Female Anatomy 1 © Robert J. Atkins, Ph.D. 2 Vulva 3 Vulva 4 Vulva 5 Vulva 6 Vulva 7 What parts make up the vulva? • External genitals • Mon veneris (pubis) • Labia majora and minora • Prepuce of the clitoris • Clitoris • Vestibule • Urethral opening • Vaginal opening 8 Would you be interested in genital alterations? • Piercings • Tattoos • Labiaplasty o Minor lips reduction • Hymenoplasty o Hymen reconstruction • Vaginal rejuvination o Making it tighter 9 Genital piercing 10 Genital Tattooing 11 Labiaplasty 12 How do you do a Female Genital Exam? • • • • Use a hand mirror to look at your genitals Identify the various parts Look for any unusual bumps or coloring Think about your feelings regarding your genital anatomy. • Do it on a regular monthly basis Vulvar Cancers 13 How can you see your cervix during an exam? The cervix using a speculum 14 Do you remember? • • • • What parts make up the vulva? How do people alter their genitals? How do you do a female genital exam? How can you see your cervix during an exam? 15 Clitoris 16 Clitoris • • • • Homologus to penis Same # of nerve endings as the head of penis Only purpose is sexual arousal Most common method of self stimulation & orgasm 17 Clitoris 18 Clitoral variations 19 Clitoral variations 20 Clitoral variations 21 Clitoral variations 22 Clitoral variations 23 What types of hymen are there? • Function: Thought to help protect vaginal tissues early in life • Types o o o o Annular Septate Cribriform Imperforate Imperforate hymen 24 What are the underlying structures? 25 What are the underlying structures? • Vestibular bulbs Bartholin glans 26 Where are the Bartholin’s glands? What do they do? • Located on either side of the vaginal opening • Produces fluid • Function unknown o Possibly to lubricate entrance to vagina 27 Vagina • Vaginal opening (outer 1/3) has highest concentration of vaginal musculature • Inner 2/3 = fewest nerve endings o Changes during intercourse • Orgasmic platform 28 Do you remember? • • • • • • What can you tell me about the clitoris? What is the function of the hymen? Describe the types of hymen. Where are the bartholin glands? What is the function of the bartholin glands? Where are the muscles and nerves in the vagina? 29 Grafenberg (G) spot • Where is the “G” spot? • Female counterpart to male prostate gland • May trigger ejaculation when stimulated. 30 Female ejaculation 31 Vaginal lubrication • Vasocongestion = lubrication • The first sign of sexual arousal • Occurs within 10 – 30 seconds after effective physical or psychological stimulation • Seeps through the vaginal walls as vasocongestion occurs. 32 What are other sources of vaginal lubrication? • • • • Saliva Water-based lubricant Lubricated condoms Not Vaseline 33 What is menstrual synchrony? • Synchronized menstruation o Women living together develop similar cycles • Apparently based on the sense of smell 34 What can cause chronic vaginitis? • Birth control pills • Antibiotic medication 35 Do you remember? • • • • Where is the “G” spot? What can you tell me about vaginal lubrication? What is menstrual synchrony? What can cause chronic vaginitis? 36 Breasts Size Fatty tissue determines size Unrelated to milk or sensitivity 37 Cultural preoccupation with breast size 38 Concerns with breast size 39 Concerns with breast size 40 Concerns with breast size Before After 41 Breast reduction Before After 42 Breast reduction surgery 43 Breast enlargement 44 Breast enlargement 45 Breast enlargement 46 Silicon Gel Breast Implants 47 How can you detect breast cancer? • Self-exam o Does not reduce fatalities • Mammogram = better o Not recommended for women under 40 • MRI (Magnetic Resonance Imaging) = Best 48 What is a mammogram? 49 MRI Breast imaging 50 Do you remember? • What determines breast size? • How is breast size related to sensitivity or milk production? • What methods are used to detect breast cancer? 51 Additional items if time permits 52 What are the kegel exercises? The pubococcygeus (PC muscle) 53 Pelvic floor muscles 54 What are the advantages of the kegel Exercises? • • • • Urinary control after childbirth Increases genital sensitivity Increases sensation during intercourse Technique of doing exercises 55 Vagina, Uterus, Ovaries 56 Uterus • Endometrioses o Cells from uterine lining implant in abdominal cavity 57 Ovaries • 40,000 to 400,000 immature ova at birth o 300 - 450 mature in a woman’s lifetime • Produce sex hormones o Estrogen and progesterone 58 After release from ovary, eggs are viable for 24-48 hours for fertilization 59 Cervical cancer • What increases your risk? o o o o Genital warts Having several male sexual partners First intercourse at an early age Cigarette smoke 60 61