Module 19

The reproductive organs

How the same starting tissue becomes testes or ovaries, how two sets of tubes become two different tracts, and why a woman's egg supply is set before she is born.

  • 4lessons
  • 16 minreading
  • 6quiz questions

The lessons and the quiz in this module are part of the Fertility with Kara Package. Module 1 is free to read.

Learning aims

By the end of this module you will be able to:

  • Describe how the indifferent gonad becomes a testis or an ovary, and where the germ cells come from.
  • Explain what the SRY gene, anti-Müllerian hormone and testosterone each do.
  • Compare the Wolffian and Müllerian ducts and name what each becomes.
  • Describe how the testes move into the scrotum, and why an undescended testis matters for later fertility.
  • Explain why a woman's egg supply is set before birth while men keep making sperm.
  • Recognise the current terms for differences of sex development and describe them respectfully.

The module in brief

The module in brief
  • Every embryo starts with the same indifferent gonads, and the germ cells that will make eggs or sperm travel into them from the yolk sac wall in weeks 5 and 6.
  • In most embryos with a Y chromosome, the SRY gene turns the gonads into testes from week 7; without SRY they become ovaries.
  • Every embryo builds two pairs of ducts: testes keep the Wolffian ducts with testosterone and remove the Müllerian ducts with anti-Müllerian hormone.
  • Without testes, the Müllerian ducts form the fallopian tubes, uterus, cervix and upper vagina, and the outer genitals follow the female path.
  • The testes move down in two steps and normally reach the scrotum in the last three months of pregnancy; an undescended testis is linked with lower fertility later.
  • A woman's egg supply peaks before she is born and falls for the rest of her life, while men keep making new sperm from puberty on.
  • Differences of sex development happen when one step takes a different route; care centres on wellbeing, honest communication and shared decisions.
A note from Kara

Thank you for choosing to learn with me

I know you had many places to look for answers, and you chose this course. Thank you. It means a lot to me that you trust me with something this close to your heart.

Every lesson here is something I wish every couple could hear before they sit down with their clinic: how a life begins, what happens in the lab, and what the words on your report mean. Take it slowly. Short lessons, one at a time, are the way the science sinks in.

If a lesson raises a question about your own body or your own embryos, write it down and take it to your healthcare professional. That is exactly what this course is for.

Warmly, Kara

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