RH notes part 3of5

Fertility Regulation and Reproductive Toxicology

Disorders of Male and Female Reproductive Systems:

Male Reproductive System Disorders:

  1. Erectile Dysfunction:

    • Inability to achieve or maintain an erection.
    • Causes include vascular issues, psychological factors, and hormonal imbalances.
  2. Epididymitis:

    • Inflammation of the epididymis.
    • Commonly caused by bacterial infections.

Female Reproductive System Disorders:

  1. Polycystic Ovary Syndrome (PCOS):

    • Hormonal imbalance leading to cysts on the ovaries.
    • Symptoms include irregular periods, infertility, and hormonal changes.
  2. Fibroid Uterus:

    • Noncancerous growths in the uterus.
    • Can cause pelvic pain, heavy menstrual bleeding, and fertility issues.
  3. Endometriosis:

    • Tissue similar to the lining of the uterus grows outside the uterus.
    • Causes pain, especially during menstruation, and can affect fertility.
  4. Congenital Ovarian Anomalies:

    • Structural abnormalities present from birth.
    • Can impact fertility and overall reproductive health.

 

Sexually Transmitted Diseases (STDs):

Bacterial STDs:

  1. Gonorrhea:

    • Bacterial infection affecting the genital tract.
    • Can lead to pelvic inflammatory disease if untreated.
  2. Syphilis:

    • Caused by the bacterium Treponema pallidum.
    • Progresses through stages and can cause severe organ damage.
  3. Chlamydia:

    • Common bacterial STD.
    • Often asymptomatic but can lead to complications if untreated.

Viral STDs:

  1. Genital Warts (HPV):

    • Caused by human papillomavirus.
    • Can lead to genital warts and increase the risk of certain cancers.
  2. Genital Herpes:

    • Caused by herpes simplex virus.
    • Results in painful sores and may recur periodically.
  3. 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:

  1. Breast Cancer:

    • Uncontrolled cell growth in breast tissue.
    • Early detection through screening is crucial.
  2. Ovarian Cancer:

    • Often asymptomatic in early stages.
    • Can be challenging to diagnose and treat.
  3. Uterine Cancer:

    • Cancer of the lining of the uterus.
    • Risk factors include hormonal imbalances and obesity.

Men:

  1. Prostate Cancer:

    • Cancer of the prostate gland.
    • Common in older men and often slow-growing.
  2. Penile Cancer:

    • Rare cancer affecting the penis.
    • Linked to HPV infection and poor hygiene.
  3. 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:

  1. Condoms:

    • Barrier method preventing sperm from reaching the egg.
    • Also provides protection against STDs.
  2. Oral Contraceptives:

    • Hormonal pills that prevent ovulation.
    • Various formulations with different hormone combinations.
  3. Intrauterine Devices (IUDs):

    • Small devices inserted into the uterus to prevent pregnancy.
    • Hormonal and non-hormonal options available.

Family Planning:

  1. Natural Methods:

    • Monitoring menstrual cycles for fertility awareness.
    • Includes tracking basal body temperature and cervical mucus changes.
  2. Sterilization:

    • Permanent methods like tubal ligation (female) and vasectomy (male).
    • Irreversible options for those sure about not wanting more children.
  3. Emergency Contraception:

    • Options like the morning-after pill to prevent pregnancy after unprotected intercourse.
    • Should be taken as soon as possible after the event.

 

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