1. Prof. dr. M. Anwar, M.Med.Sc., Sp.OG
Healthy reproduction period and adolescence
HEALTHY REPRODUCTION PERIOD
AND
ADOLESCENCE PREGNANCY
Block 7, August 30, 2005 Week 5 International Programme

2. REPRODUCTIVE HEALTH OSTEOPOROSIS MENOPAUSE Embryonic development
CONTRACEPTION
Embryonic
development
MATERNAL
DEATH
OSTEOPOROSIS
INFERTILITY
SEXUALITY
ADOLESCENT
SOCIO
CULTURAL
MENOPAUSE
CONCEPTION
PREGNANCY
LABOUR
REPRODUCTIVE
HEALTH

3. The physiology of reproductive process

4. Prof. dr. M. Anwar, M.Med.Sc., Sp.OG
Healthy reproduction period and adolescence
Fertilization
Block 7, August 30, 2005 Week 5 International Programme

6. REPRODUCTIVE HEALTH IN THE EMBRYONAL STAGE

7. Primordial differentiation Functional malformation
STAGES OF FETAL DEVELOPMENT
OVARIAL
0 – 2 weeks
EMBRIONAL
FETAL
> 8weeks
2 – 8 weeks
Primordial differentiation
Organogenesis
Fetal development
“All or None”
Structural
malformation
Functional malformation

8. Several months after birth
Dismorfogenic disorders in the organogenesis period
Limb
Eye
Genitalia
Heart
Brain 15 30 45 60
Day after fertilization
Several months after birth
Organogenesis

9. Primary sex organs Ovaries (two) Oestrogen and Progestogen
FEMALE REPRODUCTIVE SYSTEM
Primary sex organs Ovaries (two)
Oestrogen and Progestogen
Ova
Secondary sex organs
Secondary sex characteristics

10. Secondary sexs organs
Fallopian tubes  for the transfer of fertilized ova from ovaries to the uterine cavity.
Vagina  for the reception of the male Germ cells.
Uterus  for the nutrition and development of fertilized Egg cells  developing embryo.
Mammary glands  for the nutrition of the new individual after birth.

12. In the female the cyclical production of ova starts just after puberty and continues (unless interupted by pregnancy and desease) until the menopause

13. MALE REPRODUCTIVE SYSTEM Primary sex organs Testes (two)
Testosterone
Spermatozoa
Secondary sex organs
Secondary sex characteristics

14. SECUNDARY SEX ORGANS Epididymis (Two)  Transfer of spermatozoa
Vas diferens (Two) from the testes.
Seminal vesicles (Two)  Secrete fluid medium
Prostate gland for transport of spermatozoa
Penis Tranfers spermatozoa from male to female

15. In the male, the process of spermatogenesis starts just after puberty and is normally continous until old age

27. Prof. dr. M. Anwar, M.Med.Sc., Sp.OG
Healthy reproduction period and adolescence
FERTILE YEARS PRIOR TO MARRIAGE INCREASING
1890
Menarche
Marriage
7.2 years 10
Age
14.8
22.0 30
1988
Menarche
Marriage
11.8 years 10
Age
12.5
24.3 30
Source: U.S. data: adapted from Alan GuttmatcherInstitute, 1995
Block 7, August 30, 2005 Week 5 International Programme

41. BE A MAN BEFORE BECOME A FATHER
BE A WOMAN BEFORE BECOME A MOTHER