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Picture of the male reproductive system. Human Reproductive System: A Comprehensive Guide to Male and Female Anatomy

How does the human reproductive system function. What are the key organs involved in human reproduction. How do male and female reproductive systems differ. What is the process of fertilization and embryo development.

The Basics of Human Reproduction

The human reproductive system is a complex network of organs and processes that work together to facilitate reproduction and the continuation of our species. At its core, human reproduction involves the fusion of male and female gametes – sperm and egg cells – to create a new organism.

What are the essential features of human reproduction? The process can be broken down into several key steps:

  1. Release of an egg (ovum) from the female ovary
  2. Internal fertilization of the egg by male sperm
  3. Transport of the fertilized egg to the uterus
  4. Implantation of the early embryo (blastocyst) in the uterine wall
  5. Formation of the placenta and fetal development during gestation
  6. Birth of the child and expulsion of the placenta
  7. Postnatal care and return of maternal organs to their pre-pregnancy state

To accomplish these steps, both male and female reproductive systems have evolved specialized organs and structures. Let’s explore the anatomy and function of these reproductive organs in more detail.

Male Reproductive Anatomy: From Sperm Production to Delivery

The male reproductive system is designed to produce, store, and deliver sperm cells for fertilization. What are the key components of male reproductive anatomy?

  • Testes: The primary male reproductive organs, responsible for sperm and testosterone production
  • Epididymis: A coiled tube where sperm mature and are stored
  • Vas deferens: Tubes that transport sperm from the epididymis
  • Seminal vesicles: Glands that produce components of semen
  • Prostate gland: Produces alkaline fluid that helps neutralize the acidic environment of the vagina
  • Urethra: The tube through which both urine and semen are expelled
  • Penis: The external organ used for sexual intercourse and urination

How does sperm production occur? Spermatogenesis takes place within the seminiferous tubules of the testes. This process is regulated by hormones, including testosterone, which is produced by specialized cells called Leydig cells within the testes.

The Journey of Sperm

Once produced, sperm cells undergo a fascinating journey before they can potentially fertilize an egg. They travel from the testes through the epididymis, where they mature and gain motility. During sexual arousal, sperm move through the vas deferens and mix with fluids from the seminal vesicles, prostate, and other glands to form semen. This mixture is then expelled through the urethra during ejaculation.

Female Reproductive Anatomy: The Path to Conception

The female reproductive system is more complex than its male counterpart, as it must not only produce eggs but also support the development of a fetus throughout pregnancy. What are the primary organs involved in female reproduction?

  • Ovaries: Produce eggs (ova) and hormones like estrogen and progesterone
  • Fallopian tubes: Transport eggs from the ovaries to the uterus
  • Uterus: Houses and nourishes the developing fetus during pregnancy
  • Cervix: The lower part of the uterus that connects to the vagina
  • Vagina: Receives sperm during intercourse and serves as the birth canal

How does egg production differ from sperm production? Unlike sperm, which are produced continuously throughout a man’s life, women are born with all the eggs they will ever have. These immature eggs are stored in the ovaries and mature cyclically during the reproductive years.

The Menstrual Cycle

The female reproductive system operates on a cyclical basis, known as the menstrual cycle. This cycle, which typically lasts about 28 days, involves complex hormonal changes that prepare the body for potential pregnancy. What are the key phases of the menstrual cycle?

  1. Menstrual phase: Shedding of the uterine lining
  2. Follicular phase: Development of egg-containing follicles in the ovary
  3. Ovulation: Release of a mature egg from the ovary
  4. Luteal phase: Preparation of the uterus for potential implantation

If fertilization does not occur, the cycle begins anew with menstruation. This cyclical nature of female reproduction is a key difference from the continuous sperm production in males.

The Miracle of Fertilization: When Sperm Meets Egg

Fertilization is the pivotal moment in human reproduction when a sperm cell successfully penetrates and fuses with an egg. This process typically occurs in the fallopian tube within 24-48 hours after ovulation. How does fertilization unfold?

  1. Sperm travel through the female reproductive tract, undergoing capacitation
  2. The egg is surrounded by a protective layer called the zona pellucida
  3. Enzymes in the sperm’s acrosome help it penetrate this layer
  4. Once a sperm enters the egg, changes occur to prevent other sperm from entering
  5. The genetic material from the sperm and egg combine, forming a zygote

What happens after fertilization? The zygote begins to divide rapidly as it travels down the fallopian tube towards the uterus. By the time it reaches the uterus, it has become a blastocyst, ready for implantation.

From Embryo to Fetus: The Journey of Human Development

Once the fertilized egg implants in the uterine wall, the incredible process of human development begins. How does a single cell transform into a fully formed human being?

Key Stages of Prenatal Development

  • Embryonic stage (weeks 3-8): Formation of major organ systems
  • Fetal stage (week 9 to birth): Growth and refinement of organ systems

During the embryonic stage, rapid cell division and differentiation lead to the formation of the three primary germ layers: ectoderm, mesoderm, and endoderm. These layers give rise to all the tissues and organs of the body.

What are some key milestones in fetal development?

  • Week 5: The heart begins to beat
  • Week 8: All major organs have begun to form
  • Week 12: External genitalia start to develop
  • Week 16: The fetus begins making sucking motions
  • Week 20: The mother may feel the baby move
  • Week 24: The lungs begin to develop alveoli
  • Week 28: The eyes can open and close
  • Week 37: The fetus is considered full-term

Hormones: The Chemical Conductors of Reproduction

Hormones play a crucial role in regulating reproductive functions in both males and females. These chemical messengers orchestrate everything from gamete production to pregnancy maintenance. What are some key reproductive hormones and their functions?

Male Reproductive Hormones

  • Testosterone: Promotes sperm production and secondary sexual characteristics
  • Follicle-stimulating hormone (FSH): Stimulates sperm production
  • Luteinizing hormone (LH): Triggers testosterone production

Female Reproductive Hormones

  • Estrogen: Promotes development of female secondary sexual characteristics and regulates the menstrual cycle
  • Progesterone: Prepares the uterus for pregnancy and maintains pregnancy
  • Follicle-stimulating hormone (FSH): Stimulates follicle development in the ovaries
  • Luteinizing hormone (LH): Triggers ovulation
  • Human chorionic gonadotropin (hCG): Maintains pregnancy in early stages

How do these hormones interact to regulate reproduction? The hypothalamus and pituitary gland in the brain work together with the reproductive organs in a complex feedback system. This system ensures that hormone levels are carefully balanced to support reproductive functions.

Reproductive Health: Maintaining Fertility and Preventing Disease

Maintaining reproductive health is crucial for both individual well-being and successful reproduction. What are some key aspects of reproductive health?

  • Regular check-ups and screenings
  • Safe sexual practices
  • Proper nutrition and exercise
  • Management of chronic health conditions
  • Awareness of age-related fertility changes

How can individuals protect their reproductive health? Regular medical check-ups, including Pap smears for women and testicular exams for men, can help detect potential issues early. Safe sexual practices, including the use of condoms, can prevent sexually transmitted infections that may impact fertility.

Common Reproductive Health Issues

What are some common reproductive health problems that individuals may face?

  • Infertility
  • Polycystic ovary syndrome (PCOS)
  • Endometriosis
  • Uterine fibroids
  • Erectile dysfunction
  • Prostate issues
  • Sexually transmitted infections

Many of these conditions are treatable, especially when caught early. This underscores the importance of regular health screenings and open communication with healthcare providers about reproductive health concerns.

The Future of Human Reproduction: Assisted Reproductive Technologies

As our understanding of human reproduction grows, so too do the technologies available to assist those struggling with infertility. What are some of the most promising assisted reproductive technologies (ART)?

  • In vitro fertilization (IVF)
  • Intracytoplasmic sperm injection (ICSI)
  • Preimplantation genetic testing
  • Egg and sperm freezing
  • Surrogacy

How have these technologies impacted human reproduction? ART has allowed many individuals and couples who would otherwise be unable to conceive to have biological children. It has also opened up new possibilities for family planning and genetic screening.

Ethical Considerations in Reproductive Technology

While assisted reproductive technologies offer hope to many, they also raise important ethical questions. What are some of the ethical issues surrounding ART?

  • The status of embryos created through IVF
  • Genetic selection and “designer babies”
  • Access and affordability of ART
  • The impact of multiple pregnancies on maternal and fetal health
  • The rights of donor-conceived individuals

As these technologies continue to advance, society will need to grapple with these and other ethical considerations to ensure that reproductive technologies are used responsibly and equitably.

The human reproductive system is a marvel of biological engineering, capable of creating new life through a complex interplay of organs, hormones, and cellular processes. From the production of gametes to the development of a new human being, every step in the reproductive process is carefully orchestrated and regulated. As our understanding of human reproduction continues to grow, so too does our ability to assist those facing reproductive challenges and to make informed decisions about our reproductive health. By appreciating the intricacies of this remarkable system, we can better care for our bodies and make informed choices about family planning and reproductive health.

Human reproductive system | Definition, Diagram & Facts

male and female reproductive systems

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Key People:
Gabriel Fallopius
George Washington Corner
Reinier de Graaf
Related Topics:
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gonad
gamete
female reproductive system
male reproductive system

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human reproductive system, organ system by which humans reproduce and bear live offspring. Provided all organs are present, normally constructed, and functioning properly, the essential features of human reproduction are (1) liberation of an ovum, or egg, at a specific time in the reproductive cycle, (2) internal fertilization of the ovum by spermatozoa, or sperm cells, (3) transport of the fertilized ovum to the uterus, or womb, (4) implantation of the blastocyst, the early embryo developed from the fertilized ovum, in the wall of the uterus, (5) formation of a placenta and maintenance of the unborn child during the entire period of gestation, (6) birth of the child and expulsion of the placenta, and (7) suckling and care of the child, with an eventual return of the maternal organs to virtually their original state.

For this biological process to be carried out, certain organs and structures are required in both the male and the female. The source of the ova (the female germ cells) is the female ovary; that of spermatozoa (the male germ cells) is the testis. In females, the two ovaries are situated in the pelvic cavity; in males, the two testes are enveloped in a sac of skin, the scrotum, lying below and outside the abdomen. Besides producing the germ cells, or gametes, the ovaries and testes are the source of hormones that cause full development of secondary sexual characteristics and also the proper functioning of the reproductive tracts. These tracts comprise the fallopian tubes, the uterus, the vagina, and associated structures in females and the penis, the sperm channels (epididymis, ductus deferens, and ejaculatory ducts), and other related structures and glands in males. The function of the fallopian tube is to convey an ovum, which is fertilized in the tube, to the uterus, where gestation (development before birth) takes place. The function of the male ducts is to convey spermatozoa from the testis, to store them, and, when ejaculation occurs, to eject them with secretions from the male glands through the penis.

At copulation, or sexual intercourse, the erect penis is inserted into the vagina, and spermatozoa contained in the seminal fluid (semen) are ejaculated into the female genital tract. Spermatozoa then pass from the vagina through the uterus to the fallopian tube to fertilize the ovum in the outer part of the tube. Females exhibit a periodicity in the activity of their ovaries and uterus, which starts at puberty and ends at the menopause. The periodicity is manifested by menstruation at intervals of about 28 days; important changes occur in the ovaries and uterus during each reproductive, or menstrual, cycle. Periodicity, and subsequently menstruation, is suppressed during pregnancy and lactation.

This articles describes the organs, both male and female, that are involved in human reproduction. The reproductive process itself is covered in other articles. For a detailed discussion of the series of changes that occur in a woman’s body as her fetus develops, see pregnancy. For a description of the stages of labour and delivery, see parturition. For the development of the unborn child during gestation, see human embryology. For coverage of the many diseases and disorders that can affect the reproductive organs, see reproductive system disease.

Britannica Quiz

Facts You Should Know: The Human Body Quiz

The sex of a child is determined at the time of fertilization of the ovum by the spermatozoon. The differences between a male and a female are genetically determined by the chromosomes that each possesses in the nuclei of the cells. Once the genetic sex has been determined, there normally follows a succession of changes that will result, finally, in the development of an adult male or female. There is, however, no external indication of the sex of an embryo during the first eight weeks of its life within the uterus. This is a neutral or indifferent stage during which the sex of an embryo can be ascertained only by examination of the chromosomes in its cells.

The next phase, one of differentiation, begins first in gonads that are to become testes and a week or so later in those destined to be ovaries. Embryos of the two sexes are initially alike in possessing similar duct systems linking the undifferentiated gonads with the exterior and in having similar external genitalia, represented by three simple protuberances. The embryos each have four ducts, the subsequent fate of which is of great significance in the eventual anatomical differences between men and women. Two ducts closely related to the developing urinary system are called mesonephric, or wolffian, ducts. In males each mesonephric duct becomes differentiated into four related structures: a duct of the epididymis, a ductus deferens, an ejaculatory duct, and a seminal vesicle. In females the mesonephric ducts are largely suppressed. The other two ducts, called the paramesonephric or müllerian ducts, persist, in females, to develop into the fallopian tubes, the uterus, and part of the vagina; in males they are largely suppressed. Differentiation also occurs in the primitive external genitalia, which in males become the penis and scrotum and in females the vulva (the clitoris, labia, and vestibule of the vagina).

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At birth the organs appropriate to each sex have developed and are in their adult positions but are not functioning. Various abnormalities can occur during development of sex organs in embryos, leading to hermaphroditism, pseudohermaphroditism, and other chromosomally induced conditions. During childhood until puberty there is steady growth in all reproductive organs and a gradual development of activity. Puberty marks the onset of increased activity in the sex glands and the steady development of secondary sexual characteristics.

In males at puberty the testes enlarge and become active, the external genitalia enlarge, and the capacity to ejaculate develops. Marked changes in height and weight occur as hormonal secretion from the testes increases. The larynx, or voice box, enlarges, with resultant deepening of the voice. Certain features in the skeleton, as seen in the pelvic bones and skull, become accentuated. The hair in the armpits and the pubic hair becomes abundant and thicker. Facial hair develops, as well as hair on the chest, abdomen, and limbs. Hair at the temples recedes. Skin glands become more active, especially apocrine glands (a type of sweat gland that is found in the armpits and groin and around the anus).

In females at puberty, the external genitalia enlarge and the uterus commences its periodic activity with menstruation. The breasts develop, and there is a deposition of body fat in accordance with the usual contours of the mature female. Growth of axillary (armpit) and pubic hair is more abundant, and the hair becomes thicker.

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Ultrasound of the penis – prices in Moscow

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Ultrasound of the penis helps in assessing the condition of the genitourinary system and determining the pathologies of this area. This type of diagnosis is one of the most informative. With it, you can get a lot of useful information about the functioning of the male reproductive system. Often, ultrasound of the vessels of the penis is also performed, with which you can get a more complete picture of the patient’s disease.

In the “SM-Clinic” ultrasound of the penis is performed using modern devices of the latest generation. After the examination, the patient receives accurate and informative results, with the help of which the doctor establishes a diagnosis and prescribes an effective treatment regimen.

Ultrasound examinations at SM-Clinic

  1. Without irradiation

    Ultrasound is a non-radiological diagnostic method. It can be carried out by almost everyone – even newborns, pregnant and lactating women. We know how important accessibility and careful attitude to health are for our patients, and we actively use the ultrasound method in carrying out a complex of therapeutic and diagnostic measures.

  2. Without pain

    If a person does not have a pronounced pain syndrome, then the process of ultrasound diagnostics can be described as delicate stroking: the doctor drives the sensor gently, almost without pressure. Research without stress and inconvenience – you must admit, it is hardly worth being afraid or postponing such a procedure “for later”.

  3. You will find the research you need

    We carry out almost all types of ultrasound diagnostics. Rare or most common – we help to investigate a wide variety of health problems. We can perform eye ultrasound, 3D and 4D ultrasound, stress echocardiography (diagnosis of heart pathologies), elastography and many others.

  4. Affordable price

    With all its advantages, ultrasound is also one of the most affordable studies. The money you spend on ultrasound diagnostics in our centers will be a smart investment in your health and will help you make an informed decision on further treatment.

  5. Latest generation equipment

    Our devices allow you to obtain high-resolution images: the smallest details and tissue changes are displayed on the screen during the study. The capabilities of our equipment allow, for example, to visualize blood vessels and blood flow, which helps to detect blood clots, diagnose varicose veins and understand the causes of other problems of the cardiovascular system.

  6. 3D and 4D ultrasound

    3D (3D) and 4D (3D in motion) examinations provide more information and, as a result, allow you to get a more complete picture and make an accurate diagnosis. In our centers, you can choose different types of diagnostics, depending on the indications that led you to the doctor.

Indications for examination

Ultrasound of the penis is a key diagnostic method to determine the causes of impotence. In almost half of the cases, erectile dysfunction in a patient is caused by disorders of the vascular blood supply, therefore, during the study of the penis by ultrasound and ultrasound, it becomes easier to find the cause of the disease.

Also, diagnostics are prescribed in the presence of various indications; this is for example:

  • injuries of the penis;
  • curvature of an organ due to congenital defects or proliferation of fibrous tissue;
  • preparation for plastic surgery in the penis;
  • decreased erection;
  • presence of neoplasms detected during examination or palpation;
  • preparation for male genital surgery;
  • swelling, pain when urinating;
  • pain, discomfort during sex;
  • suspected presence of a foreign body or diverticulum in the urinary canal;
  • narrowing of the urethra – stricture.

The doctor may also refer the patient for an ultrasound of the penis during a biopsy. This diagnosis is the most important part of preparation for any surgical intervention. With the help of ultrasound, you can track the body’s reactions to the prescribed therapy, detect various inflammatory processes, cysts, neoplasms.

What does the doctor look for during an ultrasound of the penis?

Ultrasound diagnostics provides an opportunity to assess the deep changes that occur in the structure of the genitals, to see the state of all parts of the organ: cavernous and spongy bodies, albuginea, veins and arteries.

With the help of ultrasound you can:

  • ascertain or detect the presence of a neoplasm in the urethra;
  • identify vascular thrombi;
  • see beginning pathological changes in the organ;
  • examine the structure of neoplasms, if any;
  • assess the speed of blood flow;
  • determine the level of vascular tone, the state of the vascular walls.

In order to assess the vascular blood flow completely, it is better to undergo an ultrasound with CFD in two phases: in a state of swelling and erection of the penis. This will allow you to correctly assess the arteries and veins of the body, to see the intensity of blood flow in the vessels.

Ultrasound of the vessels of the penis plays an important role in determining malfunctions in the blood flow. If the blood flow to the vessels of the organ is reduced or the outflow is disturbed, then problems with its functioning cannot be avoided.

How the examination is carried out

Duration of the examination

20-30 minutes

Preparation of the report

10-15 minutes

Results of the procedure:

pictures and a detailed conclusion of a diagnostician with a description of the state of the organ under study

Before an ultrasound of the penis, no special preparation is required. During the examination, the doctor asks the patient to lie on his back, and straighten, bend or spread his legs. The penis is placed on a towel, which is either on the stomach or between the legs.

The first stage of diagnosis is grayscale echography. This is a review study that allows you to evaluate the anatomical structure of the organ, its blood flow in a calm state. When using ultrasound, the Doppler spectrum of the arteries, which are located deep in the organ, is also recorded.

If necessary, the doctor applies a pharmacological erection to determine the degree of fullness of the corpora cavernosa, symptoms of deformity, and blood flow velocity. In this case, a plastic tourniquet is installed in the lower part of the penis, and a special medication is injected into the cavernous body. It is gradually absorbed by the structure of the body, due to which it goes into a state of erection. After that, the penis is again examined using an ultrasound probe, as well as Doppler equipment.

Interpretation of results

Anatomically, the penis consists of two cavernous bodies and one spongy, located downwards between them. When viewed with an ultrasonic sensor, cavernous bodies are visualized on the monitor as homogeneous, rounded, hypoechoic structures of gray color, which are surrounded by a thin hyperechoic light layer – the albuginea.

Normally, the spongy body has a homogeneous spongy structure and a rounded shape, as well as a slight echogenicity. Through it passes the urethra, which is visualized as a line. According to the ultrasound protocol determine:

  • Echogenicity of the cavernous bodies. In a healthy person, it should be normal. Increased echogenicity indicates cavernous fibrosis. Reduced – for acute cavernitis (inflammation).
  • Structure. Normally, the cavernous bodies have a homogeneous structure. In the presence of inclusions, we can talk about the development of cavernous fibrosis, in which normal tissue is replaced by fibrous tissue.
  • Cavernous vessels diameter. The norm is 0.2-1.4 mm. With the expansion of the lumen, we can talk about a vascular anomaly, with a narrowing – about an autoimmune disease, for example, atherosclerosis, diabetes.
  • Shell echogenicity. Hyperintensification indicates the presence of Peyronie’s disease.
  • Echogenicity of arterial walls. She should be normal. With an increase in indicators, we can talk about vascular disorders.
  • The thickness of the albuginea. At rest, it can not exceed 2 mm, with an erection – 0.5 mm.

Useful information

Ultrasound protocol determines:

  • Blood flow velocity. At rest, in each part of the penis, the blood flow velocity is 15-25 cm/s. At the beginning of the blood filling of the caverns, it is higher than 35 cm/s, but with a full erection it slightly decreases. With indicators below the norm, we can talk about arterial dysfunction.
  • Arterial vascular resistance in systole. It must be significant.
  • Total blood flow velocity. In the arteries in diastole, it is approximately 0, but during erection it increases to 10 cm / s and more.
  • Ripple index. Norm – above 3.
  • Resistance index. At rest, it is more than 0.8, at the beginning of an erection it drops to 0.1 or less, but then reaches 1. 0.
  • Also determine the blood flow in the deep dorsal vein. With a full erection, he should stop. If the blood flow persists, even slightly, this indicates erectile dysfunction.
  • After the ultrasound of the penis, the patient is given a protocol with the results of the examination. This happens on the day of the diagnosis.

There are no restrictions for diagnostics. Ultrasound is not done only if there is an open wound in the area under study.

An appointment for an ultrasound of the penis

Early detection of diseases of the penis will give you the opportunity to get rid of the pathology in a short time and prevent complications.

You can find out the details of the procedure, penis ultrasound prices and sign up for a consultation with a specialist by phone:

+7 (495) 292-39-72

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Microscopic examination of the discharge of the urogenital organs of men (microflora) also a number of specific pathogens, such as Trichomonas and gonococci.

Synonyms Russian

Microscopic examination of a scraping from the urethra (microbiocenosis), microscopy of a male urogenital smear, bacterioscopy of a male urogenital smear.

Synonyms English

Gram’s Stain, Bacterioscopic examination of urethral smear.

Research method

Microscopy.

Which biomaterial can be used for research?

Smear on slide.

How to properly prepare for an examination?

  • Do not urinate for 3 hours before taking the urogenital swab.

General information about the study

The microflora of the urethra of men is represented mainly by Staphylococcus epidermidis, some types of alpha-hemolytic streptococci (mainly green), Corynebacteria and Ureaplasma urealyticum in a small amount. The main microorganism is Staphylococcus epidermidis, which produces substances that inhibit the growth of pathogenic flora. In addition, mycobacteria smegma and fusobacteria, representatives of opportunistic flora (E. coli, Proteus, Staphylococcus aureus, corynebacteria, Klebsiella, gardnerella, anaerobes, yeast-like fungi of the genus Candida) can be detected, which get there from the skin or from the rectal mucosa. The upper urinary tract must be sterile. Violation of the normal composition of the microflora of the urethra can lead to non-compliance with the rules of personal hygiene, the use of broad-spectrum antibiotics and metabolic disorders.

Assess the state of the microflora of the urethra allows microscopic examination of a smear from the urethra of a man. With its help, a semi-quantitative assessment of the total microbial contamination, the state of the epithelium is given, inflammation is detected, the composition of the microflora is determined, as well as the presence of candidiasis (thrush), trichomoniasis and gonorrhea. The sensitivity of this method for detecting gonorrhea in men reaches 98%.

What is research used for?

  • For the diagnosis of urethritis.
  • To determine the composition of the microflora of the genitourinary system.
  • To detect certain specific sexually transmitted infections (candidiasis, trichomoniasis, gonorrhea).

When is the test scheduled?

  • With symptoms of inflammatory diseases of the genitourinary system, including sexually transmitted infections (pain when urinating, discharge from the urethra).

What do the results mean?

When deciphering the analysis of the microflora of the urethra of a man, the following possible violations of the norm should be taken into account:

Detection of more than 4 polymorphonuclear leukocytes in the field of view at a magnification of ×1000 and viewing at least 5 fields of view is a sign of urethritis. With gonorrhea, the number of leukocytes exceeds 10. Chronic urethritis is characterized by an increase in the number of lymphocytes, as well as epithelial cells. An increase in the number of erythrocytes, leukocytes and epithelial cells may indicate an injury or tumor of the urethra, crystalluria, ulceration of the urethral mucosa, etc. Detection of gram-negative diplococci, especially when they are intracellular localized, in combination with an increase in the number of leukocytes and a small amount or absence of normal microflora, most likely indicative of gonorrhea. For candidiasis, the presence of pseudomycelium in the smear is characteristic, for trichomoniasis – trichomonas. Atypical epithelial cells may be seen in neoplasms of the urethra.

Important Notes

  • Microscopy of urinary tract is a guideline examination. To accurately identify the pathogen and determine its sensitivity to antimicrobial drugs, a bacteriological study is performed – inoculation of the test material with the determination of sensitivity to antibiotics.
  • Viruses, chlamydia, mycoplasmas and ureaplasmas are not detected in the urogenital smear in men, therefore, other methods are used to diagnose infections caused by these microorganisms – polymerase chain reaction or enzyme immunoassay.

Also recommended

  • Candida albicans DNA [real-time PCR]
  • Trichomonas vaginalis, DNA [real-time PCR]
  • Neisseria gonorrhoeae, DNA [real-time PCR]
  • Ureaplasma species, DNA quantitative [real-time PCR]
  • Mycoplasma genitalium, DNA [real-time PCR]
  • Mycoplasma hominis, DNA [real-time PCR]
  • Chlamydia trachomatis, DNA [real-time PCR]
  • Herpes Simplex Virus 1/2, DNA [real-time PCR]

Who orders the examination?

Urologist, dermatovenereologist.

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