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An in-depth exploration of human sex hormones, focusing on androgens (testosterone) and estrogens (estradiol). It discusses their production, functions, and impact on secondary sexual characteristics during puberty, menopause, and pregnancy. The document also explains the role of gonadotropins (fsh and lh) and the hypothalamus in regulating hormone secretion.
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Male Sex Hormones: as a group, the male sex hormones are termed androgens and they include substances produced by the adrenal cortices and the testes. Among the androgens, testosterone is by far the most important. It is produced and secreted by interstitial cells of the testes under the influence of LH (also called ICSH in the male). Although FSH stimulates primary spermatocytes to undergo meiosis in process of spermatogenesis, sperm cells do not mature completely unless testosterone is present.
Testosterone is also responsible for secondary sexual characteristics which include:
To summarize, under influence of FSH, the testes of a male child first begin to produce sperm cells, and under influence of LH, the interstitial cells produce and secrete testosterone; GRH (release hormone) from hypothalamus influences the release of FSH and LH from anterior pituitary. Puberty: secondary characteristics begin to appear between ages 10 and 11 with gamete production beginning between ages 15 and 17 average.
The concentration of testosterone in the male body is regulated so that it remains relatively constant from day to day (Negative-feedback System). As concentration of testosterone in blood increases, hypothalamus becomes inhibited, thereby stimulation of anterior pituitary is decreased. As pituitary's secretion of LH is decreased, the amount of testosterone is reduced also, and vice-versa.
Female Sex Hormones: The hypothalamus releases GRH which in turn stimulates anterior pituitary to release FSH and LH (gonadotropins). Although several different female sex hormones are secreted by various tissues, including the ovaries, adrenal cortices, placenta and embryonic tissues (during pregnancy), these hormones belong to two major groups that are referred to as the estrogens and progesterones.
The primary source of estrogen (in nonpregnant female) is the ovaries, and it corresponds in its effects to testosterone in the male. Development and maintenance of secondary sexual characteristics by estrogen include:
Other changes that occur in female at puberty seem to be related to androgen concentration secreted by the adrenal cortices and ovaries. These are increased growth of hair in pubic and axillary regions. On the other hand, the development of the female skeletal configuration, which includes narrow shoulders and broad hips, seems to be related to a lack of androgen. Puberty: secondary sexual characteristics begin to appear between ages 8 and 9 due to androgen release (pubic and axillary hair, breast size increases noticeably); at age 12, menarche occurs with the first ovulation at 6- months later. The ovaries are the primary source of the gestatory hormone progesterone (in a nonpregnant female). The effects of this hormone are related mainly to changes that occur in the uterus during the rhythmic reproduction cycles (preparation of the endometrium for implantation of a fertilized ovum and the mammary glands for milk secretion)
Menopause: The period of life in the late forties when menstrual cycle terminates. The cause of menopause seems to be aging of the ovaries. After about 35 years of cycling, few primary follicles remain to be stimulated by pituitary gonadotropins.
*Consequently, follicles no longer mature, ovulation does not occur, and the blood level of estrogen decreases greatly.
As a result of low estrogen, the female secondary sexual characteristics undergo changes. The vagina, uterus, and uterine tubes decrease in size, as do the external reproduction organs. Pubic and axillary hair becomes thinner, and breasts regress.
Also, since estrogen is decreased, FSH and LH are no longer inhibited and they are released continuously resulting in unpleasant symptoms occasionally, sensation of heat in the face and upper body called a "hot flash." Vaginal tissues become dry and reduced in size causing some discomfort for some women during sexual intercourse.
The Birth Process: Parturition
Pregnancy usually continues for a period of 40 weeks (266 days from conception) or about 9 calendar months. The pregnancy then terminates with the birth process (parturition) with the events preceding it called labor.
*Progesterone suppresses uterine contractions during pregnancy. Estrogen, on the other hand, tends to excite such contractions, and as the time for birth approaches, there is a change in the proportions of progesterone and estrogen that are secreted by the placenta. More specifically, after the 7th month, the placental secretion of estrogen increases to a greater degree than the secretion of progesterone. Result is that the contractility of the uterine wall is enhanced.
The stretching of the uterine and vaginal tissues late in pregnancy is thought to initiate impulses to the hypothalamus, which, in turn, signals posterior pituitary to release oxytocin (powerful stimulator of uterine contractions; its effect combined with decline in progesterone is thought to initiate labor).
Once labor starts, rhythmic contractions begin at the top of uterus and travel down its length forcing contents of uterus toward the cervix.
Since the fetus is usually positioned with its head downward, labor contractions force the head against the cervix. This action causes stretching of the cervix, which is thought to elicit a reflex that stimulates still stronger labor contractions. At the same time, dilation of the cervix reflexively stimulates an increased release of oxytocin from pituitary. The woman often feels a gush of fluid which is the amniotic fluid spilling out of its sac as it is punctured by the downward movement of the fetus. Labor's onset may not be this abrupt as the woman may detect a slight discharge from the vagina consisting of blood and mucus. This "bloody show" signals the onset of labor within a day or two - or sooner. Or, a woman may begin to feel very mild contractions, or labor pains, in her abdomen every 20 minutes or so, whether or not the amniotic sac is broken or bloody show appears.
Labor is quite different for each woman and for each pregnancy. The contractions may last for days or as little as an hour or two (typically lasts about 12 hrs.). Usually labor for a first baby lasts about 24 hours and about 12 to 18 hours for a woman who has already had a baby.
Initially the cervix is a thick, closed band of tissue. With each contraction it dilates (opens) and will be stretched open to about 10 cm by end of labor's first stage.
As labor continues, abdominal wall muscles are stimulated to contract which will aid in forcing the fetus through the cervix and vagina to the outside. Prompted by hormones, uterine contractions gradually increase in frequency