from Section 1 - Scientific Foundations of Male Infertility
Published online by Cambridge University Press: 08 July 2023
Human sperm are created in the testis via a highly regulated and complex hormonal pathway arising from the hypothalamic–pituitary–testicular (HPT) axis under complex paracrine control by growth factors and cytokines. Following their creation, sperm must travel through the seminiferous tubules, epididymis, vas deferens, ejaculatory ducts, and urethra until they are expelled through ejaculation into the female genital tract. Fertilization capabilities of the sperm require morphologic and molecular changes that are acquired during transit of sperm through the male and female reproductive tracts.
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