Chapter 28 *Lecture Powepoint
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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. -
Te2, Part Iii
TERMINOLOGIA EMBRYOLOGICA Second Edition International Embryological Terminology FIPAT The Federative International Programme for Anatomical Terminology A programme of the International Federation of Associations of Anatomists (IFAA) TE2, PART III Contents Caput V: Organogenesis Chapter 5: Organogenesis (continued) Systema respiratorium Respiratory system Systema urinarium Urinary system Systemata genitalia Genital systems Coeloma Coelom Glandulae endocrinae Endocrine glands Systema cardiovasculare Cardiovascular system Systema lymphoideum Lymphoid system Bibliographic Reference Citation: FIPAT. Terminologia Embryologica. 2nd ed. FIPAT.library.dal.ca. Federative International Programme for Anatomical Terminology, February 2017 Published pending approval by the General Assembly at the next Congress of IFAA (2019) Creative Commons License: The publication of Terminologia Embryologica is under a Creative Commons Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license The individual terms in this terminology are within the public domain. Statements about terms being part of this international standard terminology should use the above bibliographic reference to cite this terminology. The unaltered PDF files of this terminology may be freely copied and distributed by users. IFAA member societies are authorized to publish translations of this terminology. Authors of other works that might be considered derivative should write to the Chair of FIPAT for permission to publish a derivative work. Caput V: ORGANOGENESIS Chapter 5: ORGANOGENESIS -
Laparoscopic Extraperitoneal Salpingo-Oophorectomy in Women with Suspicious Ovarian Mass, a Way to Reduce the Risk of Spillage
5 Surgical Technique Page 1 of 5 Laparoscopic extraperitoneal salpingo-oophorectomy in women with suspicious ovarian mass, a way to reduce the risk of spillage Giulio Sozzi, Giulia Zaccaria, Mariano Catello Di Donna, Giuseppina Lo Balbo, Stefania Cannarozzo, Vito Chiantera Department of Gynecologic Oncology, University of Palermo, Piazza Nicola Leotta, Palermo, Italy Correspondence to: Giulio Sozzi, MD. Department of Gynecologic Oncology, University of Palermo, Piazza Nicola Leotta 4, 90127 Palermo, Italy. Email: [email protected]. Abstract: The objective of the present paper is to provide a step by step description of the laparoscopic extraperitoneal salpingo-oophorectomy, a surgical technique useful to reduce the risk of spillage in women with suspected ovarian masses. The patient was a 52-year-old woman with sonographic diagnosis of a multilocular, 5 cm lesion, with Color Score 3 at right ovary. Computed tomography (CT) scan excluded any other localization of disease. Tumor markers were negative, except for Ca 19.9 that was 85 IU/mL. Preliminary diagnostic laparoscopy was performed and peritoneal carcinomatosis was excluded. In order to obtain a histological diagnosis, an extraperitoneal right salpingo-oophorectomy was performed. At frozen section analysis it was diagnosed an ovarian adenocarcinoma. Therefore, a laparoscopic complete surgical staging including total hysterectomy, controlateral salpingo-oophorectomy, infracolic omentectomy, multiple peritoneal biopsies, and pelvic and para-aortic lymphadenectomy, was performed. Operative time was 240 minutes and estimated blood loss was about 50 mL. No intra or post-operative complications were observed, and the patient was discharged 3 days after surgery. Final histology showed the presence of clear cell high grade carcinoma in both ovaries without fallopian tubes infiltration. -
Sexual Reproduction & the Reproductive System Visual
Biology 202: Sexual Reproduction & the Reproductive System 1) Label the diagram below. Some terms may be used more than once. Spermatozoa (N) Mitosis Spermatogonium (2N) Spermatids (N) Primary Oocyte (2N) Polar bodies (N) Ootid (N) Second polar body (N) Meiosis I Primary spermatocyte (2N) Oogonium (2N) Secondary oocyte (2N) Ovum (N) Secondary spermatocytes (2N) First polar body Meiosis II Source Lesson: Gametogenesis & Meiosis: Process & Differences 2) Label the diagram of the male reproductive system below. Seminal vesicle Testis Scrotum Pubic bone Penis Prostate gland Urethra Epididymis Vas deferens Bladder Source Lesson: Male Reproductive System: Structures, Functions & Regulation 3) Label the image below. Rectum Testis Ureter Bulbourethral gland Urethra Urinary bladder Pubic bone Penis Seminal vesicle Ductus deferens Epididymis Prostate gland Anus Source Lesson: Semen: Composition & Production 4) Label the structures below. Inner and outer lips of the vagina Mons pubis Vaginal opening Clitoris Anus Urethral opening Perineum Vulva Source Lesson: Female Reproductive System: Structures & Functions 5) Label the diagram below. Some terms may be used more than once. Clitoris Vulva Labia majora Labia minora Perineum Clitoral hood Vaginal opening Source Lesson: Female Reproductive System: Structures & Functions 6) Label the internal organs that make up the female reproductive system. Uterus Fallopian tubes Ovaries Cervix Vagina Endometrium Source Lesson: Female Reproductive System: Structures & Functions 7) Label the diagram below. LH Follicular -
Chapter 24 Primary Sex Organs = Gonads Produce Gametes Secrete Hormones That Control Reproduction Secondary Sex Organs = Accessory Structures
Anatomy Lecture Notes Chapter 24 primary sex organs = gonads produce gametes secrete hormones that control reproduction secondary sex organs = accessory structures Development and Differentiation A. gonads develop from mesoderm starting at week 5 gonadal ridges medial to kidneys germ cells migrate to gonadal ridges from yolk sac at week 7, if an XY embryo secretes SRY protein, the gonadal ridges begin developing into testes with seminiferous tubules the testes secrete androgens, which cause the mesonephric ducts to develop the testes secrete a hormone that causes the paramesonephric ducts to regress by week 8, in any fetus (XX or XY), if SRY protein has not been produced, the gondal ridges begin to develop into ovaries with ovarian follicles the lack of androgens causes the paramesonephric ducts to develop and the mesonephric ducts to regress B. accessory organs develop from embryonic duct systems mesonephric ducts / Wolffian ducts eventually become male accessory organs: epididymis, ductus deferens, ejaculatory duct paramesonephric ducts / Mullerian ducts eventually become female accessory organs: oviducts, uterus, superior vagina C. external genitalia are indeterminate until week 8 male female genital tubercle penis (glans, corpora cavernosa, clitoris (glans, corpora corpus spongiosum) cavernosa), vestibular bulb) urethral folds fuse to form penile urethra labia minora labioscrotal swellings fuse to form scrotum labia majora urogenital sinus urinary bladder, urethra, prostate, urinary bladder, urethra, seminal vesicles, bulbourethral inferior vagina, vestibular glands glands Strong/Fall 2008 Anatomy Lecture Notes Chapter 24 Male A. gonads = testes (singular = testis) located in scrotum 1. outer coverings a. tunica vaginalis =double layer of serous membrane that partially surrounds each testis; (figure 24.29) b. -
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. -
The Morphology, Androgenic Function, Hyperplasia, and Tumors of the Human Ovarian Hilus Cells * William H
THE MORPHOLOGY, ANDROGENIC FUNCTION, HYPERPLASIA, AND TUMORS OF THE HUMAN OVARIAN HILUS CELLS * WILLIAM H. STERNBERG, M.D. (From the Department of Pathology, School of Medicine, Tulane University of Louisiana and the Charity Hospital of Louisiana, New Orleans, La.) The hilus of the human ovary contains nests of cells morphologically identical with testicular Leydig cells, and which, in all probability, pro- duce androgens. Multiple sections through the ovarian hilus and meso- varium will reveal these small nests microscopically in at least 8o per cent of adult ovaries; probably in all adult ovaries if sufficient sections are made. Although they had been noted previously by a number of authors (Aichel,l Bucura,2 and von Winiwarter 3"4) who failed to recog- nize their significance, Berger,5-9 in 1922 and in subsequent years, pre- sented the first sound morphologic studies of the ovarian hilus cells. Nevertheless, there is comparatively little reference to these cells in the American medical literature, and they are not mentioned in stand- ard textbooks of histology, gynecologic pathology, nor in monographs on ovarian tumors (with the exception of Selye's recent "Atlas of Ovarian Tumors"10). The hilus cells are found in clusters along the length of the ovarian hilus and in the adjacent mesovarium. They are, almost without excep- tion, found in contiguity with the nonmyelinated nerves of the hilus, often in intimate relationship to the abundant vascular and lymphatic spaces in this area. Cytologically, a point for point correspondence with the testicular Leydig cells can be established in terms of nuclear and cyto- plasmic detail, lipids, lipochrome pigment, and crystalloids of Reinke. -
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. -
The Discovery of Different Types of Cervical Mucus and the Billings Ovulation Method
The Discovery of Different Types of Cervical Mucus and the Billings Ovulation Method Erik Odeblad Emeritus Professor, Dept. of Medical Biophysics, University of Umeå, Sweden Published with permission from the Bulletin of the Ovulation Method Research and Reference Centre of Australia, 27 Alexandra Parade, North Fitzroy, Victoria 3068, Australia, Volume 21, Number 3, pages 3-35, September 1994. Copyright © Ovulation Method Research and Reference Centre of Australia 1. Abstract 2. Introduction 3. Anatomy and Physiology 4. What is Mucus? 5. The Commencement of my Research 6. The Existence of Different Types of Crypts and of Mucus 7. Identification and Description of G, L, and S Mucus 8. G- and G+ Mucus 9. Age, Pregnancy, the Pill and Microsurgery 10. P Mucus 11. F Mucus 12. The Role of the Vagina 13. The Different Types of Secretions and the Billings Ovulation Method 14. Early Infertile Days 15. The Days of Possible Fertility 16. Late Infertile Days 17. Anovulatory Cycles 18. Lactation 19. Diseases and the Billings Ovulation Method 20. The Future 21. Acknowledgements 22. Author's Note 23. References 24. Appendix Abstract An introduction to and some new anatomical and physiological aspects of the cervix and vagina are presented and also an explanation of the biosynthesis and molecular structure of mucus. The history of my discoveries of the different types of cervical mucus is given. In considering my microbiological investigations I suspected the existence of different types of crypts and cervical mucus and in 1959 1 proved the existence of these different types. The method of examining viscosity by nuclear magnetic resonance was applied to microsamples of mucus extracted 1 outside of several crypts. -
The Reproductive System
27 The Reproductive System PowerPoint® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska © 2012 Pearson Education, Inc. Introduction • The reproductive system is designed to perpetuate the species • The male produces gametes called sperm cells • The female produces gametes called ova • The joining of a sperm cell and an ovum is fertilization • Fertilization results in the formation of a zygote © 2012 Pearson Education, Inc. Anatomy of the Male Reproductive System • Overview of the Male Reproductive System • Testis • Epididymis • Ductus deferens • Ejaculatory duct • Spongy urethra (penile urethra) • Seminal gland • Prostate gland • Bulbo-urethral gland © 2012 Pearson Education, Inc. Figure 27.1 The Male Reproductive System, Part I Pubic symphysis Ureter Urinary bladder Prostatic urethra Seminal gland Membranous urethra Rectum Corpus cavernosum Prostate gland Corpus spongiosum Spongy urethra Ejaculatory duct Ductus deferens Penis Bulbo-urethral gland Epididymis Anus Testis External urethral orifice Scrotum Sigmoid colon (cut) Rectum Internal urethral orifice Rectus abdominis Prostatic urethra Urinary bladder Prostate gland Pubic symphysis Bristle within ejaculatory duct Membranous urethra Penis Spongy urethra Spongy urethra within corpus spongiosum Bulbospongiosus muscle Corpus cavernosum Ductus deferens Epididymis Scrotum Testis © 2012 Pearson Education, Inc. Anatomy of the Male Reproductive System • The Testes • Testes hang inside a pouch called the scrotum, which is on the outside of the body -
MR Imaging of Vaginal Morphology, Paravaginal Attachments and Ligaments
MR imaging of vaginal morph:ingynious 05/06/15 10:09 Pagina 53 Original article MR imaging of vaginal morphology, paravaginal attachments and ligaments. Normal features VITTORIO PILONI Iniziativa Medica, Diagnostic Imaging Centre, Monselice (Padova), Italy Abstract: Aim: To define the MR appearance of the intact vaginal and paravaginal anatomy. Method: the pelvic MR examinations achieved with external coil of 25 nulliparous women (group A), mean age 31.3 range 28-35 years without pelvic floor dysfunctions, were compared with those of 8 women who had cesarean delivery (group B), mean age 34.1 range 31-40 years, for evidence of (a) vaginal morphology, length and axis inclination; (b) perineal body’s position with respect to the hymen plane; and (c) visibility of paravaginal attachments and lig- aments. Results: in both groups, axial MR images showed that the upper vagina had an horizontal, linear shape in over 91%; the middle vagi- na an H-shape or W-shape in 74% and 26%, respectively; and the lower vagina a U-shape in 82% of cases. Vaginal length, axis inclination and distance of perineal body to the hymen were not significantly different between the two groups (mean ± SD 77.3 ± 3.2 mm vs 74.3 ± 5.2 mm; 70.1 ± 4.8 degrees vs 74.04 ± 1.6 degrees; and +3.2 ± 2.4 mm vs + 2.4 ± 1.8 mm, in group A and B, respectively, P > 0.05). Overall, the lower third vaginal morphology was the less easily identifiable structure (visibility score, 2); the uterosacral ligaments and the parau- rethral ligaments were the most frequently depicted attachments (visibility score, 3 and 4, respectively); the distance of the perineal body to the hymen was the most consistent reference landmark (mean +3 mm, range -2 to + 5 mm, visibility score 4).