Anatomy & Physiology Of Female Reproductive System Dr. Aida Abd El-Razek.
-
Upload
shavonne-edwards -
Category
Documents
-
view
224 -
download
2
Transcript of Anatomy & Physiology Of Female Reproductive System Dr. Aida Abd El-Razek.
Anatomy & Physiology Of Female Reproductive System
Dr. Aida Abd El-Razek
Learning Objectives
Define the terms listed.Identify the female external
reproductive organs.Explain the structure of the bony
pelvis.Explain the functions and structures
of pelvic floor.
Introduction
External Female Structures
Collectively, the external female reproductive organs are called the
Vulva.
External Female Structures
Mons Pubis.Labia Majora & Minora.Clitoris.Vestibule.Perineum
Mons Pubis
Is rounded, soft fullness of subcutaneous fatty tissue, prominence over the symphysis pubis that forms the anterior border of the external reproductive organs.
It is covered with varying amounts of pubic hair.
Labia Majora & Minora
The labia Majora are two rounded, fleshy folds of tissue that extended from the mons pubis to the perineum.
It is protect the labia minora, urinary meatus and vaginal introitus.
Labia Minora
It is located between the labia majora, are narrow.
The lateral and anterior aspects are usually pigmented.
The inner surfaces are similar to vaginal mucosa, pink and mois.
Their rich vascularity.
Clitoris.
The term clitoris comes from a Greek word meaning key.
Erectile organ.It’s rich vascular, highly sensitive
to temperature, touch, and pressure sensation
Vestibule.
Is oval-shaped area formed between the labia minora, clitoris, and fourchette.
Vestibule contains the external urethral meatus, vaginal introitus, and Bartholins glands.
Perineum
Is the most posterior part of the external female reproductive organs.
It extends from fourchette anteriorly to the anus posteriorly.
And is composed of fibrous and muscular tissues that support pelvic structures.
Internal Female Structures
VaginaUterusFallopian tubesOvaries
Fallopian tubes
The two tubes extended from the cornu of the uterus to the ovary.
It runs in the upper free border of the broad ligament.
Length 8 to 14 cm average 10 cmIts divided into 4 parts.
1. Interstitial partWhich runs into uterine cavity,
passes through the myometrium between the fundus and body of the uterus. About 1-2cm in length.
2. Isthmus
Which is the narrow part of the tube adjacent to the uterus.
Straight and cord like , about 2 – 3 cm in length.
3. Ampulla
Which is the wider part about 5 cm in length.
Fertilization occurs in the ampulla.
4. Infundibulum
It is funnel or trumpet shaped.Fimbriae are fingerlike processes, one
of these is longer than the other and adherent to the ovary.
The fimbriae become swollen almost erectile at ovulation.
Functions
Gamete transport (ovum pickup, ovum transport, sperm transport).
Final maturation of gamete post ovulate oocyte maturation, sperm capicitation.
Fluid environment for early embryonic development.
Transport of fertilized and unfertilized ovum to the uterus.
OvariesOval solid structure, 1.5 cm in thickness,
2.5 cm in width and 3.5 cm in length respectively. Each weights about 4–8 gm.
Ovary is located on each side of the uterus, below and behind the uterine tubes
Structure of the ovaries
CortexMedullaHilum
Ovaries and Relationship to Uterine Tube and Uterus
Figure 28–14
Function of the ovary
Secrete estrogen & progesterone.
Production of ova
Uterus
The uterus is a hollow, pear shaped muscular organ.
The uterus measures about 7.5 X 5 X 2.5 cm and weight about 50 – 60 gm.
Its normal position is anteverted (rotated forward and slightly antiflexed (flexed forward)
The uterus divided into three parts
1. Body of the uterus
The upper part is the corpus, or body of the uterus
The fundus is the part of the body or corpus above the area where the fallopian tubes enter the uterus.
Length about 5 cm.
2. Isthmus
A narrower transition zone.Is between the corpus of the uterus
and cervix.During late pregnancy, the isthmus
elongates and is known as the lower uterine segment.
3 .Cervix
The lowermost position of the uterus “neck”.
The length of the cervix is about 2.5 t0 3 cm.
The os, is the opening in the cervix that runs between the uterus and vagina.
The upper part of the cervix is marked by internal os and the lower cervix is marked by the external os.
Layers of the uterus
Perimetrium. Myometrium. Endometrium.
1. Perimetrium
Is the outer peritoneal layer of serous membrane that covers most of the uterus.
Laterally, the perimetrium is continuous with the broad ligaments on either side of the uterus.
2. Myometrium
Is the middle layer of thick muscle.
Most of the muscle fibers are concentrated in the upper uterus, and their number diminishes progressively toward the cervix.
The myometrium contains three types of smooth muscle fiber
Longitudinal fibers (outer layer)
Which are found mostly in the fundus and are designed to expel the fetus efficiently toward the pelvic outlet during birth.
Middle layer figure-8 fibers
These fiber contract after birth to compress the blood vessels that pass between them to limit blood loss.
Inner layer circular fibers
Which form constrictions where the fallopian tubes enter the uterus and surround the internal os
Circular fibers prevent reflux of menstrual blood and tissue into the fallopian tubes.
Promote normal implantation of the fertilized ovum by controlling its entry into the uterus.
And retain the fetus until the appropriate time of birth.
3. EndometriumIs the inner layer of the uterus.It is responsive to the cyclic
variations of estrogen and progesterone during the female reproductive cycle every month.
The two or three layers of the endometrium are:
*Compact layer
*The basal layer
*The functional or Sponge layer this layer is shed during each menstrual period and after child birth in the lochia
Anatomical relation of the uterus
Anterior------------BladderPosterior-----------The rectum and
Douglas pouchLateral------------- The broad
ligaments ,F. T& ovariesSuperior-----------The intestines. Inferior------------- The Vagina
The Function of the uterus
Menstruation ----the uterus sloughs off the endometrium.
Pregnancy ---the uterus support fetus and allows the fetus to grow.
Labor and birth---the uterine muscles contract and the cervix dilates during labor to expel the fetus
VaginaIt is an elastic fibro-muscular tube
and membranous tissue about 8 to 10 cm long.
Lying between the bladder anteriorly and the rectum posteriorly.
The vagina connects the uterus above with the vestibule below.
The upper end is blind and called the vaginal vault.
The vaginal lining has multiple folds, or rugae and muscle layer. These folds allow the vagina to stretch considerably during childbirth.
The reaction of the vagina is acidic, the pH is 4.5 that protects the vagina against infection.
Anatomical relation of the vagina
Anterior------------Urethra and bladderPosterior-----------Perineal body
&rectum and Douglas pouchLateral------------- Pelvic floor musclesSuperior-----------The cervix. Inferior------------- The vulva
Functions of the vagina
To allow discharge of the menstrual flow.
As the female organs of coitus.To allow passage of the fetus from
the uterus.
Support structures
The bony pelvis support and protects the lower abdominal and internal reproductive organs.
Muscle, Joints and ligaments provide added support for internal organs of the pelvis against the downward force of gravity and the increases in intra-abdominal pressure
Bony Pelvis
Bony Pelvis Is Composed of 4 bones:
1. Two hip bones.
2. Sacrum.
3. Coccyx.
1. Two hip bones.
Each or hip bone is composed of three bones:
*Ilium *Ischium *Pubis
*Ilium
It is the flared out part.The greater part of its inner
aspect is smooth and concave, forming the iliac fossa.
The upper border of the ilium is called iliac crest
*IschiumIt is the thick lower part.It has a large prominence
known as the ischial tuberosity on which the body rests while sitting.
Behind and little above the tuberosity is an inward projection the ischial spine.
2. Sacrum
Is a wedge shaped bone consisting of five vertebrae.
The anterior surface of the sacrum is concave
The upper border of the first sacral vertebra known as the sacral promontory
3 .Coccyx.
Consists of four vertebrae forming a
small triangular bone.
Pelvic JointsThere are four pelvic joints:
* One Symphysis pubis
* Two sacro-iliac joints
* One sacro-coccygeal joint
Ligaments
A total of 10 ligaments stabilize the uterus within the
pelvic cavity.
Four paired ligamentsBroad, round, uterosacral, cardinalTwo single ligaments anterior
(pubocervical) and posterior (rectovaginal)
Types of Pelvis
1. Gynecoid, or normal female pelvis is round and adapted for the function of childbirth. Its inlet, cavity, and outlet are in better proportion, the pubic arch is wide and the coccyx is more movable than android pelvis.
2. Android pelvis or male type pelvis which has a heart-shaped outlet
3. anthropoid, which oval shaped.
4. platypelloid, which has a wide transverse outlet, kidney shaped.
Blood SupplyThe uterine blood supply is
carried by the uterine arteries, which are branches of the internal iliac artery. These vessels enter the uterus at the lower border of the broad ligament, near the isthmus of the uterus.
Cyclical Changes in Endometrium
Basilar zone remains relatively constantFunctional zone undergoes cyclical changes:
–in response to sex hormone levels–produce characteristic features of uterine cycle
Appearance of Endometrium during Uterine Cycle
Figure 28–20
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
The Uterine Cycle
Also called menstrual cycleIs a repeating series of changes in
endometriumLasts from 21 to 35 days:
–average 28 days
Uterine Cycle Responds to hormones of ovarian cycle :
Menses and proliferative phase:
–occur during ovarian follicular phase
Secretory phase:–occurs during ovarian
luteal phase
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
Menses Is the degeneration of functional zone:
–occurs in patchesIs caused by constriction of
spiral arteries:–reducing blood flow, oxygen,
and nutrients2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
Weakened arterial walls rupture releasing blood into connective
tissues of functional zoneDegenerating tissues break
away, enter uterine lumen Entire functional zone is lost
through cervical os and vagina
Menstruation Is the process of endometrial
sloughingLasts 1–7 daysSheds 35–50 ml
blood
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
The Proliferative PhaseEpithelial cells of uterine glands multiply and spread across endometrial surface restore
integrity of uterine epitheliumFurther growth and
vascularization completely restores functional zoneOccurs at same time as enlargement of primary and secondary follicles
in ovaryIs stimulated and sustained by
estrogens secreted by developing ovarian follicles
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
The Secretory PhaseEndometrial glands enlarge increase secretion
Arteries of uterine wall elongate and spiral through
functional zone Begins at ovulationPersists as long as corpus
luteum remains intactPeaks about 12 days after
ovulationGenerally lasts 14 days
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
Menarche The first uterine cycleBegins at puberty (age 11–12)
MenopauseThe termination of uterine cyclesAge 45–55
AmenorrheaPrimary amenorrhea:
–failure to initiate menses
Transient secondary amenorrhea:–interruption of 6 months or more–caused by physical or emotional stresses
The Vagina Is an elastic, muscular tube that xtends between cervix
and vestibule7.5–9 cm long and highly
distensible
Cervix:–projects into vaginal
canal
Fornix:–is shallow recess
surrounding cervical protrusion
3 Functions of the Vagina.1Passageway for elimination of menstrual fluids
.2Receives spermatozoa during sexual intercourse
.3Forms inferior portion of birth canal
The Vaginal Wall
Contains a network of blood vessels:–and layers of smooth muscle
Is moistened by:–secretions of cervical glands–water movement across permeable epithelium
The Hymen Is an elastic epithelial fold:–that partially blocks entrance to vagina–ruptured by sexual intercourse or tampon usage
Vaginal Muscles2 bulbospongiosus muscles:
–along either side of vaginal entrance–cover vestibular bulbs
Vestibular BulbsAre masses of erectile tissue:
–on either side of vaginal entrance
Have same embryological origins as corpus spongiosum of penis
The Mammary Glands
Figure 28–23a
Secrete milk to nourish an infant (lactation)
Are specialized organs of integumentary system
Are controlled by:–hormones of reproductive
system–placenta
Mammory glands lie in pectoral fat pads deep to skin of chest
Nipple on each breast:–contains ducts from mammary
glands to surfaceAreola:
–reddish-brown skin around each nipple
Mammory glands consist of lobes:
–each containing several secretory lobules
–separated by dense connective
tissue
Suspensory Ligaments of the BreastBands of connective tissueOriginate in dermis of
overlying skinAreolar tissue separates:
–mammary gland complex –from underlying pectoralis
muscles
•Mammary gland ducts leave lobules, converge, and form single lactiferous duct in each lobe
Female Reproductive Cycle Hormonal Control Involves secretions of pituitary gland and gonadsForms a complex pattern that coordinates ovarian and uterine
cycles
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
Follicular Development Begins with FSH stimulationMonthly:
–some primordial follicles develop into primary follicles
As follicles enlarge:–thecal cells produce
androstenedione Is a steroid hormone, an
intermediate in synthesis of estrogens and androgens, and
absorbed by granulosa cells and converted to estrogens
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH
Estrogen SynthesisAndrostenedione is converted to testosteroneEnzyme aromatase converts testosterone to estradiol
- CHEstrone and estriol are synthesized from
androstenedione -CH
.1Stimulates bone and muscle growth
.2Maintains female secondary sex characteristics, ie body hair distribution and adipose tissue deposits
.3Affects central nervous system (CNS) activity (especially in the hypothalamus, where estrogens
increase the sexual drive)
.4Maintains functional accessory reproductive glands and organs
.5Initiates repair and growth of endometrium
Estrogen Function
.1maintains secondary sex characteristics
.2 maintains uterine walls for pregnancy.
Progesterone Function
Hormones and Body TemperatureMonthly hormonal fluctuations affect core body
temperature:–during luteal phase:
progesterone dominates
–during follicular phase:estrogen dominatesbasal body temperature decreases about 0.3°C
Basal Body Temperature The resting body temperatureMeasured upon awakening in morning
Hormonal Regulation of the Female Reproductive Cycle
Figure 28–26a, b
2 4 6 8 10 12 14 16 18 20 22 24 26 28
2 4 6 8 10 12 14 16 18 20 22 24 26 28
Follicular Phase Luteal Phase
ProgesteroneEstrogen
FSH
LH