L2: Embryology of Female Genital Tract Flashcards
Development of External genitalia
Development of External genitalia
- Median genital Tubercle
Gives the clitoris
Development of External genitalia
- Medial genital Folds
Give the labia minora
Development of External genitalia
- Lateral Genital Swellings
Give the labia majora
Development of External genitalia
- Urogenital Membrane
Gives vestibule, vaginal and urethral orifices.
Development of External genitalia
- Urogenital Sinus
Outer layer of urogenital sinus covers the vaginal orifice as the hymen.
Development of Internal genitalia
Development of Internal genitalia
- Ovaries
Development of Internal genitalia
- FT, Uterus, Upper, Vagina
Congenital anomalies of The Female Genital Tract
Congenital anomalies of The Female Genital Tract
- Ovary
Congenital anomalies of The Ovary
- Aplasia
No development → primary amenorrhea.
Congenital anomalies of The Ovary
- hypoplasia
Causes oligo-hypomenorrhea or premature menopause.
Congenital anomalies of The Ovary
- Savage Syndrome
receptor defect with no response to ESH and LH.
Congenital anomalies of The Ovary
- Pure turner
causes primary amenorrhea.
Congenital anomalies of The Ovary
- Mosaic Turner
can present by premature ovarian failure.
Congenital anomalies of The Ovary
- Testicular feminization syndrome
Congenital anomalies of The Ovary
- Hermaphrodite
Congenital anomalies of The Fallopian Tube
Congenital anomalies of The Fallopian Tube
- Aplasia
No development causing primary infertility.
Congenital anomalies of The Fallopian Tube
- Hypoplasia
In the form of long narrow tortuous tube and may cause ectopic pregnancy.
Congenital anomalies of The Fallopian Tube
- Accessory ostium
Congenital diverticulum that may cause ectopic pregnancy.
Congenital Anomalies of The Uterus
Congenital Anomalies of The Uterus
- Aplasia
no development.
Congenital Anomalies of The Uterus
- Hypoplasia
Which may be rudimentary solid uterus, infantile OR prepubescent uterus.
Congenital Anomalies of The Uterus
- Unicornate Uterus
Absence of one Mullerian duct with one tube, and narrow vagina.
Congenital Anomalies of The Uterus
- Uterus Didelphys
Congenital Anomalies of The Uterus
- Uterus Bicornis Bicollis
2 uteri, 2 cervices and one vagina.
Congenital Anomalies of The Uterus
- Septate & Sub-Septate Uterus
Congenital Anomalies of The Uterus
- Arcuate Uterus
slight depression at the fundus.
Presentations of uterine anomalies
Treatment of uterine anomalies
Some anomalies are usually treatable by surgery
Anomalies of The Vagina
Anomalies of The Vulva
Def of Imperforate Hymen
means absence of hymeneal opening.
Symptoms of Imperforate Hymen
Signs of Imperforate Hymen
Signs of Imperforate Hymen
- General
Normal changes of puberty and secondary sex characters are present.
Signs of Imperforate Hymen
- Abdominal
Signs of Imperforate Hymen
- PR
uterus may be palpated as a small mass in front of the accumulated blood.
Signs of Imperforate Hymen
- Local
By inspection
- there is bluish bulging hymen due blood behind
INVx for Imperforate Hymen
Ultrasound, and IVP (intravenous pyelography) to exclude associated urological anomalies.
TTT of Imperforate Hymen