Reproductive System Flashcards
Sperm route
Seminiferous tubules
Epididymis
Vas deferens
Ejaculatory duct
Urethra
Accessory sex glands of the male reproductive system
Seminal vesicles
Prostate
Bulbourethral glands
Supporting structures of the male reproductive system
Penis
Scrotum
Function of accessory glands
Produce substances that protect the gametes and facilitate their movement
Function of supporting structures
Assist in delivery of gametes
Pouch that supports the testes
Scrotum
Median ridge that separates the scrotum into lateral portions
Raphe
Composed of smooth muscle fibers found in the subcutaneous layer of the Scrotum
Dartos muscle
Divides the scrotum into two compartments
Scrotal septum
Collection of serous fluid in the tunica vaginalis
Hydrocele
Small bands of skeletal muscle that descends as an extension of the internal oblique muscle through the speramtic cord
Cremaster muscle
Partially covers the testest
Tunica Vaginalis
Divides the testest into little compartments
Tunica albuginea
Site of sperm maturation
Epididymis
The process by which the seminiferous tubules produce sperm
Spermatogenesis
Functions of epididymis
Propel sperm to vas deferens
Stores sperm
Non-inflammatory Prostatitis
Category IIIB
Composition of the spermatic cord
Vas deferens
Testicular artery
Veins
Chronic bacterial prostatitis
Category II
Formed by the union of the duct from the seminal vesicle ejaculatory duct
Shared terminal for reproductive and urinary system
Inflammatory Chronic Prostatitis
Category IIIA
Inflammation of the prostate gland
Prostatitis
Acute bacterial prostatitis
Category I
Pathogens of prostatitis
E. Coli
Pseudomonads
Staph
Strep
Asymptomatic Inflammatory Prostatitis
Category IV
A category of prostatitis that presents with ED
Category II, IIIA, IIIB
Medications for BPH
5-a-reductase inhibitors
a-adrenergic blockers
antimuscarinics
An age-related non-malignant enlargement of the prostate gland.
Benign Prostatic Hyperplasia
Dietary risk factors of BPH
Milk and dairy products
When is it considered BPH?
When prostatic volume is greater than 30 mL
Inflammation of the Epididymis
Epididymitis
Risk factors of BPH
Age > 50 y/o
PSA > 1.4
PV > 30 mL
Intl Prostate Symptom Score > 8
Clinical manifestations of BPH
Nocturia
Urinary frequency
Urinary urgency
Weakened stream
CM of Orchitis
Testicular pain and tenderness
Swelling
Unilateral scrotal pain radiating to the groin
Fever and Malaise
CM of Epididymitis
Gradual onset of pain over 24 hrs
U/L scrotal pain
Urinary frequency, urgency, Dysuria
Inflammation of the testis
Orchitis
Cause of Orchitis
Viral or bacterial infection
Pathogenesis of Orchitis
Often secondary to UTI
Types of Epididymitis
Sexually transmitted
Non-sexually transmitted
Provide a route for sperm to reach an ovum and transport secondary oocytes from ovaries to uterus
Uterine tubes/Fallopian tubes/Oviducts
Another name for ED
Impotence
Grading of ED
0-3: Severe
4-6: Moderate
7-8: Mild
S/Sx of sexually transmitted Epididymitis
Concurrent urethritis
Urethral discharge
Inability to achieve, keep, or sustain an erection sufficient for satisfactory sexual performance
Erectile Dysfunction
CM of ED
Need more physical stimulation for erection
Less firm erections
Longer time to reach orgasm
Decresed force of ejacuation
Risk factors of ED
Men > 50 y/o
Smoking
DM
Hyperlipidemia
Hypothyroidism
CAD
PVD
Female gonads which are paired glands that resemble unshelled almonds in size and shape
Ovaries
Ligaments that hold the ovaries in position
Broad ligament
Ovarian ligament
Suspensory ligament
Uterus is aka
Womb
PT Tx for ED
Pelvic floor muscle strengthening
What do ovaries produce
Gametes
Hormones
Site of implantation of a fertilized ovum, development of the fetus, and labor
Uterus
Serves as part of the pathway for sperm deposited in the vagina
Uterus
Anatomical subdivision of the uterus
Fundus
Body
Cervix
Layers of the uterus
Perimetrium
Myometrium
Endometrium
The external genitalia of the female reproductive system
Vulva
Function of the vulva
Acts as a protective barrier for the internal reproductive organs
Length of vagina
10 cm (4in)
A normal consequence of aging that marks the end of a woman’s productive years
Menopause
A concurrent series of changes in the endometrium of the uterus to prepare it for the arrival of a fertilized ovum
Menstrual cycle
Functions of mammary glands
synthesis, secretion, and ejection of milk
Location of vagina
Situated between the urinary bladder and the rectum
A series of events in the ovaries that occur during and after the maturation of an oocyte
Ovarian cycle
Cause of menopause
Progressive reduction of estrogen production
time period between when a woman experiences initial reduction in ovarian function when she reaches menpopause
Menopause transition
Physiologic changes of menopause
Decrease in ovarian follicles
Reproductive sensescence
Decrease in GH secretions
Decrease in estrogen
Diamond-shaped area medial to the thighs and buttocks of both males and females
Perineum
Years in a woman’s life following menopause
Postmenopause
Cessation of menses before age 40
Premature ovarian failure
Criteria to diagnose menopause
1 full year without menstruation
Surgical removal of the ovaries
Surgical menopause
PID commonly causes
Infertility
Chronic pain
Pregnancy
The infection and inflammation of the female upper genital tract
Pelvic Inflammatory Dse
CM of Menopause
Temporal changes in menstrual cycle
Anovulation
Vaginal dryness and discomfort
Frequency of vaginal and bladder infection increases
Cause of PID
Neisseria somorrhocae
Chlamydia trachomatis
Anaerobic and mycoplasma bacteria
A procedure to scrape and collect the tissue from inside the uterus
Dilation and Crettage
Widening of the cervix to allow the instruments into the uterus
Dilation
CM of PID
Vaginal bleeding and discharge
Burning sensation upon urination
Fever or chills
Nausea or vomiting
Dyspareunia
Scraping of the contents of the uterus
Curettage
An estrogen-dependent disorder defined by the presence of an endometrial tissue outside the uterus
Endometriosis
CM of Endometriosis
Dysmenorrhea
Dyspareneuria
Pain upon defecation
Metaplasia of the mesothelium
Meyer’s theory
Risk factors for Endometriosis
Low birth weight
Consumption of red meat and trans fat
Menstrual period longer than 7 days
Complications of PID
Chronic pelvic pain
Infertility
Ectopal or tubal pregnancy
Three primary pathologic types of Endometriosis
Red or petechial implants
Brown or immediate implants
Black or brown powder-burn implants
Chief complaint in Endometriosis when the implants are on the uterosacral ligaments
Dysmenorhhea
Painful intercourse
Dyspareunia
Medications for Endometriosis
Leuprolide (Lupron)
Gonadotropin-releasing hormone
Danazol
A synthetic male hormone that inhibits that monthly sure of LH thus, reducing estrogen production and influences the way estrogen affects endometriosis
Danazol
Loss of support in the bladder and urethra resulting in the falling of the urinary bladder
Cystocele
Clinical presentation of Cystocele
Bulging of the anterior vaginal wall into the vagina
Loss of support of the rectum resulting into the falling of the rectum
Rectocele
Clinical presentation of Rectocele
Bulging of the posterior vaginal wall into the vagina
The fall of uterus into the vagina
Uterine prolapse
Bladder and urethra prolapse into the vagina
Cystourethrocele
The urethra prolapses into the vagina
Urethrocele
Part of the intestine prolapses into the space between the vagina and the rectum
Enterocele
Anal and rectal canal folds over and falls out of the rectum
Rectal prolapse
Apex of the vagina prolapses
Vaginal Vault prolapse
A simple pelvic examination tool used by most gynecologists
Baden Walker
A pelvic examination that involves a complex set of measurements to map the shape of the vaginal walls
POPQ
Baden Walker Grading: Normal position
Grade 0
Baden Walker Grading: Descent halfway to the hymen
Grade 1
Baden Walker Grading: Descent to the hymen
Grade 2
Baden Walker Grading: Descent past the hymen
Grade 3
Baden Walker Grading: Maximum possible descent
Grade 4
Different types of cyst in an Ovarian Cystic Disease
Functional cyst
Endometrial cyst
Neoplastic cysts
Cysts from PCOS
A disorder marked by the presence of multiple cysts. It is a hormonal disorder affecting premenopausal women
Polycystic Ovary Syndrome
CM of PCOS
Weight gain and obesity
Severe acne
Infertility
Menstrual problems