ANTONIO Q. REYES, JR.,M.D.

Associate Prof. III,

West Visayas State University
College of Medicine
Lapaz, Iloilo City, Philippines
OF LOVE AND SEX
The Foreplay
THE FOREPLAY
Mechanism of Erection
PENILE ARTERIAL SUPPLY
PENILE VENOUS DRAINAGE
Mechanism of Erection
 THE MISSIONARY POSITION

The misionary position

Sperm-cervical mucus
interaction
The cervix and its secretion have several functions
in sperm transport:
>receptivity to penetration by sperm during
midcycle with decreased efficiency at other times
>protection of sperm from the hostile
environment
>provision of nutrient to supplement the energy
requirements of sperm
>filtering out of abnormal sperm
>serving as reservoir for spermatozoa
>exerting an influence on sperm capacitation
Capacitation
- Is the process by which spermatozoa acquire
the capacity to penetrate the various layers
surrounding the oocyte during fertilization.
- It is looked upon as a final maturation of
spermatozoa and occurs in the female
reproductive tract.
- Estimated 1 hour in humans
- Associated with hyperactivation of sperm
motility which facilitates sperm penetration,
- A prerequisite for the loss of the acrosomal
membrane
Sperm in uterus
Factors influencing transport of sperm through
the uterus:
>intrinsic motility of the spermatozoa
>contractility of the genital tract
>ciliary movements along the surface of
the endometrium
Large numbers of leukocytes appear in the
uterine cavity 10-24 hrs after spermatozoa
enter, and they remove excess spermatozoa by
phagocytosis
 Uterotubal Junction
Acts as a selective barrier
preventing the entry of non-motile
spermatozoa
The numbers of spermatozoa that
reach the uterus at times other
than the periovulatory phase of the
cycle are substantially diminished
Sperm in the Fallopian Tube
Spermatozoa can pass from the
external cervical os to the distal end
of the oviduct and into the
abdominal cavity within 5 minutes
Motile spermatozoa have been
observed in the ampullary portion of
the tube and in the abdominal cavity
for up to 85 hrs after coitus
Mother and Baby
There is a unique
emotional and
physical bond between
mother and her child.

Breastfeeding
activates hormones
that encourage
closeness and intimacy
SECTION OF UROLOGY UST HOSPITAL
1983-1986
WITH DR. ANANIAS DIOKNO
THE UST HOSPITAL- RESIDENTS STAFF ORGANIZATION
UST HOSPITAL- DIVISION OF SURGERY
Dr. Antonio Q. Reyes, Jr. and Dr. Julius Cajucom with Dr. Emil Tanagho