Reproductive system Flashcards
What does the female reproductive system consist of?
Vulva
Vagina
Uterus
Uterine (fallopian) tubes
Ovaries
What does the male reproductive system consist of?
Testes
Epididymis
Vas deferens
Prostate
Seminak vesicles
Penis
What is the male gonad?
Testes
What is the female gonad?
Ovaries
Where do the gonads originate in both genders?
The abdominal cavity
What separates the pelvis from the abdominal cavity?
The pelvic inlet
Different name for the pelvic inlet
Superior aperture of the pelvis
What defines the pelvic inlet?
The pelvic brim:
Arcuate and pectoral lines
Upper margin of the pubic symphysis
What is the pelvic brim?
The prominence of the sacrum
What is the pelvic outlet?
Plane of the inferior aperture
What defines the pelvic outlet?
The pubic arch
Ichial tuberosities
Inferior margin of the acrotuberous ligament
Tip of the coccyx
Can pelvic inlet and pelvic brim be used interchangeably?
Yes
Major difference between male and female pelvis?
Subpubic angle
Which gender has the wider subpubic angle?
Female
Which is the main muscle that forms the pelvic floor?
Levator ani
Which 3 muscles make up lelevator ani?
Puborectalis (most medial)
Pubococcygeus
Iliococcygeus
What kind of muscle is found in the pelvic floor?
Skeletal, voluntary muscle
2 hiatus found in the muscles of the pelvic floor
Urogenital hiatus
Rectal hiatus
Where does the iliococcygeus originate?
On thickening of the obturator fascia called tendinous arch of the levator anni
Where does the piriformis muscle insert?
Trochanter of the femur
Where does the piriformis exit the pelvis?
Through the greater sciatic foramen
What does the pelvic diaphragm support?
Pelvic viscera
2 muscles of the pelvic diaphragm
Levator ani
Coccygeus
2 muscles of the pelvic wall
Piriformis
Obturator interns
Deepest layer of the pelvic floor
Obturator interns
Levator ani
Piriformis
Coccygeus
Which margin of the deep transverse perineal and superficial transverse perineal is free?
Posterior margin
Is there space between the layers of muscle of the pelvic floor?
Yes
Middle layer of the pelvic floor
Deep transverse perineal
Superficial layer of the pelvic floor
Superficial transverse perineal
Ischiocavernosus
What is the name of the fascia that covers the deep transverse perineal muscle?
Perineal membrane
Different name for ischioanal fossa
Deep pouch
What is the border of the deep pouch?
Medially: Levator ani
Inferiorly: Deep transverse perineal
Laterally: Obturator intemus
Is the deep pouch found in both genders?
Yes
Are the borders of the deep pouch the same in both genders?
Yes
What is found in the Alcock canal
Pudendal nerve
Internal pudendal artery
Internal pudendal vein
Pudendal canal
How many triangles of the perineum?
2 in both genders
Name of the 2 triangles of the perineum
Urogenital triangle
Anal triangle
What does the peritoneum cover in the female?
The anterior surface of the bladder, the uterus, upper part of the vagina and reflects on the anterior surface of the rectum
How many peritoneal pouches in the female?
2
How many peritoneal pouches in the male?
1
What doe the uterine tubes surround?
The ovaries
What is the deepest part of the peritoneal cavity in the female?
The rectouterine pouch
Where is the uterus in non-pregnant women?
Below the pelvic inlet
What part of the uterus is the fundus?
The convex part
What is the broad ligament made of?
The folding of the peritoneum around the uterus
3 parts of the broad ligament
An upper mesosalpinx
A posterior mesovarium
An inferior mesometrium
What does the round ligament pass through?
The inguinal canal
What kind of organ is the uterus?
Empty organ
What is the mucosa layer of the uterus called?
Endometrium
What is the muscular layer of the uterus called?
Myomentrium
What is the serosa of the uterus called?
Perimetrium
What kind of epithelium is the endometrium?
Simple columnar epithelium
What is the superficial 2/3 of the endometrium called?
Stratum functionalis (functional endometrium)
What is the basal 1/3 of the endometrium called?
Stratum basalis
What part of the endometrium is in direct relations with the myometrium?
Stratum basalis
What part of the endometrium is shed during menstruation?
Stratum functionalis (functional endometrium)
When during the uterine cycle is re-epithelialization complete?
5-6 days after the start of menstruation
What does the cervix consist of?
Fibroelastic connective tissue and relatively little smooth muscle
What does the endocervix face?
The cervical canal
What does the enctocervix face?
The lumen of the vagina
2 parts of the cervix
Endocervix
Endocervix
Does the mucosa of the cervix shed during menstruation?
No
Does the cervix change with age?
Yes
What causes ectropion?
Estrogen
Different name for uterine tubes?
Fallopian tubes
Salpings
4 parts of the uterine tubes
Uterine part/ intramural part
Istmus
Ampulla
Infundibulum
What is the widest part of the uterine tubes?
Infundibulum and ampulla
Where in the uterine tubes does the fertilisation typically take place?
In the lumen
What are the fimbriae in the uterine tube?
Numerous mucosal finger.like folds
What is the fimbriae attached to the ovary called?
Ovarian fimbria
How many fimbriae attach to the ovaries?
1
What is part of the lower genital tract in females?
Vulva
Vagina
What is part of the upper tract in females?
Uterus
Uterine tubes
Ovaries
What embryological structure forms the fallopian tubes?
Mesonephric duct
What does the urogenital sinus develop into?
Prostate gland and distal part of vagina
What kind of malformation of the vagina is the most common?
Septate
Different name for the prominence of the sacrum
Promontorium of the sacrum
Name of the plane where the foetus passes during labor
Plane of pelvic outlet
Where do all 3 muscles of the elevator ani insert?
Anococcygeal ligament
Which pelvic floor muscles differs slightly in the 2 genders?
Deep transverse perineal
What is the difference in the deep transverse perineal in the 2 genders?
In the female there are 2 hiatus where in the male there is only 1
Does the ischiocavernosus muscle differ in the 2 genders?
Yes
Does the bulbospongiosus muscle differ in the 2 genders?
Yes
Is the anus found in the same perineal triangle in both genders?
Yes the posterior
Different name for the rectouterine pouch?
Pouch of Douglas
What does the ischioanal fossa consist of?
Adipose tissue
Which is the deepest peritoneal reces/pouch in the female?
Rectouterine pouch
Name of the 2 angles the position of the uterus can be described in terms of
Felxion
Version
What is the flexion? (female)
Angle between the longitudinal cervical axis and the longitudinal uterine axis
What is the version? (female)
Angle between the longitudinal cervical axis and the longitudinal vaginal axis
What is the normal position to flexion? (female)
Anteflexion
What is the normal position to version? (female)
Anteversion
4 parts of the uterus
Fundus
Body
Isthmus
Cervix
Where do the lateral folds/broad ligaments extend?
On each side from the uterus to the lateral pelvic walls
What do the broad ligaments become continuous with when they reach the lateral pelvic wall?
The peritoneum
Which border of the broad ligaments is free?
The upper border
Which border of the broad ligament is continuous with the peritoneum?
Lower border
What is found at the upper free border of the broad ligaments?
The uterine tubes
What does the round ligament reach when passing through the inguinal canal?
Labia majora
Which ligaments support the uterus and prevent uterine prolapse?
The deep pelvic ligaments
Which 2 ligaments support and help maintain the positions of the cervix and vagina in the pelvis?
Uterosacral ligaments
Paracolpium
Different name for Cardinal ligament? (female)
Transverse cervical ligament
Does the endometrial of the vagina contain glands?
Yes
Does the endometrium of the vagina differ in characteristics differ in the Body/fundus and cervix?
Yes
Does the myometrium contain blood vessels, lymphatic vessels and nerves?
Yes
What is the serosa of the vagina composed of?
Peritoneum
How many layers of smooth muscle in the myometrium?
3
What happens to the uterine glands during uterine cycle?
They change shape
Does the uterine glands reach the myometrium?
Yes
What is the epithelium of the endometrium like before puberty?
Ciliated and cuboidal
What are the uterine glands composed of?
Columnar cells
What does the columnar cells of the uterine glands secrete?
Glycoproteins and glycogen
What are the uterine glands like?
Tortuous and branched
What is predecidualization in the uterine cycle?
Stromal cells near terminal spiral arteries showing an increase in cytoplasm and surrounding extracellular matrix
What is the myometrium like at the uterine midlevel and fundus?
Dense and thick
What is the myometrium like at the tubal orifices?
Thin
Which muscle layer of the myometrium plays a central role during labour?
Intermediate (vascular) layer
Which muscle layer of the myometrium is the thickest?
Intermediate layer