LEC 4 Flashcards
Female Reproductive Anatomy and Physiology:
External Genitals Organs
- Mons Pubis
- Labia Majora
- Labia Minora
- Clitoris
- Vestibule of the Vagina
Vestibule of the Vagina
- External urethral orifice
- Vestibule Glands
- Vaginal opening
- Hymen
Vestibule Glands
- Paraurethral glands (Skene’s Gland)
- Bartholin Glands
Internal Reproductive Organs
- Fallopian Tube
- Ovary
- Uterus
- Cervix
- Endometrium
- Myometrium
- Vagina
The female bony pelvis has two unique functions:
- To support and protect the pelvic contents.
(SUPPORT AND PROTECT) - To form the relatively fixed axis of the birth passage.
(FORM AXIS OF BIRTH PASSAGE)
4 Bones of the Pelvis:
- 2 Innominate Bones
- Sacrum
- Coccyx
Acetabular fossa
- Illium
- Ischium
3 Pubis
Innominate Bones
- Ilium
- Ischium
- Pubis
- Sacrum
________ is the broad upper prominence of the hip.
Ilium
__________ is the strongest bone, is under the ilium and below the acetabulum.
Ischium
________ forms the slightly bowed front portion of the innominate bones.
Pubis
_________ wedge-shaped bone formed by the fusion of five vertebrae.
Sacrum
Parts of Ilium
- Iliac Crest
- Anterior Superior Iliac Spine
- Anterior Inferior Iliac Spine
- Posterior Superior Iliac Crest
- Iliac Fossa
- Iliopectineal Line or Linea Terminalis
Parts of Ischium
- Ischial Tuberosity
- Ischial Spines
Parts of Pubis
- Symphysis pubis
- Pubic Arch
________ where the weight of the seated body rests.
Ischial Tuberosity
_________ serves as reference points during labor.
Ischial Spines
_________ is the point of union of the two pubic bones at the anterior midline.
Symphysis pubis
__________ is the triangular space below the junction of the symphysis pubis.
Pubic Arch
Clinical Significance: IF the angle formed is acute, it is very possible that the ischial spines are too _____ to one another resulting in a ______.
narrow pelvic cavity
4 Parts of Sacrum
- Sacral Promontory
- Coccyx
- Sacrococcygeal Joint
- Symphysis Pubis
__________ is a projection into the pelvic cavity on the anterior upper portion.
Sacral Promontory
_________ is a small triangular bone last on the vertebral column.
Coccyx
__________ is the point of coccygeal and sacral articulation, between the sacrum and the coccyx.
Sacrococcygeal Joint
__________ is the junction of the two pubic bones which are united by a pad of cartilage.
Symphysis Pubis
The Pelvic Ligaments
- Sacroiliac Ligaments
- Sacrotuberous Ligaments
- Sacrospinous Ligaments
- Sacrococcygeal Ligaments
___________ is the strongest in the whole body, connects the sacrum to the iliac bones on each side.
Sacroiliac Ligaments
_________ between the sacrum and the ischial tuberosities; one on each side.
Sacrotuberous Ligaments
__________ is between the sacrum and the ischial spines, one on each side.
Sacrospinous Ligaments
___________ is between the 5th and sacral vertebrae and the coccyx.
Sacrococcygeal Ligaments
Pelvic Diaphragm
- Deep Fascia
- Levator Ani
- Coccygeal Muscles
Levator Ani
a. Iliococcygeus
b. Pubococcygeus
c. Puborectalis
d. Pubovaginalis
The Pelvic Divisions
- False Pelvis
- True Pelvis
___________ is the portion above the pelvic brim.
False Pelvis
_________ supports the weight of the enlarged uterus and directs the presenting fetal part into the true pelvis.
False Pelvis
_________ is the portion below the pelvic brim.
True Pelvis
__________ is made up of the sacrum, coccyx, and innominate bones and represents the bony limits of the birth canal.
True Pelvis
The True Pelvis has 3 major
- Pelvic Inlet
- Pelvic Cavity
- Pelvic Outlet
The size and shape of the true pelvis must be adequate for normal ____ passage during labor and birth.
fetal
____________ is the upper border of the true pelvis is typically rounded
The Pelvic Inlet
___________ is a curved canal with a longer posterior than anterior wall.
The Pelvic Cavity
__________ is situated at the lower border of the true pelvis
Pelvic Outlet
Most common female pelvis (50%)
Gynecoid Pelvis
Posterior segment is broad, deep, and roomy, and the anterior segment is well rounded
Has a wide and round pubic arch
Gynecoid Pelvis
Inlet is rounded, with the AP diameter a little shorter than the T diameter
Gynecoid Pelvis
Normal male pelvis
Inlet is heart shaped
AP and T diameters adequate for birth
Android Pelvis
Has narrow sharp, and deep pubic arch
AP diameter is short, T diameter is narrow
Android Pelvis
Approximately 20% of female pelvis
Arrest of labor is frequent, requiring difficult forceps manipulation
Android Pelvis
Inlet is oval
Long AP diameter, short T diameter
Anthropoid Pelvis
Outlet has a normal or moderately narrow pubic arch
Posterior and anterior sagittal diameters extremely long
Approximately 25% of female pelvis
Anthropoid Pelvis
Inlet is a distinctly transverse oval
Refers to the flat female pelvis
Platypelloid Pelvis
Short AP and extremely short T diameter
Outlet has an extremely wide pubic arch
Only 5% of female pelvis
Platypelloid Pelvis
4 Pelvic Types
- Gynecoid
- Android
- Anthropoid
- Platypelloid
The Female Hormones
a. Estrogen
b. Progesterone
3. Prostaglandins
- Contributes to “Femaleness”
- Assists in the maturation of the ovarian follicles and cause endometrial proliferation
Estrogen
3 classical estrogens:
Estrone
B-Estradiol
Estriol
_______ controls the development of the female secondary sex characteristics:
Estrogen
- Breast development
- Widening of the hips
- Deposits of tissue (fat) in the buttocks and mons pubis
ESTROGEN
Amount is greatest during the ___________ (follicular or estrogenic) phase of the menstrual cycle
proliferative
Estrogen inhibit ___ production and stimulate ___ production
Estrogen inhibit Follicle-stimulating hormone (FSH) production and stimulate Luteinizing Hormone (LH) production
Uterine sensitivity to ____ increases
Uterine sensitivity to oxytocin increases
BY: Estrogen
_________ is secreted by the corpus luteum
Found in greatest amounts during the _____ (luteal or pregestational) phase of the menstrual cycle
Progesterone
Decreases uterine motility and contractility caused by estrogens
Causes the endometrium to further increase its supply of nutrients
Progesterone
Hormone of pregnancy
Prepares the breast for lactation
Progesterone
Oxygenated fatty acids that are produces by the cells of the endometrium
Prostaglandins
Two primary types of prostaglandins are:
groups E and F;
1. PGE - vasorelaxants/vasodilator
2. PGF - vasoconstrictor
NEUROHORMONAL BASIS
Organs that play a great part:
Hypothalamus
Anterior Pituitary Gland
Ovaries
Uterus
Ovarian Cycle
The follicular phase (days 1 to 14)
The luteal phase (days 15 to 28)
** for a typical 28-day cycle
Follicular Phase
The immature follicle matures as a result of ___. The mature Graafian follicle appears on about the ___ day under ___ control of FSH and LH:
Cumulus oophorus
Zona pellucida
14th
—
dual
Follicular Phase
Just before ovulation, the mature ____completes its first _____ division, yielding a:
- polar body: a small cell
- secondary oocyte: which matures into an ____
Mittelschmerz: mid-cycle pain (for some)
- Body temperature increases about 0.3 - 0.6C
24-48 hours after ovulation
meiotic
–
ovum
–
Luteal Phase
Begins when the ovum leaves its _____
Corpus luteum _____ from the ruptured ____
If the ovum is fertilized and implants in the _______, the fertilized egg begins to secrete ____.
develops
–
follicle
–
endometrium
–
Human chorionic gonadotropin (hCG)
__________ is an episodic uterine bleeding in response to cyclic hormonal changes
Menstruation
Average length of The Cycle:
28 days (Range: 23-35 days)
Average length of The Menses
4-6 days (Range: 2-9 days)
Age of Onset of the Cycle
11-13 years
Characteristics of Discharge
- Dark, Reddish color
- has a musty odor due to the decomposition of blood elements
- a mixture of secretion of uvular sebaceous gland.
- Amount of blood loss = 30-80 mL
- Amount of iron loss = 0.5-1 mg daily
Symptoms of Mens Cycle
- Sensation of heaviness & weight in the pelvic region, mild backache & cramping
- Slight nervous irritability - feeling of tenderness and anxiety
- Bladder & GIT irritability
- Changes in body weight = 1to 3 lbs. Shortly before the onset of menstruation w/c they lose promptly as menstruation begins
Phases of the Menstrual Cycle
- Menstrual Phase
- Proliferative Phase
- Secretory Phase
- Ischemic Phase