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gonads
ovaries in women, secrete sex hormones during puberty (estrogen and progesterone)
structures of the vulva
mons pubis, labia majora, labia minora, clitoris
mons pubis
mound of skin and adipose tissue overlying the symphysis pubis, covered in pubic hair for mature women
labia majora
a pair of thick folds of skin, connective tissue, and adipose tissue, inner surface has sweat and sebaceous glands
labia minora
pair of thin folds of hairless skin immediately internal to the labia majora, sebaceous glands and melanocytes give the folds dark pigmentation, anteriorly join together to form to prepuce (hood) of the clitoris, posteriorly merge with the labia majora
clitoris
erectile organ of the vulva
greater vestibular gland (Bartholin gland)
pea-sized glands on the posterolateral walls of the vagina that secrete mucus
gynecology
medical specialty for the care of the female reproductive system
labium (labia)
fold of the vulva
majus (major)
bigger or greater
minus (minora)
smaller or lesser
obstetrics
medical specialty for the care of women during pregnancy and the postpartum period
perineum
area between the thighs, extending from the coccyx to the pubis
pubis (pubic bone)
bony front arch of the pelvis of the hip
vestibule
space at the entrance of a canal
vestibular bulb
structure on each side of the entrance to the vagina, fill with blood and become more sensitive during sexual intercourse
vulva
female external genitalia
functions of the vagina
discharge of menstrual fluid, receipt of penis and semen, birth of a baby
vagina (birth canal)
connects the vulva with the uterus, contains paraurethral glands, rugae, and the hymen
fornix (fornices)
arch-shaped, blind-ended part of the vagina behind and around the vervix
hymen
thin membrane partly occluding the vaginal orifice
paraurethral glands (Skene glands)
glands in the anterior wall of the vagina that secrete mucin to lubricate the vagina
ruga (rugae)
a fold, ridge, or crease
vagina
female genitalia canal extending from the uterus to the vulva
vulvovaginal
pertaining to the vulva and vagina
ovaries
female primary sex organ
female internal accessory organs
pair of uterine (fallopian) tubes, a uterus, and a vagina
estrogen and progesterone
involved in menstruation and pregnancy
ovary
almond-shaped organ located in a shallow depression in the lateral wall of the pelvic cavity, held in place by ligaments that attach it to the pelvic wall and uterus
tunica albuginea
capsule that encloses the ovary
uterine (fallopian) tube areas
infundibulum, ampulla, isthmus, uterine
infundibulum
ovarian end, the outer 1/3 flares out into a funnel-shape with finger-like folds called fimbriae, at ovulation the fimbriae enclose the ovary
ampulla
widened area of the fallopian tube, usually the site of fertilization
isthmus
inner 1/3 of each fallopian tube approaching the uterus
uterine
in the fallopian tube, extends from the isthmus to the uterus
adnexa of the uterus
uterine tubes, broad ligaments, and the ovaries
three regions of the uterus
fundus, body, cervix
fundus
the broad, curved upper region of the uterus between the lateral attachments of the uterine tubes
body
the midportion of the uterus
cervix
cylindrical inferior portion of the uterus that projects into the vagina
internal os (internal orifice)
opening of the cervical canal from the lumen
external os (external orifice)
cervical opening into the vagina
three wall layers of the uterus
perimetrium, myometrium, endomertium
perimetrium
continuation of the broad ligament, the covering of the uterus, part of the peritonium
myometrium
thick layer of smooth muscle in the uterus
endometrium
the inner lining of the uterus that sheds during menstruation
adnexum (adnexa)
parts accessory to an organ or structure
anteverted
tilted forward
fimbria (fimbriae)
a fringe-like structure on the surface of a cell or microorganism
fundus
part furthest from the opening of a hollow organ
infundibulum
funnel-shaped structure
isthmus
part connecting to larger parts, in this case, the uterus to the uterine tube
os
opening into a canal, for example, the cervix
ovary
one of the paired female egg-producing glands
uterus
organ in which an egg develops into a fetus
uterine tubes (fallopian tubes)
carry the ovum from the ovary to the uterus, tubes connected from the uterus to the abdominal cavity
follicles
a layer of cells surrounds the primary oocyte, many degenerate, around 2 million in the ovarian cortex
primary oocytes
contain 23 pairs of chromosomes
secondary oocytes
contain 23 single chromosomes
oogenesis
begins in the fetal period and ends at menopause
granulosa cells
secrete estrogen, surround the oocyte and line the fluid-filled antrum of the follicle
ovulation
by the midpoint of the menstrual cycle, the mature follicle bulges out on the surface of the ovary and ruptures
menarche
cannot occur until at least 17& of a girl’s weight is body fat
high levels of estrogen and progesterone
inhibit the secretion of GnRH
first phase of endometrium cycle
5 days, shedding of the endometrial lining
Second phase of endometrial cycle
endometrial lining begins to rebuild in preparation to protect and noourish the fertilized egg
final stage of endometrium cycle
the endometrium becomes rich in blood supply and in the development of glands
estrogens
hormone produced in the ovarian follicles
estrogen functions
convert girls into sexually mature women, participate in the menstrual cycle, participate in pregnancy
progesterone
hormone produced by the corpus luteum of the ovary and by the adrenal glands
progesterone functions
prepare the lining of the uterus for implantation of the egg, inhibit lactation during pregnancy, produce menstrual bleeding if pregnancy does not occur
follicle-stimulating hormone (FSH)
from the pituitary gland, stimulates the synthesis and secretion of estrogen
gonadotropin-releasing hormone (GnRH)
controls FSH and LH
luteinizing hormone (LH)
stimulates progesterone production
antrum
a nearly closed cavity or chamber
corpus albicans
an atrophied corpus luteum
corpus luteum
yellow structure formed at the site of a ruptured ovarian follice
estrogen
generic term for hormones that stimulate female secondary sex characteristics
follicle
spherical mass of cells containing a cavity, in this case holding an oocyte
gonadotropin
hormone capable of promoting gonad function
granulosa cell
cell lining the ovarian follice
involution
a decrease in size or vigor
menopause
permanent ending of menstrual periods
menses
monthly uterine bleeding
oocyte
female egg cell
oogenesis
development of female egg cell
ovulation
release of an oocyte from a follicle after it ruptures
progesterone
a steroid hormone released by the corpus luteum and involved in the menstrual cycle, pregnancy, and the development of an embryo
bacterial vaginosis
most common cause of vaginitis, different types of invading bacteria outnumber the normal bacteria of the vagina, main symptom is abnormal discharge with fishlike odor
toxic shock syndrome
caused by toxins circulating in the bloodstream produced by rare strains of bacteria
vulvovaginal candidiasis
common cause of genital itching or burning, cottage-cheese vaginal discharge, caused by overgrowth of yeast fungus candida and can occur after taking antibiotics, associated with vitamin D deficiency
vulvovaginitis
allergic and irritative causes can be caused by vaginal hygiene products, spermicides, detergents, and synthetic underwear
vulvodynia
chronic, lasting, severe pain around the vaginal orifice which feels raw, dyspareunia is common, vulva may look normal or slightly swollen, etiology unknown
bacterial vaginosis
associated with increased risk of gonorrhea and HIV infection
vaginal cancer
uncommon, comprising 1% to 2% of gynecologic malignancies, can be effectively treated with surgery and radiation therapy
dyspareunia
pain during sexual intercourse
vulvodynia
chronic vulvar pain
vulvovaginitis
inflammation of the vagina and vulva
chalmydia
known as the “silent” disease because there are no symptoms, common signs include a vaginal or penile discharge and irritation with dysuria, can be passed onto a newborn during childbirth, causing eye infections or pneumonia
gonorrhea
can be passed on to a baby in childbirth, causing a serious eye infection, symptoms may not be present, in the female they can include a vaginal discharge, bleeding, and dysuria, a cause of PID