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Nauplius 19(2): 145-153, 2011 145

Abstract

This study provides a detailed description of the macro- and microscopic anatomy
of the female reproductive system of the mangrove land crab, Ucides cordatus. A
total of 277 females were collected between October 1998 and September 1999 in
mangroves of the Victoria Bay, State of Espírito Santo, Southeast Brazil. The
reproductive system of this species is composed of two ovaries united together by a
bridge, present in the form of an H when viewed dorsally, and two seminal
receptacles. Histological analysis revealed the following six stages of oocyte
development: I. young germ cells (oogonias); II. oocytes of the germinative centers;
III. oocytes with lipid vitellogenesis; IV. vitellogenic oocytes with lipid and protein;
V. oocytes with completed vitellogenesis; and VI. oocytes in hyalinization. The
anatomy of the ovary is characterized by the following six stages of development: I.
immature; II. at maturity; III. mature; IV. partly spawned; V. fully spawned; and
VI. in recovery. Reproduction was observed in summer, and the results suggesting
that this species showed multiple spawnings.

Key words: Anatomy, histology, mangrove crab, oogenesis, reproduction

Introduction is the main economic means for low-income


families (Vale, 1994; Alves and Nishida,
The mangrove land crab, Ucides cordatus 2004), and many communities survive due
(Linnaeus, 1763), is found exclusively in
to this resource (Nordi, 1995).
In a specific phase of the reproductive
mangrove ecosystems around the world
cycle, U. cordatus leave their burrows and drift
(Alcântara-Filho, 1978). It is distributed along
on the surface of the mangroves. This
the western Atlantic coast from Florida (U.S.A.)
phenomenon is known as “andada” (Alcântara-
to Brazil. In Brazil, it is found from the states of
Filho, 1978; Costa, 1979; Nascimento, 1993).
Para to Santa Catarina (Melo, 1996). This
The “andada” is a type of reproductive
species undergoes its entire reproductive cycle
migration and usually occurs from December
in the mangrove ecosystem (Nascimento, 1993).
through May during a three- to four-day
The mangrove land crab
146 Sampaiowith
Santo et al.: Female
the aimreproductive system of
of studying theUcides cordatus
bio-ecology of
period of each month (Alcântara-Filho, U. cordatus and the socioeconomic conditions of
1978; Costa, 1979). crab harvesters. Thus, the goal of the present study
The external morphology of the female was to provide a description of the macro- and
reproductive system of U. cordatus in Brazil microscopic anatomy of the female reproductive
was first described by Mota-Alves (1975) and system of the mangrove land crab, clearly
further research has also focused on the explaining the differences between these findings
species (Alcântara-Filho, 1978; Nascimento, and those of previous studies of U. cordatus.
1993; Dalabona and Loyola-Silva, 2005;
Sant’Anna et al., 2007). Nakamura (1979)
described the macro- and microscopic Materials and Methods
morphology of the ovaries, and Dalabona and
Silva (2005) investigated the reproductive Females of U. cordatus were collected
period of U. cordatus based on macroscopic monthly from October 1998 to September
observation and gonad histology. 1999 in mangroves of Victoria Bay, State of
This study is part of the Crab Project, Espírito Santo, Southeast Brazil
developed by the Federal University of Espirito (approximately latitude 20o 14’ 20’’S - 40o 18’
30’’W). All individuals were collected
manually. All specimens were transported
alive to the laboratory where they were kept on their shape, coloration and volume
in aquaria (150 l) with mangrove sediment occupied in the carapace cavity (Mota-Alves,
and held for further processing. 1975; Nakamura, 1979). The histological
The crabs were kept at -10°C for analysis and the classification of the type of
approximately 15 min to reduce their spawning were described according to
metabolism. The metabolic status of the crabs Vazzoler (1996). Females were ovigerous if
was indicated by the degree of lethargy that they had eggs in the pleopods. The mass of
eggs was weighed, and the presence of eggs
they exhibited. The carapace width of each
in the pleopods was recorded.
individual was measured with calipers. The
The histological processing was
carapace was then removed. The reproductive
performed in the Histologic Processing
system of each specimen was completely
Laboratory, Department of Morphology of the
dissected and its morphology described.
Biomedical Center of the Federal University of
Developmental stages of the ovary were based
Espirito Santo State. Fragments of the ovaries
were fixed in Bouin’s fixative for 24 h and
processed according to standard histological
methods (Junqueira and Junqueira, 1983). The
tissues were sectioned into 10 μm slides using
an American Optical microtome, model 840
Rotary. Permanent slides were stained with
hematoxylin and eosin (HE). Following this
procedure, the material was mounted in Canada
Balsam (Cajal and Castro, 1972; Lillie and
Fulmer, 1976). The slides were examined,
selected, described and photographed.

Results

Two-hundred and seventy-seven females


(17.3-77.5 mm carapace width) were processed.
The female reproductive system consists of two
ovaries united by a bridge. The bridge has the
form of an H if viewed dorsally. The
reproductive system occupies the cephalothorax
cavity from the anterior to the posterior. The
reproductive system extends only to the extreme
portions of this cavity. Each ovary continues to
be the one oviduct that leads into the genital
opening located on the 6rd thoracic sternite at
the 3rd pair of legs. There are two seminal
receptacles, in which sperm are stored after
mating. The seminal receptacles are a
specialization of the oviduct. Macroscopically,
they have an oval shape and a white color.

Histological analysis revealed the


following six stages of oocyte development:
I. Young germ cells (oogonias): nucleus
Nauplius 19(2): 145-153, 2011 147

intensely basophilic with only central lipid droplets begins. This process represents
nucleolus and chromatin attached to the lipid deposition, which occurs initially in the
membrane (Fig. 1A). cortical cytoplasm near the cell membrane,
II. Oocytes of the germinative centers: extending to near the nucleus (Fig. 1B). At the
little cytoplasm, faintly stained by HE, rounded end of this phase, there is an increase in cell
and well-defined nucleus with chromatin volume and presence of large chromatin
clumps roughly distributed (Fig. 1A). granules attached to the nuclear membrane.
III. Oocytes with lipid vitellogenesis: IV. Vitellogenic oocytes with lipid and
initially present nucleus with single nucleolus protein: lipid droplets occur beyond the
and eccentric, cytoplasm better developed and appearance of acidophilic granules (Fig. 1C).
stained then the stem cells. The formation of V. Oocytes with completed vitellogenesis:

Figure 1. A- Ovary of U. cordatus showing oogonia grouped in a nest (OVG), oocytes of the germinative centers (GC)
and oocytes in early stages of vitellogenesis (ESV); B- oocytes with lipid vitellogenesis (LV), which appears during the
early formation of droplets (D) in the cortical region; C- vitellogenic oocytes with lipid- and protein (VLP)-containing
droplets (D) that are distributed throughout the cytoplasm and protein granules (G); D- oocytes with completed
vitellogenesis (CV), which causes the formation of a single lipid droplet (SL); E- oocytes in hyalinization (H), nucleus not
visible. Staining: HE. (50 X). Scale bar = 0,013mm.
148 Sampaio et al.: Female reproductive system of Ucides cordatus

the nucleus is characterized by a process of pseudo-lobes are very thin due to the growth of
reduction in its diameter and increasing size oocytes showing complete vitellogenesis, giving
of the protein granules, which completely consistency to the fabric. Still occur oocytes of
changes the appearance of the cytoplasm the germinative centers and oocytes with lipid
compared to the previous phase. The union vitellogenesis. However, oocytes with
of the lipid droplets occurs to form to large completed vitellogenesis predominate. The
droplets, but less in the cytoplasm or even a basophilia disappears almost entirely. In the
single lipid droplet (Fig. 1D). final phase, hyaline oocytes appear and occupy
VI. Oocytes in hyalinization: a large the tissue in an irregular arrangement. The
increase in volume occurs due to the pseudo-lobes are no longer observed. These
increased amount of yolk granules, which oocytes are ready to be released (Fig. 2C).
fill the cell completely (Fig. 1E). IV. Partly spawned. Macroscopically,
Macroscopic observations, corroborated the color varies from yellow to red, with a
by observations using the light microscope volume varied in the abdominal cavity and
(L.M.), resulted in the description of the relative elasticity. When seen by L.M., the
following six gonadal stages: ovary is characterized by having types IV,
I. Immature. Macroscopically, the ovaries V and VI of oocytes, indicating that there
are transparent, and there may be a variation in are both developing and fully developed
coloration reaching a whitish color, with an oocytes. There is also the presence of atretic
elastic consistency and little volume. Based on follicles and some empty spaces, indicating
L.M., there is a large amount of oogonias recent spawning (Fig. 2D).
(young germ cells) distributed just below a thin V. Fully spawned. Macroscopically, the
capsule of connective tissue. Trabeculae of ovary has a whitish to yellowish color and is
connective tissue divide the body into pseudo- very flaccid, becoming elastic. By L.M., there
lobules. In the central organ, the germinative are few oocytes of type II and many empty
centers oocytes appear grouped into pseudo- spaces in the tissue, corresponding to the eggs
lobules, occasionally in division. Such that were released during spawning. A large
groupings are observed in all stages of amount of fibrous tissue is present, and a
development. Within the central region and the stroma with many cells is observed. The
capsule, oocytes with lipid vitellogenesis in the tissue has an unstructured appearance. Atretic
growth process occur (Fig. 2A). follicles, oocytes in the process of
II. At maturity. Macroscopically, the degeneration, are present (Fig. 2E).
color of the ovary varies from yellow to VI. In recovery. Macroscopically, the
orange-red. The gonad has more volume and ovary has a pink color, with brief and relatively
less elasticity when compared to the immature elasticity. However, they are clearly larger than
stage and becomes much more evident in the the immature ovaries, and they become more
abdominal cavity. By L.M., the ovary has a visible, which facilitates excision. In L.M., there
thin capsule of connective tissue and stromal are several groups of germ cells surrounded by a
cells. Connective tissue septa divide the organ capsule throughout the ovarian stroma. Oocytes
into pseudo-lobules containing oocytes in of type II are in small amounts throughout the
various stages of development. In the final tissue. The parenchyma starts to be organized
phase of this stage, the oocytes vitellogenesis into lobulated septa. This observation indicates
presents lipids and proteins. The ovary is that the ovary has no resting phase before
located in the central region and has abundant another process of maturation begins (Fig. 2F).
blood vessels (Fig. 2B).
III. Mature. Macroscopically, the ovary is Table 1 shows the occurrence of the
stained a dark red color and is very turgid. The stages during the different months of the
ovary occupies much of the abdominal cavity. study. The partly spawning stage occurred
By L.M., at the beginning of this stage, the in January, February and March, indicating
Nauplius 19(2): 145-153, 2011 149

Figure 2. Maturation stages of U. cordatus ovary. A- immature stage, containing nests of young cells (arrow); B- early stages of maturation
showing oocytes with lipid vitellogenesis (LV) and complete vitellogenesis (CV); C- early mature stage containing oocytes with completed
vitellogenesis (arrow); D- partially spawned stage, which includes the presence of oocytes with lipid vitellogenesis (LV) together with
oocytes in the germinative centers (GC). Note the presence of atretic follicles (AF), indicating the process of spawning; E- completely
spawned stage containing cavities left by the eggs (VE), oocytes with lipid vitellogenesis (LV) and atretic follicles (AF); F- recovery stage
presenting initiation of lobe formation, highly cellular stroma (CS), oocytes in the germinative centers (GC) and atretic follicles (AF).
Staining: HE. (10 X). Scale bar = 0,06mm.
that U. cordatus have multiple spawning. This recovering stages.
fact can also be evidenced by the microscopic Ovigerous females were found between
examination of the ovaries that showed oocytes January and March 1999, indicating that
with lipid vitellogenesis together with oocytes reproductive activity occurs during the
in the germinative centers (Fig. 2D) and the summer. In January, the egg masses were
macroscopic examination that showed that the heavier; in February, there was a uniform
ovaries had characteristics of both mature and reduction in weight and in March, there was a
150 Sampaio et al.: Female reproductive system of Ucides cordatus

greater variation in weight. A lower for U. cordatus in 34 females between January


percentage of females with non-mating and March (Table 1). Another characteristic of
characteristics were present from April multiple spawning is the occurrence of
through August (Tab. 1). The ovaries of spawning peaks. During the period of this study,
these females showed the same color as the a reproductive migration (“andadas”) was
mature stage; however, the consistency was observed during December and March. These
different, and the volume was smaller. observations support the classification of the
spawning of U. cordatus as multiple.
The macroscopic morphology of the
Discussion female reproductive system of U. cordatus
observed in the present work is similar to
The presence of six stages of gonadal that found in previous studies of this species
development was detected in the females of (Mota-Alves, 1975; Nakamura, 1979) and
other decapod crustaceans, such as the crabs for other decapods such as Metacarcinus
Chaceon fenneri (as Geryon fenneri) magister (as Cancer magister) (Dana, 1852)
(Manning & Holthuis, 1984) (Erdman and (Jensen et al., 1996).
Blake, 1988) and Callinectes ornatus We characterized the following six stages
Ordway, 1863 (Mantelatto and Fransozo, of oocyte development: I. young germ cells
1999). The principal difference between our (oogonias); II. oocytes of the germinative centers;
results and those in other studies is that the III. oocytes with lipid vitellogenesis; IV.
present analysis suggests that the species has vitellogenic oocytes with lipid and protein; V.
multiple spawning. Therefore, the new oocytes with completed vitellogenesis; and VI.
developmental category of partly spawned oocytes in hyalinization. For the same species,
ovaries was not described in previous studies. Nakamura (1979) described only four types of
The definition of multiple spawning is oocytes and did not characterize oogonias and
characterized by groups of mature oocytes in oocytes in hyalinization. The type I oocytes
different phases of development at the same described by Nakamura (1979) were similar to this
time during the same reproductive period study’s oocytes with germinative centers; type II
(Vazzoler, 1996). The ovary exhibits features was similar to this study’s oocytes with lipid
of both the mature and regenerating stages. In vitellogenesis; type III was similar to this study’s
this study, these characteristics were observed vitellogenic oocytes with lipid and
Table 1. Number and percentage of U. cordatus females in each sexual stages in 1998 and 1999 in
mangroves of Victoria Bay.
Sexual stages Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
10 3 3 3 4 3 1 7
I. Immature - - - -
(29,4) (10,7) (10,7) (9,4) (12,5) (14,3) (4,5) (28,0)
13 9 4 15
II. At maturity (81,3) (26,5) - - - - - - - - (26,7) (60,0)
15 25 10 25 13 1* 2* 3* 2* 1*
III. Mature - -
(44,1) (89,3) (35,7) (78,1) (40,6) (4,7) (9,1) (25,0) (13,3) (6,7)
15 4 15
IV. Partly spawned. - - - (53,6) (12,5) (46,9) - - - - - -
17 17 7
V. Fully spawned - - - - - - (81,0) (77,3) (58,3) - - -
3 2 2 13 7 3
VI. In recovery (18,7) - - - - - - (9,1) (16,7) (86,7) (46,6) (12,0)

Total of females 16 34 28 28 32 32 21 22 12 15 12 25
* Females with characteristics of non-mating.
Nauplius 19(2): 145-153, 2011 151

protein; and type IV was similar to this study’s that three stages are not sufficient to characterize
oocytes with completed vitellogenesis. the process of ovary maturation in U. cordatus.
For the crab Halicarcinus planatus Wunderlich et al. (2008) characterized three
(Fabricius, 1775), only two types of oocytes stages of the development of the ovaries (mature,
were found in ovaries: small oocytes (0.075 in maturation and immature) but subdivided each
- 0.1 mm in diameter) in pre-vitellogenesis stage. The analysis cited only included
or primary vitellogenesis and larger oocytes macroscopic features.
(0.18 - 0.43 mm in diameter) in secondary In our studies, reproduction was observed
vitellogenesis. Both types were also present during the summer. The occurrence of
during the entire study, both in adult and reproduction during the summer has been
immature females, and ovigerous females of described in several previous studies of U.
H. planatus occurred throughout the year cordatus (Mota-Alves, 1975; Alcântara-Filho,
(Diez and Lovrich, 2010). The differences 1978; Costa, 1979; Nakamura, 1979; Castro,
in this species and U. cordatus may be due 1986; Botelho et al., 1999; Ivo et al., 1999).
to the capability of H. planatus to develop However, it should be recognized that the
their ovaries, whereas females of H. known geographic distribution of U. cordatus
planatus are ovigerous. The type of ovarian includes a wide range of latitudes (Melo, 1996).
development found in H. planatus is a It is very important to know the reproductive
unique feature of sub-Antarctic decapods. It period of this species in each state because the
is probable that this feature produces an laws intended to protect these crabs in Brazil are
adaptive advantage in extreme made locally. For Espirito Santo state, where
environments (Diez and Lovrich, 2010). this research was conducted, data on the
We described the following six stages of reproduction of this species are lacking.
ovary development in this work: I. immature; II. at The reproductive activity of other
maturity; III. mature; IV. partly spawned; V. fully decapod crustaceans occurs during the summer.
spawned; and VI. in recovery. The decision to However, certain species, such as Callinectes
classify ovarian development into six stages was a ornatus (Mantelatto and Fransozo, 1999),
consequence of the macroscopic differences exhibit continuous reproduction throughout the
observed and was corroborated by the results of year with peaks during the summer. The males
the histological analyses performed during the of U. cordatus are physiologically capable of
year of study. Mota-Alves (1975) described five reproducing throughout the year (Castilho et al.,
developmental stages for the females of U. 2008; Wunderlich et al., 2008). It is probable
cordatus. Stage I corresponds to the immature that the year-round reproduction of the males
stage; stages II and III correspond to the stage at occurs because the energy cost of reproduction
maturity; stage IV corresponds to mature; and in males is much lower than the corresponding
stage V corresponds to the fully spawned stage. cost in females. Therefore, the results presented
This author does not describe the partly spawned in this study indicate that multiple spawning
stage or the stage in recovery. The four stages may occur in U. cordatus during the same
described by Nakamura (1979) were similar to season and that the ovary rapidly restarts its
those found in this study: immature, at maturity, development.
mature and fully spawned. However, the recovery
and partly spawned stages were not considered
Acknowledgements
despite the study’s finding that the ovary initiated
a new process of maturation after spawning.
Dalabona and Loyola-Silva (2005) described only Thanks to Tony Vinícuis M. Sampaio for
three stages: at maturity, mature and spawned. The the assistance in the preparation of the figures,
comparison of our results with those of previous Maria Luisa C. López-Alverez for the access to
studies indicates the research infrastructure of the Laboratório de
Biologia Celular e Tecidual da Universidade
152 Sampaio et al.: Female reproductive system of Ucides cordatus

Estadual do Norte Fluminense and Dr. Walter Boeger for revision. This research is part of a
Master’s thesis by Flávia Duarte Ferraz Sampaio and was partially funded by FACITEC/
Prefeitura Municipal de Vitória.

Anatomy of the Male Reproductive System


Scrotum

The scrotum is a sac-like organ made of skin and muscles that houses the testes. It is located
inferior to the penis in the pubic region. The scrotum is made up of 2 side-by-side pouches with a
testis located in each pouch. The smooth muscles that make up the scrotum allow it to regulate
the distance between the testes and the rest of the body. When the testes become too warm to
support spermatogenesis, the scrotum relaxes to move the testes away from the body’s heat.
Conversely, the scrotum contracts to move the testes closer to the body’s core heat when
temperatures drop below the ideal range for spermatogenesis.

Testes

The 2 testes, also known as testicles, are the male gonads responsible for the production of sperm
and testosterone. The testes are ellipsoid glandular organs around 1.5 to 2 inches long and an
inch in diameter. Each testis is found inside its own pouch on one side of the scrotum and is
connected to the abdomen by a spermatic cord and cremaster muscle. The cremaster muscles
contract and relax along with the scrotum to regulate the temperature of the testes. The inside of
the testes is divided into small compartments known as lobules. Each lobule contains a section of
seminiferous tubule lined with epithelial cells. These epithelial cells contain many stem cells that
divide and form sperm cells through the process of spermatogenesis.

Epididymis

The epididymis is a sperm storage area that wraps around the superior and posterior edge of the
testes. The epididymis is made up of several feet of long, thin tubules that are tightly coiled into a
small mass. Sperm produced in the testes moves into the epididymis to mature before being
passed on through the male reproductive organs. The length of the epididymis delays the release
of the sperm and allows them time to mature.

Spermatic Cords and Ductus Deferens

Within the scrotum, a pair of spermatic cords connects the testes to the abdominal cavity. The
spermatic cords contain the ductus deferens along with nerves, veins, arteries, and lymphatic
vessels that support the function of the testes.

The ductus deferens, also known as the vas deferens, is a muscular tube that carries sperm
superiorly from the epididymis into the abdominal cavity to the ejaculatory duct. The ductus
deferens is wider in diameter than the epididymis and uses its internal space to store mature
sperm. The smooth muscles of the walls of the ductus deferens are used to move sperm towards
the ejaculatory duct through peristalsis.

Seminal Vesicles

The seminal vesicles are a pair of lumpy exocrine glands that store and produce some of the
liquid portion of semen. The seminal vesicles are about 2 inches in length and located posterior
to the urinary bladder and anterior to the rectum. The liquid produced by the seminal vesicles
contains proteins and mucus and has an alkaline pH to help sperm survive in the acidic
environment of the vagina. The liquid also contains fructose to feed sperm cells so that they
survive long enough to fertilize the oocyte.

Ejaculatory Duct

The ductus deferens passes through the prostate and joins with the urethra at a structure known as
the ejaculatory duct. The ejaculatory duct contains the ducts from the seminal vesicles as well.
During ejaculation, the ejaculatory duct opens and expels sperm and the secretions from the
seminal vesicles into the urethra.

Urethra

Semen passes from the ejaculatory duct to the exterior of the body via the urethra, an 8 to 10 inch
long muscular tube. The urethra passes through the prostate and ends at the external urethral
orifice located at the tip of the penis. Urine exiting the body from the urinary bladder also passes
through the urethra.

Prostate

The prostate is a walnut-sized exocrine gland that borders the inferior end of the urinary bladder
and surrounds the urethra. The prostate produces a large portion of the fluid that makes up semen.
This fluid is milky white in color and contains enzymes, proteins, and other chemicals to support
and protect sperm during ejaculation. The prostate also contains smooth muscle tissue that can
constrict to prevent the flow of urine or semen.

Cowper’s Glands

The Cowper’s glands, also known as the bulbourethral glands, are a pair of pea-sized exocrine
glands located inferior to the prostate and anterior to the anus. The Cowper’s glands secrete a
thin alkaline fluid into the urethra that lubricates the urethra and neutralizes acid from urine
remaining in the urethra after urination. This fluid enters the urethra during sexual arousal prior
to ejaculation to prepare the urethra for the flow of semen.

Penis

The penis is the male external sexual organ located superior to the scrotum and inferior to the
umbilicus. The penis is roughly cylindrical in shape and contains the urethra and the external
opening of the urethra. Large pockets of erectile tissue in the penis allow it to fill with blood and
become erect. The erection of the penis causes it to increase in size and become turgid. The
function of the penis is to deliver semen into the vagina during sexual intercourse. In addition to
its reproductive function, the penis also allows for the excretion of urine through the urethra to
the exterior of the body.

Semen

Semen is the fluid produced by males for sexual reproduction and is ejaculated out of the body
during sexual intercourse. Semen contains sperm, the male reproductive gametes, along with a
number of chemicals suspended in a liquid medium. The chemical composition of semen gives it
a thick, sticky consistency and a slightly alkaline pH. These traits help semen to support
reproduction by helping sperm to remain within the vagina after intercourse and to neutralize the
acidic environment of the vagina. In healthy adult males, semen contains around 100 million
sperm cells per milliliter. These sperm cells fertilize oocytes inside the female fallopian tubes.

Physiology of the Male Reproductive System


Spermatogenesis

Spermatogenesis is the process of producing sperm and takes place in the testes and epididymis
of adult males. Prior to puberty, there is no spermatogenesis due to the lack of hormonal triggers.
At puberty, spermatogenesis begins when luteinizing hormone (LH) and follicle stimulating
hormone (FSH) are produced. LH triggers the production of testosterone by the testes while FSH
triggers the maturation of germ cells. Testosterone stimulates stem cells in the testes known as
spermatogonium to undergo the process of developing into spermatocytes. Each diploid
spermatocyte goes through the process of meiosis I and splits into 2 haploid secondary
spermatocytes. The secondary spermatocytes go through meiosis II to form 4 haploid spermatid
cells. The spermatid cells then go through a process known as spermiogenesis where they grow a
flagellum and develop the structures of the sperm head. After spermiogenesis, the cell is finally a
sperm cell, or spermatozoa. The spermatozoa are released into the epididymis where they
complete their maturation and become able to move on their own.

Fertilization

Fertilization is the process by which a sperm combines with an oocyte, or egg cell, to produce a
fertilized zygote. The sperm released during ejaculation must first swim through the vagina and
uterus and into the fallopian tubes where they may find an oocyte. After encountering the oocyte,
sperm next have to penetrate the outer corona radiata and zona pellucida layers of the oocyte.
Sperm contain enzymes in the acrosome region of the head that allow them to penetrate these
layers. After penetrating the interior of the oocyte, the nuclei of these haploid cells fuse to form a
diploid cell known as a zygote. The zygote cell begins cell division to form an embryo.

http://www.innerbody.com/image/repmov.html

What causes an ectopic pregnancy?

Ectopic pregnancies are caused by one or more of the following:

 An infection or inflammation of the fallopian tube can cause it to become partially or entirely
blocked.
 Scar tissue from a previous infection or a surgical procedure on the tube may also impede the
egg’s movement.
 Previous surgery in the pelvic area or on the tubes can cause adhesions.
 Abnormal growths or a birth defect can result in an abnormality in the tube’s shape.

Who is at risk for having an ectopic pregnancy?

Risk factors for an ectopic pregnancy include the following:

 Maternal age of 35-44 years


 Previous ectopic pregnancy
 Previous pelvic or abdominal surgery
 Pelvic Inflammatory Disease (PID)
 Several induced abortions
 Conceiving after having a tubal ligation or while an IUD is in place
 Smoking
 Endometriosis
 Undergoing fertility treatments or are using fertility medications

What are the symptoms of an ectopic pregnancy?

Although you may experience typical signs and symptoms of pregnancy, the following
symptoms may be used to help recognize a potential ectopic pregnancy:

 Sharp or stabbing pain that may come and go and vary in intensity. (The pain may be in the
pelvis, abdomen, or even the shoulder and neck due to blood from a ruptured ectopic pregnancy
gathering up under the diaphragm).
 Vaginal bleeding, heavier or lighter than your normal period
 Gastrointestinal symptoms
 Weakness, dizziness, or fainting

It is important to contact your doctor immediately if you are experiencing sharp pain that lasts
more than a few minutes or if you have bleeding.

How is an ectopic pregnancy diagnosed?


Ectopic pregnancies are diagnosed by your physician, who will probably first perform a pelvic
exam to locate pain, tenderness, or a mass in the abdomen. Your physician will also use an
ultrasound to determine whether the uterus contains a developing fetus. The measurement of
hCG levels is also important. An hCG level that is lower than expected is one reason to suspect
an ectopic pregnancy.

Your doctor may also test your progesterone levels because low levels could be a sign of an
ectopic pregnancy. In addition, your physician may do a culdocentesis, which is a procedure
that involves inserting a needle into a space at the very top of the vagina, behind the uterus and in
front of the rectum. The presence of blood in this area may indicate bleeding from a ruptured
fallopian tube.

How is an ectopic pregnancy treated?


An ectopic pregnancy may be treated in any of the following ways:

 Methotrexate may be given, which allows the body to absorb the pregnancy tissue and may save
the fallopian tube, depending on how far the pregnancy has progressed.
 If the tube has become stretched or has ruptured and started bleeding, part or all of it may have to
be removed. In this case, bleeding needs to be stopped promptly, and emergency surgery is
necessary.
 Laparoscopic surgery under general anesthesia may be performed. This procedure involves a
surgeon using a laparoscope to remove the ectopic pregnancy and repair or remove the
affected fallopian tube. If the ectopic pregnancy cannot be removed by a laparoscopically, another
surgical procedure called a laparotomy may be done.

What about my future?

Your hCG level will need to be rechecked on a regular basis until it reaches zero if you did not
have your entire fallopian tube removed. An hCG level that remains high could indicate that the
ectopic tissue was not entirely removed, which would require surgery or medical
management with methotrexate.

The chances of having a successful pregnancy after an ectopic pregnancy may be reduced, but
this will depend on why the pregnancy was ectopic and your medical history. If the fallopian
tubes have been left in place, you have approximately a 60% chance of having a successful
pregnancy in the future.

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