Female reproductive manual Flashcards
Also known as pendulum
Vulva
Boundaries of the vulva
Anterior- mons pubis
Posterior- rectum
Lateral- genitocrural
Vulva is covered entirely by
Cornified stratified squamous epithelium
Superior and anterior to the symphisis pubis
Mons pubis
Escutcheon or hair pattern
Women- triangular
Men- diamond
Measure of labiamajora
7-8cm in length
2-3cm in width
Labia majora are two large cutaneous folds of
Adipose and fibrous tissue
Pigmented and covered withhair follicle
Outer convex surface
Lack of hair follicles but has many sebaceous glands
Inner convex surface
Labia majora homologous
Scrotum
Also known as nymphae
Labia minora
Two small pinkish to reddish cutaneous folds between the labia majora and vaginal orifice
Labia minora
They divide anteriorly at the clitoris to form
Prepuce superiorly
Frenelum inferiorly
Labia minora is composed of dense connective tissue with
Erectile tissue and elastic fibers
Labia minora is lesskeratinized with many sebaceous glands but lacking of
Hair follicle and eccrine glands
Labia minora homologous
Penile urethra
Thin membranous at the entrance of the vagina
Hymen
Hymen is covered by
Stratified squamous epithelium
Fibrous tissue
Small blood vessels
Remnants of hymen
Carunculae myrtiformes
Short cylindrical erectile organ at the superior portion of thevestibule
Clitoris
Measurement of clitoris
1.5-2cm length
Less than 1cm in diameter
Clitoris is composed of______ which attach to the __________ of symphis pubis.
Crura
Periosteum
The body of clitoris has two cylindrical ____________ that function as erectile tissue
Corpus cavernosa
Distal 1/3 of the clitoris
Glans
Clitoris homologous
Penis
Cleft between the labia minora that is visualized when the labia are held apart
Vestibule
Vestibule extends from______ to the ________
Clitoris
Posterior fourchette
Structures that open to the vestibule are
External urethral meatus
Vaginal orifice
Ducts of bartholins gland
Skenes gland
Periurethral glands
Measurement of urethra in female
3.5-5cms in lenght
Mucosa of proximal two thirds of urethra is composed of
Stratified squamous epithelium
Mucosa of distal 1/3 of urethra is composed of
Stratified squamous epithelium
Branched tubular glands adjacent to the distal urethra
Skenes ot araurethral glands
Skenes gland are homologous to the
Prostate
Bartholins gland are located at about ________________ of theposterolateral aspect of the vaginal orifice
4andf 8 oclok
Lining epithelium of bartholins
Transitional epithelium
Bartholins open into the groove between
Hymen and abia minora
Bartholins homologous
Cowpers gland ir bulbourethral gland
Two erectile tissues on either sides of the vaginal orifice
Vestibular bulbs
Distal ends of vestibular bulbs is adjacent to
Bartholins gland
Homologous of vestibular bulb
Bulb of the penis
Measurement of vagina
8 cm in length
Space between the surface of the cervix and vaginal wall
Vaginal fornix
The anterior vaginal wall is __________ than posterior vaginal walll
Shorter
The posterior wall of vagina is in contact with the peritoneum that lines the
Rectouterine pouch
Blood supply og vagina
Superiorly- uterine artery
Middle- hemorrhoidal artery
Internal pudendal artery
Dome shaped top of uterus is called
Fundus
Between fundus and cervix
Body
Narrow lower segment of the uterus just above the cerix
Isthmus
Protrudes into the vaginal canal
Cervix
Uterus of nulliparous
8cm long
5cm wide
2.5cm thick
40-50 grams
Uterus of multiparous
1-2 cm larger
20-30 grams heavier
Coronal section of uterus
Triangular
Sagitl section of uterus
Slit
Uterine mucosa
Endometrium ( stratum basale and functionale)
Responds to fluctuating hormonal levels
Stratum functionale
Thick mascular wall of uterus
Myometrium
Peritoneal covering on the surface of the uterus is
Perimetrium
Blood supply of uterus
Uterine arteries- hypogastric arteries- ovarian arteries- aorta
FT contained in the free edge of the superior portion of the
Broad ligament
FT measurement
10- 14 cm in length
1 cm in diameter
FT segment
1-2 cm in length and is surrounded by myometrium
Intramural or interstitial segment
FT segment
Narrow and 4cm in lenght
Isthmus
Fertilization nomally occurs
Ampulla 4-6 cm in length
Distal trumpet shape portion of FT
Infundibulum
Ostia of the oviduct are surrounded by finger like structure
Fimbriae
Largest fimbriae attached to the ovary
Fimbria ovarica
Medial two thirds of FT supplied by
Uterine artery
Distal one third of FT supplied by
Ovarian artery
Almond shaped organ
Loght gray in color
Ovaries
Ovarian vessels passes through the
Suspensory ligament
Attached to the uterine ectremity
Ovarian ligament
Thin mascular layer that forms the inferior border of the abdominopelviccavity
Pelvic diaphragm
Primary muscles of the pelvic diaphragm are the
Levator ani
Levator ani composed of
Pubococcygeus
Iliococcygeus
Puborectalis
Coccygeus
Alao known as the triangular ligament
Urogenital diaphragm
Support the urethra and maintenance of the urethrovesical junction
Urogenital diaphragm
Has a superficial fatty layer and a deep membranous layer
Superficial perineal fascia
In the female, the superficial fatty layer provides the shape of the
Labia majora
Abdominal wall
Ischioanal fossa
Thigh
Contents of the superficial perineal pouch in the female include three muscle
Ischiocavernosus
Bulbospongiousus
Superficial transverse
Superficial perineal fascia
Colle’s fascia
Superficial fascia of the lower abdominal wall
Scarpa’s fascia
Lateral to the labium minus, covers the superficial surface of the bulb of the vestibule
Bulbospongiosus muscle
Posterior attachment of the bulbospongiosus muscle is the
Perineal body
Anterior attachment of BSM is
Corpus cavernosum clitoris
BSM of female is different to BSM of male. Female does not join the BSM
Nice to know
Covers the superficial surface of the crus of the clitoris
Ischiocavernosus muscle
Proximal attachment of ICM are the
Ischial tuberosity
Ischiopubis ramus
Distal attachment of ICM is
Crus of the clitoris
ICM muscle forces blood from the crus of the clitoris into the distal part of the
Corpus cavernosum clitoris
Lateral attachment of the superficial transverse perineal muscle is the
Ischial tuberosity
Ischiopubic ramus
Medial attachment of superficial transverse perineal muscle is the
Perineal body
Located between the anal canal and posterior edge of the perineal membrane
Perineal body
Stretching from the lateral pelvic sidewalls to the uterus and are contiguous with the uterine serosa
Broad ligament
Parts of broad ligament
Mesosalpinx
Mesovarium
Mesometrium
Supports the uterine tube
Mesosalpinx
Attaches the ovary to the posterior aspect of the broadligament
Mesovarium
Below the attachment of mesovarium
Mesometrium
Enclosed between the two layers of the broad ligament is
Parametrium
Passes through the superficial inguinal ring and descends into the fat that forms the labia majora in a fan like fashion
Round ligament
Fetal round ligament
Canal of Nuck
Fibrous cord within the broad ligament that connects the ovary to the uterus
Ovarian ligament
Extends into the greater pelvis from the superior aspect of the ovary.
Cover the ovarian vessels
Suspensory ligament
Makenrodt’s ligament
Transverse cervical ligament
Cardinal ligaments
Base of the broad ligament
Maintain the anatomic position of the cervix and upper part of the vagina.
Providesmajor support of the uterus and cervix
Cardinal ligaments
Scarogenital ligaments.
Extend from the upper part of the cervixposteriorly to the scaral vertebra.
It serve as minor support to the cervix
Uteroscaral ligament