Female Checklist Female Reproductive System Components of the female reproductive system Ovaries, uterine tubes, uterus, vagina, external genitalia, and breasts containing the mammary glands. Functions of the female reproductive system The female reproductive system produces oocytes and receives sperm cells from the male. Fertilization of an oocyte by a sperm cell is the beginning of a new individual. The female reproductive system supports the development of a new individual before birth and provides nourishment in the form of milk after birth. In addition, the female reproductive system produces sex hormones responsible for the normal development of the adult female body and sexual behavior. Mons pubis A prominence or raised area over the symphysis pubis caused by a pad of fatty tissue. Labium majus (pl., labia majora) One of two folds of skin containing fat that cover the entry into the female's reproductive tract. Pudendal cleft The space between the labia majora. Labium minus (pl., labia minora) One of two thin skin folds located deep to the labia majora. Vagina A muscular tube that is a passageway for menstrual flow and delivery of a baby. It also receives the penis during intercourse and is the site for semen deposition. The smooth muscle and elastic fibers of the vaginal wall allows distention of the vagina during delivery and intercourse. Urinary bladder A large, hollow organ that stores urine. The urine is eliminated through a tube called the urethra. The urinary bladder and urethra are adjacent to the anterior wall of the vagina. In females, the reproductive tract (vagina) and the urethra are separate from each other. In males, the urethra is part of both the urinary and reproductive tracts. That is, urine and semen both pass through the urethra. Rectum The posterior wall of the vagina is associated with the rectum, the inferior part of the digestive tract from which feces is eliminated. Vestibule of vagina The space between the labia minora, containing the vaginal orifice (opening to the vagina), urethral orifice (opening to the urethra), and the openings of the vestibular glands (not shown). 1 Orifice of vagina The external opening into the vagina. Hymen. A fold of mucous membrane that partially closes the vaginal orifice. Often, the margins of the hymen meet at the midline, and the vaginal orifice appears as a slit between them. The hymen, however, is variable in size and appearance, and sometimes completely closes the vaginal orifice (imperforate hymen). It can also be absent. The hymen can be ruptured during sexual intercourse, pelvic examination, and physical activity. After rupture, a few tags or rounded elevations of the hymen remain around the vaginal orifice. The hymen marks the junction between the external and internal genitalia. External urethral meatus The opening into the urethra. Clitoris A small, cylindrical organ containing erectile tissue. Stimulation of the clitoris initiates and intensifies sexual tension. Prepuce An anterior extension of the labia minora that covers the clitoris. Two erectile tissue bodies called the corpora cavernosa (sing., corpus cavernosum) form the clitoris. Parts of corpus cavernosum The glans (head), body, and crura. The glans and body are usually 2-3 cm (about 1 in) long and are often described as resembling a small penis. During embryonic development some tissues can develop into female or male reproductive structures depending on the sex of the embryo. The tissue that gives rise to the corpora cavernosa of the clitoris in the female becomes the corpora cavernosa of the penis in the male. During sexual excitement, the corpora cavernosa fill with blood, resulting in "erection" of the clitoris. In most women there is an increase in diameter, but not length, of the glans and body of the clitoris. As a result, there is increased contact of the clitoris with the prepuce and surrounding tissues, and the clitoris is more easily stimulated. The crus of the clitoris is the part of the corpus cavernosum that attaches the clitoris to the coxa. 2 Ischiocavernosus muscle A skeletal muscle that surrounds the crus of the clitoris. Contraction of the ischiocavernosus muscle helps to maintain erection of the clitoris by compressing the crus of the clitoris. Bulb of vestibule One of two elongated masses of erectile tissue located along the sides of the vaginal orifice. Anteriorly, the bulbs are connected by erectile tissue to one another and to the glans of the clitoris. During sexual excitement, the bulbs of the vestibule fill with blood, compressing the walls of the vagina. As a result, the vaginal orifice narrows, increasing pressure on the penis during intercourse. The bulbs of the vestibule and the corpus spongiosum of the penis are derived from the same tissue during embryonic development. Bulbospongiosus muscle A skeletal muscle that is located along the sides of the vaginal orifice. It covers the bulb of the vestibule. Contraction of the bulbospongiosus muscles compresses the walls of the vagina. As a result, the vaginal orifice narrows, increasing pressure on the penis during intercourse. Greater vestibular gland One of two glands on each side of the vaginal orifice. Its duct opens into the vestibule in the groove between the labium minus and the hymen. The greater vestibular glands produce a mucous secretion that may provide a very small amount of lubrication during intercourse. Lesser vestibular glands Several small glands producing a mucous secretion that is released into the vestibule between the external urethral meatus and the vaginal orifice. They help to maintain the moistness of the vestibule. Most of the lubricating secretions produced by the female during intercourse are derived from the vaginal wall, which has an extensive network of thin-walled blood vessels. Instead of a glandular secretion, the watery vaginal secretion results from the diffusion of fluid from the thinwalled blood vessels. 3 Uterus A hollow, thick-walled, muscular organ located in the pelvic cavity between the urinary bladder and the rectum. Inferiorly, the uterus connects to the vagina. Note that the uterus is tipped anteriorly and is at approximately a ninety degree angle to the vagina. Distention of the urinary bladder and rectum can cause the uterus to move. The uterus is the organ in which the development of a new individual takes place. Part of the uterine wall becomes the placenta, which is the site of gas, nutrient, and waste exchange between the mother's blood and fetal blood. During delivery, contraction of the thick, smooth muscle walls pushes the baby and the afterbirth (placenta and other membranes) out of the uterus. Parts of the uterus The cervix (meaning neck) connects to the vagina. body of the uterus is the main part of the uterus. The fundus is the superior end of the uterus. Fundus is a general term meaning the back part of an organ farthest from the opening into the organ. Fornix A recess in the vaginal wall formed by the projection of the cervix into the vagina. A diaphragm is a dome-shaped plastic or rubber barrier placed over the cervix where it extends into the fornix. A diaphragm reduces the likelihood of fertilization by blocking the movement of sperm cells into the uterus. External os of cervical canal The opening into the uterus. Cervical canal The passageway through the cervix. Uterine cavity The space within the body and fundus of the uterus. Endometrium The inner layer uterus, which forms the lining of the uterine cavity and cervical canal. In a sexually mature woman, the endometrium undergoes cyclic changes approximately every 28 days. These changes thicken the endometrium and prepare it for implantation and the development of a new individual. If implantation does not occur, then menstruation proceeds. Menstruation is the discharge of most of the endometrium and bloody fluid from the uterus. Myometrium The middle layer of the uterus. It is smooth muscle covered externally with a layer of connective tissue fascia (blue). Contraction of the myometrium expels the endometrium and menstrual fluid. Contraction of the myometrium also expels the baby and afterbirth during delivery. 4 5 Perimetrium The perimetrium is VISCERAL peritoneum forming the outer layer of the uterus. The uterus is NOT retroperitoneal. Ureter One of two ducts, which connect the kidneys to the urinary bladder. The ureters transport urine from the kidneys to the urinary bladder. Uterine (Fallopian) tube One of two tubes that arises from the uterus at the junction of the body and fundus. The uterine tube opens into the uterine cavity and into the peritoneal cavity. The uterine tube transports an oocyte from an ovary to the uterine cavity. The movement of cilia lining the uterine tube moves the oocyte in a small amount of peritoneal fluid. The cilia only beat toward the uterus. The uterine tube also provides a passageway for sperm cells to swim from the uterine cavity toward the ovary. Parts of the uterine tube The isthmus is the narrow part of the uterine tube attached to the uterus. The ampulla is the expanded middle part of the uterine tube. Fertilization of an oocyte typically takes place in the ampulla. The infundibulum is the distal, funnel-shaped part of the uterine tube. The opening of the infundibulum is lined with fingerlike processes called fimbriae. When an ovary releases an oocyte, it moves into the peritoneal cavity. Cilia on the fimbriae move the oocyte from the peritoneal cavity into the infundibulum. Ovary The ovary is a 3 cm (1.2 in) long gland in the pelvic cavity. There are two ovaries. The ovary produces oocytes (female sex cells). It also produces the female sex hormones estrogen and progesterone. Suspensory ligament Ligament attaching the ovary to the pelvic wall. Ovarian ligament Ligament attaching the ovary to the uterus. Round ligament Ligament attaching the uterus to the pelvic wall. Broad ligament On each side, the broad ligament is a fold of peritoneum extending from the pelvic wall to the uterus . As it extends to the uterus, the broad ligament ensheaths the uterine tube and ovary. 6 Breast One of two hemispheric projections located over the pectoralis major muscle on either side of the chest. Its attached surface usually extends from the level of the 2nd or third rib to the sixth rib. The breast contains the mammary glands, which produce milk for nourishment of the newborn. Nipple and areola Externally, the breast of both men and women has a raised nipple surround by the areola. The areola is a circular, darkly pigmented area of skin with a slightly bumpy surface caused by small glands beneath the skin. When a mother nurses her baby, milk exits the breast at the nipple. Secretions from the areolar glands help to prevent chafing as the baby suckles the breast. Mammary gland Glandular tissue within the breast. The mammary gland is composed of 15-20 lobes. The mammary glands produce milk. Lactiferous ducts Each lobe of the mammary gland has a lactiferous duct, which empties onto the nipple. Suspensory ligament Ligaments attaching to the fascia of the underlying pectoralis major muscle and supporting the breast. 7 Application Questions 4. Sperm cells deposited in a woman's vagina swim in search of an oocyte. Some of the sperm cells swim completely through the woman's reproductive tract to reach the peritoneal cavity. Give the following structures, arrange them in the order a sperm cell encounters them as it swims from the vagina to the peritoneal cavity. Ampulla of uterine tube Cervical canal Infundibulum of uterine tube Isthmus of uterine tube Uterine cavity 5. The clitoris is sometimes describe as being like a small penis. In what ways is the clitoris similar to a penis and in what ways is it different? 6. A teenager, attempting an abortion using a coat hanger, punctures the uterus. Give the following layers of the uterus, list the layers in the order they are punctured. Endometrium Myometrium Perimetrium 8 Application Answers 4. A sperm cells swimming from the vagina reaches the peritoneal by passing through the following: Cervical canal Uterine cavity Isthmus of uterine tube Ampulla of uterine tube (the typical site of fertilization) Infundibulum of uterine tube An ectopic pregnancy results when a fertilized oocyte implants somewhere other than the uterus. Most ectopic pregnancies occur in the uterine tube, which does not have the same ability to expand as the uterus. This is life-threatening to the woman, because growth of the fetus causes the uterine tube to rupture and bleed. Rarely an oocyte does not enter the uterine tube and is fertilized in the peritoneal cavity by a sperm cell that swims through the uterine tube. Following fertilization, the developing cells would normally implant in the uterine wall. Because the uterine wall is not available, the cells usually die. Very, very rarely, however, the cells implant on a mesentery. A mesentery is a fold of peritoneum that connects to an abdominal organ such as the small intestine. Mesenteries have an abundant blood supply, and it is possible for them to function like the wall of the uterus. It is also possible for such an ectopic pregnancy to go full term. Delivery is accomplished by surgically cutting through the abdominal wall and removing the baby. 5. The clitoris is similar to the penis because it contains erectile tissue, the corpora cavernosa. It is different in that it does not contain the corpus spongiosum and urethra. 6. From inside to outside, the layers of the uterus are: Endometrium Myometrium Perimetrium 9