Lecture 19 - drcink.net

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Lecture 22

Female Reproductive System

 Ovaries o These gonads produce __________ cells and sex hormones o Almond-shaped and measuring about 3 cm long, 1.5 cm wide and 1 cm thick o Medulla is a zone of fibrous connective tissue containing arteries and veins o Cortex is the site of the ovarian __________________

 Each follicle consists of one developing ovum surrounded by numerous small follicular cells o Ovaries are held in place by tissue ligaments

 The ovaries are attached to the uterus by the ovarian

________________

 At the opposite ends, the ovaries are attached to the pelvic wall by suspensory ligaments

 The anterior margin of the ovary is anchored by a peritoneal fold called the ___________________

 This extends to a sheet of peritoneum called the broad ligament which runs along the side of the uterus

 Oogenesis and ova o The production of female gametes is called oogenesis o It employs meiosis to produce haploid gametes o It differs from spermatogenesis in that

 it is not a ____________________ process.

 it occurs in a rhythm called the ovarian cycle

 it produces only one functional gamete

 The other daughter cells are called polar bodies which die o In the (female) fetus, germ cells differentiate into oogonia which multiply until the fifth month of gestation

 They produce 6 to 7 million and then go into a state of

_________________ development until shortly before birth

 Some of them then transform into primary oocytes and go as far as early meiosis I

 Most primary oocytes degenerate before a girl is born

 2 million remain at birth

 By the onset of puberty, only 400,000 remain o This is the female’s ________________ supply of germ cells o During a woman’s reproductive years, about 20 to 25 oocytes and follicles begin to develop each month. o Normally, just one of these reaches maturity and ovulates, and the rest degenerate o The stages of oogenesis are accompanied by changes in the follicle

 The primary oocyte is initially enclosed in a primordial follicle

 A ________________ layer of squamous follicular cells surrounding the oocyte

 About 3 days before the menstrual period begins, pituitary secretion of FSH stimulates primordial follicles to develop into primary follicles

 The follicular cells thicken into a cuboidal epithelium, multiply, and become stratified

 One of the primary follicles forms a fluid-filled cavity called an

_________________

 The follicle is then called a secondary follicle

 The secondary follicle enlarges to as much as 2.5 cm in diameter and bulges like a balloon

 This is called a mature follicle (or a graafian follicle)

 The release of the oocyte from the follicle is called ovulation

 It typically occurs at about day 14 of the ovulation cycle

 When the oocyte is expelled, the follicle collapses and becomes a structure called a corpus _________________

 The corpus luteum secretes a large amount of progesterone, which stimulates the uterus to prepare for possible pregnancy

 Uterine tubes o The ovulated oocyte travels through this tube to reach the uterus o Also called the oviduct or ____________________ tube o At the distal end of the tube it has feathery projections called fimbriae that direct the egg into the tube o The wall of the tube has smooth muscle that produces contractions to direct the egg towards the uterus o The mucosa has ciliated cells that direct the egg towards the uterus

 Uterus o This is a thick ____________________ chamber that opens into the roof of the vagina o It usually tilts forward over the urinary bladder o Its functions:

 Harbor the fetus

 Provide it with a source of nutrition

 Expel the fetus at the end of gestation o It’s somewhat pear-shaped

 It has a broad superior curvature (the dome-shaped part) called the

_________________

 It had a midportion called the body

 It has a narrow inferior portion called the cervix

 The opening through the cervix to the vagina is the cervical canal o The uterine wall

 The myometrium is composed mainly of bundles of smooth muscle

 The ____________________ is the inner lining

 The stramum functionalis is shed each menstrual period

 The stratum basalis stays behind an degenerates a new funtionalis in the next cycle

 Ligaments

 The broad ligament, cardinal ligament, uterosacral ligaments, and round ligament all hold the uterus in place

 Menstrual Cycle

 ___________________ phase – time of building the endometrial tissue from .5 mm thick to about 2 to 3 mm thick through mitosis

 Secretory phase – time of further thickening, but as a result of accumulation of fluid rather than mitosis

 Premenstrual phase – period of endometrial degeneration occurring in the last 2 days of the menstrual cycle o Tissue and blood fall away from the uterine wall, forming menstrual fluid

 _________________ phase – begins when enough menstrual fluid has accumulated in the uterus that it begins to be discharged vaginally

 Vagina o This is a tube that allows for

 Discharge of menstrual fluid

 Receipt of the penis and semen

 The birth of a baby o It is thin-walled but very distensible o At the lower end is the _________________ , which stretches across the opening of the vagina

 The hymen may be ruptured by sexual intercourse, but is commonly ruptured before then in other ways o The lower end has vaginal rugae which stimulate the penis and help induce ejaculation

 External Genitalia o Collectively known as vulva o The mons pubis is the _________________ mound of adipose tissue overlying the symphysis pubis o The labia majora are a pair of thick folds of skin and adipose tissue

 Inferior to the mons pubis

 Between the thighs o The labia minora are thin folds of tissue medial to labia majora o The vestibule is the area enclosed by the labia minora o The clitoris is found at the anterior junction of the labia minora

 Its function is entirely __________________

 It’s the primary center of erotic stimulation o The vestibular bulbs are pairs of subcutaneous erectile tissues

 They are just deep to the labia majora

 They become congested with blood and cause the vagina to tighten somewhat around the penis o The vestibular __________________ are found next to the vagina

 They keep the vulva moist and provide lubrication during sexual intercourse

 Breasts and Mammary Glands o The breast is a mound of tissue overlying the pectoralis major o The mammary gland develops within the breast during pregnancy

 It remains active in the lactating breast

 At atrophies when a woman ceases to nurse o The breast has two principle regions

 The body – the conical to pendulous part

 At its apex is the nipple

 The ______________________ tail – the portion that extends toward the armpit o The areola is a circular colored zone that surrounds the nipple

 Dermal capillaries and nerves come closer to the surface here than in the surrounding skin

 It makes the area more sensitive and reddish in color

 In pregnancy, the areola and nipple may darken, to make them more visible to the nursing infant

 Sensory nerve fibers are important in triggering a milk ejection reflex when an infant nurses o Internally, the non-lactating breast is mostly adipose and collagenous tissue o Suspensory ligaments attach the breast to the dermis overlying the skin and to the fascia of the pectoralis major o When the mammary gland develops during pregnancy, it exhibits 15 to 20 lobes arranged radially around the ________________

 Each lobe is drained by a lactiferous duct

 Lactiferous ducts dilate to form a lactiferous sinus which opens into the nipple

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