Reproduction and Development
Chapter
29
Outline
	29.1	How Animals Reproduce
	•	Animals reproduce sexually, but some, on occasion, can reproduce asexually.512
	•	Animals that reproduce in the water can shed their gametes in the water where fertilization and development take place.513
	•	Animals that reproduce on land protect their gametes and embryos from drying out.513
	29.2	Human Reproduction
	•	The human male reproductive system continuously produces a large number of sperm that are transported within a fluid medium. Hormones regulate sperm production and affect the male anatomy and physiology.514–16
	•	The female reproductive system produces one egg monthly and prepares the uterus to house the developing fetus. Hormones regulate egg production and affect female anatomy and physiology.516–18
	•	Reproduction can be controlled: Devices are available to prevent pregnancy, and medical procedures are available to assist infertile couples.518–21
	•	A number of sexually transmitted diseases are prevalent in the population, but it is possible to prevent transmission by following certain guidelines.522–23
	29.3	Human Development
	•	The stages and processes of human development are like those of other animals, but internal development and extraembryonic membranes introduce some differences.524
	•	All animals have these stages of early development: fertilization, cleavage, gastrulation, and organ formation.524–27
Most people know how sexually transmitted diseases (STDs) are contracted, but many do not understand how they are treated or their long-term consequences. Bacterial STDs, such as chlamydia and gonorrhea, are very easy to treat, but when untreated can have lasting effects, including permanent infertility. Many people are surprised to find that they have become infertile as the result of an STD. If these diseases are easy to treat, why would anyone not be treated and take the risk of becoming infertile? There are many reasons, but one of the most important considerations is that many people with an STD do not have any symptoms of the infection. As long as everything appears normal, they do not seek treatment; meanwhile, they may pass the disease to others, and run the risk of long-term complications. This is the primary reason that testing for STDs (even when everything “seems OK”) is so important. In addition to the bacterial STDs, several viral STDs are of concern—not only the well-known human immunodeficiency virus (HIV) but also human papillomavirus (HPV). HPV is the primary cause of cervical cancer (the cervix is at the entrance to the uterus). There are usually no noticeable signs of early cervical cancer, but it can be detected by having yearly checkups. Treatment for cervical cancer can result in the inability to have children if the cervix and the uterus must be surgically removed. 
Reproduction is a fascinating topic with relevance not only to STDs, but also to birth control, reproductive technology, and development. In this chapter, you will learn about reproduction, including some unique issues faced by humans. You will also learn about the portion of human development that occurs before birth and about the birth process itself.
29.1		How Animals Reproduce
Animals usually reproduce sexually, but some, on occasion, can reproduce asexually. In asexual reproduction, there is only one parent, and in sexual re-production there are two parents.
Asexual Versus Sexual Reproduction
Hydras can reproduce by budding. A new individual arises as an outgrowth (bud) of the parent (Fig. 29.1). Many flatworms can constrict into two halves; each half regenerates to become a new individual. Fragmentation, followed by regeneration, is also seen among sponges and echinoderms. Chopping up a sea star does not kill it; -instead, each fragment grows into another animal. 
Parthenogenesis is a modification of sexual reproduction in which an unfertilized egg develops into a complete individual. In honeybees, the queen bee can fertilize eggs or allow eggs to pass unfertilized as she lays them. The fertilized eggs become diploid females called workers, and the unfertilized eggs become haploid males called drones. Parthenogenesis is also observed in some amphibian species.
In sexual reproduction, animals usually produce gametes in specialized -organs called gonads. The -gonads are testes, which produce sperm, and ovaries, which produce eggs. Eggs or sperm are derived from germ cells that become specialized for this purpose during early development. During sexual reproduction, the egg of one parent is usually fertilized by the sperm of another, and a zygote (fertilized egg) results. Even among earthworms, which are hermaphroditic—each worm has both male and female sex organs—cross-fertilization occurs. In coral reef fishes called wrasses, a male has a harem of several females. If the male dies, the largest female becomes a male. Many aquatic animals practice external fertilization—that is, eggs and sperm join outside the body in the water (Fig. 29.2). 
Copulation is sexual union to facilitate the reception of sperm by a female. In terrestrial animals, males typically have a penis for depositing sperm into the vagina of females (Fig. 29.3). Aquatic animals also have copulatory organs. Lobsters and crayfish have modified swimmerets. Among terrestrial animals, birds lack a penis and vagina. They have a cloaca, a chamber that receives products from the digestive, urinary, and reproductive tracts. A male transfers sperm to a female after placing his cloacal opening against hers.
Reproduction in Water Versus on Land
Many aquatic animals have a larval stage, an immature form capable of feeding. Since the larva has a different lifestyle, it is able to use a different food source than the adult. In sea stars, the bilaterally symmetrical larva undergoes metamorphosis to -become a radially symmetrical juvenile. Crayfish, on the other hand, do not have a larval stage; the egg hatches into a tiny juvenile with the same form as the adult.
Reptiles, and particularly birds, provide their eggs with plentiful yolk, a rich nutrient material, and they have no larval stage. Complete development takes place within a shelled egg containing -extra-embryonic membranes to serve the needs of the embryo and prevent drying out. The shelled egg frees these animals from the need to reproduce in the water and is a significant adaptation to the terrestrial environment.
Birds, in particular, tend their eggs, and newly hatched birds usually have to be fed before they are able to fly away and seek food for themselves. Complex hormones and neural regulation are involved in the reproductive behavior of parental birds. Other animals take a different course. They do not deposit and tend their eggs; instead, they are ovoviviparous, meaning that their eggs are retained in the body until they hatch, releasing fully developed offspring that have a way of life like the parent. -Oysters, which are molluscs, retain their eggs in the mantle cavity, and male sea horses, which are vertebrates, have a special brood pouch in which the eggs develop. Garter snakes, water snakes, and pit vipers retain their eggs in their bodies until they hatch, and thus give birth to living young.
Finally, most mammals are viviparous, meaning that they produce living young. After offspring are born, the mother supplies the nutrients needed for further growth. Viviparity represents the ultimate in caring for the unborn. How did viviparity among certain mammals come about? Some mammals, such as the duckbill platypus and the spiny anteater, lay eggs. In contrast, marsupial offspring are born in a very immature state; they finish their development within a pouch, where they are nourished on milk. Only among primates, including humans, does a single embryo usually develop. The -placenta is a complex structure derived, in part, from the chorion, which first appears in a shelled egg. The evolution of the placenta allowed the developing offspring to -exchange materials with the mother internally.
 29.2		Human Reproduction 
In human males and females, the reproductive system consists of two components: (1) the gonads, either testes or ovaries, which produce gametes and sex hormones, and (2) accessory organs that conduct gametes, and in the case of the female, house the embryo/fetus. 
Male Reproductive System
The human male reproductive system includes the testes (sing., testis), the epididymis (pl., epididymides), the vas deferens (pl., vasa deferentia), and the urethra (Fig. 29.4). (The urethra in males is a part of both the urinary system and the reproductive system.) The paired testes, which produce sperm, are suspended within the scrotum. The testes begin their development inside the abdominal cavity, but they descend into the scrotum as development proceeds. If the testes do not descend—and the male does not receive hormone therapy or undergo surgery to place the testes in the -scrotum—sterility (the inability to produce offspring) results. This type of sterility occurs because normal sperm production is inhibited at body temperature; a slightly cooler temperature is required.
Sperm produced by the testes mature within the -epididymis, a coiled tubule lying just outside each testis. Maturation seems to be required for the sperm to swim to the egg. Once the sperm have matured, they are propelled into the vas deferens by muscular contractions. Sperm are stored in both the epididymis and the vas deferens. When a male becomes sexually aroused, sperm enter first the ejaculatory duct and then the urethra, part of which is located within the penis.
The penis is a cylindrical organ that usually hangs in front of the scrotum. Three cylindrical columns of spongy, erectile tissue containing distensible blood spaces extend through the shaft of the penis (Fig. 29.4b). During sexual arousal, nervous reflexes cause an increase in arterial blood flow to the penis. This increased blood flow fills the blood spaces in the erectile tissue, and the penis, which is normally limp (flaccid), stiffens and increases in size. These changes are called an erection. If the penis fails to become erect, the -condition is called erectile disfunction. The drug Viagra works by increasing blood flow to the penis so that when a man is sexually excited, he can get and keep an erection. 
Semen (seminal fluid) is a thick, whitish fluid that contains sperm and secretions from three glands: the seminal vesicles, prostate gland, and bulbourethral glands. The seminal vesicles lie at the base of the bladder. Each joins a vas deferens to form an ejaculatory duct that enters the urethra. As sperm pass from the vas deferens into the ejaculatory duct, these vesicles secrete a thick, viscous fluid containing nutrients for possible use by the sperm. Just below the bladder is the prostate gland, which secretes a milky alkaline fluid believed to activate or increase the motility of the sperm. In older men, the prostate gland may become enlarged, thereby constricting the -urethra and making urination difficult. Also, prostate cancer is the most common form of cancer in men. Slightly below the prostate gland, on either side of the urethra, is a pair of small glands called bulbourethral glands, which have -mucous secretions with a lubricating effect. Notice from -Figure 29.4 that the urethra also carries urine from the -bladder during urination.
If sexual arousal reaches its peak, ejaculation follows an erection. The first phase of ejaculation is called emission. During emission, the spinal cord sends nerve impulses via appropriate nerve fibers to the epididymis and vas -deferens. Their subsequent motility causes sperm to enter the ejaculatory duct, whereupon the seminal vesicles, prostate gland, and bulbourethral glands release their secretions. Secretions from the bulbourethral glands occur first and may or may not contain sperm.  
During the second phase of ejaculation, called -expulsion, rhythmic contractions of muscles at the base of the penis and within the urethral wall expel semen in spurts from the opening of the urethra. These contractions are an example of release from muscle tension. An erection lasts for only a limited amount of time. The -penis then returns to its normal flaccid state. Following -ejaculation, a male may typically experience a time, called the -refractory period, during which stimulation does not bring about an erection. The contractions that expel semen from the penis are a part of male orgasm, the physiological and psychological sensations that occur at the climax of sexual stimulation.
The Testes
A longitudinal section of a testis shows that it is composed of compartments called lobules, each of which contains one to three tightly coiled seminiferous tubules (Fig. 29.5a,b). A microscopic cross section of a seminiferous tubule reveals that it is packed with cells undergoing spermatogenesis, a process that involves -reducing the chromosome number from diploid (2n) to haploid (n). Also present are Sertoli cells, which support, nourish, and regulate the production of sperm (Fig. 29.5c). A sperm has three distinct parts: a head, a middle piece, and a tail. The head contains a nucleus and is capped by a membrane-bounded acrosome. The tail is a flagellum that allows sperm to swim -toward the egg, and the middle piece contains energy--producing mitochondria. 
The ejaculated semen of a normal human male contains 40 million sperm per milliliter, ensuring an -adequate number for fertilization to take place. Fewer than 100 sperm ever reach the vicinity of the egg, however, and only one sperm normally enters an egg.
Hormonal Regulation in Males
The hypothalamus has ultimate control of the testes’ sexual function because it secretes a hormone called gonadotropin-releasing hormone, or GnRH, that stimulates the anterior -pituitary to produce the gonadotropic hormones. Both males and females have two gonadotropic hormones—follicle-stimulating hormone (FSH) and luteinizing hormone (LH). In males, FSH promotes spermatogenesis in the seminiferous tubules. LH in males was formerly called interstitial cell-stimulating hormone (ICSH) because it controls the -production of testosterone by the interstitial cells, which are scattered in the spaces between the seminiferous tubules. 
Testosterone, the main sex hormone in males, is essential for the normal development and functioning of the sexual organs. Testosterone is also necessary for the maturation of sperm. In addition, testosterone brings about and maintains the male secondary sex characteristics that develop at the time of puberty, the time of life when sexual maturity is attained. Males are generally taller than females and have broader shoulders and longer legs relative to trunk length. The deeper voice of males compared to -females is due to males having a larger larynx with longer vocal cords. Because the so-called Adam’s apple is a part of the larynx, it is usually more prominent in males than in females.
Testosterone causes males to develop noticeable hair on the face, chest, and occasionally other regions of the body, such as the back. Testosterone also leads to the receding hairline and pattern baldness that occur in males. Testosterone is responsible for the greater muscular development in males. Knowing this, males and females sometimes take anabolic steroids (either the natural or synthetic form of testosterone) to build up their muscles. This practice can cause damage to the liver, kidneys, and cardiovascular system. 
Female Reproductive System
The human female reproductive system includes the ovaries, the oviducts, the uterus, and the vagina (Fig. 29.6a,b). The oviducts, also called uterine or fallopian tubes, -extend from the ovaries to the uterus; however, the oviducts are not attached to the ovaries. Instead, the oviducts have fingerlike projections called fimbriae (sing., fimbria) that sweep over the ovaries. When an oocyte bursts from an ovary during ovulation, it usually is swept into an oviduct by the combined action of the fimbriae and the beating of cilia that line the oviducts. Fertilization, if it occurs, normally takes place in an oviduct, and the developing embryo is propelled slowly by ciliary movement and tubular muscle contraction to the uterus. The uterus is a thick-walled muscular organ about the size and shape of an inverted pear. The narrow end of the uterus is called the cervix. An embryo completes its development after embedding itself in the uterine lining, called the endometrium. A small opening at the cervix leads to the vaginal canal. The vagina is a tube at a 458 angle with the body’s vertical axis. The mucosal lining of the vagina lies in folds, and therefore the vagina can expand. This ability to expand is -especially important when the vagina serves as the birth canal, and it also can facilitate sexual intercourse, when the penis is inserted into the vagina.
The external genital organs of a female are known collectively as the vulva (Fig. 29.6c). The mons pubis and two folds of skin called labia minora and labia majora are on either side of the urethral and vaginal openings. At the -juncture of the labia minora is the clitoris, which is homologous to the penis of males. The clitoris has a shaft of erectile tissue and is capped by a pea-shaped glans. The many -sensory receptors of the clitoris allow it to function as a sexually sensitive organ. 
The Ovaries
An oogonium in the ovary gives rise to an oocyte surrounded by epithelium (Fig. 29.7). This is called a primary follicle. An ovary contains many primary follicles, each containing an oocyte. At birth, a female has as many as 2 million primary follicles, but the number is reduced to 300,000–400,000 by the time of puberty. Only a small number of primary follicles (about 400) ever mature and produce a secondary oocyte. When mature, the follicle balloons out on the surface of the ovary and bursts, releasing the secondary oocyte surrounded by follicle cells. The release of a secondary oocyte from a mature follicle is termed ovulation. Oogenesis is completed when and if the secondary oocyte is fertilized by a sperm. A follicle that has lost its oocyte develops into a corpus luteum. If fertilization and pregnancy do not occur, the corpus luteum begins to degenerate after about ten days. 
The ovarian cycle is controlled by the gonadotropic hormones FSH and LH (Fig. 29.8). During the first half, or -follicular phase (pink), of the cycle, FSH promotes the development of follicles that primarily secrete estrogens, called estrogen for the sake of simplicity. As the blood level of estrogen rises, it exerts feedback control over FSH secretion, and ovulation occurs. Ovulation marks the end of the follicular phase. During the second half, or luteal phase (yellow), of the ovarian cycle, LH promotes the development of a corpus luteum, which primarily secretes progesterone. As the blood level of progesterone rises, it exerts feedback control over LH secretion so that the corpus luteum begins to degenerate if fertilization does not occur. As the luteal phase comes to an end, menstruation occurs.
Notice that the female sex hormones estrogen and progesterone affect the endometrium of the uterus, causing the series of events known as the menstrual cycle (Fig. 29.8, bottom). The twenty-eight-day menstrual cycle in the nonpregnant female is divided as follows:
During days 1–5, female sex hormones are at a low level in the body, causing the endometrium to disintegrate and its blood vessels to rupture. A flow of blood, known as the menses, passes out of the vagina during menstruation, also known as the menstrual period.
During days 6–13, increased production of estrogen by ovarian follicles causes the endometrium to thicken and to become vascular and glandular. This is called the proliferative phase of the menstrual cycle.
Ovulation usually occurs on the fourteenth day of the 28-day cycle.
During days 15–28, increased production of progesterone by the corpus luteum causes the endometrium to double in thickness and the uterine glands to mature, -producing a thick mucoid secretion. This is called the secretory phase of the menstrual cycle. The endometrium now is prepared to receive the developing embryo. But if fertilization does not occur and no embryo embeds itself, the corpus luteum degenerates, and the low level of sex hormones in the female body causes the endometrium to break down. Menses begins, marking day one of the next cycle. Even while menstruation is occurring, the anterior pituitary begins to increase its production of FSH, and new follicles begin to mature.
Estrogen and Progesterone
Estrogen and progesterone are the female sex hormones. Estrogen in particular, is essential for the normal development and functioning of the female reproductive organs. Estrogen is also largely responsible for the secondary sex characteristics in females, including body hair and fat distribution. In general, females have a more rounded appearance than males because of a greater accumulation of fat beneath their skin. Also, the pelvic girdle -realigns so that females have wider hips than males, and the thighs converge at a greater angle toward the knees. Both -estrogen and progesterone are required for breast development as well.
Menopause, which usually occurs between ages 45 and 55, is the time in a woman’s life when the ovarian and menstrual cycles cease. Menopause is not complete until menstruation has been absent for a year.
Aspects of Reproduction
Important topics related to human reproduction include control of reproduction, infertility, and sexually transmitted diseases. 
Control of Reproduction
Table 29.1 lists various means of birth control and gives their rate of effectiveness. Figure 29.9 illustrates some birth control devices. Abstinence—that is, not engaging in sexual intercourse—is very reliable and has the added advantage of preventing sexually transmitted diseases. Oral contraception (the birth control pill) often involves taking a combination of estrogen and progesterone on a daily basis. These hormones effectively shut down the pituitary production of both FSH and LH so that no follicle in the ovary begins to develop in the ovary; since ovulation does not occur, pregnancy cannot take place. Because of possible side effects, women taking birth control pills should see a physician regularly.
Contraceptive implants utilize a synthetic progesterone to prevent ovulation by disrupting the ovarian cycle. The older version of the implant consists of six match-sized, time-release capsules that are surgically implanted under the skin of a woman’s upper arm. The newest version consists of a single capsule that remains effective for about three years. 
Contraceptive injections are available as progesterone only or a combination of estrogen and progesterone. The length of time between injections can vary from three months to a few weeks. 
Interest in barrier methods of birth control has recently increased because they offer some protection against sexually transmitted diseases. A female condom, now available, consists of a large polyurethane tube with a flexible ring that fits onto the cervix. The open end of the tube has a ring that covers the external genitals. A male condom is most often a latex sheath that fits over the erect penis. The ejaculate is trapped inside the sheath, and thus does not enter the vagina. When used in conjunction with a spermicide, the protection is better than with the condom alone. The diaphragm is a soft latex cup with a flexible rim that lodges behind the pubic bone and fits over the cervix. Each woman must be properly fitted by a physician, and the diaphragm can be inserted into the vagina no more than two hours before sexual relations. Also, it must be used with spermicidal jelly or cream and should be left in place at least six hours after sexual relations. The cervical cap is a minidiaphragm.
An intrauterine device (IUD) is a small piece of molded plastic that is inserted into the uterus by a physician. IUDs are believed to alter the environment of the uterus and oviducts so that fertilization probably will not occur—but if it should occur, implantation cannot take place. One type of IUD has copper wire wrapped around the plastic.
Contraceptive vaccines are now being developed. For example, a vaccine intended to immunize women against human chorionic gonadotropin (HCG), a hormone necessary to maintaining the implantation of the embryo, was successful in a limited clinical trial. Since HCG is not normally present in the body, no autoimmune reaction is expected, but the immunization does wear off with time. Other researchers believe that it would also be possible to develop a safe antisperm vaccine that could be used in women.
A morning-after pill, or emergency contraception, refers to a medication that will prevent pregnancy after unprotected intercourse. One type, a kit called Preven, contains four synthetic progesterone pills; two are taken up to 72 hours after unprotected intercourse, and two more are taken 12 hours later. The medication upsets the normal menstrual cycle, -making it difficult for an embryo to implant itself in the endometrium. In a recent study, it was estimated that the medication was 75% effective in preventing unintended pregnancies.
Mifepristone, better known as RU-486, is a pill that is presently used to cause the loss of an implanted embryo by blocking the pro-gesterone receptor proteins of endometrial cells. When taken in conjunction with a prostaglandin to induce uterine contractions, RU-486 is 95% effective. It is possible that some day this medication will also be a “morning-after pill,” taken when menstruation is late without evidence that pregnancy has occurred.
Infertility
Control of reproduction does not only mean preventing pregnancy. It also involves methods of treating infertility (Fig. 29.10). Infertility is the failure of a couple to achieve pregnancy -after one year of regular, unprotected intercourse. The American Medical Association estimates that 15% of all couples are infertile. The cause of infertility can be attributed to the male (40%), the female (40%), or both (20%). 
The most frequent cause of infertility in males is low sperm count and/or a large proportion of abnormal sperm, which can be due to environmental influences. Physicians advise that a sedentary lifestyle coupled with smoking and alcohol consumption can lead to male infertility. When males spend most of the day sitting in front of a computer or television or driving, the testes temperature remains too high for adequate sperm production. 
In females, extremes in body weight appear to be the most significant factor in causing infertility. When a woman is of normal weight, fat cells produce a hormone called leptin that stimulates the hypothalamus to release GnRH. But in an overweight woman, the ovaries often contain many small follicles, and the woman fails to ovulate. Other causes of infertility in females are blocked oviducts due to pelvic inflammatory disease (see page 523), and endometriosis, the presence of uterine tissue outside the uterus, particularly in the oviducts and on the abdominal organs.
Sometimes the causes of infertility can be corrected by medical intervention so that couples can have children. It is also possible to give females fertility drugs, gonadotropic hormones that stimulate the ovaries and bring about ovulation. Such hormone treatments have been known to cause multiple ovulations and multiple births. 
When reproduction does not occur in the usual manner, many couples adopt a child. Others sometimes try the assisted reproductive technologies discussed in the following paragraphs. 
Assisted Reproductive Technologies
Assisted reproductive technologies (ART) consist of techniques used to increase the chances of pregnancy. Often, sperm and/or eggs are retrieved from the testes and ovaries, and fertilization takes place in a clinical or laboratory -setting.
Artificial Insemination by Donor (AID)During artificial insemination, harvested sperm are placed in the vagina by a physician. Sometimes a woman is artificially inseminated by her partner’s sperm. This technique is especially helpful if the partner has a low sperm count, because the sperm can be collected over a period of time and concentrated so that the sperm count is sufficient to result in fertilization. Often, however, a woman is inseminated by sperm acquired from a donor who is a complete stranger to her. At times, a combination of partner and donor sperm is used.
In Vitro Fertilization (IVF)During IVF, conception -occurs outside the body in a laboratory (Fig. 29.11). Ultrasound machines can now spot follicles in the ovaries that hold immature eggs; therefore, the latest method is to forgo the administration of fertility drugs and retrieve immature eggs by using a needle. The immature eggs are then brought to maturity in glassware before concentrated sperm are added. After about two to four days, the embryos are ready to be transferred to the uterus of the woman, who is now in the secretory phase of her menstrual cycle. If desired, the embryos can be tested for a genetic disease, and only those found to be free of disease will be used. If implantation is successful and development is normal, pregnancy continues to term.
Gamete Intrafallopian Transfer (GIFT)The term -gamete refers to a sex cell, either a sperm or an egg. Gamete intrafallopian transfer was devised to overcome the low -success rate (15–20%) of in vitro fertilization. The method is exactly the same as in vitro fertilization, except the eggs and the sperm are placed in the oviducts immediately after they have been brought together. GIFT has the advantage of -being a one-step procedure for the woman—the eggs are -removed and reintroduced all in the same time period. A varia-tion on this procedure is to fertilize the eggs in the la-boratory and then place the zygotes in the oviducts.
Intracytoplasmic Sperm Injection (ICSI)In this highly sophisticated procedure, a single sperm is injected into an egg. It is used effectively when a man has severe infertility problems.
Sexually Transmitted Diseases
Abstinence is the best protection against the spread of sexually transmitted diseases. For those who are sexually active, a latex condom offers some protection. Among STDs caused by viruses, treatment is available for AIDS and genital herpes, but these conditions are not curable. Only STDs caused by bacteria (e.g., chlamydia, gonorrhea, and syphilis) are curable with antibiotics.
STDs Caused by VirusesAcquired immunodeficiency syndrome (AIDS) is caused by a virus called human immunodeficiency virus (HIV). HIV attacks the type of lymphocyte known as helper T cells. Helper T cells, you will recall, stimulate the activities of B lymphocytes, which produce antibodies. After an HIV infection sets in, helper T cells begin to decline in number, and the person becomes debilitated and more susceptible to other types of infections (Fig. 29.12). AIDS has three stages of infection, called categories A, B, and C. 
During the category A stage, which may last about a year, the individual is an asymptomatic carrier. He or she may exhibit no symptoms, but can pass on the infection. Immediately after infection and before the blood test becomes positive, a large number of infectious viruses are present in the blood, and these could be passed on to another person. Even after the blood test becomes positive, the person remains well as long as the body produces sufficient helper T cells to keep the count higher than 500 per mm3. With a combination therapy of several drugs, AIDS -patients may remain in this stage indefinitely.
During the category B stage, which may last six to eight years, the lymph nodes swell, and the person may experience weight loss, night sweats, fatigue, fever, and diarrhea. Infections such as thrush (white sores on the tongue and in the mouth) and herpes recur. 
Finally, the person may progress to category C, which is full-blown AIDS characterized by nervous disorders and the development of an opportunistic disease, such as an unusual type of pneumonia or skin cancer. Opportunistic diseases are those that occur only in individuals who have little or no capability of fighting an infection. Without intensive medical treatment, the AIDS patient dies about seven to nine years after infection. 
Genital warts are caused by the human papillomaviruses (HPVs). Many times, carriers either do not have any sign of warts or merely have flat lesions. When present, the warts commonly are seen on the penis and foreskin of men and near the vaginal opening in women. Genital warts are associated with cancer of the cervix, as well as tumors of the vulva, the vagina, the anus, and the penis. 
Genital herpes is characterized by painful blisters on the genitals. Once the blisters rupture, they leave painful ulcers that may take as long as three weeks or as little as five days to heal. The blisters may be accompanied by fever, pain on urination, swollen lymph nodes in the groin, and in women, a copious discharge. After the ulcers heal, the disease is only latent, and blisters can recur, although usually at less frequent intervals and with milder symptoms. Fever, stress, sunlight, and menstruation are associated with recurrence of symptoms. 
Hepatitis is an infection of the liver and can lead to liver failure, liver cancer, and death. Several types of hepatitis exist, some of which may be transmitted sexually. The type of hepatitis and the virus that causes it are designated by the same -letter. -Hepatitis A is usually acquired from sewage---contaminated drinking water, but this infection can also be sexually transmitted through oral/anal contact. Hepatitis B, which is spread in the same manner as AIDS, is even more infectious. Fortunately, a vaccine is now available for hepatitis B. -Hepatitis C is spread when a person comes in contact with the blood of an infected person. 
STDs Caused by BacteriaChlamydia is a bacterial infection of the lower reproductive tract that is usually mild or asymptomatic, especially in women. About 8 to 21 days after infection, men may experience a mild burning sensation on urination and a mucoid discharge. Women may have a vaginal discharge along with the symptoms of a urinary tract infection. Chlamydia also causes cervical ulcerations, which increase the risk of acquiring AIDS. If the infection is misdiagnosed or if a woman does not seek medical help, there is a particular risk of the infection spreading from the cervix to the oviducts so that pelvic -inflammatory disease (PID) results. This very painful condition can result in blockage of the oviducts with the possibility of sterility and infertility. 
Gonorrhea is easier to diagnose in males than in females because the male is more likely to experience painful urination and a thick, greenish--yellow urethral discharge. In males and females, a -latent infection leads to PID, which affects the vasa deferentia or oviducts. As the inflamed tubes heal, they may become partially or completely blocked by scar tissue, resulting in sterility or infertility. 
Syphilis has three stages, which are typically separated by latent -periods. During the final stage, syphilis may affect the cardiovascular and/or nervous systems. An infected person may become mentally retarded, become blind, walk with a shuffle, or show signs of insanity. Gummas, which are large, destructive ulcers, may develop on the skin or within the internal organs. Syphilitic bacteria can cross the placenta, causing birth -defects or stillbirth. Syphilis is easily diagnosed with a blood test.
STDs Caused by Other OrganismsFemales very often have vaginitis, or infection of the vagina, caused by either the flagellated protozoan Trichomonas vaginalis or the yeast Candida albicans. Trichomoniasis is most often acquired through sexual intercourse, and the asymptomatic male is usually the reservoir of infection. Candida albicans, however, is a normal organism found in the vagina; its growth simply increases beyond normal under certain circumstances. For example, women taking birth control pills are sometimes prone to yeast infections. Also, the legitimate and indiscriminate use of antibiotics for infections elsewhere in the body can alter the normal balance of organisms in the vagina so that a yeast -infection flares up.
Figure 29.13 lists the precautions everyone should take to avoid sexually transmitted diseases.
29.3		Human Development
Development encompasses all the events that occur from the time of fertilization until the animal is fully formed-—in this case, a human being. Humans and other mammals have stages similar to those of all animals but with some marked differences, chiefly because of the presence of extraembryonic membranes (outside the embryo). Developing mammalian embryos (and fetuses in the case of humans), like those of reptiles and birds, depend on these membranes to protect and nourish them. Figure 29.14 shows what these membranes are and what they do in a mammal. 
Fertilization
Fertilization, which results in a zygote, requires that the sperm and egg interact (Fig. 29.15). The plasma membrane of the egg is surrounded by an extracellular material termed the zona pellucida. In turn, the zona pellucida is surrounded by a few layers of adhering follicle cells. 
During fertilization, a sperm moves past the leftover follicle cells, and acrosomal enzymes released by exocytosis digest a route through the zona pellucida. After a sperm binds and fuses to the egg plasma membrane, one sperm nucleus enters the egg. Only then does the secondary oocyte complete meiosis II. Finally, the haploid egg and sperm nuclei fuse. Only one sperm should enter an egg, or else the zygote will have too many chromosomes and development will not be normal. Changes in the egg’s zona pellucida prevent the binding of additional sperm (called polyspermy).
Early Embryonic Development
The first two months of development are considered the embryonic period. The first two weeks of development occur in the oviduct before the embryo implants itself in the uterine lining (endometrium) (Fig. 29.16). During the first stage of development, the embryo becomes multicellular. Following fertilization, the zygote undergoes cleavage, which is cell division without growth. DNA replication and mitotic cell division occur repeatedly, and the cells get smaller with each division. Notice that cleavage only increases the number of cells; it does not change the original volume of the egg cytoplasm. The resulting tightly packed ball of cells is called a morula. 
The cells of the morula continue to divide, but they also secrete a fluid into the center of a ball of cells. A hollow ball of cells, called the blastocyst, is formed, surrounding a fluid-filled cavity called the blastocoel. Within the ball is an inner cell mass that will go on to become the embryo. The outer layer of cells is the first sign of the chorion, the extraembryonic membrane that will contribute to the development of the placenta. As the embryo implants itself in the uterine lining (endometrium), the placenta begins to form and to secrete the hormone HCG (human chorionic gonadotropin). This hormone is the basis for the pregnancy test, and it serves to maintain the corpus luteum past the time it normally disintegrates. Because of HCG, the endometrium is maintained until this function is taken over by estrogen and progesterone, produced by the placenta. Ovulation and menstruation do not occur during pregnancy. 
Later Embryonic Development 
Gastrulation
During the third week of development, a slit called the primitive streak appears. The gastrula stage is evident when certain cells begin to push, or invaginate at the primitive streak, creating three layers of cells (Fig. 29.17a). Also evident is the amnion, the extraembryonic membrane that surrounds the developing embryo and later the fetus. The amnion encloses the amniotic fluid, which offers protection from sudden blows and movements, allows freedom of fetal movement, helps maintain a relatively constant temperature, and prevents drying out, which assists lung development. 
Gastrulation is complete when the three layers of cells that will develop into adult organs have been produced. The outer layer is the ectoderm; the inner layer is the endoderm; and the third, or middle, layer of cells is called the mesoderm. Ectoderm, mesoderm, and endoderm are called the embryonic germ layers. As shown in Figure 29.18, the organs of an animal’s body develop from these three germ layers.
Neurulation
The first organs to form are those of the central nervous system (Fig. 29.17b). The newly formed mesoderm cells that lie along the main longitudinal axis of the animal coalesce to form a dorsal supporting rod called the notochord. The central nervous system develops from midline ectoderm located just above the notochord. During neurulation, thickening of cells, called the neural plate, is seen along the dorsal surface of the embryo. Then, neural folds develop on either side of a neural groove, which becomes the neural tube when these folds fuse. The anterior portion of the neural tube becomes the brain, and the posterior portion becomes the spinal cord. Development of the neural tube is an example of induction, the process by which one tissue or organ influences the development of another. Induction occurs because the tissue initiating the induction releases a chemical that turns on genes in the tissue being induced. 
Midline mesoderm cells that did not contribute to the formation of the notochord now become two longitudinal masses of tissue. These two masses become blocked off into somites, which are serially arranged on both sides along the length of the notochord. Somites give rise to the vertebrae and to muscles associated with the axial skeleton. The sequential order of the vertebrae and the muscles of the trunk testify that chordates are segmented animals. Lateral to the somites, the mesoderm splits and forms the mesodermal lining of the coelom. In addition, the neural crest consists of a band of cells that develops where the neural tube pinches off from the ectoderm. These cells migrate to various locations where they contribute to the formation of skin and muscles, in addition to the adrenal medulla and the ganglia of the peripheral nervous system.  	
By the end of the third week, over a dozen somites are evident, and the blood vessels and gut have begun to develop. At this point, the embryo is about 2 millimeters (mm) long. 
Organ Formation Continues
A human embryo at five weeks has little flippers called limb buds (Fig. 29.19). Later, the arms and the legs develop from the limb buds, and even the hands and the feet become apparent. During the fifth week, the head enlarges, and the sense -organs become more prominent. It is possible to make out the developing eyes, ears, and even the nose.
The umbilical cord has developed from a bridge of mesoderm called the body stalk, which connects the caudal (tail) end of the embryo with the chorion. A fourth extraembryonic membrane, the allantois, is contained within this stalk, and its blood vessels become the umbilical blood vessels. The head and the tail then lift up as the body stalk moves anteriorly by constriction. Once this process is complete, the umbilical cord, which connects the developing embryo to the placenta, is fully formed (Fig. 29.20).
A remarkable change in external appearance occurs during the sixth through eighth weeks of development—the embryo becomes easily recognized as human. Concurrent with brain development, the neck region develops, making the head distinct from the body. The nervous system is developed well enough to permit reflex actions, such as a startle response to touch. At the end of this period, the embryo is about 38 mm (1.5 inches) long and weighs no more than an aspirin tablet, even though all its organ systems are established.
Placenta
The placenta has a fetal side contributed by the chorion, the outermost extraembryonic membrane, and a maternal side consisting of uterine tissues. Notice in Figure 29.20 that the chorion has treelike projections called the chorionic villi. The chorionic villi are surrounded by maternal blood; yet maternal and fetal blood never mix because exchange always takes place across the walls of the villi. Carbon dioxide and other wastes move from the fetal side to the maternal side of the placenta, and nutrients and oxygen move from the maternal side to the fetal side. The umbilical cord stretches between the placenta and the fetus. The umbilical blood vessels are an extension of the fetal circulatory system and simply take fetal blood to and from the placenta. Harmful chemicals can also cross the placenta. This is of particular concern during the embryonic period, when various structures are first forming. Each organ or part seems to have a sensitive period during which a substance can alter its normal development. For example, if a woman takes the drug thalidomide, a tranquilizer, between days 27 and 40 of her pregnancy, the infant is likely to be born with deformed limbs. After day 40, however, the limbs will develop normally.
Fetal Development and Birth
Fetal development encompasses the third to the ninth months (Figs. 29.21–29.24). Fetal development is marked by an extreme increase in size. Weight multiplies 600 times, going from less than 28 grams to 3 kilograms. During this time, too, the fetus grows to about 50 centimeters in length. The genitalia appear in the third month, so it is possible to tell if the fetus is male or female.
Soon after the third month, hair, eyebrows, and eyelashes add finishing touches to the face and head. In the same way, fingernails and toenails complete the hands and feet. Later, during the fifth through seventh months, a fine, downy hair (lanugo) covers the limbs and trunk, only to later disappear. The fetus looks very old because the skin is growing so fast that it wrinkles. 
A waxy, almost cheeselike substance (called vernix caseosa) protects the wrinkly skin from the watery amniotic fluid.
The fetus at first only flexes its limbs and nods its head, but later it can move its limbs vigorously to avoid discomfort. The mother feels these movements from about the fourth month on. The other systems of the body also begin to function. As early as 10 weeks, the fetal heartbeat can be heard through a stethoscope. A fetus born at 24 weeks has a chance of surviving, although the lungs are still immature and often cannot capture oxygen adequately. Weight gain during the last couple of months increases the likelihood of survival.
The Stages of Birth
The latest findings suggest that when the fetal brain is sufficiently mature, the hypothalamus causes the pituitary to stimulate the adrenal cortex so that androgens are released into the bloodstream. The placenta utilizes androgens as a precursor for estrogen, a hormone that stimulates the production of oxytocin and prostaglandin (a molecule produced by many cells that acts as a local hormone). All three of these molecules—estrogen, oxytocin, prostaglandin— cause the uterus to contract and expel the fetus.
The process of birth (parturition) includes three stages (Fig. 29.25). During the first stage, the cervix dilates to allow passage of the baby’s head and body. The amnion usually bursts about this time. During the second stage, the baby is born, and the umbilical cord is cut (Fig. 29.26). During the third stage, the placenta is delivered.
The Chapter in Review
Summary
29.1		How Animals Reproduce
Animals usually reproduce sexually, but some can also reproduce asexually.
	•	In asexual reproduction, a single parent produces offspring.
	•	In sexual reproduction, gametes produced by gonads join to form a zygote that develops into an offspring.
	•	Animals adapted to reproducing in the water shed their gametes into water; fertilization and development occur in water. Animals that reproduce on land protect their gametes and embryos from drying out.
	•	Reptiles, birds, and mammals have extraembryonic membranes.
29.2		Human Reproduction
Male Reproductive System
	•	Sperm are produced in the testis, mature in the epididymis, and are stored in the epididymis and the vas deferens.
	•	Sperm enter the urethra (in the penis) prior to ejaculation along with seminal fluid (produced by seminal vesicles, the prostate gland, and bulbourethral glands).
	•	Spermatogenesis occurs in the seminiferous tubules of the testes, which also produce testosterone in interstitial cells.
Hormone Regulation in Males
Testosterone brings about the maturation of the sex organs during puberty and promotes the secondary sex characteristics of males.
Female Reproductive System
	•	Oocytes are produced in the ovary and move through the oviduct to the uterus. The uterus opens into the vagina. The external genital area of women includes the clitoris, the labia minora, the labia majora, and the vaginal opening.
	•	A follicle produces a secondary oocyte and becomes a corpus luteum. The follicle and later the corpus luteum produce estrogen and progesterone.
The ovarian and menstrual cycles last 28 days. The events of these cycles are as follows:
	•	Days 1–13: Menstruation occurs for five days; the anterior pituitary produces FSH, and follicles produce primarily estrogen. Estrogen causes the endometrium to increase in thickness.
	•	Ovulation occurs on day 14.
	•	Days 15–28: LH from the anterior pituitary causes the corpus luteum to produce progesterone. Progesterone causes the endometrium to become secretory.
Estrogen and Progesterone
Estrogen and progesterone bring about the maturation of the sex organs during puberty and promote the secondary sex characteristics of females.
Aspects of Reproduction
Numerous birth control methods and devices are available for those who wish to prevent pregnancy. Infertile couples are increasingly making use of assisted methods of reproduction.
Sexually transmitted diseases include the following:
	•	AIDS, an epidemic disease that destroys the immune system  
	•	Genital warts, which can lead to cancer of the cervix 
	•	Genital herpes, which repeatedly flares up 
	•	Hepatitis, especially types A and B 
	•	Chlamydia and gonorrhea, which cause pelvic inflammatory disease (PID) 
	•	Syphilis, which leads to cardiovascular and neurological complications if untreated 
29.3		Human Development
Development encompasses all the events that occur from fertilization to a fully-formed animal, in this case a human being.
Fertilization
The acrosome of a sperm releases enzymes that digest a pathway for the sperm through the zona pellucida. The sperm nucleus enters the egg and fuses with the egg nucleus.
Embryonic Development (months 1 and 2)
	•	Cleavage, which occurs in the oviduct, is cell division and formation of a morula and blastocyst. The blastocyst implants itself in the endometrium.
	•	Gastrulation is invagination of cells into the blastocoel, which results in formation of the germ layers. The germ layers are ectoderm, mesoderm, and endoderm.
	•	Organ formation can be related to the germ layers. Organ development begins with neural tube formation. Induction helps account for the steady progression of organ formation during embryonic development.
	•	The placenta has a fetal side and a maternal side. Gases and nutrients are exchanged at the placenta. The umbilical blood vessels are an extension of the embryo/fetal cardiovascular system and carry blood to and from the placenta.
Fetal Development and Birth (months 3–9)
	•	During fetal development, refinement of organ systems occurs, and the fetus adds weight.
	•	Birth has three stages: The cervix dilates, the baby is born, and the placenta is delivered.
Thinking Scientifically
	1.	In elephants, the testes never descend from the abdominal cavity. Hypothesize some ways in which elephants may differ from humans, in that they are able to produce functional sperm within the abdominal cavity. How might you determine which scenario is true?
	2.	Human females undergo menopause between the ages of 45 and 55. In most other animal species, both males and females maintain their reproductive capacity throughout their lives. Why do you suppose human females lose that ability in mid-life? Why don’t human males go through menopause?
Testing Yourself
Choose the best answer for each question.
	1.	The evolutionary significance of the placenta is that it allowed
	a.	animals to retain their eggs until they hatched.
	b.	offspring to be born in an immature state and then develop outside the mother.
	c.	offspring to exchange materials with the mother while developing inside the mother.
	d.	mammals to develop the ability to produce milk.
	2.	In human males, sterility results when the testes are located inside the abdominal cavity instead of the scrotum because
	a. the sperm cannot pass through the vas deferens.
	b. sperm production is inhibited at body temperature.
	c. the sperm cannot travel the extra distance.
	d. digestive juices destroy the sperm.
	3.	Sperm are never found in the
	a. prostate gland.
	b. epididymides.
	c. urethra.
	d. vasa deferentia.
	4.	The function of the prostate gland is to
	a. cause sperm to reproduce.
	b. improve sperm motility.
	c. provide nutrients for sperm.
	d. extend the life of sperm.
	5.	Spermatogenesis produces cells that are
	a. diploid and genetically identical to each other.
	b. diploid and genetically different from each other.
	c. haploid and genetically identical to each other.
	d. haploid and genetically different from each other.
	6.	 In the testes, the ___________ produce the sperm.
	a. seminiferous tubules
	b. bulbourethral glands
	c. seminal vesicles
	d. prostate gland
	7.	Label the parts of the male reproductive system in the following illustration.
	8.	Label the parts of the female reproductive system in the following illustration.
	9.	Secondary sex characteristics in women are due mainly to the effects of
	a. estrogen.
	b. progesterone.
	c. follicle-stimulating hormone.
	d. luteinizing hormone.
	10.	Hepatitis is caused by a
	a. bacterium.
	b. fungus.
	c. protozoan.
	d. virus.
For questions 11-–14, identify the stage of embryonic development in the key that matches the description. 
Key:
	a. cleavage
	b. gastrulation
	c. neurulation
	d. organ formation
	11.	The notochord is formed.
	12.	The zygote divides without increasing in size.
	13.	Ectoderm and endoderm are formed.
	14.	Reflex actions, such as response to touch, develop.
	15.	The process of birth begins when
	a. the fetal heart is sufficiently developed.
	b.	the umbilical cord can no longer support the growth of the fetus.
	c. the fetal brain is mature enough to release androgens.
	d. all organ systems have completed development.
Bioethical Issue
Recently, the news media released a story about a woman who developed complications during a vaginal birth. The doctor asked for permission to perform an emergency cesarean section, but the woman refused. The baby was delivered through the vagina, but was born dead. 
There is now an effort to prosecute the woman for murder. The doctor claims that the baby would have survived the cesarean section, but the woman disagrees. Should a woman have the right to reject a medical procedure that might save her baby? If it were possible to demonstrate that this baby would have survived the cesarean section, should this woman be convicted of murder?
Understanding the Terms
abstinence519
acquired immunodeficiency 
syndrome (AIDS)522
amnion526
birth control pill519
blastocyst525
bulbourethral glands515
cervical cap520
cervix516
chlamydia523
chorionic villi528
cleavage525
condom, female520
condom, male520
contraceptive implant519
contraceptive injection520
contraceptive vaccine520
copulation513
corpus luteum517
diaphragm520
ectoderm526
endoderm526
endometrium517
epididymis514
erection515
estrogen518
external fertilization512
extraembryonic membranes513
fertilization524
fimbriae (sing., fimbria)516
follicle517
follicular phase517
gamete521
gastrula526
gastrulation526
genital herpes523
genital warts522
germ layer526
gonads512
gonnorhea523
hepatitis523
hermaphroditic512
human immunodeficiency virus 
(HIV)522
induction526
infertility520
intrauterine device (IUD)520
luteal phase517
menopause518
menses518
menstrual cycle518
menstruation518
mesoderm526
morula525
neural plate526
neural tube526
neurulation526
notochord526
orgasm515
ovary512
ovulation517
parthenogenesis512
pelvic inflammatory disease
(PID)523
penis514
placenta513
progesterone518
prostate gland515
puberty516
regeneration512
secondary sex characteristic516
semen (seminal fluid)515
seminal vesicle515
seminiferous tubule515
syphilis523
testis (pl., testes)512, 514
testosterone516
umbilical cord527
uterus516
vas deferens514
zygote512
Match the terms to these definitions:
a.	_______________	Sexual union to deposit sperm into a female.
b.	_______________	Pair of glands just below the prostate gland that contribute secretions to semen.
c.	_______________	The main sex hormone in males.
d.	_______________	A thick-walled muscular organ above the cervix in the female reproductive system.
e.	_______________	Uterine lining.
f.	_______________	Release of a secondary oocyte from a follicle.
g.	_______________	Union of an egg and sperm.
h.	_______________	Product of cleavage of the zygote.
i.	_______________	Process by which one tissue or organ influences the development of another.
j.	_______________	Structure that connects a developing embryo to the placenta.
One out of five young women may have a sexually transmitted disease caused by herpes viruses. Babies born prematurely to these women are at greater risk of contracting the disease during birth.
A human fetus can be viable after only 22 weeks of development (compared to the normal 40 weeks) but a premature infant has a greater risk of illness.
Figure 29.1Asexual reproduction.
A new hydra can bud from an adult hydra. This is a form of asexual reproduction. Two hydras (right) are now present whereas before there was only one hydra (left). 
For a male to be fertile, the ejaculate usually needs to contain 40 million sperm per milliliter.
Figure 29.2Reproducing in the water.
Animals that reproduce in the water have no need to protect their eggs and embryos from drying out. Here, male and female frogs are mating. They deposit their gametes in the water, where fertilization takes place. The egg contains yolk that nourishes the embryo until it is a free-swimming larva that can feed for itself. 
Figure 29.3Reproducing on land.
Animals that reproduce on land need to protect their gametes and embryos from drying out. Here, the male passes sperm to the female by way of a penis, and the developing embryo/fetus will remain in the female’s body until it is capable of living independently. 
Check Your Progress
	Compare and contrast parthenogenesis with asexual reproduction.
Answer:Both are forms of reproduction that do not require fertilization. Parthenogenesis is the development of an unfertilized egg into an adult, while asexual reproduction is the development of part of the body into an adult.
Figure 29.5Seminiferous tubules.
a. The testes contain seminiferous tubules, where sperm are produced. b. Cross section of a tubule. As spermatogenesis occurs, the chromosome number is reduced to the haploid number. 
c. A sperm has a head, a middle piece, and a tail. The nucleus is in the head, which is capped by an acrosome. 
Figure 29.4Male reproductive system.
a. Side view. b. Frontal view. The testes produce sperm. The seminal vesicles, the prostate gland, and the bulbourethral glands provide a fluid medium for the sperm. Circumcision is the removal of the foreskin. 
Check Your Progress
	Compare the male and female reproductive systems. List the components of the female reproductive system.
Answer:Testes in males and ovaries in females produce gametes; vasa deferentia in males and oviducts in females transport gametes; the penis in males and the vagina in females are organs of intercourse.
Check Your Progress
	1.	Describe the changes that occur in the penis during an erection.
	2.	
What is the main sex hormone in males? 
Answers:1. Blood flow increases to the blood spaces in three columns of erectile tissue in the penis, causing it to stiffen and enlarge.2. Testosterone.
Figure 29.6Female reproductive system.
a. Frontal view of the female reproductive system. The ovaries produce one oocyte (egg) per month. Fertilization occurs in the oviduct, and development occurs in the uterus. The vagina is the birth canal and organ of sexual intercourse. b. Side view of female reproductive system plus nearby organs.  c. Female external genitals, the vulva. At birth, the opening of the vagina is partially occluded by a membrane called the hymen. Physical activities and sexual intercourse disrupt the hymen.
Figure 29.7Ovarian cycle and oogenesis.
As a follicle matures in the ovary, the oocyte enlarges and is surrounded by layers of follicular cells and fluid. Eventually, ovulation occurs, the mature follicle ruptures, and the secondary oocyte is released. A single follicle actually goes through all the stages in one place within the ovary.
Check Your Progress
	Relate the phases of the ovarian cycle to the phases of the menstrual cycle. 
Answer:(1) During the follicular phase of the ovarian cycle, a follicle is producing an egg and releasing estrogen. Estrogen causes the uterine lining to thicken (proliferative phase of menstrual cycle). (2) Ovulation occurs. 
(3) During the luteal phase of the ovarian cycle, the corpus luteum is producing progesterone. Progesterone causes the uterine lining to become secretory (secretory phase of menstrual cycle). (4) If the egg is not fertilized by a sperm and an embryo does not implant in the uterine lining, the corpus luteum degenerates, and menstruation occurs (menstrual phase of menstrual cycle).
Figure 29.8Ovarian and menstrual cycles.
During the follicular phase of the ovarian cycle (pink), FSH released by the anterior pituitary promotes the maturation of follicles in the ovary. Ovarian follicles produce increasing levels of estrogen, which causes the endometrium to thicken during the proliferative phase of the menstrual cycle (bottom). After ovulation and during the luteal phase of the ovarian cycle (yellow), LH promotes the development of a corpus luteum. This structure produces increasing levels of progesterone, which causes the endometrium to become secretory. Menstruation begins when progesterone production declines to a low level.

Figure 29.9Contraceptive devices. 
Check Your Progress
	1.	Name two barrier methods of birth control and their benefits. 
	2.	How are the pill, contraceptive implants, contraceptive injections, and the morning-after pill similar? 
Answers:1. Condoms and the diaphragm can be used at the last minute, and condoms in particular offer some protection against STDs.2. They all work by interfering with the release of and/or the normal balance of sex hormones in the body of a female. 
Check Your Progress
	1.	Contrast artificial insemination with in vitro fertilization.
	2.	A surrogate mother is a person who bears a child for someone else. If a surrogate mother is involved, how many possible parents could a child have?
Answers:1. During artificial insemination, sperm are placed by a physician into a recipient’s vagina, and fertilization occurs internally. During in vitro fertilization, donor eggs are fertilized by donor sperm in laboratory glassware. An embryo is then implanted in the uterus of a woman.2. The total number of possible parents is 5: (1) the surrogate mother, (2) the egg donor, (3) the sperm donor, and (4 and 5) the woman and man who raise the child.
Figure 29.10Control of reproduction.
The medical profession can offer help to control reproduction. The number of births can be decreased by the proper use of birth control, and the number of births can be increased through assisted reproductive technologies. 
Figure 29.11In vitro fertilization.
A microscope connected to a television screen (at left) is used to carry out in vitro fertilization. On the screen, note that a pipette (at left of egg) holds the egg steady while a needle (not visible) introduces the sperm into the egg, ensuring fertilization.
Check Your Progress
	1.	
List the sexually transmitted diseases that are caused by viruses.
	2.	
Why are STDs caused by viruses more problematic than those caused by bacteria? 
Answers:1. AIDS, genital warts, genital herpes, and hepatitis.2. Bacterial infections are treatable with antibiotics, but viral infections are not. 
Figure 29.12The course of AIDS. 
This individual went through all the stages of AIDS before he died. Everyone should protect themselves from sexually transmitted diseases (STDs). If you have an STD, you are more susceptible to getting another one.
Figure 29.13Preventing the spread of STDs. 
Some guidelines for preventing the spread of STDs are:
	1.	Abstain from sexual intercourse or develop a long-term mono-gamous (always the same person) relationship with a person who is free of STDs.
	2.	Refrain from multiple sex partners or having a relationship with a person who does have multiple sex partners.
	3.	Be aware that having relations with an intravenous drug user is risky because the behavior of this group puts them at risk for AIDS and hepatitis B.
	4.	Avoid anal intercourse because HIV has easy access through the lining of the rectum.
	5.	Always use a latex condom if your partner has not been free of STDs for the past five years.
	6.	Avoid oral sex because this may be a means of transmitting AIDS and other STDs.
	7.	Stop, if possible, the habit of injecting drugs, and if you cannot stop, at least always use a sterile needle. 
Figure 29.14The extraembryonic membranes. 
Humans, like other animals that reproduce on land, are dependent on these membranes to protect and nourish the embryo (and later the fetus). 
Figure 29.16Human development before implantation.
Structures and events proceed counterclockwise. At ovulation (), the secondary oocyte leaves the ovary. A single sperm nucleus enters the egg, and fertilization () occurs in the oviduct. As the zygote moves along the oviduct, it undergoes cleavage () to produce a morula (). The blastocyst forms () and implants itself in the uterine lining ().
Check Your Progress
	1.	
Explain how a morula is formed.
	2.	What is the significance of germ layer formation during gastrulation?
	3.	
Explain how induction occurs.
Answers:1. The zygote divides without increasing in size, forming a ball of cells called a morula.2. Each of the germ layers gives rise to particular structures and organs.3. One tissue releases a chemical that turns on genes in another tissue, influencing its development. 
Figure 29.19Human embryo at the beginning of the fifth week. 
Figure 29.18The germ layers and associated organs.
Figure 29.17Gastrulation and neurulation.
a. Gastrulation is the movement of cells to establish the three germ layers: ectoderm, mesoderm, and endoderm. b. During neurulation, the neural tube, which becomes the central nervous system, develops right above the notochord. Later, the notochord is replaced by the vertebral column. The neural crests contain ectodermal cells that did not participate in forming the neural tube. They develop into a number of different structures, including the autonomic nervous system. 
Check Your Progress
	1.	Contrast embryonic development with fetal development.
	2.	Of what use is the afterbirth during development? 
Answers:1. Embryonic development occurs during months 0–2 and is characterized by the establishment of organ systems. Fetal development occurs during months 3–9 and is characterized by an increase in size.
2. The afterbirth contains the placenta, the region of exchange with the mother’s bloodstream. 
Figure 29.20Placenta.
Blood vessels within the umbilical cord lead to the placenta, where exchange takes place between fetal blood and maternal blood. 
Figure 29.219-week fetus.
Figure 29.2212- to 16-week fetus.
Figure 29.2320- to 28-week fetus.
Figure 29.2424-week fetus.
Figure 29.26Newborn (40 weeks).
Figure 29.25Three stages of birth (parturition).
a. Dilation of cervix. b. Birth of baby. c. Expulsion of afterbirth (placenta).

Table 29.1
	Common Birth Control Methods	

Name	Procedure	Effectiveness*	Name	Procedure	Effectiveness*	
Abstinence

Sterilization
Vasectomy
Tubal ligation

Combined estrogen/progesterone available as a pill, injectable, or vaginal ring and patch

Progesterone only available as a tube implant and injectable

Intrauterine device (IUD)

Vaginal sponge	Refrain from sexual intercourse

Vas deferens cut and tied
Oviducts cut and tied

Pill is taken daily; injectable and ring last a month; patch is replaced weekly

Implant lasts three years; injectable lasts three weeks

Newest device contains progesterone and lasts up to five years 

Sponge permeated with spermicide is inserted into vagina	100%

Almost 100%
Almost 100%

About 100%

About 95%

More than 90%

About 90%	Diaphragm

Cervical cap

Male condom

Female condom

Coitus interruptus

Jellies, creams, foams

Natural family planning

Douche	Latex cap inserted into vagina to cover cervix before intercourse

Latex cap held by suction over cervix

Latex sheath fitted over erect penis

Polyurethane liner fitted inside vagina

Penis withdrawn before ejaculation

Spermicidal products inserted before intercourse

Day of ovulation determined by record keeping; various methods of testing

Vagina cleansed after intercourse	With jelly, about 90%

Almost 85%

About 85%

About 85%

About 75%

About 75%

About 70%

Less than 70%	

*The percentage of sexually active women per year who will not get pregnant using this method.
oral contraception (birth control pill)
intrauterine device
spermicidal jelly and diaphragm
female condom
contraceptive implant
Depo-Provera injection 
a. 
AIDS patient, Tom Moran, 
July 1987
b. 
AIDS patient, Tom Moran 
early January 1988
c. AIDS patient, Tom Moran, late January 1988
Figure 29.15Fertilization. 
 The sperm makes its way through the adhering follicle cells. 
 Acrosomal enzymes digest a portion of the zona pellucida.  Sperm binds to and fuses with egg plasma membrane.  Sperm nucleus enters cytoplasm of egg.  Sperm and egg nuclei fuse to produce a zygote.