<< Chapter < Page Chapter >> Page >

Career in action

Reproductive endocrinologist

A reproductive endocrinologist is a physician who treats a variety of hormonal disorders related to reproduction and infertility in both men and women. The disorders include menstrual problems, infertility, pregnancy loss, sexual dysfunction, and menopause. Doctors may use fertility drugs, surgery, or assisted reproductive techniques (ART) in their therapy. ART involves the use of procedures to manipulate the egg or sperm to facilitate reproduction, such as in vitro fertilization.

Reproductive endocrinologists undergo extensive medical training, first in a four-year residency in obstetrics and gynecology, then in a three-year fellowship in reproductive endocrinology. To be board certified in this area, the physician must pass written and oral exams in both areas.

Gestation

Pregnancy begins with the fertilization of an egg and continues through to the birth of the individual. The length of time of gestation    , or the gestation period    , in humans is 266 days and is similar in other great apes.

Within 24 hours of fertilization, the egg nucleus has finished meiosis and the egg and sperm nuclei fuse. With fusion, the cell is known as a zygote. The zygote initiates cleavage and the developing embryo travels through the oviduct to the uterus. The developing embryo must implant into the wall of the uterus within seven days, or it will deteriorate and die. The outer layers of the developing embryo or blastocyst grow into the endometrium by digesting the endometrial cells, and healing of the endometrium closes up the blastocyst into the tissue. Another layer of the blastocyst, the chorion, begins releasing a hormone called human beta chorionic gonadotropin (β-HCG)    , which makes its way to the corpus luteum and keeps that structure active. This ensures adequate levels of progesterone that will maintain the endometrium of the uterus for the support of the developing embryo. Pregnancy tests determine the level of β-HCG in urine or serum. If the hormone is present, the test is positive.

The gestation period is divided into three equal periods or trimesters. During the first two-to-four weeks of the first trimester, nutrition and waste are handled by the endometrial lining through diffusion. As the trimester progresses, the outer layer of the embryo begins to merge with the endometrium, and the placenta forms. The placenta    takes over the nutrient and waste requirements of the embryo and fetus, with the mother’s blood passing nutrients to the placenta and removing waste from it. Chemicals from the fetus, such as bilirubin, are processed by the mother’s liver for elimination. Some of the mother’s immunoglobulins will pass through the placenta, providing passive immunity against some potential infections.

Internal organs and body structures begin to develop during the first trimester. By five weeks, limb buds, eyes, the heart, and liver have been basically formed. By eight weeks, the term fetus applies, and the body is essentially formed ( [link] a ). The individual is about five centimeters (two inches) in length and many of the organs, such as the lungs and liver, are not yet functioning. Exposure to any toxins is especially dangerous during the first trimester, as all of the body’s organs and structures are going through initial development. Anything that interferes with chemical signaling during that development can have a severe effect on the fetus’ survival.

Questions & Answers

what are the characteristics of living things
Ruth Reply
Movement Respiration Nutrition/Feeding Irritability/Sensitivity Growth Excretion Reproduction Deat/Life span
Hashim
What makes children from the same father and mother sometimes don't look alike?
Hashim
identification of problems
Nana Reply
what happens in the process of raising the human arms
Nana
what is biology
Brandi Reply
first step in scientific method
Brandi
In an investigation the pancreatic duct of a mammal was blocked.It was found that the blood sugar regulation remained normal while food digestion was impaired.Explain
Mac Reply
To begin with, obstruction of pancreatic duct will alter the blood sugar level as the juices responsible for glucose regulation will be rendered inconsequential. This will in turn affect the rate of digestion and absorbtion of digested food substances by the Villus .
Muktar
characteristics of algae
OMIME Reply
Algae are eukaryotic organisms. Algae do not have roots and stems. Algae have chlorophyll and helps in carrying out photosynthesis.
Aditi
Cell wall is the rigid layer enclosed by membranes of plants and prokayortic cell, it maintains the shape of the cell and serve as a protective barrier.
chizoba Reply
ECOLOGY: is a branch of biology that studies the interactions among organisms and their biophysical environment, which includes both biotic and abiotic components. 
chizoba
via nutrient cycles and energy flows. For instance, the energy from the sun is captured by plants through photosynthesis. Photosynthesis is a biological process through which plants manufacture their own food with the aid of light from the sun and frc sources (e.g. cabon dioxide and water)
chizoba
What is cell wall
Taiwo Reply
cell wall is the outemost rigid covering of the plants ,that provides protection to the plants.
Aditi
what is ecology, ecosystem?
Nkeng Reply
what is digestive system
Lucky Reply
digestive system is the human syman system that icludes esopuges stomach o braking down of food in to useful substance to our body
samrawit
definition of biology basics
Ritu Reply
the potential energy of a molecule can be inquired by their number of?
Jesus Reply
what is the full meaning of RNA
Ayo Reply
ribose nucleic acid
Nikita
Ribonucleic acid
Jesus
Ribo Nucleic Acid
Aditi
ribonucleic acid
Nana
discuss, describe at least three (3) methods that could be used to improve photosynthesis..
Marvel Reply
Improve the efficiency with which plants capture light Improve the efficiency by which plants turn light into energy The smart canopy concept develop crop planting schemes that increase the penetration of sunlight into lower-level leaves.
Jesus
what is osmosis
Aon Reply
movement of water molecule from higher to lower concentration through a semipereable membrene.
Dr
what of in the case of solute
Aon
osmosis is the movement of molecules from higher concentration region to lower concentration region through semi-permeable membrane.
Broad
in case of solute means that water moves from the region with lower solutes to the region with higher solute. so it is vice versa to water.
Broad
osmosis is the movement of water molecule from a region of lower concentration to a region of higher concentration through a semi permeable membrane
Nana
what are the hydrophilic and hydrophobic region of the plasma membrane?
Samuel Reply
hydrophilic in other word it called water loving and hydrophobic region other word is region that does not contact with water in the plasma membrane.
Broad
the phospholipids
Jesus

Get the best Concepts of biology course in your pocket!





Source:  OpenStax, Concepts of biology. OpenStax CNX. Feb 29, 2016 Download for free at http://cnx.org/content/col11487/1.9
Google Play and the Google Play logo are trademarks of Google Inc.

Notification Switch

Would you like to follow the 'Concepts of biology' conversation and receive update notifications?

Ask