MONASH UNIVERSITY FACULTY HANDBOOKS

Medicine Handbook 1996

Published by Monash University
Clayton, Victoria 3168, Australia

Authorised by Academic Registrar, April 1996

Human sexuality and reproduction

Professor R V Short (Physiology)

Objectives Students at the completion of this unit should have a detailed understanding of all aspects of human reproduction including the structure and function of the male and female reproductive tracts, the hormonal control of reproduction, the mechanisms involved in ovulation, fertilisation, embryonic and fetal growth and development, birth, lactation, puberty and the menopause. Students should acquire an understanding of basic human reproductive anatomy and physiology. They should understand reproductive disorders, including errors of fertilisation, sexual differentiation, embryonic and fetal growth and development, and the genesis of male and female infertility. They should be informed about patterns of reproductive behaviour and the relationship of these behavioural patterns to the acquisition of sexually transmitted diseases. They should be able to discuss the ethical aspects of in vitro fertilisation and abortion, and have a detailed understanding of all forms of contraception. The ultimate aim of the subject is to give the students an understanding of their own sexuality and to generate a feeling of tolerance and understanding for the sexual behaviour of others.

Synopsis The unit begins with a discussion of human population growth, and the challenge we face if we are to survive as a species. An account of the synthesis, secretion and actions of the pituitary and gonadal hormones, and the way in which these hormones control the anatomical and physiological changes in the male and female gonads and reproductive tract. Fertilisation is discussed, and the role of the new reproductive technologies in treating infertility. An ethical discussion about these issues. The mechanisms of sex determination and sexual differentiation are reviewed, together with an account of the abnormalities that can occur, and the normal course of embryonic and fetal growth and development. Current and future methods of contraception, including male and female surgical sterilisation, condoms, `natural' family planning, hormonal implants and injections, intra-uterine devices, and the oral contraceptive pill are reviewed along with antenatal diagnosis. An ethical discussion of abortion, puberty, male and female reproductive ageing, birth, breastfeeding, and the diagnosis and treatment of male and female infertility. The unit ends with case presentations on homosexuality, transexuality, sexually transmitted diseases, AIDS and sexual assault.

Assessment Examinations (multiple-choice and short-answer) 1.5 hours: 100%

Prescribed texts

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