THE PHYSIOLOGY and ECOPHYSIOLOGY of EJACULATION Tropical and Subtropical Agroecosystems, Vol

Total Page:16

File Type:pdf, Size:1020Kb

THE PHYSIOLOGY and ECOPHYSIOLOGY of EJACULATION Tropical and Subtropical Agroecosystems, Vol Tropical and Subtropical Agroecosystems E-ISSN: 1870-0462 [email protected] Universidad Autónoma de Yucatán México Lucio, R. A.; Cruz, Y.; Pichardo, A. I.; Fuentes-Morales, M. R.; Fuentes-Farias, A.L.; Molina-Cerón, M. L.; Gutiérrez-Ospina, G. THE PHYSIOLOGY AND ECOPHYSIOLOGY OF EJACULATION Tropical and Subtropical Agroecosystems, vol. 15, núm. 1, 2012, pp. S113-S127 Universidad Autónoma de Yucatán Mérida, Yucatán, México Available in: http://www.redalyc.org/articulo.oa?id=93924484010 How to cite Complete issue Scientific Information System More information about this article Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Journal's homepage in redalyc.org Non-profit academic project, developed under the open access initiative Tropical and Subtropical Agroecosystems, 15 (2012) SUP 1: S113 – S127 REVIEW [REVISIÓN] THE PHYSIOLOGY AND ECOPHYSIOLOGY OF EJACULATION [FISIOLOGÍA Y ECOFISIOLOGÍA DE LA EYACULACIÓN] R. A. Lucio1*, Y. Cruz1, A. I. Pichardo2, M. R. Fuentes-Morales1, A.L. Fuentes-Farias3, M. L. Molina-Cerón2 and G. Gutiérrez-Ospina2 1Centro Tlaxcala de Biología de la Conducta, Universidad Autónoma de Tlaxcala, Tlaxcala-Puebla km 1.5 s/n, Loma Xicotencatl, 90062, Tlaxcala, Tlax., México. 2Depto. Biología Celular y Fisiología, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Ciudad Universitaria, 04510, México, D.F., México. 3Laboratorio de Ecofisiologia Animal, Departamento de Fisiologia, Instituto de Investigaciones sobre los Recursos Naturales, Universidad Michoacana de San Nicolás de Hidalgo, Av. San Juanito Itzicuaro s/n, Colonia Nueva Esperanza 58337, Morelia, Mich., México * Corresponding author ABSTRACT RESUMEN Different studies dealing with ejaculation view this Diferentes estudios enfocados en la eyaculación, process as a part of the male copulatory behavior. consideran a este proceso como parte de la conducta Some of them explain ejaculation as the consequence copulatoria masculina. Algunos de ellos explican la of a neuroendocrine feedback loops or from a purely eyaculación como la consecuencia de una anatomical perspective. The goal of the present review retroalimentación neuroendócrina o desde una is to discuss the traditional and novel themes related to perspectiva puramente anatómica. El objetivo de la the biology of ejaculation. The text begins with the presente revisión es discutir los temas tradicionales y description of the behavioral motor patterns that lead novedosos relacionados con la biología de la to ejaculation. The anatomo-physiological mechanisms eyaculación. El texto inicia con la descripción de los are explained under the notion that ejaculation is more patrones motores copulatorios que conducen a la than genitals and an excurrent duct system; thus it is eyaculación. Se explican los mecanismos anátomo- also included the participation of the striated perineal fisiológicos considerando que la eyaculación es más musculature. Although ejaculation is a sexual spinal que genitales y un sistema de ductos excurrentes; reflex, it is inhibited tonically by supraspinal entonces también se incluye la participación de la structures. Such supraspinal modulation may explain musculatura perineal estriada. Aunque la eyaculación the prudent sperm allocation, by which males adjust es un reflejo sexual espinal, está inhibido tónicamente the number of sperm per ejaculate while copulating por estructuras supraespinales. Tal modulación under distinct competitive scenarios. In some supraespinal puede explicar el reparto espermático mammals, ejaculate components facilitate seminal conveniente, por el cual los machos ajustan el número coagulation, an adaptation that may increase the male de espermatozoides por eyaculado al copular en reproductive fitness. Finally, there is a reflection of the distintos escenarios competitivos. En algunos so-called human ejaculatory disturbances, which from mamíferos, los componentes del eyaculado facilitan la an ecophysiolgical perspective could represent coagulación del semen, una adaptación que puede advantages instead of sexual malfunction as are incrementar el éxito reproductivo del macho. recognize under the medical view. Finalmente, se reflexiona sobre los llamados desórdenes eyaculatorios humanos, que desde la Keywords: Copulatory behavior; copulatory reflexes; perspectiva ecofisiológica podrían representar ventajas disorders of ejaculation; prudent sperm allocation; en lugar de disfunciones sexuales como son seminal characteristics; sexual reflexes; sperm reconocidas desde el punto de vista médico competition; sperm transport. Palabras clave: Conducta copulatoria; reflejos copulatorios; desórdenes de la eyaculación; reparto espermático conveniente; características seminales; reflejos sexuales; competencia espermática; transporte espermático. S113 Lucio et al., 2012 INTRODUCTION during copulation, an ex copula stimulation protocol has been devised in rats. During these tests, erections Ejaculation in mammals is a male sexual function are elicited by retracting the penile sheath while the design to inseminate the female. This ephemeral but male is kept in a supine position (Hart, 1968). The ex essential process occurs when the male reaches the copula and in copula penile erections are similar in ejaculatory threshold during the copulatory encounter. physiological terms (Hart, 1968; Holmes et al., 1991). In the present text ejaculation is analyzed in an However, the temporal pattern of penile reflexes integrative view, from proximal mechanisms to differs between natural and ex copula erections (Hart, ultimate explanations. Then ejaculation is considered 1968). Three gradations of erection can be observed: form a behavioral to ecophysiological perspectives. a) tumescence and elevation of the penile body without glans erection, b) intense erection of the glans COPULATORY BEHAVIOR: THE “cup” and of the penile body, and c) anteroflexions of EJACULATORY PRELUDE the penis due to the straightening of the penile body. During copulation cup formation is necessary for Male sexual behavior comprises activities aimed at depositing the semen into the vagina, where it inseminating the female and fertilizing her ova. In coagulates to form a solid seminal plug. Without this general, two components are accepted to constitute plug, much of the semen leaks out of the vagina and this sex behavior. The first component referred to as pregnancy rarely occurs (Sachs, 1982). These penile sexual drive, libido, courtship or appetitive aspect responses are present in “neutrally” intact rat males involves the behavioral expression used by males to (Dusser de Barenne and Koskoff, 1932; Hart, 1968). gain access to the female (e.g., fighting for territory, Also, penile reflexes may be elicited from spinally advertising his physical attributes or providing food to transected humans (Zeitlin et al., 1957). This indicates females). The second component is known as that penile reflexes are organized substantially at the performance, potency or consummatory aspect, and spinal level. Reflexes are, nonetheless, subjected to corresponds when copulation occurs. Males spent considerable supra-spinal control (Beach, 1967). much more time and energy seeking for copulation than the actual time and energy used to copulate Seminal expulsion refers to the forceful discharge of (Sachs and Meisel, 1988). semen from the prostatic urethra through the urethral meatus. Ejaculation is elicited by urethral distention Copulatory motor patterns and copulatory genital and results from the clonic contraction of the responses ischiocavernosus and bulbocavernosus muscles in response to the rhythmic firing of the cavernous nerve. The male copulatory behavior is expressed as motor This response is called the urethrogenital reflex and it patterns commonly organized in series of mounts, can be observed in rats that have high spinal intromissions and ejaculation. In almost all mammals, transection. A cluster of serotonergic neurons in the the male mounts the female dorsally and from the rear. brain stem is implicated in the descending inhibition of Males’ mounts features pelvic movements (i.e., spinal sexual reflexes (Marson and McKenna, 1990). thrusts) and flank palpation (Sachs and Garinello, The urethrogenital reflex is used as a model to study 1978). Intromission occurs when the penis enters the penile erection and ejaculation (McKenna et al., vagina following a mount. Penile insertion may entail 1991). only a brief genital contact with immediate ejaculation (ungulates; Bermant et al., 1969; Lott, 1981), it may EJACULATION: THE MALE´S AIM consist of a single long connection (canids; Beach, 1969) or it may be an extended series of brief genital Ejaculation is defined as the expulsion of seminal fluid contacts as in before ejaculation is reached (rodents; from the urethral meatus. It involves coordinated Larsson, 1956). Ejaculation occurs when the inserted series of reflexes activated during its two phases: penis into the vagina expel seminal fluid via the emission and expulsion. urethral meatus. Ejaculation in male rats is the culmination of vigorous intravaginal pelvic thrusting Seminal emission refers to the secretion of seminal accompanied by the arching of the male’s spine and plasma from the accessory sexual glands as the results the lifting of his forepaws off the female prior to of the peristaltic contraction of their smooth muscles; withdrawal. After ejaculation, the male dismount is the transferring of seminal plasma and spermatozoa followed by penis auto-grooming
Recommended publications
  • Reference Sheet 1
    MALE SEXUAL SYSTEM 8 7 8 OJ 7 .£l"00\.....• ;:; ::>0\~ <Il '"~IQ)I"->. ~cru::>s ~ 6 5 bladder penis prostate gland 4 scrotum seminal vesicle testicle urethra vas deferens FEMALE SEXUAL SYSTEM 2 1 8 " \ 5 ... - ... j 4 labia \ ""\ bladderFallopian"k. "'"f"";".'''¥'&.tube\'WIT / I cervixt r r' \ \ clitorisurethrauterus 7 \ ~~ ;~f4f~ ~:iJ 3 ovaryvagina / ~ 2 / \ \\"- 9 6 adapted from F.L.A.S.H. Reproductive System Reference Sheet 3: GLOSSARY Anus – The opening in the buttocks from which bowel movements come when a person goes to the bathroom. It is part of the digestive system; it gets rid of body wastes. Buttocks – The medical word for a person’s “bottom” or “rear end.” Cervix – The opening of the uterus into the vagina. Circumcision – An operation to remove the foreskin from the penis. Cowper’s Glands – Glands on either side of the urethra that make a discharge which lines the urethra when a man gets an erection, making it less acid-like to protect the sperm. Clitoris – The part of the female genitals that’s full of nerves and becomes erect. It has a glans and a shaft like the penis, but only its glans is on the out side of the body, and it’s much smaller. Discharge – Liquid. Urine and semen are kinds of discharge, but the word is usually used to describe either the normal wetness of the vagina or the abnormal wetness that may come from an infection in the penis or vagina. Duct – Tube, the fallopian tubes may be called oviducts, because they are the path for an ovum.
    [Show full text]
  • Andrology User Handbook
    Document code: AY.P001 Version number: 7 Date of issue: 29/06/2020 USER HANDBOOK FOR ANDROLOGY SERVICES Diagnostic Semen Analysis Post Vasectomy Semen Analysis Retrograde Ejaculation Analysis Page 1 of 24 Document code: AY.P001 Version number: 7 Date of issue: 29/06/2020 Contents: 1. Introduction .................................................................................................................... 3 2. Location and Opening Times .......................................................................................... 4 3. Useful contacts ............................................................................................................... 4 4. Services provided by the laboratory ............................................................................... 5 5. Requesting semen analysis ............................................................................................ 5 6. Analysis test types .......................................................................................................... 8 6.1 Diagnostic semen analysis (DSA) test for fertility ......................................................... 8 6.1a Instructions for collection of a semen sample for DSA (fertility)............................... 9 6.1b How Diagnostic Semen Analysis assessments are reported .................................10 6.2 Retrograde Analysis ....................................................................................................11 6.2a Instructions for collection of urine for retrograde ejaculation
    [Show full text]
  • Semen Arousal: Its Prevalence, Relationship to HIV Risk Practices
    C S & lini ID ca A l f R o e l s Klein, J AIDS Clin Res 2016, 7:2 a e Journal of n a r r DOI: 10.4172/2155-6113.1000546 c u h o J ISSN: 2155-6113 AIDS & Clinical Research Research Article Open Access Semen Arousal: Its Prevalence, Relationship to HIV Risk Practices, and Predictors among Men Using the Internet to Find Male Partners for Unprotected Sex Hugh Klein* Kensington Research Institute, USA Abstract Purpose: This paper examines the extent to which men who use the Internet to find other men for unprotected sex are aroused by semen. It also looks at the relationship between semen arousal and involvement in HIV risk practices, and the factors associated with higher levels of semen arousal. Methods: 332 men who used any of 16 websites targeting unprotected sex completed 90-minute telephone interviews. Both quantitative and qualitative data were collected. A random sampling strategy was used. Semen arousal was assessed by four questions asking men how much they were turned on by the way that semen smelled, tasted, looked, and felt. Results: 65.1% of the men found at least one sensory aspect of semen to be “fairly” or “very” arousing, compared to 10.2% being “not very” or “not at all” aroused by all four sensory aspects of semen. Multivariate analysis revealed that semen arousal was related to greater involvement in HIV risk practices, even when the impact of other salient factors such as demographic characteristics, HIV serostatus, and psychological functioning was taken into account. Five factors were found to underlie greater levels of semen arousal: not being African American, self-identification as a sexual “bottom,” being better educated, being HIV-positive, and being more depressed.
    [Show full text]
  • Erectile Dysfunction and Premature Ejaculation
    GUIDELINES ON MALE SEXUAL DYSFUNCTION: Erectile Dysfunction and Premature Ejaculation (Text update April 2014) K. Hatzimouratidis (chair), I. Eardley, F. Giuliano, D. Hatzichristou, I. Moncada, A. Salonia, Y. Vardi, E. Wespes Eur Urol 2006 May;49(5):806-15 Eur Urol 2010 May;57(5):804-14 Eur Urol 2012 Sep;62(3):543-52 ERECTILE DYSFUNCTION Definition, epidemiology and risk factors Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sex- ual performance. Although ED is a benign disorder, it affects physical and psychosocial health and has a significant impact on the quality of life (QoL) of sufferers and their partners. There is increasing evidence that ED can be an early mani- festation of coronary artery and peripheral vascular disease; thus, ED should not be regarded only as a QoL issue but also as a potential warning sign of cardiovascular disease includ- ing lack of exercise, obesity, smoking, hypercholesterolaemia, and the metabolic syndrome. The risk of ED may be reduced by modifying these risk factors, particularly taking exercise or losing weight. Another risk factor for ED is radical prostatec- tomy (RP) in any form (open, laparoscopic, or robotic) because of the risk of cavernosal nerve injury, poor oxygenation of the corpora cavernosa, and vascular insufficiency. 130 Male Sexual Dysfunction Diagnosis and work-up Basic work-up The basic work-up (minimal diagnostic evaluation) outlined in Fig. 1 must be performed in every patient with ED. Due to the potential cardiac risks associated with sexual activity, the three Princeton Consensus Conference stratified patients with ED wanting to initiate, or resume, sexual activity into three risk categories.
    [Show full text]
  • INTRAUTERINE INSEMINATION of HUSBAND's SEMEN Departments
    INTRAUTERINE INSEMINATION OF HUSBAND'S SEMEN B. N. BARWIN Departments of Physiology and Midwifery & Gynaecology, The Queen's University of Belfast, Northern Ireland (Received 11 th January 1973) Summary. Fifty patients with primary infertility were treated by intra- uterine insemination of the husband's semen which had been stored. Thirty patients had sperm counts of greater than 20 \m=x\106/ml with 50% motility and twenty patients had oligospermia (<20 \m=x\106/ml). The technique of storage of semen is reported and the intrauterine method described. The r\l=o^\leof the buffer solution is discussed in over- coming the complications of intrauterine insemination. A success rate of 70% is reported in the normospermic group and 55% in the oligo- spermic group over nine cycles of intrauterine insemination of husband's semen. INTRODUCTION One of the main problems confronting the gynaecologist in the investigation of infertility is the consistent finding of immotile spermatozoa, spermatozoa of low motility and low sperm count in the cervical mucus or semen (Scott, 1968). There was considerable controversy among earlier workers in the field that the sperm count was substandard if it fell below 60 106/ml but MacLeod (1962) has carried out considerable research in this field and it is now generally accepted that true oligospermia is represented by counts of less than 20 IO6/ ml provided the motility is good. SUBJECTS AND METHODS Selection of cases Fifty couples with primary infertility of between 3 and 14 years' duration were selected. The age distribution was between 24 and 41 years. In all cases, the wives had been subjected to a full clinical investigation.
    [Show full text]
  • Prevention of Infections in an Artificial Insemination Program
    SPERM ONLY PLEASE: Prevention of infections in an artificial insemination program Carin Huyser Reproductive and Endocrine Unit Department Ob/Gyn University of Pretoria Steve Biko Academic Hospital South Africa [email protected] ESHRE Campus workshop Genk Belgium, 15 December 2009 1 CONTENT I. Introduction Infection and contamination control Environment Staff Supplies Patients & specimens II. Aim Origin & prevention III. Prevalence (origin) of pathogens in ART Bacteria and STIs Viruses Interaction STI & HIV IV. Risk reduction (prevention) Screening & counselling Semen washing Validation of specimens ART procedure: IUI versus IVF/ICSI V. Discussion & Conclusion VI. Acknowledgements 2 I. INTRODUCTION ‘Semen contains vitality & heredity, not germs ’: seminal discourse in the AIDS era 1. Infection and contamination control in ART laboratory 2-4: Environment (inside & outside of lab e.g. Pseudomona spp. in water, fungal spores in air) Staff (individuals & techniques) Facilities & supplies (equipment, eg. cryostorage tanks; media) PatientsPatients & & specimens specimens 1. Khan et al . J Health Popul Nutr 2006; 24 :195-200; 2. Englert et al . Hum Reprod Update 2004; 10 :149-162; 3. Elder, Baker & Ribes. Infections, 3 Infertility and Assisted Reproduction 2005; 4. Magli et al . Hum Reprod 2008; 23 :1253-1262 I. INTRODUCTION Infection and contamination control in ART laboratory 1: Patients & specimens (semen ) Prevalence of pathogens (origin) Risk reduction (prevent) BBV+ BBV+ Fig 1: Prediction of reproductive potential 1. Elder, Baker & Ribes. Infections, Infertility and Assisted Reproduction. 2005 4 I. INTRODUCTION Infection and contamination control in ART laboratory 2: Patients & specimens (semen ) Prevalence of pathogens (origin) Risk reduction (prevent) BBV+/- BBV+/- Fig 1: Prediction of reproductive potential 1.
    [Show full text]
  • Commentary Unprotected: Condoms, Bareback Porn, and the First Amendment
    Commentary Unprotected: Condoms, Bareback Porn, and the First Amendment Bailey J. Langnert ABSTRACT In November 2012, Los Angeles County voters passed Measure B, or the Safer Sex in the Adult Film Industry Act. Measure B mandated condom use by all porn performers in adult films produced within county borders and created a complex regulatory process for adult film producers that included permitting, mandatory public health trainings, and warrantless administrative searches. Shortly after its passage, Vivid Entertainment filed a lawsuit to enjoin the enforcement of Measure B, arguing that the Measure violated their First Amendment right to portray condomless sex in porn. In December 2014, the Ninth Circuit upheld the district court's decision upholding the constitutionality of Measure B. Notably, the mainstream discourse surrounding the Measure B campaign, as well as the legal arguments put forth in the lawsuit, focused exclusively on straight pornography while purporting to represent all porn. As a result, an entire genre of condomless pornography went unrepresented in the discussion: bareback porn, which portrays intentional unprotected anal sex between men. Excluding bareback porn from the lawsuit represented a missed opportunityfor Vivid in its challenge of Measure B. There are several political messages underlying bareback porn unique to that genre that might have resulted in the t The author received a law degree from the University of California, Berkeley, School of Law (Boalt Hall) in 2015. As a law student, the author worked as a Teaching Assistant in the First Year Legal Writing Program and served as a Senior Board Member of the Boalt Hall Women's Association.
    [Show full text]
  • Premature Ejaculation: Practice Essentials, Background, Pathophysiology
    2017­6­17 Premature Ejaculation: Practice Essentials, Background, Pathophysiology This site is intended for healthcare professionals Premature Ejaculation Updated: Mar 15, 2016 Author: Samuel G Deem, DO; Chief Editor: Edward David Kim, MD, FACS more... OVERVIEW Practice Essentials Premature (early) ejaculation is the most common sexual disorder in men younger than 40 years, with 30­70% of males in the United States affected to some degree at one time or another. It has historically been considered a psychological disease with no identified organic cause. Signs and symptoms Premature ejaculation can be lifelong or acquired. With lifelong premature ejaculation, the patient has experienced premature ejaculation since first beginning coitus. With acquired premature ejaculation, the patient previously had successful coital relationships and only now has developed premature ejaculation. Patient characteristics in lifelong premature ejaculation can include the following: Psychological difficulties Deep anxiety about sex that relates to 1 or more traumatic experiences encountered during development In patients with lifelong premature ejaculation, inquire about the following: Previous psychological difficulties Early sexual experiences Family relationships during childhood and adolescence Peer relationships Work or school General attitude toward sex Context of the event (eg, marital versus nonmarital) Sexual attitude and response of the female partner Nonsexual aspects of the current relationship level of involvement of the sexual partner in treatment
    [Show full text]
  • Critical Androgen-Sensitive Periods of Rat Penis and Clitoris Development Michelle Welsh,* David J
    international journal of andrology ISSN 0105-6263 ORIGINAL ARTICLE Critical androgen-sensitive periods of rat penis and clitoris development Michelle Welsh,* David J. MacLeod,* Marion Walker, Lee B. Smith and Richard M. Sharpe MRC Human Reproductive Sciences Unit, Centre for Reproductive Biology, The Queen’s Medical Research Institute, Edinburgh, UK Summary Keywords: Androgen control of penis development/growth is unclear. In rats, androgen androgens, clitoris, flutamide, hypospadias, action in a foetal ‘masculinisation programming window’ (MPW; e15.5–e18.5)’ masculinisation programming window, predetermines penile length and hypospadias occurrence. This has implications micropenis, penis length for humans (e.g. micropenis). Our studies aimed to establish in rats when andro- gen action/administration affects development/growth of the penis and if deficits Correspondence: Richard M. Sharpe, MRC Human Reproductive in MPW androgen action were rescuable postnatally. Thus, pregnant rats were Sciences Unit, Centre for Reproductive treated with flutamide during the MPW ± postnatal testosterone propionate Biology, The Queen’s Medical Research (TP) treatment. To assess penile growth responsiveness, rats were treated with Institute, 47 Little France Crescent, Edinburgh, TP in various time windows (late foetal, neonatal through early puberty, puberty EH16 4TJ, UK. E-mail: [email protected] onset, or combinations thereof). Phallus length, weight, and morphology, hypo- *Contributed equally to the manuscript. spadias and anogenital distance (AGD) were measured in mid-puberty (d25) or Re-use of this article is permitted in adulthood (d90) in males and females, plus serum testosterone in adult males. accordance with the Terms and Conditions MPW flutamide exposure reduced adult penile length and induced hypospadias set out at http://www3.interscience.wiley.
    [Show full text]
  • Gay Men and Barebacking: Radical Or Realistic?
    Eric J. Roberson ENG 3305 – Essay Writing Dr. JoAnn Pavletich – UHD Fall 2009 Semester 2 Dec. 2009 Gay Men and Barebacking: Radical or Realistic? By Eric J. Roberson Prepared for Dr. JoAnn Pavletich ENG 3305 Advanced Essay Writing Fall 2009 Semester Gay Men and Barebacking: Radical or Realistic? Page 1 of 17 By Eric J. Roberson Gay Men and “Barebacking”: Radical or Realistic? By Eric J. Roberson Sex is not a competitive sport, and if you are gay and think it is then you should listen up! “HIV is a serious long-term condition, and young gay men remain the group of young people most at risk” (“UK Same-Sex Relationships 1). Some gay men willfully and deliberately discard condoms in preference for unprotected sex. Regardless of your age, this essay will not convince you on what to do with your “hard on,” but it may help you decide to get tested and to put on a condom before your next casual sexual encounter. Consider these three simple solutions: communication before sex, compassion for others, and condoms for casual encounters. If you happen to be straight and are reading this essay, do not put it down. Straight people who have gay friends may learn about some of the challenges gay men face in leading fulfilling relationships. You may also gain ideas on how to be more supportive. Regardless of your sexual orientation, the goal is to expose how the internet has shaped the practice of barebacking and other mitigating factors that compel gay men to consciously and explicitly eschew condoms during anal intercourse – colloquially known as “barebacking” (Gastaldo, et.
    [Show full text]
  • Artificial Insemination
    Ch36-A03309.qxd 1/23/07 5:16 PM Page 539 Section 6 Infertility and Recurrent Pregnancy Loss Chapter Artificial Insemination 36 Ashok Agarwal and Shyam S. R. Allamaneni INTRODUCTION widely available, the terms homologous artificial insemination and heterologous artificial insemination were used to differentiate Artificial insemination is an assisted conception method that can these two alternative sources. However, the use of these bio- be used to alleviate infertility in selected couples. The rationale medical terms in this manner is at variance with their scientific behind the use of artificial insemination is to increase the gamete meaning, where they denote different species or organisms (as in, density near the site of fertilization.1 The effectiveness of artificial e.g., homologous and heterologous tissue grafts). insemination has been clearly established in specific subsets of In the latter half of the 20th century, the terms artificial infertile patients such as those with idiopathic infertility, infertility insemination, donor (AID) and artificial insemination, husband related to a cervical factor, or a mild male factor infertility (AIH) found common use. However, the widespread use of the (Table 36-1).2,3 An accepted advantage of artificial insemination acronym AIDS for acquired immunodeficiency syndrome resulted is that it is generally less expensive and invasive than other in the replacement of AID with therapeutic donor insemination assisted reproductive technology (ART) procedures.4 (TDI). An analogous alternative term for AIH has not evolved, This chapter provides a comprehensive description of probably in part because of the increasingly common situation indications for artificial insemination, issues to consider before where the woman’s partner is not her legal husband.
    [Show full text]
  • Female and Male Gametogenesis 3 Nina Desai , Jennifer Ludgin , Rakesh Sharma , Raj Kumar Anirudh , and Ashok Agarwal
    Female and Male Gametogenesis 3 Nina Desai , Jennifer Ludgin , Rakesh Sharma , Raj Kumar Anirudh , and Ashok Agarwal intimately part of the endocrine responsibility of the ovary. Introduction If there are no gametes, then hormone production is drastically curtailed. Depletion of oocytes implies depletion of the major Oogenesis is an area that has long been of interest in medicine, hormones of the ovary. In the male this is not the case. as well as biology, economics, sociology, and public policy. Androgen production will proceed normally without a single Almost four centuries ago, the English physician William spermatozoa in the testes. Harvey (1578–1657) wrote ex ovo omnia —“all that is alive This chapter presents basic aspects of human ovarian comes from the egg.” follicle growth, oogenesis, and some of the regulatory mech- During a women’s reproductive life span only 300–400 of anisms involved [ 1 ] , as well as some of the basic structural the nearly 1–2 million oocytes present in her ovaries at birth morphology of the testes and the process of development to are ovulated. The process of oogenesis begins with migra- obtain mature spermatozoa. tory primordial germ cells (PGCs). It results in the produc- tion of meiotically competent oocytes containing the correct genetic material, proteins, mRNA transcripts, and organ- Structure of the Ovary elles that are necessary to create a viable embryo. This is a tightly controlled process involving not only ovarian para- The ovary, which contains the germ cells, is the main repro- crine factors but also signaling from gonadotropins secreted ductive organ in the female.
    [Show full text]