Chpt 10/11 (11) - Reproductive Systems Flashcards
Uterus
Endometrium, Myometrium, Perimetrium
Fallopian Tubes
1 (of 2) tubes that lead from Ovaries to Uterus
- Fimbriae - End of fallopian tube, fingerlike structure
- Ampula - Longer portion of tube, most burdened with disease
- Ismic - As fallopian tube enters uterus
- Cornua - Part of tube in uterus
Gonads (Ovaries)
1 (of 2) glands that produce ova (egg)
Cervix
Mouth (opening) of uterus from the vagina
Vagina
Genital canal leading from uterus to vulva
Broad function of Female Reproduction
- Produce an ovum (egg)
- Move to fertilization site
- Nurture conception to Birth
- Delivery of Baby
Ovary
Produce ovum (egg)
Mature Follicle
(Graafian Follicle)
What is left behind after egg extruded
- Released monthly
Ovulation
Ovum released, day 14 of cycle
Ovulation caused by LH Surge
- Fertilization in fallopian tube
- Implants into endometrium of uterus (zygote)
- Day 5-7 of ovulation - If no fertilization then a drop in estrogen and progesterone
- Menses = bleeding
Menarch
1st ovulation, about 13yrs old
Menopause
End of ovulation, about 51yrs average
Ovulation Period
- At birth, female has about 200,000 eggs
- 30-40yrs of ovulation (monthly)
Cervix
Opening into uterus
- External Os - Vagina to Cervix opening
- Internal Os - Cervix to Uterus opening
- Cervical Canal - B/w External & Internal Os
Vagina
Rugae transverse folds within Mucosa
Uterus
3 Layers (Endometrium, Myometrium, Serosa)
- Cervix is opening into Uterus
- Fallopian Tubes enter at the Cornum
- Broad Ligament - Houses Uteren Vessels
- Ovarian Ligament - Attaches ovary to uterus
Hymen
Fold of mucus membrane which partially covers vaginal opening
Breast Anatomy
Muscle - alongside chest cavity Adipose - Majority of breast Mammary Glands - Lobules Mammary Ducts - Lactiferous Ducts - Nipple - Areola
Mons Pubis
Mound of soft tissue covered by pubic hair after puberty
Prepuce
Covering over clitoris
Urethral Meatus
Opening of urethra to excrete urine
Skene’s Duct
Excrete fluid into vagina
Bartholin’s Gland
1/2 glands on either side of vagina that secrete fluid
Labia (Minora / Majora)
(-) 2 folds of skin between labia majora
(+) 2 folds of skin that form boarders of vulva
Female Hormone Cycle
(Estrogen dominant from days 1-14) Days 1-5 - Menstrual bleeding (lining of uterus) Days 6-12 - FSH from anterior pituitary - Follicle matures - Estradiol matures Days 13-14 - LH peaks; ovulation occurs
Days 15 - 28 - Progesterone peaks; Uterine lining prepares for implantation
Female Hormone Cycle by Phase
1st Phase: Fellicular Phase
2nd Phase: Ovulation Phase
3rd Phase: Ludial Phase
Corpus Luteum
Secreting structure formed from graafian follicle (mature follicle) which fills with yellow substance and secretes progesterone and estrogen after releasing ovum (egg)
Hormones Need To Know:
- GnRH
- FSH
- LH
- Estrogen
- Progesterone
Source: Action
- Hypothalamus: Stimulates FSH and LH
- Pituitary: Stimulates ovaries to produce mature follicles; Follicles produce increased levels of estrogen
- Pituitary: Surge of LH stimulates follicle to break open and discharge ovum and follicular fluid (contains estrogen)
- Ovary (developing follicle): Causes rapid growth of endometrium of uterus
- Ovary (corpus luteum): Causes endometrium to become thick, spongy, glandular and receptive to fertilized ovum (zygote)
Fertilization
May occur as a result of coitus (intercourse)
Zygote; Embryo; Fetus
Gravida
Woman who is pregnant
1st pregnancy “Gravidal”
Para
After delivery (# of deliveries: Para 1 = after 1 delivery)
Placenta
Afterbirth; made up of Amnion and Chorion membrane
Postpartum
Time after the birth; up to 6 weeks after delivery
Menopause
51yrs average age
- Estrogen decline
- Cessation of menstruation
Climacteric
Period of time leading up to menopause
- Characterized by symptoms; Hot Flashes, Night Sweats, due to decreasing estrogen levels
Perimenopause
3-5 yrs of decreasing and fluctuating estrogen; prior to menopause
Post Menopause
Osteopenia - deficiency in bone
Osteoporosis - decreased density of bone
Decreased estrogen levels:
- Decreased ability to put calcium into bone
- Increased vertebral compression fractures
- Increased risk for hip fracture
Amnio
Amnion
Cervico
Cervix
Colpo
Vagina
Episi (o)
Vulva
Galact (o)
Milk
Gynec (o)
Female
Oo
Egg
Oophor (o)
Ovary
Ov (i) / Ov (o)
Egg
Perine (o)
Perineum
Salping (o)
Fallopian Tube
Uter (o)
Uterus
Vagin (o)
Vagina
Ovari (o)
Ovary
Hyster (o)
Uterus
Lact (o)
Milk
Mamm (o)
Breast
Mast (o)
Breast
Men (o)
Menstration
Metr (o)
Uterus
Vulv (o)
Vulva
AB
Abortion
AFB
Alpha Fetoprotein
CIS
Carcinoma in situ
Cx
Cervix
D&C
Dilation and Curettage
DUB
Dysfunctional Uterine Bleeding
EDC
Estimated Date of Confinement (Birth)
ERT
Estrogen Replacement Therapy
FHT
Fetal Heart Tones
FSH
Follicle Stimulating Hormone
G1P1
Gravid 1, Para 1
HCG
Human Chorionic Gonadotropin
IUD
Intra Uterine Device
LMP
Last Menstral Period
OCP
Oral Contraceptive
PID
Pelvic Inflammatory Disease
PMS
PreMenstral Symptoms
TAH - BSO
Total Hysterectomy w/ Removal of Both Ovaries
PAP Smear
Sampling of cervix cells for purpose of detecting cancer or pre-cancer changes
Colposcope
Lighted microscope instrument for evaluating cervix/vagina
- Colposcopy - procedure for evaluating cervix/vagina
Hysteroscopy
Procedure for viewing inside of uterus
Mammogram
X-Ray of breast
Ectopic Pregnancy
Pregnancy implanted outside of uterus
Tubal Pregnancy
Ectopic, implanted in fallopian tube
- Demands surgical excision; risk of rupture
Spontaneous Abortion
Miscarriage
Placenta Abruption
Tearing of placenta away from uterine wall and blood accumulates behind placenta
PreEclampsia (Toxemia of Pregnancy)
Pregnancy with Hypertension, Proteinuria, Edema
Eclampsia - Seizures in pregnancy
Placenta Previa
Placenta covers cervix
- Vaginal bleeding during pregnancy
- Requires C-section
Gestational Diabetes
High blood sugar (diabetes) in pregnancy
Rh Isoimmunization
- Mother is Rh- blood type
- Fetus is Rh+ blood type from father
- Then mother can be sensitized (make antibodies against) baby’s blood type. Next pregnancy w/ Rh- baby means mother immunity can attack baby
- Erythroblastosis Fetalis
Amenorrhea
Absence of menstruation
Dysmenorrhea
Painful cramping with menses
Menorrhagia
Excessive menstrual bleeding
Oligomenorrhea
Scant menstrual bleeding
Metrorrhagia
Bleeding in-between cycle
Menometrorrhagia
Excessive and irregular menstrual bleeding
Dyspareunia
Painful sexual intercourse
Cervicitus
Inflammation of the cervix
Mastitis
Inflammation of breast
Salpingitis
Inflammation of fallopian tube
Vaginitis
Inflammation of vagina
Pelvic Inflammatory Disease
Inflammatory disease of a cervix, uterus, and fallopian tubes
Ovarian Cyst
Cystic mass of ovaries, still functional
- Cystadenoma; Dermoid (teratoma)
Polycystic Ovarian Disease (PCOD)
Multiple cysts in both ovaries
Uterine Fibroids
Benign uterine muscle tumors
Cause: Pelvic Pain, Menorrhagia, Dysfunctional bleeding patterns
Treatment: Abdominal Hysterectomy, Endometrial Ablation,, D&C (scraping of lining)
Endometriosis
Abnormal growth of uterine lining (endometrium)
Growth - outside of uterus cavity, on ovaries, fallopian tubes, and pelvis
Causes: Dysmenorrhea, Pelvic Pain, Dyspareunia
Treatment: Surgery
Gonorrhea
Bacteria infects cervix
Chlamydia
Bacteria infects cervix
Syphilis
STD causes open sore (chancre) on labia and rash
HPV
Virus STD; Condyloma (warts), cervical cancer
Myomectomy
Surgical removal (excision) of fibroid tumors
Oophorectomy
Removal of an ovary
Salpingectomy
Removal of Fallopian Tube
Lumpectomy
Removal of breast mass and some surrounding breast tissue
Mastectomy
Breast is removed
Mastopexy
Breast “raising” surgery
Abortifacient
Drug that prevents implantation of zygote; mifepristone
HRT
Hormone Replacement Therapy; Estrogen/Progesterone
Oxytocin
Labor Inducing drug
Tocolytic
Drug that stops labor
Spermatozoa
Male Gamete or sex cell
Spermatozoon (pl.)
Testes
Male Gonads; Produce sperm in the seminiferous tubules, aka testicles, located in scrotum
Spermatogenesis
Process of producing sperm
Testosterone
Male hormone produced in leydig cells between seminiferous tubules
Epididymis
Superios aspect of testis, where sperm is stored (ducts)
Vas Deferens
Duct from Epididymis to ejaculatory duct at seminal vesicle
Seminal Vesicle
Secrete alkaline material to nourish sperm and help motility
Prostate Gland
Secretes milky fluid as part of semen
Semen
Sperm and secretions from prostate, seminal vesicle and cowper’s
Cowper’s
Gland which secrete alkaline fluid into semen
Perineum
Space between scrotum and anus
Ejaculation
Process of releasing semen which has several 100 million sperm in 2-5cc of semen
Andr (o)
Men
Balan (o)
Glans penis
Epididym (o)
Epididymis
Orch (o)
Testes
Prostat (o)
Prostate gland
Sperm (o) / Spermat (o)
Sperm
AIH
Artificial Insemination Homologous
BPH
Benign Prostatic Hypertrophy
PSA
Prostate Specific Antigen
TURP
Reduction of Prostate
Cryptorchism
Undescended Testicle
Anorchia
Lack of testicle
Hypospadias
Abnormal urethral meatus on underneath of penis
Epispadias
Meatus on top side
Phimosis
Narrowing of foreskin
Hydrocele
Fluid containing hernia of testis
Varicocele
Herniated veins near testis
Balanitis
Inflammation of penis
Azoospermia
Semen without living sperm
Aspermia
Inability to produce sperm
Hernia
Protrusion of tissue out of its normal anatomical locations through weekend area of fascia
Prostatitis
Inflammation of the prostate
Epididymitis
Inflammation of the epididymis
Peyronie’s Disease
Disorder; marked by curvature of penis from internal structural damage
Seminoma
Tumor of testicle (malignant)
Chancre Sore
STD, primary syphillis
Treated with penicillin
Circumcision
Removal of foreskin; most common male surgery
Orchiectomy
Removal of testis
Prostatectomy
Removal of prostate gland
Vasovasotomy
Reversal of a vasectomy
Castration
Removal of both testicles
Anabolic Steroids
Androgens (testosterone) used to increase muscle, libido or stamina. Abused by athletes
BPH Treatments
Diminish size of prostate, allow urination
Erectile Dysfunction
Sildenatil (viagra); tadalafil (cialis)