Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard...

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The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics Div. of Adolescent Medicine, Dept. of Pediatrics Golisano Children’s Hospital, University of Rochester ACT for Youth Webinar September 4, 2018 + +

Transcript of Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard...

Page 1: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

The Basics of Reproductive Anatomy & Physiology

Richard E. Kreipe, MD, FAAP, FSAHM, FAEDDr. Elizabeth McAnarney Professor of PediatricsDiv. of Adolescent Medicine, Dept. of Pediatrics

Golisano Children’s Hospital, University of Rochester

ACT for Youth Webinar September 4, 2018

+ +

Page 2: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

Outline

Define terms related to reproductive anatomy and physiology

Key internal and external changes in bodyCommon concerns and normal variantsResources

Page 3: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

Terms Related to ReproductionGland: organ that produces hormones Hormones: chemical messengers that travel

in the bloodstream to affect other part(s) of the body

Hypothalamus: gland deep in brain that makes hormones to stimulate the pituitary

Pituitary: small gland below hypothalamus that makes hormones (FSH, LH) stimulating sex glands

Page 5: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

Terms Related to Reproduction Gland: organ that produces hormones Hormones: chemical messengers that travel in the

bloodstream to affect other part(s) of the body Hypothalamus: gland deep in brain that makes

hormones to stimulate the pituitary Pituitary: small gland below hypothalamus that

makes hormones (FSH, LH) stimulating sex glands Sex glands (gonads)

Ovary: eggs; estrogen, progesterone Testicles (testes): sperm; testosterone

Reproductive organs Uterus (womb) →Vagina → Vulva (labia or lips) Penis and Scrotum (sac or bag)

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Normal Fetal Development of Reproductive System and Genitalia

The CIBA Collection: Reproductive System—Netter, 1971

Undifferentiated♂ ♀

Male Female

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www.anatomywarehouse.com/the-female-reproductive-system-anatomical-chart-a-102587

www.anatomywarehouse.com/the-female-reproductive-system-anatomical-chart-a-102587

Female Reproductive System

Ovary

Fallopian Tube

UterusCervix

VaginaVulva, Labia

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www.health.com/health/library/mdp/0,,hw143376,00.html

Page 9: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

www.anatomywarehouse.com/the-male-reproductive-system-anatomical-chart-a-102593

www.anatomywarehouse.com/the-male-reproductive-system-anatomical-chart-a-102593

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http://www.netterimages.com/image/9033.htm Publication License NI0003842

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Physical Changes of Puberty in Males

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Physical Changes of Puberty in Females

Page 13: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics
Page 14: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

Major Features of Puberty

Hormone changes Sex organ changes (reproductive capacity) Secondary sex characteristics Organ changes (eg ↓ lymphoid; brain maturation) Growth Spurt Weight increase (Girls fat>lean; Boys lean>fat)

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Between 10 and 14 years of age, the average girl’s weight increases from 72 to 112 pounds,

a total of 40 pounds!

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Additional Features of Puberty

Sequence of events Females

Breast development Growth spurt Menses

Males Testicles enlarge Penis enlarges Growth spurt

Onset and Tempo (Velocity) Early developers grow more quickly in height than

late developers

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Average Age for Pubertal Events

8-11 12 13 14 15 16 17 18

8.3 cm/yr 9.5 cm/yrPeak Height Velocity

Menses

Breast Black 9 yo; White 10 yo

8-11 12 13 14 15 16 17 18

Testes

Penis

2

3

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Common Adolescent Concerns About Puberty

Onset Too early Too late

Height Too short Too tall

Menstrual periods Irregular periods normal Ovulation: Pregnancy possible

Nocturnal emissions “Wet Dreams” Ejaculation: Release of sperm

Acne, Body odor

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Body Odor and Acne Due to secretions of glands beneath the surface

of the skin, stimulated by sex hormones that are produced during puberty.

Body odor: sweat glands producing sweat released on the surface of the skin for cooling.

Acne: sebaceous glands producing irritating fatty acids that are broken down by bacteria in the hair follicle.

www.daviddarling.info/images/types_of_acne_lesions.jpg

Page 20: Richard E. Kreipe, MD, FAAP, FSAHM, FAED...The Basics of Reproductive Anatomy & Physiology Richard E. Kreipe, MD, FAAP, FSAHM, FAED Dr. Elizabeth McAnarney Professor of Pediatrics

The ACT for Youth Center of Excellence connects positive youth development resources and research to practice in New York State and beyond. The Center provides:

Technical support, training, and evaluation for youth-serving programs funded by the NYS Department of Health.

Youth Development resources: www.actforyouth.net, publications, training and events, and the e-letter ACT for Youth Update.Email [email protected] to subscribe.

A home base for the ACT Youth Network. Visit the network at www.nysyouth.net

[email protected] • 607-255-7736 • http://www.actforyouth.net

ACT for Youth Center of Excellence

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ResourcesYoung Men’s Health.Org https://youngmenshealthsite.org/

Young Women’s Health.Org https://youngwomenshealthsite.org/

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Thank You

Questions, Observations, Concerns