced by the testis is ………………..

2.18 Check Your Concepts

  1. Why is the progeny formed by budding in Hydra called a clone, while the two halves formed when a Planaria is cut in half are also called clones — yet the regrowth of a lost tentacle in Hydra is not called reproduction at all? Explain the distinction.

  2. A sponge in a pond survives a season in which the pond freezes over completely, and a new sponge appears when the water warms again. Explain, step by step, how this is possible, naming the structure and the cells involved.

  3. Assertion: The testes lie in the scrotum, outside the abdominal cavity. Reason: Spermatogenesis requires a temperature 2–3 °C lower than normal body temperature. Choose whether both statements are true, whether the reason correctly explains the assertion, and justify your answer.

  4. Arrange the following in the correct sequence through which a sperm travels: vas deferens, rete testis, urethra, seminiferous tubule, ejaculatory duct, epididymis, vasa efferentia.

  5. What would happen to a man’s fertility if his epididymis were surgically bypassed, so that sperms went directly from the vasa efferentia to the vas deferens? Explain, using the function of the epididymis.

  6. Match the following:

Column A Column B
a. Seminal vesicle i. alkaline lubricant during copulation
b. Prostate gland ii. fructose, fibrinogen and prostaglandins; ~60% of semen
c. Cowper’s gland iii. testosterone
d. Leydig cells iv. acid phosphatase; ~30% of semen
  1. Why is it said that a female is born with her entire lifetime supply of eggs already present? Use the follicle numbers given in the chapter to support your answer, and state what this implies about fertility with increasing age.

  2. Identify the labelled parts in a Graafian follicle and state which one produces estrogen and which one is a non-cellular covering of the oocyte.

Diagram

Fig. E.2 – Graafian follicle with unlabelled leader lines to theca externa, theca interna, antrum, granulosa cells, corona radiata and oocyte.

  1. Assertion: Menstrual blood does not clot. Reason: The endometrium is shed only when progesterone and estrogen levels fall. Evaluate whether the reason given actually explains the assertion, and if not, give the correct explanation.

  2. The proliferative phase is described as the most variable phase of the menstrual cycle. Explain why this variability makes the “safe period” method of contraception unreliable.

  3. Trace what happens to the corpus luteum in two different situations: (i) the ovulated egg is not fertilized, and (ii) the ovulated egg is fertilized and the embryo implants. Name the hormone responsible for the difference.

  4. In oogenesis, the cytoplasm divides unequally, whereas in spermatogenesis it divides equally. What functional advantage does the unequal division give to the female gamete? What is the fate of the polar bodies?

  5. A student writes: “The ovum released at ovulation is fertilized by the sperm.” Identify the error in this statement and correct it, explaining exactly when the true ovum is formed.

  6. Explain how the structure of each of the following parts of a sperm suits its function: (i) acrosome, (ii) middle piece, (iii) tail.

  7. What would be the consequence if the cortical reaction failed to occur in an egg immediately after a sperm entered it? Name the condition that would result and explain why it is harmful.

  8. The fertilizin–antifertilizin reaction is said to be species specific and is therefore called the compatibility reaction. Why is such specificity biologically important?

  9. The ovum lacks centrioles, yet the zygote divides by mitosis immediately after fertilization. Resolve this apparent contradiction.

  10. Arrange the following stages of early development in correct sequence and state the approximate day on which each is reached: blastocyst, morula, zygote, 8-cell stage, implantation complete.

  11. Why does the size of the blastomeres keep decreasing during cleavage, even though their number keeps increasing? What effect does this have on their metabolic rate?

  12. Explain the protective role of the zona pellucida up to the morula stage. What would be the danger if it ruptured too early?

  13. Distinguish between the trophoblast and the inner cell mass with respect to position, and to their contribution to the embryo and to the placenta.

  14. Name the germ layer from which each of the following develops: (i) the entire nervous system, (ii) the heart and blood vessels, (iii) the lining of the mid-gut, (iv) the kidneys, (v) the enamel of teeth.

  15. The placenta is described as haemochorial and as an organ formed by two different individuals. Explain both statements, naming the foetal and maternal contributions.

  16. In the umbilical cord, the arteries carry deoxygenated blood and the vein carries oxygenated blood — the reverse of what students usually expect. Explain why this is not a contradiction of the definition of an artery and a vein.

  17. Why is the presence of hCG in a woman’s urine used as the basis of a pregnancy test? What is hCG’s actual function in the body at that time?

  18. Parturition is described as being driven by a positive feedback loop. Identify the hormone concerned, describe the loop, and explain what finally ends it.

  19. Arrange in the correct order the events of parturition: expulsion of placenta, rupture of amniotic membrane, dilation of cervix, release of oxytocin from the mother’s pituitary, secretion of ACTH by the foetal pituitary, delivery of the baby.

  20. Why is a newborn given colostrum rather than being started directly on mature milk? Relate your answer to the state of the newborn’s own immune system.

  21. A copper-T and an oral contraceptive pill both prevent pregnancy, but they act at completely different points in the reproductive process. Compare their modes of action.

  22. Among all the contraceptive methods described in this chapter, only one also protects against sexually transmitted infections. Name it and explain why it can do both.

  23. Assertion: Vasectomy prevents pregnancy. Reason: Vasectomy stops the production of sperms in the testis. State whether each statement is true, and correct the reason if it is wrong.

  24. Amniocentesis is a valuable diagnostic technique that has also been badly misused. Describe how the technique is performed, what it is meant to detect, and why its misuse led to legal restrictions in India.

  25. A couple approaches a fertility clinic. In each of the following cases, state which assisted reproductive technique would be most suitable and why: (i) the woman’s fallopian tubes are completely blocked; (ii) the man has a very low sperm count and his sperms cannot penetrate the egg; (iii) the woman produces healthy eggs but cannot support implantation in her uterus.

  26. Distinguish between ZIFT and GIFT with respect to what is transferred and where fertilization takes place.

  27. A newborn baby of a mother infected with Neisseria gonorrhoeae develops an eye infection. Name the condition, explain how the infection reached the baby, and suggest how it could have been prevented.

  28. Both syphilis and gonorrhoea can be cured with antibiotics, yet the chapter still emphasises prevention. Give two biological reasons why prevention remains essential.

  29. “Of all the social goals of India, an important one is to attain total reproductive health.” Explain how a fall in the infant mortality rate and the maternal mortality rate serves as evidence that this goal is being met.

  30. What is the difference between a foetus and an embryo? (30–40 words)

  31. Which glands contribute fluids to the semen? (30–40 words)

  32. Name the endocrine glands involved in maintaining the sex characteristics of males. (30–40 words)

  33. Where does fertilization and implantation occur? (30–40 words)

  34. Enlist the external genital organs in the female. (30–40 words)

  35. Give two differences between blastula and gastrula. (30–40 words)

  36. What is the difference between embryo and zygote? (30–40 words)

  37. Write a note on budding in Hydra. (80–100 words)

  38. Explain the different methods of reproduction occurring in sponges. (80–100 words)

  39. Write a note on IVF. (80–100 words)

  40. Comment on any two mechanical contraceptive methods. (80–100 words)

  41. Write a note on tubectomy. (80–100 words)

  42. Give the name of the causal organism of syphilis and write on its symptoms. (80–100 words)

  43. What is colostrum? (80–100 words)

  44. Describe the phases of the menstrual cycle and their hormonal control.

  45. Explain the steps of parturition.

  46. Explain the histological structure of testis.

  47. Describe the structure of blastula.

  48. Explain the histological structure of ovary in human.

  49. Describe the various methods of birth control to avoid pregnancy.

  50. What are the goals of the RCH programme?

  51. Which hormones are involved in parturition?

  52. What are the functions of the male accessory glands?

  53. What is capacitation? Give its importance.

  54. Explain the following parts of the male reproductive system along with a labelled diagram showing these parts — testis, vasa deferentia, epididymis, seminal vesicle, prostate gland and penis. (150–200 words)

  55. Describe the female reproductive system of human. (150–200 words)

  56. Describe the process of fertilization. (150–200 words)

  57. Explain the process by which the zygote divides and redivides to form the morula. (150–200 words)