GA1 - Female Reproductive System Flashcards
3 contents of female internal organs
ovaries
uterus
vagina
ovaries lie against the __ pelvic wall enclosed by the ____
lateral
mesovarium
ovaries are ___, ___x___x___cm
oval
3
2
1
suspensory ligament hold the ___ pole of the ovary to the ___ abdominal wall
superior
lateral
ovarian ligament holds the ___ pole to the ___ ___
inferior
uterus body
blood supply to the ovary
ovarian artery
venous drainage to the ovary
R ovarian –> ___
L ovarian –> ____
R ovarian –> ivc
L ovarian –> renal
nerve supply to the ovary (2)
ovarian plexus
GVA fibers enter T10
uterine tubes ~ ___cm long
10
4 segments of the uterine tube
intramural segment
isthmus
ampulla
infundibulum
intramural segment within the wall of the _____
myometrium
ishmus is the ___ portion of the uterine tube
narrow
ampulla is the ___ portion of the uterine tube
widened
infundiblum is the ____ end of the uterine tube
flared
fibriae are the ___-like projections at free margin of infundibulum
finger
blood supply to the uterine tube
uterine and ovairan aa
uterine artery is a branch of the ___ ___
internal iliac
uterine and ovarian aa ___
anastomose
venous drainage of the uterine tubes
uterine and ovarian vv
nerve supply through the ____ ____ plexus
inferior hypogastric
inferior hypogastric plexus has 4 fibers
pre symp
post symp
pre parasymp
GVA
Uterus has 3 layers
perimetrium
myometrium
endometrium
myometrium is the ___ layer of the uterus
muscle
uterus is a ___-shaped organ
pear
dimensions of the uterus
7.5x5x2.5cm
uterus is mainly __ in position, resting upon the ___ ___
horizontal
urinary bladder
4 parts of the uterus
fundus
body
isthmus
cervix
fundus determines the __ of the uterus
size
cervix protrudes into the ___ ___
vaginal canal
fornix
where vagina and cervix meet
2 principle supports of the uterus
pelvic floor and viscera
3 parts to the broad ligament
mesosalpinx
mesovarium
mesometrium
mesometrium
next to the uterine body
mesovarium
net to ovary
mesosalpinx
next to fallopian tube
anteflexion (___ degrees) - longitudinal line through the ___ and another through the ___
170
body
cervix
anteversion (__ degrees) - longitudinal line through the ___ and another through the ___
90
body
vagina
blood supply to the uterus (2)
uterine
ovarian
if the dr accidently cuts the uterine artery =
emergency hysterectomy
nerve supply to the uterus
uterovaginal plexus
uterovaginal plexus is derived from the ____ ____ plexus
inferior hypogastric
pregnancy causes pressure on ___ ___
urinary bladder
pressure on ___ ___ from a gravid uterus
sacral plexus
uterine prolapse
weakening of the pelvic floor
uterus drops down into vagina and possible vestibule –> possible surgery
women who have had multiple pregnancies are more likely to have ___ ___
uterine prolapse
endometriosis interna
penetrates through myometrium of the uterus
hormonal cycle
blood stays in myometrium
formation of cysts
endometriosis externa
entometrium travels out to ovary or abdominal cavity
blood in pelvic cavity or ovary
accumulation and have to take out blood
chocolate cyst ovary
pelvic inflammatory disease
PID
infection in pelvic cavity
pelvic cavity of women is not completely closed bc of vagina
implantation in uterine cavity is ___
normal
implantation in abdominal cavity is ___
ectopic
however it can grow to full term
implantation in isthmic uterine tube is ___
ectopic
rupture of tube
salpinectomy
implantation int he cervix is ___
ectopic fetus develops placenta is found near cervical opening last trimester=bedridden can cause placenta previa
placenta previa
detachment of the placenta too early
orientation of muscles of the uterus are made to ___ ___ ___
expel the fetus
nulliparous adult
never been pregnant
never given birth to a baby
point of reference for the uterus is the __
fundus
when a baby is born their cervix is 2x ___ than the body
bigger
when a baby is 4 the cervix is ___ to the body
equal
after puberty the cervix is 2x __ than the body
smaller
swab the cervix to check for ___
cancer
leukoplakia
white spots cervical cancer pre malignant lesion nodular lesions pollics
pollocks
protrudes out of opening
irregular bleeding between menstruations
vagina extends from the ____ to the ___
vestibule
cervix
ant wall of vagina is ___cm long; post is ___cm long
7.5
9
culs-de-sac around the cervix called the ___
fornices
anterior to the vagina
urinary ballder
urethra
posterior to the vagina
rectouerine pouch (pouch of douglas)
rectal ampulla
perineal body
vagina is a ___ organ
muscular
blood supply to the vagina (2)
vaginal artery and vaginal branch of uterine artery
nerve supply to vagina (3)
uterovaginal plexus for the upper 3/4 or 4/5
deep perineal branch of pudendal
pudendal for the lower 1/5 or 1/4
pudendal carries ___ and ___ fibers
GSA and GSE
vaginisus
spasm of muscles of vagina
sexual intercourse might be difficult
way of preventing intercourse
can clamp penis
female external genetalia also known as ___
vulva
vulva contains 6 things
mons pubis labia majora labia minora vestibule clitoris bulbs of the vestibule
labia majora contains ___
hair
labia minora does not contain ____
hair
labia minora is a ___ ___
mucous membrane
bulbs of the vestibule are covered by the ____ muscle and then covered by the skin of the____ ____
bulbospongiosum
labia majora
rounded fatty eminence over the pubic bone covered by skin and coarse hair =
mons pubis
labia majora are __ prominent longitudinal folds which bound the urogenital ____
2
vesibule
where the majora meet = ant and post ___ ___
labial commissure
blood supply to the labia majora (2)
external pudendal
labial branches of internal pudendal a
nerve supply to the labia majora (4)
ilioinguinal
genitofemoral
pudendal
posterior femoral cutaneous
labia minora are __ small cutaneous folds found ___ to the labia majora
2
medial
labia minora forms the prepuce of the __ and the ___ of the clitoris
clitoris
frenulum
vestibule is the ___ between the labia minora
space
in the floor of the vestibule are the openings of the ___, ___, and ducts of the ___ ___ ___
urethra
vagina
greater vestibular ducts
external urethral orifice have ____ glands
paraurethral
hymen
partially covered by mucous membrane
can stay closed - menstrual cycle cannot get out
bartholins gland cyst can cause ___ ___
painful intercourse
dyspareunia
painful intercourse
clitoris is the homologue to the ___ but does not contain the ___
penis
urethra
clitoris is attached to the ischiopubic rami by the ___
crura
crura are invested by paired ___ muscle
ischicavernosus
blood supply to the clitoris
internal pudendal
nerve supply to the clitoris
pudendal
internal pudendal a and v and pudendal nerve go out the __ sciatic foramen and back in the ___ to go to the ____
greater
lesser
peritoneum
3 erectile bodies
2 corpora cavernosum
1 corpus spongiosum
corpora cavernosa proximally is the ____
crura
corpus spongiosum proximally becomes the ___ of ___/___
bulb
vestibule/peni
corpus spongiosum distally becomes the ___ ___/___
glans clitoris/penis
bulb of the vestibule is the homologue of ___ ___ ___ ___
bulb of the penis
bulb of the vestibule are elongated masses of ___ ___
erectile tissue
bulb of the vestibule are invested by the ____ muscel and lie deep to the attachment of the __ ___
bulbospongiosus
labia minora
episiotomy
surgical cut from vagina to anus
prevents lasceration
cut vulva
allows passage of the head
median episiotomy
can cause rectovaginal fistula
lateral episiotomy
more difficult to repair but is preferred