Module 12 Female Reproductive System Flashcards
vestibular bulb
erectile body deep to the labia majora on either side of the vaginal orifice
greater vestibular gland
AKA Bartholin Gland; secrete mucin which lubricates the vagina
vulvovaginitis
allergic and irritation caused by vaginal hygiene products, spermicides, detergents, and synthetic underwear
vulvodynia
chronic, lasting, severe pain around the vaginal orifice which feels raw; dyspareunia (painful intercourse) is common
fornix
arch-shaped, blind-ended part of the vagina behind and around the cervix
dyspareunia
pain during sexual intercourse
paraurethral glands
AKA Skene glands; glands in the anterior wall of the vagina that secrete mucin to help lubricate the vagina
vaginosis
any disease of the vagina
PID
pelvic inflammatory disease
chlamydia
known as “silent” disease because infected women and men have no symptoms; when there are signs a vaginal or penile discharge and irritation with dysuria are common
Syphilis
caused by spirochete; sexually transmitted then spread through bloodstream to every organ; ulcers known as chancres; starts as primary and evolves to tertiary
trichomoniasis
“trich”; caused by parasite trichomonas vaginalis; frothy yellow-green discharge with irritation and itching of the vulva; can be transmitted back and forth between partners
molluscum contagiosum
virus that can be sexually transmitted; resulting tumors are small, shiny bumps that have a milky-white fluid inside and can appear anywhere on the body
HPV
human papilloma virus; causes genital warts in both men and women; due to sites of the warts around the genitalia, condoms cannot provide complete protection
HSV
herpes simplex virus
PGY
pregnancy
3 layers of the uterus
from outside to inside: perimetrium, myometrium, and endometrium
infundibulum
ovarian end of the uterine tubes that open with fingerlike folds called fimbriae; at ovulation the fimbriae enclose the ovary
adnexa of the uterus
ovaries an uterine tubes
uterus
thick-walled, muscular organ; normally tilts forward (anteverted) over the urinary bladder; 3 regions: fundus, body, cervix
anteverted
tilted forward
oogenesis
fetus: millions of follicles each containing a primary oocyte
birth to puberty: primordial follicles change to primary follicles
puberty to menopause: 19 out of 20 secondary follicles degenerate; follicle releases oocyte
corpus luteum
after follicle releases oocyte it becomes corpus luteum which releases estrogen and progesterone
corpus albicans
corpus luteum turns into corpus albicans and after degenerates and is resorbed
ovulation
at the beginning of the menstrual cycle as many as 20 primary follicles start maturing, but only one develops fully the remainder degenerate;
primary amenorrhea
occurs when a girl has not menstruated by 16;
secondary amenorrhea
when a woman who has been menstruating normally then misses 3+ periods in a row
primary dysmenorrhea
AKA PMS
secondary dysmenorrhea
pain associated with disorders such as infection in the genital tract of endometriosis
endometriosis
affects 1 in 10 American women of childbearing age; endometrium becomes implanted outside the uterus on the fallopian tubes, the ovaries, and pelvic peritoneum which goes through monthly menses; thickens and bleads, but because there is nowhere for the blood to go it leads to cysts and scar tissue
salpingitis
inflammation of the fallopian tubes and is part of pelvic inflammatory disease; bacteria infection spreads from the vagina through the cervix and uterus; symptoms: lower abdominal pain, fever, and vaginal discharge
retroversion of uterus
20% of women; tilted back toward rectum
cystocele
uterine prolapse accompanied by prolapse of the bladder and anterior vaginal wall
rectocele
uterine prolapse accompanied by prolapse of rectum and posterior wall of the vagina
fibroids
AKA fibromyomas, leiomyomas, or myomas; noncancerous growths of the uterus that appear during childbearing years; 3:4 women have them but only 1:4 have symptoms; symptoms: menorrhagia, metrorrhagia, polymenorrhea, pelvic pressure
menorrhagia
abnormally long, heavy menstrual bleedings
metrorrhagia
irregular bleeding between menstrual periods
polymenorrhea
too frequent periods and no ovulation
dysfunctional uterine bleeding
DUB; term used when no cause can be found for a patient’s menorrhagia
endometrial polyps
benign extensions of the endometrium that can cause irregular and heavy bleeding; can be removed by hysteroscopy or D&C
Menopause
when a woman has not menstruated for a year and is not pregnant; estrogen and progesterone start declining around 40 and menstruation ceases from 45-55; without estrogen and progesterone the uterus, vagina, and breasts atrophy and more bone is lost than replaced
endometrial cancer
4th most common cancer among women; mostly in ages 60-70; symptom: vaginal bleeding after menopause, vaginal discharge, pelvic pain, dyspareunia
cervical cancer
50% of cases occur between 35 and 55; early stages produce no symptoms and may be found on a routine Pap test, in precancerous stage abnormal cells (dysplasia) found only in the outer layer of the cervix.
infertility
inability to become pregnant after 1 year of unprotected sex; affects 10-15% of all couples
infrequent ovulation
responsible for 20% of female infertility problems when ovulation and menses occur after longer than a month
scarring of the uterine tubes
responsible for 30% of female infertility problems; can result from previous surgery, previous tubal pregnancy, pelvic inflammatory disease, or endometriosis; scarring blocks sperm from reaching the egg
structural abnormalities
20% of female infertility problems; fibroid tumors, uterine polyps, scarring from infections, abortions and miscarriages can all produce abnormalities of the uterus
rhythm method
avoiding sex near time of expected ovulation; 25% failure rate
coitus interruptus
pull out method; 20% failure rate
Mifepristone
AKA RU-486; when taken with a prostaglandin induces miscarriage; 8% failure rate
tubal ligation
getting your tubes tied; performed with laparoscopy; failure rate less than 1%;
tubal anastomosis
procedure of rejoining tubes from tubal ligation
progestin
synthetic form of progesterone
colposcopy
uses a colposcope, and instrument with a magnifying lens and light, to examine the lining of the vagina and cervial canal; performed because a Pap test was abnormal