EMBRYOLOGY OF THE
GENITAL TRACT
SEXUAL DIFFERENTIATION
The first step in sexual differentiation is the
determination of genetic sex (XX or XY)
sexual development does not depend on the
presence of ovaries
sexual development depend on the presence of
functioning testes & responsive end organs
exposed to androgens in- utero will be musculanized
EXTERNAL GENITALIA
1-UNDEFERENTIATED STAGE (4-8 WK)
The neutral genitalia includes:
genital tubercle (phalus)
labioscrotal swellings
urogenital folds
urogenital sinus
2- & EXTERNAL GENITAL DEVELOPMENT
(9-12 WK)
By 12 wk gestation & genitalia can be differentiated
In the absence of androgens external genitalia develop
The development of genitalia requires the action of androgens,
specifically DHT
5 alpha reductase
testosterone DHT
DEVELOPMENT OF MALE &FEMALE
EXTERNAL GENITALIA
INTERNAL GENITAL ORGANS
1-GONADS
Undifferentiated gonads begin to develop on the 5 th wk
Germ cells originate in the yolk sac & migrate to the genital
ridge
In the absence of Y chromosome the undiff gonad develop
into an ovary
45XO embryo the ovaries develop but undergo atresia
streak ovaries
The gonads develop from the mesothelium on the genital
ridge 1ry sex cords grow into the mesenchyme outer
cortex & inner medulla
INTERNAL GENITAL ORGANS (GONADS)
The ovary develop from the cortex & the medulla regress
The testes develop from the medulla & the cortex
regress
The development of the testes requires the presence of
SRY gene
(sex determining region Y ) found on Y chromosome
The ovary contains 2 million 1ry oocytes at birth
INTERNAL GENITAL ORGANS
2-UTERUS & FALLOPIAN TUBES
Invagination of the coelomic epithelium on the cranio-
lateral end of the mesonephric ridge Paramesonephric
ducts
Fusion of the two PMN ducts (mullerian ducts) uterus,
cx & F tubes (at 8-11 wk)
12-16 wks proliferation of the mesoderm around the
fused lower part muscular wall
In the male fetus the testes secrete the mullerian
inhibiting factor regression of the mullerian ducts
INTERNAL GENITAL ORGANS
3-VAGINA
The caudal ends of the mullerian ducts form the mullerian
tubercle at the dorsal wall of the urogenital sinus
Mullarian tubercle is obliterated vaginal plate 16-18 wk
the central core breaks down vaginal lumen
The upper 2/3 of the vagina formed by mullerian
tubercle
The lower 1/3 urogenital sinus
FEMALE INTERNAL GENITAL
ORGANS (Week 12)
FEMALE INTERNAL GENITAL
ORGANS (Newborn)