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Male Reproductive Physiology – how sperm is made

The main role of the male reproductive system is to produce sperm and testosterone.

Spermatogenesis

Sperm production, or, ‘spermatogenesis‘ begins during puberty and continues throughout life. Every day a man makes millions of sperm. Since only one or two sperm fertilizes an egg, it seems mother nature has tried to ensure our species survival by overdoing it a little.

Sperm formation occurs in the seminiferous tubules of the testis. This process is started by primitive stem cells called spermatogonia found on the outer edge of each tubule. Spermatogonia cells go through rapid mitotic divisions to build up the stem cell line. From birth until puberty, all such divisions simply produce more stem cells. During puberty, however, FSH (follicle stimulating hormone) is secreted in increasing amounts by the anterior pituitary gland, and from this time on, each division of a spermatogonium produces one stem cell (type A daughter cell) and another cell called a type B daughter cell. The type A cell remains at the tubule edge to maintain the stem cell population. The type B cell gets pushed toward the tubule lumen, where it becomes a primary spermatocyte, destined to undergo meiosis and form four sperm. Meiosis is a special type of nuclear division that occurs for the most part only in the gonads (testes and ovaries). It differs from mitosis in two major ways. Meiosis consists of two successive divisions of the nucleus (called meiosis I & II) and results in four (instead of two) daughter cells, or more precisely, four gametes. In spermatogenesis, the gametes are called spermatids. Spermatids have only half as much genetic material as other body cells. In humans, this is 23 chromosomes rather than the usual 46. Then, when the sperm and egg (which also has only 23 chromosomes) meet, forming a fertilized egg (or zygote), the normal 46 chromosomes is again established and then is maintained in the body cells that form after via the process of mitosis.

As meiosis occurs, the dividing cells (primary then secondary spermatocytes) are pushed toward the lumen of the tubule. Thus, the progress of meiosis can be followed from the tubule edge to the lumen. The spermatids, which are the products of meiosis, are not functional sperm. They are nonmotile cells and have too much excess baggage to function well in reproduction. They must undergo further changes, in which their excess cytoplasm is stripped away and a tail is formed. In this last stage of sperm development, called spermiogenesis, all the excess cytoplasm is sloughed off, and what remains is compacted into the three regions of the mature sperm – the head, midpiece, and tail. The mature sperm is a greatly streamlined cell equipped with a high rate of metabolism and means of propelling itself, enabling it to move long distances in a short time to get the egg. It is a prime example of the fit between form and function.

The sperm head contains DNA, the genetic material. Essentially, it is the nucleus of the spermatid. Anterior to the nucleus is the helmet-like acrosome, which is similar to a large lysosome. When a sperm comes into close contact with an egg (oocyte), the acrosomal membrane breaks down and releases enzymes that help the sperm penetrate through the follicle cells that surround the egg. Filaments, which form the tail, arise from centrioles in the midpiece. Mitochondria wrapped tightly around these filaments provide the ATP needed for the whip-like movements of the tail that propel the sperm.

The entire process of spermatogenesis, from the formation of a primary spermatocyte to release of immature sperm in the tubule lumen, takes 64 – 72 days. Sperm in the lumen are unable to ‘swim’ and incapable of fertilizing an egg. They are moved by peristalsis through the tubules of the testes into the epididymis. There they undergo further maturation, which results in increased motility and fertilizing power.

Environmental threats can alter the normal process of sperm formation. For example, some common antibiotics such as penicillin and tetracycline may suppress sperm formation. Radiation, lead, certain pesticides, marijuana, tobacco, and excessive alcohol can cause production of abnormal sperm (two headed, multiple tailed etc).

Testosterone Production

The interstitial cells produce testosterone, the most important hormonal product of the testes. During puberty, as the seminiferous tubules are being prodded to produce sperm by FSH, the interstitial cells are being activated by luteinizing hormone (LH), sometimes called interstitial cell stimulating hormone (ICSH), which is also released by the anterior pituitary gland. From this time on, testosterone is produced continuously (more or less) for the rest of the man’s life. The rising blood level of testosterone in the young male stimulates his reproductive organs to develop to their adult size, underlies the sex drive, and causes the secondary male sex characteristics to appear. These include: deepening of the voice due to enlargement of the larynx, increased hair growth all over the body particularly in the axillary and pubic regions and the face, enlargement of skeletal muscles to produce the heavier muscle mass typical of the male physique, and increased heaviness of the skeleton due to thickening of the bones.
Because testosterone is responsible for the appearance of these typical masculine characteristics, it is often referred to as the ‘masculinizing’ hormone.

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If testosterone is not produced, the secondary sex characteristics never appear in the young man, and his other reproductive organs remain childlike. This is sexual infantilism. Castration of the adult male (or the inability of the interstitial cells to produce testosterone) results in a decrease in the size and function of the reproductive organs as well as a decrease in the libido. Sterility also occurs because testosterone is necessary for the final stages of sperm production.

Dr Spence Pentland

Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Further demonstrating his commitment to reproductive health, he is a devoted member of IAAC (Infertility Awareness Association), CFAS (Canadian Fertility and Andrology Society), and ASRM (American Society for Reproductive Medicine). As the former president of the Traditional Chinese Medicine Association of British Columbia and the provincial BC TCM quality assurance committee, Dr. Pentland is well respected by peers and patients alike. He remains actively involved in educating healthcare colleagues and the public on the powerful benefits of Chinese medicine & acupuncture, working steadily on the integration of ancient Daoist wisdom into modern western life as a way to build awareness about reproductive health. This compassionate expertise is reflected in patient testimonials. When not helping others start their families, Spence can be found spending time with his own--his adoring wife Chantal and their two beautiful sons. “I am very proud to be part of the team of professionals at Yinstill. We are all dedicated to raising the bar in the field of complimentary and alternative reproductive medicine. Nothing is more important than family,” he says. Professional Development Certifications Combining TCM and IVF to Improve Clinical Outcomes - Jane Lyttleton Treating Complex Gynecological Conditions with Evidence-based Acupuncture - Elisabet Stener-Victorin High-Performance Summit - Darren Hardy Acupuncture during Pregnancy: safe and ethical practice - Claudia Citkovitz Treating Irregular Menstrual Bleeding - Sharon Weizenbaum Management of High Risk Pregnancy Conditions - David Bray Physiology & Pathology of Gynecology - Giovanni Maciocia Treatment protocols for Menopause and Endometriosis - Kiiko Matsumoto Chinese medicine approach to the treatment of Poor Ovarian Reserve - Brandon Horn Clinical problems and solutions in Oriental Reproductive medicine - Dr. Daoshing Ni Treatment strategies for PCOS, Weight Loss, & type 2 Diabetes - Sharon Weizenbaum Allergic and Autoimmune diseases - Mazin Al-Khafaji Acupuncture in Pregnancy & Childbirth - Debra Betts Treating Infertility with Chinese medicine - Bob Flaws Masters class in Diagnosis - Bob Flaws East meets West in Reproductive medicine - Mike Berkley The Infertility Cure - Chinese wellness program - Randine Lewis Men’s Health and Fertility - Peter Deadman Integrating acupuncture and IVF - Diane Cridennda and Dr. Paul Magarelli Treatment of Infertility with Chinese medicine - Jane Lyttleton Yang School lecture series Part 1 - Dr. Liu Fang Advanced acupuncture in pregnancy - Jean Levesque Certified Western herbalist - Packard School of Nutrition Courageous conversations - Justice Institute Biology of Empowerment - Dr. Lee Pulos Secrets of Chinese Pulse Diagnosis - Bob Flaws and Honora Lee Wolfe View Articles and Blog Posts by Dr. Pentland Read Dr. Pentland's Success Stories Become Spence's friend on facebook

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