CMCA Lec Transes

Gender Identity

Sense

Role Identity

Differentiation

Sex

Biologic

Sexuality

behavior

External genitalia

• Vulva / Pudenda

• Mons pubis / mons veneris

• Labia majora (large lips)

• Labia minora (thin lips)

Vulva / Pudenda

• collective term for the female external genitalia

• from mons pubis to the perineum

Mons pubis / mons veneris

• pad of fatty tissue that lies over the symphysis pubis

• covered with fine downy hair but during puberty there will be appearance of pubic hair

Labia majora (large lips)

two long large longitudinal folds that extend from symphysis pubis to perineum

escutcheon

pubic hair

dartos muliebris

wrinkled appearance of labia majora

Organs located in the labia minora

prepuce of clitoris (hood of the clitoris)
clitoris
fourchette

Prepuce of the clitoris (hood of the clitoris)

located anteriorly of the labia minora

Clitoris

“pea shape” composed of erectile tissues and sensitive nerve endings that is the site of the female eroticism

Clitoris = Greek word that means ___

“key”

Fourchette

tapers posteriorly of labia minora. Site of episiotomy

Stage 1

Pre-adolescence
No pubic hair except fine body hair

Stage 2

occurs between ages 11 & 12
sparse, long, slightly pigmented and curly hair that develops along labia

Stage 3

Occurs between ages 12 & 13
hair becomes darker and curlier that develops along symphysis pubis

Stage 4

occurs between ages 13 & 14
hair assumes the normal appearance of an adult but is not so thick and does not appear to the inner aspect of the upper thigh

Stage 5

sexual maturity assumes the normal appearance of an adult and appears to the inner aspect of the upper thigh

Vestibule

almond shape organ located in between labia minora.

urinary meatus
skene’s gland
hymen
vaginal opening
bartholin’s gland

Urinary meatus

small opening of urethra for urination

Skene’s gland

aka. Paraurethral glands.
Located at the side of the urinary meatus. Two mucoid secreting glands to lubricate the vagina

Hymen

membranous tissue that covers the vaginal opening

• Presence or absence of hymen will not indicate virginity

Carumculae mystiformes

healing of a thorn hymen

Vaginal opening

opening of the vagina

Bartholin’s gland

aka. paravaginal glands.
Two mucoid secreting glands of alkaline fluid to neutralize the acidic environment of the vagina to keep the sperm alive

Virginity

no penetration of penis

Rape

no consent (sexual activity forcefully inserting something hard inside the: vagina, anus or mouth)

Perineum

muscular organ located in between vagina and anus

levator ani
pubococcygeal muscles

levator ani

is a complex funnel-shaped structure mainly composed of striated muscle with some smooth muscle components.

pubococcygeal muscles

supports the vagina and prostrate in females and males, respectively. It aids ejaculation and assists in proper positioning of the fetus head

kegel exercises

(also called pelvic floor exercises) help strengthen your pelvic floor muscles

Internal Female Organs

A. Vagina

B. Uterus

C. Ovaries

Vagina

female organ for copulation. Passageway of menstruation and fetus

• hollow muscular organ

• size: 3-4 inches of dilatable canal

Rugae

located in the walls of the vagina. Responsible for the maximum stretchability without tearing

• rugae is abundant in a nulliparous woman

• multipara – are at risk of vaginal laceration

Vagina is acidic with pH between ____

4.5 to 5.5

Doderlein’s bacillus

responsible for making the vagina acidic

Prior to puberty vagina is alkaline

nullipara

has never given birth

primipara

first time mothers

multipara

2 or more pregnancies and deliveries

Uterus

Uterus – hollow, thick-walled, muscular organ

• organ of menstruation

• houses the fetus

size of Uterus

1X2X3 = 1 in thick, 2 in wide, 3 in long

shape of Uterus (non-pregnant)

inverted pear shape (avocado-shape)

shape of Uterus (pregnant)

ovoid or globular

weight of uterus (non pregnant)

50 - 60 grams

weight of uterus (during pregnancy)

1000 grams

weight of uterus (4th stage of labor)

1000 grams

weight of uterus (1 week PP)

500 grams

weight of uterus (2-3 weeks PP)

200-300 grams

weight of uterus (5-6 weeks PP)

50-60 grams

Involution

return of uterus to its non-pregnant state after 5 – 6 weeks post-partum

opposite of involution

subinvolution

normal position of uterus

anteflexed (slightly tilted forward)

Parts of the uterus

cervix
corpus or body
fundus

Cervix

– lower cylindrical layer

Corpus/Body

upper triangular layer

Fundus

upper cylindrical layer

Muscle layer of uterus

endometrium
myometrium
perimetrium

Endometrium

inner muscle layer.

• muscle layer of menstruation

• sloughs off every month and regenerates based on the menstrual cycle

Decidua

pregnant endometrium

Endometriosis

aka. ectopic endometrium

• proliferation of endometrium outside the uterine cavity

• sites: cervix, fallopian tubes, ovaries (most common site)

• one of the causes of female infertility

signs and symptoms

1. Persistent low back pain

2. excessive bleeding

diagnostic test: laparoscopy and biopsy

management:

1. Danazole (Danocrine)

inhibits ovulation, stops menstruation 6 mos. to 1 year

2. Luprolide (Lupron)

IM weekly. At least for 1 year

Myometrium

the middle and the largest muscle layer

• the power of labor

• the living ligatures of the baby

• the figure of 8

Perimetrium

the outer muscle layer that protects the uterus

Fallopian tubes

serves as the passageway of the sperm to fertilize the ovum

• meeting place ovum and sperm

Parts of Fallopian Tubes

interstitial
isthmus
ampulla
infundibulum

interstitial

nearest to the uterus. With the narrowest lumen. The MOST dangerous site of ectopic pregnancy

isthmus

site of female sterilization (BTL) *Bilateral Tubal Ligation

Ampulla

2^nd half or the outer 3^rd. Site of fertilization/conception. Rendezvous of sperm and ovum

• most common site of ectopic pregnancy

Infundibulum

last part of the fallopian tube. Funnel or trumpet shape. It has fimbriae or finger like projection that catches the mature ovum

Ovaries

female sex organ. Produces the sex cell. Female gonads

Two major functions:

1. Organ of ovulation (produces the sex cell = ovum)

2. produces hormones; estrogen and progesterone

ovaries produces hormones?

estrogen and progesterone

parts of ovaries

medulla
cortex
tunica albugenia

medulla

inner part of ovaries. It contains blood vessels, lymph nodes, and nerves

cortex

the site of ovum maturation

tunica albugenia

the covering of the ovaries that appears dull and whitish