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Female Reproductive System - Anatomy

Female Reproductive System

Components & Functions

  • Ovaries, uterine tubes, uterus, vagina, and vulva are the main components.
  • Mammary glands are also part of the female reproductive system.

Production of Gametes

  • Ovaries produce oocytes (female gametes).
  • Each oocyte is contained within an ovarian follicle that protects and nourishes it.
  • Ovulation is the process of oocyte release from a mature follicle.

Production of Sex Hormones

  • Ovaries produce estrogen and progesterone.
  • These hormones affect the development, maturation, and activity of female reproductive organs.

Facilitation of Fertilization

  • Uterine tubes transport the ovulated oocyte towards the uterus.
  • Fertilization typically occurs in the uterine tubes.
  • If fertilization occurs, the uterine tubes transport the fertilized oocyte to the uterus for implantation and growth into a fetus.
  • The vagina serves as the copulatory organ.

Support of Fetal Growth, Development, & Delivery

  • The uterus is a muscular organ that supports, protects, and nourishes the embryo and fetus.
  • The vagina forms part of the birth canal for delivery.

Embryological Development of Ovaries

  • Occurs around the 5th week of development.
  • Paired structures called genital ridges or gonadal ridges form from the mesoderm.
  • These ridges form the gonads in the abdominal cavity around the 10th thoracic vertebrae (T10) level.
  • During development, ovaries descend to their final position in the pelvic cavity.
  • Each gonad is guided by a thin band of connective tissue called the gubernaculum.
  • In females, the gubernaculum forms two ligamentous structures: the ovarian ligament and the round ligament of the uterus.

Ovaries

  • Paired, oval-shaped organs about the size of an almond.
  • Located in the pelvic cavity, lateral to the uterus, supported by the ovarian and suspensory ligaments.
  • Function: Produce female gametes and sex hormones.
  • Externally covered by two layers of tissue: the germinal epithelium and the tunica albuginea.
  • Internally, they have a cortex and a medulla.

Suspensory Ligament

  • Cord-like structure that anchors the ovary to the lateral pelvic wall.
  • Contains blood vessels and nerves.

Ovarian Ligament

  • Embryological remnant of the gubernaculum that guided the ovary to its final position.
  • Tethers the ovaries to the lateral aspects of the uterus.

Tunica Albuginea

  • Fibrous capsule of the ovary.
  • Deep to the germinal epithelium and composed of dense irregular connective tissue.

Medulla

  • Inner region of the ovary.
  • Contains blood vessels, nerves, and lymphatic vessels.

Germinal Epithelium

  • Layer of simple cuboidal epithelium surrounding the ovaries.
  • Closely associated with the peritoneum, reflecting the descent of the ovaries from the abdominal cavity.

Uterine Tubes

  • Also known as fallopian tubes or oviducts.
  • Extend laterally from either side of the uterus and transport the ovulated oocyte to the uterus.
  • Divided into four main parts (lateral to medial): infundibulum, ampulla, isthmus, and uterine part

Infundibulum

  • Most lateral part of the uterine tube, closest to the ovary.
  • Funnel-shaped with finger-like projections called fimbriae that sweep the ovulated oocyte into the uterine tube.
  • Fimbriae are not directly attached to the ovary but surround it to guide the oocyte.

Ampulla

  • Dilated part of the uterine tube, medial to the infundibulum.
  • The site where fertilization of an ovulated oocyte takes place.

Isthmus

  • Narrow part of the uterine tube, medial to the ampulla.
  • Forms 1/3 of the uterine tube's length.

Uterine Part

  • Most medial part, continuous with the wall of the uterus and opens into the lumen of the uterus.
  • Also known as the intramural part of the uterine tube.

Uterus

  • If the oocyte is not fertilized, it is shed along with the inner lining of the uterus during menstruation.
  • The uterus is a pear-shaped organ located in the pelvic cavity, ascending into the abdominal cavity during pregnancy.
  • Communicates with the uterine tubes superolaterally and the vagina inferiorly.
  • Normally situated posterosuperior to the urinary bladder and anterior to the rectum.
  • The cervix sits between the urinary bladder and rectum, and its body lies across the superior surface of the urinary bladder.

Fundus

  • The most superior part of the uterus.
  • Projects above the level at which the uterine tubes connect to the uterus.

Body of Uterus

  • The main part of the uterus.

Isthmus

  • Narrow part of the uterus between the body and the cervix.

Cervix

  • The neck of the uterus.
  • The most inferior part that projects into the vagina.
  • Contains a narrow channel called the cervical canal with two openings: the internal os and the external os (os = mouth).
  • The internal os opens into the lumen of the main part of the uterus, and the external os opens into the vagina.

Broad Ligament

  • A fold of the peritoneum that drapes over the uterus.
  • Divided into three regions based on associated structures: the uterus itself, the uterine tubes, and the ovaries.

Round Ligament

  • Embryological remnant of the gubernaculum that guided each ovary to its final position in the pelvic cavity during development.
  • Arises from the uterine horns (points where the uterine tubes connect to the uterus) and travels through the inguinal canal to reach the external genitalia.

Vagina

  • A fibromuscular canal connecting the uterus to the external environment.
  • Forms the birth canal and provides a passageway for menstrual fluid.
  • Located posterior to the urinary bladder and urethra, and anterior to the rectum.
  • The external opening of the vagina is called the vaginal orifice, partially guarded by a vascularized, membranous structure called the hymen.

Vulva

Mons Pubis

  • A pad of skin and connective tissue located immediately anterior to the pubic symphysis.
  • Covered with pubic hair after the onset of puberty.

Vestibule

  • The space between the labia minora.
  • Contains the external urethral orifice anteriorly and the vaginal orifice posteriorly.
  • On either side of the vaginal orifice, there are bodies of erectile tissue forming the bulb of the vestibule.
  • Within the posterolateral walls of the vestibule, paired greater vestibular glands secrete mucus to lubricate the vagina.

Labia Minora

  • Smaller, paired folds of skin and connective tissue located immediately internal to the labia majora.
  • Contain sebaceous glands and lack pubic hair.

Labia Majora

  • Paired, thickened folds of skin and connective tissue.
  • Contain sweat and sebaceous glands, and their outer surfaces are covered by pubic hair after the onset of puberty.

Clitoris

  • A small mass of erectile tissue located at the anterior margins of the labia minora.
  • Has a root that anchors it to the pelvis inferiorly, and a free body.
  • The root is composed of elongated masses of erectile tissue called crura, and the body is composed of cylindrical extensions of the crura called corpora cavernosa.
  • The end of the body of the clitoris is capped by the glans.
  • The clitoris is covered by the prepuce (foreskin), formed by the folds of the labia minora.