The history

The history of the reproductive system

From a beating spot in a hen's egg to IVF babies in Oldham and Kolkata: how people learned where life begins.

For most of history people could only guess how a new life starts. Microscopes in the 1600s revealed sperm and follicles, and in the 1800s scientists finally found the mammal egg and watched one sperm fertilise it. The 1900s brought chromosomes, hormones, ultrasound and IVF, and public health turned that knowledge into safer births, including in India, where far fewer mothers now die in childbirth.

2,300+
years
27
moments
12
people
13
places

c. 350 BCE

Step-by-step record of an embryo

Aristotle, Greece

1677

Sperm seen

Antonie van Leeuwenhoek, Netherlands

1827

Mammal egg found

Karl Ernst von Baer, Prussia

1875–76

Fertilisation watched

Oscar Hertwig, sea urchin eggs

1905

Sex chromosomes described

Nettie Stevens, USA

1956

Human chromosome number: 46

Joe Hin Tjio and Albert Levan, Sweden

1958

Ultrasound in obstetrics

Ian Donald, Glasgow

25 July 1978

First IVF baby

Louise Brown, England

3 October 1978

India's first IVF baby

Durga (Kanupriya Agarwal), Kolkata; Dr Subhas Mukhopadhyay

c. 350 BCEBig ideas, few tools

350 BCE – 1660

Big ideas, few tools

Thinkers open hens' eggs, name the tubes and argue that every animal comes from an egg, without being able to see one.

350 BCE

c. 350 BCE

Watching a chick grow inside an egg

AristotleLesbos and Athens, Greece

Aristotle opened hens' eggs day after day and wrote down what he saw. By about the third day a tiny red spot appeared that beat like a heart. He argued that the body's parts form one after another, not all at once.

Why it mattered. It was the first careful, step-by-step record of how an embryo develops.

1561

The tubes get their name

Gabriele FalloppioPadua, Italy

The Italian anatomist Gabriele Falloppio described the two slender tubes that run from the uterus towards the ovaries, with their fringed, trumpet-like ends. His book Observationes Anatomicae was printed in Venice in 1561.

Why it mattered. We still call them fallopian tubes, although nobody then knew that eggs travel along them.

1651

"Everything from an egg"

William HarveyLondon, England

William Harvey, famous for showing how blood circulates, studied chicks and deer embryos. In his book On the Generation of Animals he argued that all animals, including humans, begin from some kind of egg. The phrase ex ovo omnia, everything from an egg, became linked to his work.

Why it mattered. It pointed scientists towards the egg long before anyone had seen a mammal's egg.

1660 – 1830

Under the microscope

Microscopes reveal follicles and sperm, a wrong idea about tiny people is overturned, and the mammal egg is finally found.

1672

Bubbles in the ovary

Regnier de GraafDelft, Netherlands

The Dutch doctor Regnier de Graaf studied the ovaries of rabbits and other mammals and described small fluid-filled bubbles on their surface. He thought each bubble was an egg. In fact each one holds a far smaller egg inside. We still call a ripe one a Graafian follicle.

Why it mattered. He found the follicle, the bubble that ripens and releases an egg every month.

1677

November 1677

Sperm seen for the first time

Antonie van Leeuwenhoek (with Johan Ham)Delft, Netherlands

Using his own tiny, powerful single-lens microscopes, the cloth merchant Antonie van Leeuwenhoek saw thousands of swimming cells with long tails in a sample of semen. A medical student, Johan Ham, had first pointed them out to him. He described them in a letter to the Royal Society in London.

Why it mattered. For the first time, people could see the cell that carries the father's half of a new life.

1694

A tiny person in the sperm?

Nicolaas HartsoekerParis, France

The Dutch microscope maker Nicolaas Hartsoeker drew a tiny curled-up person, a homunculus, inside the head of a sperm. He did not claim to have seen it; he drew it to show an idea many people then held, that a miniature person was already formed and only had to grow.

Why it mattered. It is a famous example of a wrong idea that microscopes and careful experiments later overturned.

1759

Bodies build themselves step by step

Caspar Friedrich WolffHalle, Prussia (Germany)

In his thesis Theoria Generationis, the German scientist Caspar Friedrich Wolff showed from chick embryos that organs such as the gut form from simple, unshaped layers. Nothing was ready-made: the body builds itself in stages, an idea called epigenesis.

Why it mattered. It replaced the tiny-person idea with the picture of development that biology still uses.

1780

1780s

Proof that sperm are needed

Lazzaro SpallanzaniPavia, Italy

The Italian priest and scientist Lazzaro Spallanzani showed that frog eggs only develop after they touch sperm-containing fluid. When he filtered the sperm out, the fluid no longer worked. He also carried out the first successful artificial insemination, in a dog.

Why it mattered. Experiments, not just looking, showed that both the egg and the sperm are needed.

1827

The mammal egg is found

Karl Ernst von BaerKönigsberg, Prussia (now Kaliningrad, Russia)

Karl Ernst von Baer opened a follicle from a dog's ovary and found a tiny yellowish speck floating inside it. It was the real egg, far smaller than de Graaf's bubble. He published the discovery in a short Latin book.

Why it mattered. It settled a 150-year-old question: mammals, including humans, do begin from a single egg cell.

1845 – 1970

Safer births

Handwashing, trained doctors, ultrasound and photographs make pregnancy and birth safer and better understood.

1847

May 1847

Clean hands save mothers

Ignaz SemmelweisVienna General Hospital, Austria

Ignaz Semmelweis noticed that far more mothers died of childbed fever on the ward run by doctors, who came straight from dissections, than on the ward run by midwives. He made staff wash their hands in chlorinated lime, and deaths on his ward dropped sharply.

Why it mattered. Handwashing became one of the simplest and most powerful ways to keep mothers and babies safe.

1886

11 March 1886

India's first woman doctor of Western medicine

Anandibai JoshiPhiladelphia, USA

Anandibai Joshi lost her baby son days after birth, and resolved to study medicine. She sailed to the United States and graduated from the Woman's Medical College of Pennsylvania with a thesis on obstetrics among Hindus.

Why it mattered. She showed Indian women could become doctors, and she chose care for mothers and babies as her subject.

1958

7 June 1958

Seeing the baby with sound

Ian Donald, John MacVicar and Tom BrownGlasgow, Scotland

A Glasgow obstetrician, Ian Donald, worked with a doctor and an engineer to adapt an ultrasound machine used for finding cracks in metal. Their paper in The Lancet showed pictures of the inside of the belly made with sound echoes. Soon ultrasound could show a growing baby safely, without X-rays.

Why it mattered. Ultrasound scans became a routine, safe way to check a baby's growth.

1965

30 April 1965

Life before birth on a magazine cover

Lennart NilssonStockholm, Sweden

The Swedish photographer Lennart Nilsson spent years taking pictures of human embryos and fetuses with special cameras and lenses. Life magazine printed them as Drama of Life Before Birth, and millions of copies sold within days.

Why it mattered. For many people it was the first time they saw how a baby develops.

1870 – 1975

Cells, chromosomes and hormones

Scientists watch fertilisation happen, count chromosomes, find the X and Y, and discover the hormones that run the cycle and puberty.

1876

Watching one sperm enter an egg

Oscar HertwigMediterranean coast (sea urchin eggs); based at Jena, Germany

Oscar Hertwig studied the clear eggs of a Mediterranean sea urchin, which are easy to see through. He mixed eggs and sperm and watched a single sperm enter an egg. About ten minutes later the sperm's nucleus had travelled to meet the egg's nucleus and joined with it.

Why it mattered. It showed that fertilisation is the joining of one sperm and one egg, nucleus with nucleus.

1883

Half the chromosomes from each parent

Edouard van BenedenLiège, Belgium

Working with the eggs of a roundworm that has very few chromosomes, Edouard van Beneden showed that the egg and the sperm each bring the same number of chromosomes, half of what the body's cells carry, and that they come together at fertilisation.

Why it mattered. This is the idea behind 23 + 23 = 46 in humans.

1905

The X and Y chromosomes

Nettie StevensBryn Mawr College, Pennsylvania, USA

Studying mealworm beetles, Nettie Stevens found that females had pairs of large chromosomes, while males had one large and one small one. She concluded that the sperm's chromosome decides whether the young is female or male. Edmund Wilson reached a similar conclusion the same year.

Why it mattered. It explained why the sperm, carrying an X or a Y, sets a baby's sex.

1923

The ovary's hormone

Edgar Allen and Edward DoisySt Louis, USA

Edgar Allen and Edward Doisy extracted a substance from pig ovary follicles that made the lining of the uterus grow and brought animals into their breeding cycle. It was oestrogen. Doisy later purified it, and progesterone was found a few years afterwards.

Why it mattered. It showed that the menstrual cycle is run by hormones from the ovary.

1956

1956 (observed December 1955)

Humans have 46 chromosomes

Joe Hin Tjio and Albert LevanLund, Sweden

For thirty years textbooks said humans had 48 chromosomes. Using better ways to spread cells out on a slide, Joe Hin Tjio counted 46 again and again, and he and Albert Levan published the result.

Why it mattered. It fixed the number at the heart of this box: 23 from each parent, 46 in all.

1971

The brain's 'start' hormone

Andrew Schally and Roger Guillemin (separate teams)New Orleans and La Jolla, USA

Working with extracts from hundreds of thousands of pig and sheep brains, Andrew Schally's team worked out the structure of GnRH, the hypothalamus hormone that tells the pituitary to release LH and FSH. Roger Guillemin's team confirmed it. They shared the 1977 Nobel Prize with Rosalyn Yalow.

Why it mattered. It explained how the brain switches on puberty and runs the menstrual cycle.

1978 – 1995

Help to have a baby

IVF babies are born in England and India within months of each other, and new methods help more couples.

1978

25 July 1978

Louise Brown, the first IVF baby

Patrick Steptoe and Robert Edwards (with Jean Purdy)Oldham, England

After years of work, a gynaecologist and a scientist joined an egg and sperm in a lab dish and placed the early embryo in the mother's uterus. Louise Brown was born healthy. Robert Edwards received the Nobel Prize in 2010.

Why it mattered. It gave hope to millions of people with infertility.

1978

3 October 1978

Durga, India's first IVF baby

Dr Subhas Mukhopadhyay (with Sunit Mukherji and Saroj Kanti Bhattacharya)Kolkata, India

Just 70 days after Louise Brown, a baby girl named Durga, later known as Kanupriya Agarwal, was born in Kolkata. Dr Subhas Mukhopadhyay and his colleagues had used their own methods and simple equipment. A government committee refused to believe him, and he died in 1981. Years later, experts reviewed his notes and recognised his work.

Why it mattered. India was only the second country with an IVF baby, and Mukhopadhyay is now honoured as a pioneer.

1986

6 August 1986

Harsha, India's first documented IVF baby

Dr Indira Hinduja, with T. C. Anand Kumar's ICMR teamMumbai, India

A baby boy named Harsha was born at KEM Hospital in Mumbai after IVF by Dr Indira Hinduja and a team from the Indian Council of Medical Research's Institute for Research in Reproduction.

Why it mattered. It started IVF as a medical service in India, which now has thousands of fertility clinics.

1992

July 1992

One sperm, injected

Gianpiero Palermo and colleaguesBrussels, Belgium

Doctors in Brussels reported the first pregnancies after injecting a single sperm directly into an egg with a very fine glass needle. The method is called ICSI.

Why it mattered. It helped many couples where the male partner has very few sperm.

1994 – 2024

India's mothers and daughters

Laws protect girls, schemes bring births into hospitals, and maternal deaths fall by more than three-quarters.

1994

20 September 1994

A law against sex selection

Parliament of IndiaNew Delhi, India

India passed the Pre-Natal Diagnostic Techniques Act, later renamed the PCPNDT Act. It bans using scans or tests to find out or choose the sex of a baby before birth.

Why it mattered. It protects girls, because the sperm, not anyone's choice, decides a baby's sex.

2005

12 April 2005

Help to give birth safely

Janani Suraksha Yojana, National Rural Health MissionIndia

The Government of India launched Janani Suraksha Yojana (JSY), which gives cash help to poorer mothers who give birth in a hospital or health centre, supported by community health workers called ASHAs.

Why it mattered. Births in health facilities rose steeply, to 88.6% by 2019–21.

2016

A free check-up on the 9th of every month

Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)India

The Ministry of Health and Family Welfare launched PMSMA, which offers every pregnant woman in her second or third trimester a free check-up by a doctor on the 9th day of every month at government health centres.

Why it mattered. Regular check-ups catch problems like high blood pressure and anaemia before they become dangerous.

2024

2024 (for 2020–22)

India's maternal deaths fall below 100

Sample Registration System, Registrar General of IndiaIndia

The Sample Registration System, which tracks births and deaths in a large national sample, reported a maternal mortality ratio of 88 deaths per 100,000 live births for 2020–22. In 1997–98 it had been 398.

Why it mattered. It is a fall of more than three-quarters in about 25 years, though some states still have far higher rates.

By the numbers

Mothers dying in childbirth in India

India's maternal mortality ratio from the Sample Registration System, plotted at the middle year of each period. It fell from 398 in 1997–98 to 88 in 2020–22.

0 deaths per 100,000 live births100 deaths per 100,000 live births200 deaths per 100,000 live births300 deaths per 100,000 live births400 deaths per 100,000 live births 20002005201020152020 1998: 1997–98: 39819982005: 2004–06: 25420052008: 2007–09: 21220082011: 2010–12: 17820112012: 2011–13: 1672015: 2014–16: 13020152016: 2015–17: 1222017: 2016–18: 11320172019: 2018–20: 9720192020: 2019–21: 932021: 2020–22: 882021
  1. 1998 1997–98: 398
  2. 2005 2004–06: 254
  3. 2008 2007–09: 212
  4. 2011 2010–12: 178
  5. 2012 2011–13: 167
  6. 2015 2014–16: 130
  7. 2016 2015–17: 122
  8. 2017 2016–18: 113
  9. 2019 2018–20: 97
  10. 2020 2019–21: 93
  11. 2021 2020–22: 88

Did you know?

The human egg, about 0.1 mm across, is the largest cell in the body and only just visible without a microscope.

A girl is born with about 1 to 2 million immature eggs, but only about 400 to 500 are ever released.

For about 30 years, textbooks wrongly said humans have 48 chromosomes.

Durga, India's first IVF baby, was born just 70 days after Louise Brown, the world's first.

In 2019–21, 77% of young women in India used a hygienic method during their periods, up from 58% in 2015–16.

The people

Who figured it out

Regnier de Graaf

1641 – 1673 · Physician and anatomist · Netherlands

Described the ovarian follicle that still carries his name.

Antonie van Leeuwenhoek

1632 – 1723 · Microscopist · Netherlands

Built his own microscopes and was the first to describe sperm cells.

Karl Ernst von Baer

1792 – 1876 · Biologist · Estonia (then Russian Empire), worked in Prussia

Found the mammalian egg and helped found embryology.

Ignaz Semmelweis

1818 – 1865 · Obstetrician · Hungary

Showed that handwashing prevents deadly infections after childbirth.

Oscar Hertwig

1849 – 1922 · Zoologist · Germany

First to watch a sperm and egg nucleus join.

Anandibai Joshi

1865 – 1887 · Physician · India

India's first woman doctor of Western medicine; wrote her thesis on obstetrics.

Nettie Stevens

1861 – 1912 · Geneticist · USA

Showed that X and Y chromosomes decide sex.

Joe Hin Tjio

1919 – 2001 · Cytogeneticist · Indonesia, worked in Sweden and the USA

Counted the human chromosomes correctly: 46.

Ian Donald

1910 – 1987 · Obstetrician · Scotland

Brought ultrasound into pregnancy care.

Robert Edwards

1925 – 2013 · Physiologist · England

Developed IVF with Patrick Steptoe and Jean Purdy; Nobel Prize 2010.

Subhas Mukhopadhyay

1931 – 1981 · Physician and scientist · India

Led the team behind Durga, India's first IVF baby, in 1978.

Indira Hinduja

born 1946 · Gynaecologist · India

Delivered Harsha, India's first scientifically documented IVF baby, in 1986.

Where it happened

13 places, one idea

Sources

Where this comes from

Dates marked “c.” are approximate, and historians sometimes disagree about who was first. If you spot a mistake, tell us.

  1. History of Animals Wikipedia
  2. Aristotle's biology Stanford Encyclopedia of Philosophy
  3. Gabriele Falloppio Wikipedia
  4. Fallopian tube Wikipedia
  5. William Harvey Wikipedia
  6. Preformationism Wikipedia
  7. Regnier de Graaf Wikipedia
  8. Regnier de Graaf Encyclopaedia Britannica
  9. Antonie van Leeuwenhoek Wikipedia
  10. Sperm (history of discovery) Wikipedia
  11. Nicolaas Hartsoeker Wikipedia
  12. Homunculus Wikipedia
  13. Caspar Friedrich Wolff Wikipedia
  14. Epigenesis (biology) Wikipedia
  15. Lazzaro Spallanzani Wikipedia
  16. Karl Ernst von Baer Wikipedia
  17. Karl Ernst von Baer Encyclopaedia Britannica
  18. Ignaz Semmelweis Wikipedia
  19. Ignaz Semmelweis Encyclopaedia Britannica
  20. Oscar Hertwig Wikipedia
  21. Oscar Hertwig, Hermann Fol and echinoderms EMBRC (European Marine Biological Resource Centre)
  22. Edouard Van Beneden Wikipedia
  23. Anandi Gopal Joshi Wikipedia
  24. Nettie Stevens Wikipedia
  25. Nettie Stevens: a discoverer of sex chromosomes Nature Education (Scitable)
  26. Estrogen (history) Wikipedia
  27. Edward Adelbert Doisy Wikipedia
  28. Joe Hin Tjio Wikipedia
  29. Human chromosome number Embryo Project Encyclopedia, Arizona State University
  30. Ian Donald Wikipedia
  31. History of ultrasound in obstetrics Wikipedia
  32. Lennart Nilsson Wikipedia
  33. Andrew V. Schally Wikipedia
  34. The Nobel Prize in Physiology or Medicine 1977 NobelPrize.org
  35. Louise Brown Wikipedia
  36. The Nobel Prize in Physiology or Medicine 2010 NobelPrize.org
  37. Subhash Mukhopadhyay (physician) Wikipedia
  38. Dr. Subhas Mukhopadhyay (1931–1981): a pioneer in the field of reproductive medicine PubMed Central
  39. Indira Hinduja Wikipedia
  40. T. C. Anand Kumar Wikipedia
  41. Intracytoplasmic sperm injection Wikipedia
  42. Pre-Conception and Pre-Natal Diagnostic Techniques Act, 1994 Wikipedia
  43. Janani Suraksha Yojana Wikipedia
  44. Janani Suraksha Yojana National Health Mission, Government of India
  45. Pradhan Mantri Surakshit Matritva Abhiyan Ministry of Health and Family Welfare, Government of India
  46. Maternal mortality in India Wikipedia
  47. SRS Special Bulletin on Maternal Mortality in India 2020–22 Office of the Registrar General, India
  48. Maternal mortality in India Data For India
  49. 1 in 6 people globally affected by infertility World Health Organization
  50. National Family Health Survey (NFHS-5), 2019–21: India fact sheet International Institute for Population Sciences
  51. About 50 per cent of women aged 15–24 still use cloth for menstrual protection: NFHS-5 ThePrint

That's the history. Now see how it works.