Chapter 3: Anatomy and Physiology of the Reproductive Systems Components of the Male and Female Reproductive System Female o Reproductive cells: eggs or ova o Organ for development of the fetus: uterus Male o Reproductive cells: sperm o Organ for deposit of the sperm: penis Copyright © 2017 Wolters Kluwer · All Rights Reserved Function of the External Female Reproductive Organs Collectively called the “vulva” o Protects urethra and vaginal openings o Highly sensitive to touch to increase female’s pleasure during sexual arousal Copyright © 2017 Wolters Kluwer · All Rights Reserved External Female Reproductive Organs #1 Components of the vulva o Mons pubis o Labia majora and minora o Clitoris o Vestibular structures o Perineum Copyright © 2017 Wolters Kluwer · All Rights Reserved External Female Reproductive Organs #2 Copyright © 2017 Wolters Kluwer · All Rights Reserved Function of the Labia and Clitoris Labia majora: contains sweat and sebaceous glands; protects the vaginal opening Labia minora: highly vascular and abundant in nerve supply; lubricates the vulva and swells with stimulation Clitoris: small cylindrical mass of erectile tissue and nerves; function is sexual stimulation Prepuce: hood-like covering over the clitoris; also site of female circumcision practiced in some cultures Copyright © 2017 Wolters Kluwer · All Rights Reserved Structure and Function of the Vestibule Vestibule: oval area enclosed by the labia minora laterally located inside the labia minora and outside the hymen Opening into the vestibule: urethra from the urinary bladder, vagina, and two sets of glands Opening into the vagina: introitus Fourchette: half-moon area behind the opening Glands: Bartholin’s and Skene’s glands secrete mucus to keep the opening moist Copyright © 2017 Wolters Kluwer · All Rights Reserved Internal Female Reproductive Organs #1 Vagina Uterus Cervix Fallopian tubes Ovaries Copyright © 2017 Wolters Kluwer · All Rights Reserved Internal Female Reproductive Organs #2 Copyright © 2017 Wolters Kluwer · All Rights Reserved Question #1 Is the following statement True or False? The clitoris is considered an internal reproductive organ. a. True b. False Copyright © 2017 Wolters Kluwer · All Rights Reserved Answer to Question #1 b. False The clitoris is an external female reproductive organ. The internal organs include the vagina, uterus, fallopian tubes, and the ovaries. Copyright © 2017 Wolters Kluwer · All Rights Reserved Layers of the Uterine Wall Endometrium: innermost layer o Lines the uterine cavity in nonpregnant women Myometrium: muscular middle layer o Makes up the major portion of the uterus o Composed of smooth muscle linked by connective tissue Perimetrium: outer serosal layer o Covers the body of the uterus Cervix: the lower part of the uterus o Figure 3.3 Copyright © 2017 Wolters Kluwer · All Rights Reserved Breasts #1 Accessory organs—specialized for milk secretion after pregnancy Nipple Areola Lobes Alveolar and lactiferous glands Copyright © 2017 Wolters Kluwer · All Rights Reserved Breasts #2 Copyright © 2017 Wolters Kluwer · All Rights Reserved Female Reproductive Cycle #1 Ovarian cycle Endometrial cycle Hormonal regulation Cyclical breast changes Menstruation (absence of fertilization) Copyright © 2017 Wolters Kluwer · All Rights Reserved Female Reproductive Cycle #2 Copyright © 2017 Wolters Kluwer · All Rights Reserved Menstruation Expulsion of inner uterine lining occurring monthly Marks the beginning and end of each menstrual cycle Menarche: establishment of menstruation in females Menopause: naturally occurring cessation of regular menstrual cycles Frequency variable: 21 to 36 days; average 28 days Copyright © 2017 Wolters Kluwer · All Rights Reserved Menstrual Cycle Ovarian cycle o Follicular phase (day 1 through ovulation, approximately days 10 to 14) o Ovulation (day 14 of a 28-day cycle) o Luteal phase (day 15 through day 28 of a 28-day cycle) Copyright © 2017 Wolters Kluwer · All Rights Reserved Endometrial Cycle Proliferative phase Secretory phase Ischemic phase Menstrual phase Copyright © 2017 Wolters Kluwer · All Rights Reserved Question #2 A woman reports that her menstrual period occurs every 28 days. The nurse would determine that ovulation in this woman would occur at which time? a. Day 10 b. Day 14 c. Day 18 d. Day 22 Copyright © 2017 Wolters Kluwer · All Rights Reserved Answer to Question #2 b. Day 14 For a 28-day cycle, ovulation occurs usually on day 14. The proliferation phase starts on about day 5 of the menstrual cycle and lasts until ovulation. Then the secretory phase begins at ovulation to about 3 days before the next menstrual period. Copyright © 2017 Wolters Kluwer · All Rights Reserved Menstrual Cycle Hormones Gonadotropin-releasing hormone (GnRH) Follicle-stimulating hormone (FSH) Luteinizing hormone (LH) Estrogen Progesterone Prostaglandins Copyright © 2017 Wolters Kluwer · All Rights Reserved Summary of Menstrual Cycle Hormones Copyright © 2017 Wolters Kluwer · All Rights Reserved Menopause Perimenopause: 2 to 8 years prior to menopause o Vasomotor symptoms (hot flashes and night sweats) are the most common complaints o Several therapies can be considered to help Menopause: universal and irreversible part of the overall aging process o 1 year without a menstrual period Copyright © 2017 Wolters Kluwer · All Rights Reserved External Male Reproductive Organs #1 Penis o Organ of copulation o Outlet for urine and sperm Scrotum o Sac surrounding and protecting testes o Climate-control system for testes Copyright © 2017 Wolters Kluwer · All Rights Reserved External Male Reproductive Organs #2 Copyright © 2017 Wolters Kluwer · All Rights Reserved Internal Male Reproductive Organs #1 Testes o Sperm production o Testosterone synthesis Ductal system o Vas deferens (sperm transport) o Spermatic cord o Urethra Copyright © 2017 Wolters Kluwer · All Rights Reserved Internal Male Reproductive Organs #2 Accessory glands o Seminal vesicles o Prostate gland o Bulbourethral glands External organs o Penis o Scrotum Copyright © 2017 Wolters Kluwer · All Rights Reserved Internal Male Reproductive Organs #3 Copyright © 2017 Wolters Kluwer · All Rights Reserved Internal Male Reproductive Organs #4 Copyright © 2017 Wolters Kluwer · All Rights Reserved Question #3 Is the following statement True or False? The testes need a temperature that is warmer than body temperature for normal sperm development. a. True b. False Copyright © 2017 Wolters Kluwer · All Rights Reserved Answer to Question #3 b. False The testes need to be slightly cooler than body temperature to allow normal sperm development. Copyright © 2017 Wolters Kluwer · All Rights Reserved Male Sexual Response Desire Excitement Plateau Orgasm Resolution Copyright © 2017 Wolters Kluwer · All Rights Reserved Female Sexual Response Sexual stimulation leading to vasocongestion Vaginal expansion and elongation Secretion of mucus by vestibular glands Estrogen (preservation of vascular function) and testosterone (hormone of sexual desire in women) Orgasm (zenith of stimulation) Rapid dissipation of vasocongestion and muscle contraction Sexual cycle: desire, excitement, plateau, orgasm, and resolution Copyright © 2017 Wolters Kluwer · All Rights Reserved