The Female Reproductive System
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Pregnant Body Book
THETHE COMPLETECOMPLETE ILLUSTRATEDILLUSTRATED GUIDEGUIDE FROMFROM CONCEPTIONCONCEPTION TOTO BIRTHBIRTH THE PREGNANT BODY BOOK THE PREGNANT BODY BOOK DR. SARAH BREWER SHAONI BHATTACHARYA DR. JUSTINE DAVIES DR. SHEENA MEREDITH DR. PENNY PRESTON Editorial consultant DR. PAUL MORAN GENETICS 46 THE MOLECULES OF LIFE 48 HOW DNA WORKS 50 PATTERNS OF INHERITANCE 52 GENETIC PROBLEMS AND 54 INVESTIGATIONS THE SCIENCE OF SEX 56 THE EVOLUTION OF SEX 58 ATTRACTIVENESS 62 HUMAN PREGNANCY 6 DESIRE AND AROUSAL 64 THE EVOLUTION OF PREGNANCY 8 THE ACT OF SEX 66 MEDICAL ADVANCES 10 BIRTH CONTROL 68 IMAGING TECHNIQUES 12 GOING INSIDE 14 CONCEPTION TO BIRTH 70 TRIMESTER 1 72 ANATOMY 24 MONTH 1 74 BODY SYSTEMS 26 WEEKS 1–4 74 THE MALE REPRODUCTIVE SYSTEM 28 MOTHER AND EMBRYO 76 THE PROSTATE GLAND, PENIS, 30 AND TESTES KEY DEVELOPMENTS: MOTHER 78 MALE PUBERTY 31 CONCEPTION 80 HOW SPERM IS MADE 32 FERTILIZATION TO IMPLANTATION 84 THE FEMALE REPRODUCTIVE SYSTEM 34 EMBRYONIC DEVELOPMENT 86 THE OVARIES AND FALLOPIAN TUBES 36 SAFETY IN PREGNANCY 88 THE UTERUS, CERVIX, AND VAGINA 40 DIET AND EXERCISE 90 THE BREASTS 42 MONTH 2 92 FEMALE PUBERTY 43 WEEKS 5–8 92 THE FEMALE REPRODUCTIVE CYCLE 44 MOTHER AND EMBRYO 94 CONTENTS london, new york, melbourne, DESIGNERS Riccie Janus, ILLUSTRATORS munich, and dehli Clare Joyce, Duncan Turner DESIGN ASSISTANT Fiona Macdonald SENIOR EDITOR Peter Frances INDEXER Hilary Bird CREATIVE DIRECTOR Rajeev Doshi SENIOR ART EDITOR Maxine Pedliham SENIOR 3D ARTISTS Rajeev Doshi, Arran Lewis PICTURE RESEARCHERS Myriam Mégharbi, 3D ARTIST Gavin Whelan PROJECT EDITORS Joanna Edwards, Nathan Joyce, Karen VanRoss Lara Maiklem, Nikki Sims ADDITIONAL ILLUSTRATORS PRODUCTION CONTROLLER Erika Pepe Peter Bull Art Studio, Antbits Ltd EDITORS Salima Hirani, Janine McCaffrey, PRODUCTION EDITOR Tony Phipps Miezan van Zyl DVD minimum system requirements MANAGING EDITOR Sarah Larter PC: Windows XP with service pack 2, US EDITOR Jill Hamilton MANAGING ART EDITOR Michelle Baxter Windows Vista, or Windows 7: Intel or AMD processor; soundcard; 24-bit color display; US CONSULTANT Dr. -
Chapter 28 *Lecture Powepoint
Chapter 28 *Lecture PowePoint The Female Reproductive System *See separate FlexArt PowerPoint slides for all figures and tables preinserted into PowerPoint without notes. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Introduction • The female reproductive system is more complex than the male system because it serves more purposes – Produces and delivers gametes – Provides nutrition and safe harbor for fetal development – Gives birth – Nourishes infant • Female system is more cyclic, and the hormones are secreted in a more complex sequence than the relatively steady secretion in the male 28-2 Sexual Differentiation • The two sexes indistinguishable for first 8 to 10 weeks of development • Female reproductive tract develops from the paramesonephric ducts – Not because of the positive action of any hormone – Because of the absence of testosterone and müllerian-inhibiting factor (MIF) 28-3 Reproductive Anatomy • Expected Learning Outcomes – Describe the structure of the ovary – Trace the female reproductive tract and describe the gross anatomy and histology of each organ – Identify the ligaments that support the female reproductive organs – Describe the blood supply to the female reproductive tract – Identify the external genitalia of the female – Describe the structure of the nonlactating breast 28-4 Sexual Differentiation • Without testosterone: – Causes mesonephric ducts to degenerate – Genital tubercle becomes the glans clitoris – Urogenital folds become the labia minora – Labioscrotal folds -
A Handy Guide to the Male and Female Reproductive Tracts
BASICS OF LIFE BY LES SELLNOW eproduction in all species borders on the miraculous. at the reproductive organs of both the mare and the stallion How else can one describe a process where two infini- and discuss just how they function in their effort to produce Rtesimal entities, one from the male, the other from the another “miracle.” Once again, sources are too numerous to female, join forces to produce living, breathing offspring? mention, other than to say that much of the basic informa- Reproductive capability or success varies by species. Mice tion on reproduction available today stems from research at and rabbits, for example, are prolific producers of offspring. such institutions as Colorado State University, Texas A&M Horses, on the other hand, fall into a category where it is University, and the University of Minnesota. There are many much more chancy. others involved in reproductive research, but much of the in- When horses ran wild, this wasn’t a serious problem. There formation utilized in this article emanated from those three were so many of them that their numbers continued to ex- institutions. pand even though birth rate often was dictated by the avail- ability of food and water. Once the horse was domesticated, The Mare however, organized reproduction became the order of the We’ll begin with the mare because her role in the repro- day. Stables that depend on selling the offspring of stallions ductive process is more complicated than that of the stallion. and mares have an economic stake in breeding success. Yet, Basically, the mare serves four functions: the process continues to be less than perfect, with success 1) She produces eggs or ova; rates hovering in the 65-70% range, and sometimes lower. -
Persistent Genital Arousal Disorder (PGAD) in Women: Mental Or Body
Persistent Genital Arousal Disorder (PGAD) in Women: Mental or Body Irwin Goldstein MD Director, Sexual Medicine, Alvarado Hospital, San Diego, California Clinical Professor of Surgery, University of California, San Diego Editor-in-Chief, The Journal of Sexual Medicine Interim Editor-in-Chief, Sexual Medicine Reviews Persistent Genital Arousal Disorder (PGAD) Persistent genital arousal disorder (PGAD) (formerly PSAS) is a rare, unwanted and intrusive sexual dysfunction associated with excessive and unremitting genital arousal and engorgement in the absence of sexual interest PGAD is extremely frustrating and can lead to suicidal ideation and attempts The persistent genital arousal usually does not resolve with orgasm Persistent Genital Arousal Disorder: during PGAD episode Homuncular genital representation Normal clitoris projection PGAD attack Increased Central sexual peripheral arousal reflex pudendal center that is nerve overly excited sensory and under afferent inhibited input Pain and Orgasm Share Common Neurologic Pathways – Lateral Spinothalamic Tract Pain and Orgasm Share Common Neurologic Pathways – Lateral Spinothalamic Tract The spinothalamic tract is a sensory pathway originating in the spinal cord The spinothalamic tract transmits afferent information to the thalamus about pain, temperature, itch and crude touch The types of sensory information transmitted via the spinothalamic tract are described as “affective sensation” - the sensation is accompanied by a compulsion to act. For instance, an itch is accompanied by a need to scratch, and a painful stimulus makes us want to withdraw from the pain Female Sexual Response Cycle Orgasm PGAD ????? = limited resolution of the genital arousal Plateau ………………………… (D) Excitement (B) ABC (C) (A) Adapted from Masters WH, Johnson VE. Human Sexual Inadequacy. Little Brown; 1970. -
The Cyclist's Vulva
The Cyclist’s Vulva Dr. Chimsom T. Oleka, MD FACOG Board Certified OBGYN Fellowship Trained Pediatric and Adolescent Gynecologist National Medical Network –USOPC Houston, TX DEPARTMENT NAME DISCLOSURES None [email protected] DEPARTMENT NAME PRONOUNS The use of “female” and “woman” in this talk, as well as in the highlighted studies refer to cis gender females with vulvas DEPARTMENT NAME GOALS To highlight an issue To discuss why this issue matters To inspire future research and exploration To normalize the conversation DEPARTMENT NAME The consensus is that when you first start cycling on your good‐as‐new, unbruised foof, it is going to hurt. After a “breaking‐in” period, the pain‐to‐numbness ratio becomes favourable. As long as you protect against infection, wear padded shorts with a generous layer of chamois cream, no underwear and make regular offerings to the ingrown hair goddess, things are manageable. This is wrong. Hannah Dines British T2 trike rider who competed at the 2016 Summer Paralympics DEPARTMENT NAME MY INTRODUCTION TO CYCLING Childhood Adolescence Adult Life DEPARTMENT NAME THE CYCLIST’S VULVA The Issue Vulva Anatomy Vulva Trauma Prevention DEPARTMENT NAME CYCLING HAS POSITIVE BENEFITS Popular Means of Exercise Has gained popularity among Ideal nonimpact women in the past aerobic exercise decade Increases Lowers all cause cardiorespiratory mortality risks fitness DEPARTMENT NAME Hermans TJN, Wijn RPWF, Winkens B, et al. Urogenital and Sexual complaints in female club cyclists‐a cross‐sectional study. J Sex Med 2016 CYCLING ALSO PREDISPOSES TO VULVAR TRAUMA • Significant decreases in pudendal nerve sensory function in women cyclists • Similar to men, women cyclists suffer from compression injuries that compromise normal function of the main neurovascular bundle of the vulva • Buller et al. -
Vocabulario De Morfoloxía, Anatomía E Citoloxía Veterinaria
Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) Servizo de Normalización Lingüística Universidade de Santiago de Compostela COLECCIÓN VOCABULARIOS TEMÁTICOS N.º 4 SERVIZO DE NORMALIZACIÓN LINGÜÍSTICA Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) 2008 UNIVERSIDADE DE SANTIAGO DE COMPOSTELA VOCABULARIO de morfoloxía, anatomía e citoloxía veterinaria : (galego-español- inglés) / coordinador Xusto A. Rodríguez Río, Servizo de Normalización Lingüística ; autores Matilde Lombardero Fernández ... [et al.]. – Santiago de Compostela : Universidade de Santiago de Compostela, Servizo de Publicacións e Intercambio Científico, 2008. – 369 p. ; 21 cm. – (Vocabularios temáticos ; 4). - D.L. C 2458-2008. – ISBN 978-84-9887-018-3 1.Medicina �������������������������������������������������������������������������veterinaria-Diccionarios�������������������������������������������������. 2.Galego (Lingua)-Glosarios, vocabularios, etc. políglotas. I.Lombardero Fernández, Matilde. II.Rodríguez Rio, Xusto A. coord. III. Universidade de Santiago de Compostela. Servizo de Normalización Lingüística, coord. IV.Universidade de Santiago de Compostela. Servizo de Publicacións e Intercambio Científico, ed. V.Serie. 591.4(038)=699=60=20 Coordinador Xusto A. Rodríguez Río (Área de Terminoloxía. Servizo de Normalización Lingüística. Universidade de Santiago de Compostela) Autoras/res Matilde Lombardero Fernández (doutora en Veterinaria e profesora do Departamento de Anatomía e Produción Animal. -
Sexual Assault
Sexual Assault Victimization Across the Life Span A Color Atlas Barbara W. Girardin, RN, PhD Forensic Health Care Palomar Pomerado Health Escondido, California Diana K. Faugno, RN, BSN, CPN, FAAFS, SANE-A District Director Pediatrics/Nicu Forensic Health Service Palomar Pomerado Health Escondido, California Mary J. Spencer, MD Clinical Professor of Pediatrics University of California San Diego School of Medicine Medical Director Child Abuse Prevention and Sexual Assault Response Team Palomar Pomerado Health Escondido, California Angelo P. Giardino, MD, PhD Associate Chair - Pediatrics Associate Physician-in-Chief St. Christopher's Hospital for Children Associate Professor in Pediatrics Drexel University College of Medicine Philadelphia, Pennsylvania G.W. Medical Publishing, Inc. St. Louis FOREWORD Whether in the pediatric emergency room, the adult sexual assault clinic, the nursing home or even the morgue, high quality photography of visible lesions remains an essential documentation and investigation tool. The value of photographic documentation cannot be overstated. Indeed, all medical providers who evaluate sexual assault victims should be familiar with the basic principles and techniques of clinical photography and should assure adequate photographic documentation of visible lesions. Such images, whether still or video, may be used in court, although less commonly than photographs of physical abuse (sometimes judges and juries have a hard time understanding the significance of, for example, a subtle hymenal tear). Photographs are also important for peer review, peer consultation and teaching. Perhaps most significantly, photographs may allow a second opinion by opposing council experts without subjecting the victim to a repeat examination. The evolution in photodocumentation techniques in sexual assault has often followed, sometimes paralleled, and even sometimes led the evolution in the medical examination and interpretation of sexual assault injuries. -
Vulvodynia: a Common and Underrecognized Pain Disorder in Women and Female Adolescents Integrating Current
21/4/2017 www.medscape.org/viewarticle/877370_print www.medscape.org This article is a CME / CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/877370 Vulvodynia: A Common and UnderRecognized Pain Disorder in Women and Female Adolescents Integrating Current Knowledge Into Clinical Practice CME / CE Jacob Bornstein, MD; Andrew Goldstein, MD; Ruby Nguyen, PhD; Colleen Stockdale, MD; Pamela Morrison Wiles, DPT Posted: 4/18/2017 This activity was developed through a comprehensive review of the literature and best practices by vulvodynia experts to provide continuing education for healthcare providers. Introduction Slide 1. http://www.medscape.org/viewarticle/877370_print 1/69 21/4/2017 www.medscape.org/viewarticle/877370_print Slide 2. Historical Perspective Slide 3. http://www.medscape.org/viewarticle/877370_print 2/69 21/4/2017 www.medscape.org/viewarticle/877370_print Slide 4. What we now refer to as "vulvodynia" was first documented in medical texts in 1880, although some believe that the condition may have been described as far back as the 1st century (McElhiney 2006). Vulvodynia was described as "supersensitiveness of the vulva" and "a fruitful source of dyspareunia" before mention of the condition disappeared from medical texts for 5 decades. Slide 5. http://www.medscape.org/viewarticle/877370_print 3/69 21/4/2017 www.medscape.org/viewarticle/877370_print Slide 6. Slide 7. http://www.medscape.org/viewarticle/877370_print 4/69 21/4/2017 www.medscape.org/viewarticle/877370_print Slide 8. Slide 9. Magnitude of the Problem http://www.medscape.org/viewarticle/877370_print 5/69 21/4/2017 www.medscape.org/viewarticle/877370_print Slide 10. -
Glossary of Terms
Term English Definition Abstinence Sexual abstinence is not having vaginal, anal or oral sex. Acne Secretions from the skin's oil glands that plug the pores. Antibiotics Powerful medicines that fight bacterial infections. Anus The anus is the opening in the buttock where waste leaves the body. Bacteria A type of germ that can cause infections. Cervix the lower, narrow part of the uterus (womb) located between the bladder and the rectum. It forms a canal that opens into the vagina, which leads to the outside of the body. Chlamydia Chlamydia is caused by a type of bacteria, which can be passed from person to person during vaginal sex, oral sex, or anal sex. Condoms Condoms come in male and female versions. The male condom (“rubber”) covers the penis and catches the sperm after a man ejaculates. The female condom is a thin plastic pouch that lines the vagina. Consent Permission for something to happen or be done, or agreement to do something. Contraception Intentional use of methods or techniques to prevent pregnancy. Discharge Fluid that carries dead cells and bacteria out of the vagina. Estrogen a group of hormones secreted by the ovaries which affect many aspects of the female body, including a woman's menstrual cycle and normal sexual and reproductive development. Fallopian Tube One of two tubes through which an egg travels from the ovary to the uterus. Fertile the ability to become pregnant. Genital Herbes Genital herpes is a sexually transmitted infection (STI). It is caused by a virus called herpes simplex virus (HSV). Gonorrhea Gonorrhea is caused by bacteria that can be passed to a partner during vaginal, anal, or oral sex. -
The Mythical G-Spot: Past, Present and Future by Dr
Global Journal of Medical research: E Gynecology and Obstetrics Volume 14 Issue 2 Version 1.0 Year 2014 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Inc. (USA) Online ISSN: 2249-4618 & Print ISSN: 0975-5888 The Mythical G-Spot: Past, Present and Future By Dr. Franklin J. Espitia De La Hoz & Dra. Lilian Orozco Santiago Universidad Militar Nueva Granada, Colombia Summary- The so-called point Gräfenberg popularly known as "G-spot" corresponds to a vaginal area 1-2 cm wide, behind the pubis in intimate relationship with the anterior vaginal wall and around the urethra (complex clitoral) that when the woman is aroused becomes more sensitive than the rest of the vagina. Some women report that it is an erogenous area which, once stimulated, can lead to strong sexual arousal, intense orgasms and female ejaculation. Although the G-spot has been studied since the 40s, disagreement persists regarding the translation, localization and its existence as a distinct structure. Objective: Understand the operation and establish the anatomical points where the point G from embryology to adulthood. Methodology: A literature search in the electronic databases PubMed, Ovid, Elsevier, Interscience, EBSCO, Scopus, SciELO was performed. Results: descriptive articles and observational studies were reviewed which showed a significant number of patients. Conclusion: Sexual pleasure is a right we all have, and women must find a way to feel or experience orgasm as a possible experience of their sexuality, which necessitates effective stimulation. Keywords: G Spot; vaginal anatomy; clitoris; skene’s glands. GJMR-E Classification : NLMC Code: WP 250 TheMythicalG-SpotPastPresentandFuture Strictly as per the compliance and regulations of: © 2014. -
Female Reproductive System Chapter 28
The Female Reproductive System Chapter 28 • Female Reproductive System Anatomy • Oogenesis and the Sexual Cycle – Ovarian Cycle – Menstrual Cycle Female Reproductive System Functions: • Produce female sex hormones and gametes • Provide nutrition for fetal development • Nourish the infant after birth The Uterus • Thick-walled, pear-shaped, muscular chamber opening into vagina. • Cervix is the rounded opening of the uterus. • Two uterine tubes (also called Fallopian tubes or oviducts) branch off the uterus and terminate near the ovaries. Uterine Tubes • Also called Fallopian Tubes or Oviducts • Open-ended, muscular tube lined with secretory cells and ciliated cells that sweep secretions and peritoneal fluid towards the uterus. • Uterine Tube Regions: – narrow isthmus near the uterus – middle portion is the ampulla – flared distally into infundibulum with fimbriae • Fertilization usually occurs in ampulla or isthmus Epithelium lining the uterine tube consists of ciliated cells, goblet cells and other secretory cells. Cilia move peritoneal fluid and uterine tube secretions towards the uterus. Cervix and Vagina normally have a stratified squamous epithelium Test developed by Dr. G.N. Papanicolaou can detect cervical cancer by identifying transformed squamous cells. normal PAP smear abnormal PAP smear Histology of the Uterus • Perimetrium is the external serosa layer • Myometrium is the middle muscular layer – 1 cm thick in nonpregnant uterus – composed of smooth muscle – produces labor contractions to expel fetus during childbirth • Endometrium – simple columnar epithelium with tubular glands – stratum functionalis is superficial layer that is shed with each menstrual cycle – stratum basalis is deeper layer that regenerates a new stratum functionalis with each menstrual cycle Ovary • Ovaries produce oocytes and female hormones. -
Clinical Pelvic Anatomy
SECTION ONE • Fundamentals 1 Clinical pelvic anatomy Introduction 1 Anatomical points for obstetric analgesia 3 Obstetric anatomy 1 Gynaecological anatomy 5 The pelvic organs during pregnancy 1 Anatomy of the lower urinary tract 13 the necks of the femora tends to compress the pelvis Introduction from the sides, reducing the transverse diameters of this part of the pelvis (Fig. 1.1). At an intermediate level, opposite A thorough understanding of pelvic anatomy is essential for the third segment of the sacrum, the canal retains a circular clinical practice. Not only does it facilitate an understanding cross-section. With this picture in mind, the ‘average’ of the process of labour, it also allows an appreciation of diameters of the pelvis at brim, cavity, and outlet levels can the mechanisms of sexual function and reproduction, and be readily understood (Table 1.1). establishes a background to the understanding of gynae- The distortions from a circular cross-section, however, cological pathology. Congenital abnormalities are discussed are very modest. If, in circumstances of malnutrition or in Chapter 3. metabolic bone disease, the consolidation of bone is impaired, more gross distortion of the pelvic shape is liable to occur, and labour is likely to involve mechanical difficulty. Obstetric anatomy This is termed cephalopelvic disproportion. The changing cross-sectional shape of the true pelvis at different levels The bony pelvis – transverse oval at the brim and anteroposterior oval at the outlet – usually determines a fundamental feature of The girdle of bones formed by the sacrum and the two labour, i.e. that the ovoid fetal head enters the brim with its innominate bones has several important functions (Fig.