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HESI A2 · Anatomy and Physiology · 7 min read

The Reproductive System

In this lesson you will
  • Identify the structural components and hormonal regulators of the male reproductive system, including the processes of spermatogenesis and semen production.
  • Describe the anatomy of the female reproductive tract alongside the coordinated events of the ovarian and uterine cycles.
  • Explain the physiological events of fertilization, blastocyst implantation, pregnancy maintenance, labor, and lactation.

Male Reproductive Anatomy, Hormones, and Spermatogenesis

The primary male sex organs, or gonads, are the testes. The testes are responsible for two essential activities: producing sperm cells and synthesizing testosterone. Rather than residing within the core trunk of the body, the testes are housed inside the scrotum outside the abdominopelvic cavity. This external position serves a vital thermal purpose, maintaining a temperature lower than core body temperature, which is necessary for proper spermatogenesis. Within each testis, the actual formation of sperm occurs inside tightly coiled structures known as the seminiferous tubules.

Spermatogenesis relies on support from specialized cells located within the testicular tissue. Sertoli cells, which are also called sustentacular cells, reside directly within the seminiferous tubules to nourish and support developing sperm cells as they undergo their transformation. In the surrounding connective tissue, interstitial cells of Leydig (or interstitial Leydig cells) carry out endocrine duties by synthesizing and secreting testosterone. Much like an assembly line that requires both structural workers and management signals, developing sperm depend on Sertoli cells for physical sustenance and Leydig cells for hormone production.

The endocrine regulation of testicular activity originates in the brain. Gonadotropin-releasing hormone from the hypothalamus stimulates the anterior pituitary to release follicle-stimulating hormone and luteinizing hormone. In males, follicle-stimulating hormone stimulates spermatogenesis by targeting Sertoli cells, whereas luteinizing hormone stimulates interstitial Leydig cells to produce testosterone. In addition to supporting sperm creation, testosterone is responsible for the development and maintenance of male secondary sex characteristics.

The product of this coordinated system is a specialized mature sperm cell composed of three functional parts. The head contains the cellular DNA and is capped by the acrosome, an organelle filled with enzymes that help the sperm penetrate the outer protective layers surrounding a secondary oocyte. Behind the head lies the midpiece, which is packed with mitochondria that supply the energy needed to power movement. Finally, a long flagellum extends backward, serving as a whip-like tail for locomotion.

Exam tip. Remember the specific cell targets for anterior pituitary hormones in males: Follicle-stimulating hormone targets Sertoli cells to support spermatogenesis, while Luteinizing hormone targets Leydig cells to stimulate testosterone production.

Common mistakes

  • Confusing the specific cell types in the testes: Sertoli cells (sustentacular cells) nourish and support developing sperm, whereas Leydig cells (interstitial cells) synthesize testosterone.
  • Mixing up the functions of the pituitary hormones in lactation: prolactin from the anterior pituitary stimulates milk production, while oxytocin from the posterior pituitary stimulates milk ejection.
  • Confusing the physical site of fertilization with the site of implantation: fertilization typically occurs in the ampulla of the fallopian tube, whereas implantation takes place in the functional layer of the endometrium in the uterus.
  • Assuming the corpus spongiosum is the primary rigid tissue of an erection: the paired corpora cavernosa provide rigidity, while the corpus spongiosum surrounds the spongy urethra to keep it open during an erection.

Key points

  • The primary male gonads are the testes, which reside in the scrotum to maintain a cooler temperature for spermatogenesis within the seminiferous tubules.
  • Sertoli cells nourish developing sperm under the influence of follicle-stimulating hormone, while Leydig cells secrete testosterone under the influence of luteinizing hormone.
  • Semen is composed of sperm matured in the epididymis combined with fluids from the seminal vesicles, prostate gland, and bulbourethral glands.
  • The primary female gonads are the ovaries, which produce ova and secrete estrogen and progesterone to govern the ovarian cycle.
  • Ovulation is triggered by a sudden surge in luteinizing hormone on day 14 of an idealized 28-day cycle, after which the ruptured follicle becomes the corpus luteum.
  • The functional layer of the endometrium thickens during the estrogen-driven proliferative phase and progesterone-driven secretory phase, shedding during menstruation if pregnancy does not occur.
  • Fertilization in the ampulla forms a diploid zygote that undergoes cleavage into a blastocyst, which implants in the endometrium and secretes human chorionic gonadotropin to maintain early hormone production.

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Original lesson written for HESI A2 practice · updated October 15, 2026. Exam names are trademarks of their owners; tests.global is not affiliated with them.