The Female Reproductive system Flashcards
Is there a boundary between the abdominal cavity and the pelvic cavity?
No
What is a Mittelschmerz pain?
Ovarian pain at ovulation
Describe the quality of the Mittelschmerz pain and the mechanism.
Sharp pain- somatic from parietal peritoneum
Ovum release is traumatic and involves partial peritoneum rupture.
How is it that being a nun may increase your risk of ovarian cancer?
No pregnancy because of celibacy means maximum number of ovulations in a lifetime (ovulation is a traumatic event).
Outline typical ovarian cyst presentation
Pain from peritoneal stretching
Early satiety
Bloating
Nausea
-most are asymptomatic
Are ovarian cyst being or malignant and why must you be careful not to rupture them surgically?
Can be wither benign or malignant.
Rupture will spread cancer cells by the transcoelemic route if it is malignant
From top to bottom outline the anatomical divisions of the uterus.
Fundus
Body
Cervix
The external Os changes shape post partum, outline this change.
Circular tight Os pre-baby
Slit shaped after delivery
What is cervical ectropion?
Transitional zone of epithelium is exposed by a slight pouting of the external Os (common in patients with high oestrogen)
Uterine expansion can give lots of symptoms to pregnant women, please list some.
Stomach pushed up- acid reflux
Bladder squished- increased urinary frequency
Ligament stretch
Large intestine pushed back- constipation
What must you do if a woman of childbearing age presents with abdominal pain?
pregnancy test - rule out ectopic
Which part of the uterine tube must catch the egg?
Infundibulum with help from fimbriae
Are all fimbriae the same?
No there is one specialised one with groove the ovum will pass along.
The ampulla is the site of normal …
fertilisation
The ligament of ovary is continuos with which ligament?
Round ligament of uterus
What do the uterine tubes open into?
The peritoneal cavity
What are the pouches of peritoneal cavity either side of the uterus called?
Uterovesicular pouch
Uterorectal pouch
Name the three uterine ligaments.
- Broad Ligament
- Round Ligament
- Suspensory Ligament
The broad ligament is anatomically just a ….. fold
peritoneal
Remnants of the gubernaculum become the … ligament and the ligament of …. which are continuous.
round
ovary
The neuromuscular pathway that bulges into the peritoneum and is a uterine ligament is known as the….
Suspensory ligament
What is the mesometrium?
The lateral fold of peritoneum that connects the lateral uterine wall with the lateral pelvic wall. This is part of the broad ligament.
There are 4 subsections to the uterine tube, list them from the most distal structure to the uterus.
Fimbriae
Infundibulum
Ampulla
Isthmus
What 3 structures make up the broad ligament?
Mesosalpinx
Mesovarium
Mesometrium
