RH notes part 3of5
Fertility Regulation and Reproductive Toxicology
Disorders of Male and Female Reproductive Systems:
Male Reproductive System Disorders:
Erectile Dysfunction:
- Inability to achieve or maintain an erection.
 - Causes include vascular issues, psychological factors, and hormonal imbalances.
 
Epididymitis:
- Inflammation of the epididymis.
 - Commonly caused by bacterial infections.
 
Female Reproductive System Disorders:
Polycystic Ovary Syndrome (PCOS):
- Hormonal imbalance leading to cysts on the ovaries.
 - Symptoms include irregular periods, infertility, and hormonal changes.
 
Fibroid Uterus:
- Noncancerous growths in the uterus.
 - Can cause pelvic pain, heavy menstrual bleeding, and fertility issues.
 
Endometriosis:
- Tissue similar to the lining of the uterus grows outside the uterus.
 - Causes pain, especially during menstruation, and can affect fertility.
 
Congenital Ovarian Anomalies:
- Structural abnormalities present from birth.
 - Can impact fertility and overall reproductive health.
 
Sexually Transmitted Diseases (STDs):
Bacterial STDs:
Gonorrhea:
- Bacterial infection affecting the genital tract.
 - Can lead to pelvic inflammatory disease if untreated.
 
Syphilis:
- Caused by the bacterium Treponema pallidum.
 - Progresses through stages and can cause severe organ damage.
 
Chlamydia:
- Common bacterial STD.
 - Often asymptomatic but can lead to complications if untreated.
 
Viral STDs:
Genital Warts (HPV):
- Caused by human papillomavirus.
 - Can lead to genital warts and increase the risk of certain cancers.
 
Genital Herpes:
- Caused by herpes simplex virus.
 - Results in painful sores and may recur periodically.
 
HIV (Human Immunodeficiency Virus):
- Attacks the immune system, leading to acquired immunodeficiency syndrome (AIDS).
 - Transmitted through blood, sexual contact, and from mother to child during childbirth or breastfeeding.
 
Reproductive Cancers:
Women:
Breast Cancer:
- Uncontrolled cell growth in breast tissue.
 - Early detection through screening is crucial.
 
Ovarian Cancer:
- Often asymptomatic in early stages.
 - Can be challenging to diagnose and treat.
 
Uterine Cancer:
- Cancer of the lining of the uterus.
 - Risk factors include hormonal imbalances and obesity.
 
Men:
Prostate Cancer:
- Cancer of the prostate gland.
 - Common in older men and often slow-growing.
 
Penile Cancer:
- Rare cancer affecting the penis.
 - Linked to HPV infection and poor hygiene.
 
Testicular Cancer:
- Usually affects young men.
 - Highly treatable, especially if detected early.
 
Reproductive Toxicology:
Effects of Chemicals:
- Exposure to certain chemicals can disrupt reproductive functions.
 - Pesticides, industrial chemicals, and heavy metals can impact fertility.
 
Teratogens:
- Substances that can cause birth defects.
 - Drugs, alcohol, and certain infections are examples.
 
Smoking, Drugs, and Alcohol:
- Tobacco and drug use can reduce fertility.
 - Alcohol consumption during pregnancy can cause fetal alcohol syndrome.
 
Birth Control Devices and Family Planning:
Birth Control Devices:
Condoms:
- Barrier method preventing sperm from reaching the egg.
 - Also provides protection against STDs.
 
Oral Contraceptives:
- Hormonal pills that prevent ovulation.
 - Various formulations with different hormone combinations.
 
Intrauterine Devices (IUDs):
- Small devices inserted into the uterus to prevent pregnancy.
 - Hormonal and non-hormonal options available.
 
Family Planning:
Natural Methods:
- Monitoring menstrual cycles for fertility awareness.
 - Includes tracking basal body temperature and cervical mucus changes.
 
Sterilization:
- Permanent methods like tubal ligation (female) and vasectomy (male).
 - Irreversible options for those sure about not wanting more children.
 
Emergency Contraception:
- Options like the morning-after pill to prevent pregnancy after unprotected intercourse.
 - Should be taken as soon as possible after the event.
 
