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The Effects of Ageing on the Reproductive System

Ageing and the male urinogenital system

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on the gradual fall in testosterone and rise in FSH and LH in older men, changes in semen and paternal age effects, nitric oxide, erectile dysfunction and phosphodiesterase-5 inhibitors, and benign prostate hyperplasia, its symptoms, drug treatment and prostate specific antigen.

What you need to know

Answer each one before you reveal it.

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Key term

Describe how testosterone concentration changes with age in men, and contrast this with the female menopause.

Key term

Why do FSH and LH tend to rise in older men?

Key term

How does nitric oxide bring about an erection?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Describe how testosterone concentration changes with age in men, and contrast this with the female menopause.

    Model answer

    Testosterone declines slowly and continuously from about the age of thirty, by roughly one per cent a year, rather than ending over a few years, so most men retain some reproductive function into old age.

  2. 2

    Why do FSH and LH tend to rise in older men?

    Model answer

    The testes respond less well to stimulation, so less testosterone and less inhibin are secreted, and the weaker negative feedback allows the anterior pituitary to release more of both hormones.

  3. 3

    Give three effects of a low testosterone concentration in an older man.

    Model answer

    Reduced libido, loss of muscle mass and strength, and fatigue with low mood; bone density also falls.

  4. 4

    Name two measurable changes in a semen sample as a man ages.

    Model answer

    The percentage of sperm that are motile falls and the proportion with abnormal morphology rises, and semen volume also decreases, although sperm production itself continues throughout life.

  5. 5

    Why does the age of the father matter genetically even though sperm are still being made?

    Model answer

    Spermatogonia have gone through many more rounds of mitosis by the time a man is older, so more DNA replication errors have accumulated and the rate of new mutations carried in the sperm rises with his age.

  6. 6

    How does nitric oxide bring about an erection?

    Model answer

    Parasympathetic stimulation releases nitric oxide in the erectile tissue, which raises the concentration of cGMP so that the smooth muscle of the arteries relaxes, blood fills the spaces of the erectile tissue and the swelling compresses the veins so the blood is trapped.

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