\Vrrlizing adrenal hypepasia esl om excess androgers in fetus wth XX genotype mst coro female iiesex (astenogental syndrome) ‘sorder associated wih enlarged cltors, fed lal, hirsutism In adlescence ‘Tuners syndrome Ress fom absence of second female sex chromosome (40); associated with web neck, dwarf, cubis valgus: no sex hormones produce inetle Klint’ syndrome (Genotype i XX male habitus present with smal penis and rudimentary testes because of ow wpe pine mre nage ieee, lg retain eel vaxinemanyrsise, pat puntrethat mami tea peat Gah tyne Rinker Tacit cnpachicenny pare Cegrtewnn fein dtotaren taper nine ed mliie (Gy Sorreicasedeetency, ‘Aiyéronsroid decency) Hermaphroditism “Tue hermaphrodite is ae and characterized by both ests and varies in sare person may be "46 XX or46 XY). Pseudohermaphrodism Usually the result of endocrine or enzymatic defect, adenal hyperplasia in persons with roma crarnones nae prewdohermaptrodtes have nscale looking Rene at re $imale penashemapades have metry estes sneer genitals and re XY “tase dors inclu vary of yetomes ht produce parses with ras ammo pysopeal apes fhe oppose ex ‘ble 17.12 Male Sexual Response Cycle ‘Organ Factement Phase ‘Orgasmic Phase Reslition Phase Lass several minutes to several hous; 31015 seconds 1010 15 minutes no rg heightened excitement before ‘oT dey ‘rg 30 seconds wo 3 mines skin Dust before orgase se Well-developed Mush Fl appar in even or sh neonates coronas ens Imaculoppulr ech onginats on im of paspraton on Abdomen and spreads to ation moeearnes ‘hes wal face and neck and ean Include shoulders and forearms Penis rection in 101m 30secends caused Ejscuatin; emision phase murked rector paral invaution by vasocongestion of erectile ty tire to our 08 second ‘n't 40 secon wth Bodies ofetrpus cavernosa of sha craton of vs seminal aviablereactry pig all los of erection may occur wth ‘ess, prostate ejacdation etamescenee n't 30 mines invodicton of asexual stmalus, proper marked by 0.second loud nie with heightened enactons of uretvaand| ‘exctemen ze of lands and ‘hcalitry spurt of 120 ameterol pene kak increase «20 nches eae 1, fitter wih age Seepage 70 Seroum and Tigenng nd iting of scrotal sac and No change Decrease t baseline size because teste “leva of tet with heightened oss of Sane sot cree ae ‘ecards escent ‘ftestes over unstimulated state within 3030 its ater {nd ening agaist perineum, ‘gas lvoton may ake Signaling impending ection sever hous ir jgnaling impending Seligetroomme 2403 dopsof mucoid ud that No. Nodr mes hme ma change ree treba ect Ober Breasts Inconsistent nipple erection Loss of voluntary muscular conta Retun tobaselne state in 50 “rikeiienedexcemen bee Rec tythncacowacionsot "manatee ‘orgasm Sphincter ‘Aerator period follows yale: smparicconaconso ate op 0 180beas mings” ra, rng which in te Yack abdomal, and intercostal Blood presse: up to 400 100 mm ie reared to muscles ‘ysl 20'0 50 mm dasole” erection snd i unrsporave dyes sp 10175 bata minute Repro: opto Deapiatonsa silat The Ergh of Blood pressre rise msystoe 2040" mate the rractr period sage and 0 rh n dastle to 40 mem tution depart Respiration increased “A eae pase casing of xtc ad desea ave ex eis econ ae ‘sey Veg Sabet)Table 17.1-3 Female Sexual Response Cycle* Organ Excitement Phase ‘Orgasmic Phase ‘Resolution Phase ass sever mintes to sever hours, 30 15 seconds 101,15 minutes fm orgasm, 172% Teightened exctemert belo orgasm, "ay SD seconde 3 mintes Skin tbo orga: ox fash Welldeveloped fh Flush disappears in revere order of incannterty appears macclopepular appearance incossteny apex rminorginats on aime ad spreads fof perspiration on sles feet ed fo antrer chest wal face, and mock can palma hance include shoulders and frees Breas Nipple erection in wo thirds of women, Sass may become Return to normal in about 30 mines "Venous congeston and seal ‘vemulous rangement se erases to one fourth ‘ver normal Ccltors Enlargement in dlameter of lands and shat: No change Shalt returns to normal postion in es before orgasm sha eras into S90 secon detmescerce in 10.30 minutes #0. pews Cotameneance takes sever hors Labia Nallipara elevate and flatten against No change ‘Nip: decease to normal size nto ‘raja perineum ° mites ‘Mulipara congestion and edema Mutipara: decrease orormal ize in 10, ‘0 13 mines Labia Sieincresed two to three tines over_ Contractions proximal _-Rturnto normal within 5 minutes rina norma change pink, red, dep red iabia minora cir orgs Vagina Color change o dk purple vagal 30 15 conracions of __Ejeculte forms seminal poo in upper two ‘arsudte appears 10030 seconds ater leer threo vagina at thd of vaginas congestion disappears sousal lrgation and ballooning of Intevalsof08 second inseconds orf no argas it 20% ‘apis lower hed of vagina conars So minutes elre rguam Useras Ascend int fle pv abo ike Contractions throughout Contractions ces, and utes descends ‘contractions begin n heightened ‘opm ‘normal poston fexctement ju before og ‘other Myotonia os of voluntary muscular Return to baseline tats in second to ‘ew ops of mucoid secretion rom ‘conve rine riots glands during beghened —_-Recturthythmical Cen elo and size return to normal escent “convection: of sphincter “and ceric descends seminal poo Crvcsels sightly and is passively ‘ypervention and levated wi tens Tachycardia “Adee phase contin of ex faa and dere fave ex may precede or oveap wih he exceret hase (ably Vein Sdoe LD