Anatomy of Female Reproductive System Lecture 1, NUR 324 1 Learning Objectives 1. Define the terms listed. 2. Identify the female external and internal reproductive organs. 3. Explain the structure of the bony pelvis. 4. Explain the functions and structures of pelvic floor. 2 function of the female reproductive system • The main function of the female reproductive system is to produce eggs (ova) to be fertilised, and to provide the space and conditions to allow a baby to develop 3 Component Parts 1. Internal female reproductive organs 2. External female reproductive organs 4 External female reproductive organs • Collectively, the external female reproductive organs are called the Vulva. • Which means covering • Function: protect the urethral and vaginal openings 5 External Female Structures (Vulva) 1. 2. 3. 4. 5. 6. Mons Pubis. Labia Majora Labia Minora. Clitoris. Vestibule. Perineum 6 1.Mons Pubis • Is rounded, soft fullness of subcutaneous fatty tissue, prominence over the symphysis pubis. • It is covered with varying amounts of pubic hair after puberty. Funtion: it protects sympyhsis pubis during sexual intercourse 7 2. Labia Majora • The labia Majora are two rounded, fleshy folds of tissue that contained sweat and sbecuos glands , they are coverd with hair • Function: It is protect the labia minora, urinary meatus and vaginal introitus. 8 3. Labia Minora • It is located between the labia majora, are delicate hairless inner folds • The lateral and anterior aspects are usually pigmented. • The inner surfaces are similar to vaginal mucosa. • They are highly vasculer and sensitve 9 4. 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 • Function: Sexual stimulation 10 5. Vestibule. • It is oval-shaped area formed between the labia minora, clitoris, and fourchette. • Vestibule contains the external urethral meatus, vaginal introitus, and Bartholins glands and skene gland that secret mucus. 11 • The vaginal opening is surrounded by hymen, the hymen is a tough, elastic, perforated mucosa across the vaginal introitus. 12 6. Perineum • Is the most posterior part of the external female reproductive organs. • It is located between vulva and anus. • is composed of fibrous and muscular tissues that support pelvic structures. • Episiotomy: incision of the perineum area 13 Internal Female Reproductive Organs 1. 2. 3. 4. Vagina Uterus Fallopian tubes Ovaries 14 1. Vagina • It 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 external genitals. 15 Cont.. Vagina • 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. 16 Anatomical relation of the vagina • • • • • Anterior------------Urethra and bladder Posterior-----------Perineal body &rectum Lateral------------- Pelvic floor muscles Superior-----------The cervix. Inferior------------- The vulva 17 Functions of the vagina 1. To allow discharge of the menstrual flow. 2. As the female organs of coitus. 3. To allow passage of the fetus from the uterus. 18 2. Uterus • The uterus is a hollow, pear shaped muscular organ at the top of vagina. • The uterus measures about 7.5 long X 5 wide X 2.5 thick cm and weight about 50 – 60 gm. • It lies behind the bladder and in front of the rectum and is anchored in position by eight ligaments and is not attached by skeleton. • The uterus divided into three parts 19 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 above the area where the fallopian tubes enter the uterus. • Length about 5 cm. 20 The uterus divided into three parts: 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. 21 The uterus divided into three parts: 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. 22 Layers of the uterus 1. Endometrium. 2. Myometrium. 3. Perimetrium 23 1. Endometrium • Is mucosal inner layer of the uterus. It varies thickness 0.5 to 5mm • It is responsive to the cyclic variations of estrogen and progesterone during the female reproductive cycle every month. • The three layers of the endometrial are: *Compact layer *The basal layer *The functional or Sponge layer this layer is shed during each menstrual period and after child birth. 24 25 2. Myometrium • Is the middle layer of thick muscle. • The myometrium contains three types of smooth muscle fiber 3. 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. 26 Anatomical relation of the uterus • • • • • Anterior------------Bladder Posterior-----------The rectum Lateral-------------F. T& ovaries Superior-----------The intestines. Inferior------------- The Vagina 27 28 The Functions of the uterus 1. Menstruation ----the uterus sloughs off the endometrium. 2. Pregnancy ---the uterus support fetus and allows the fetus to grow. 3. Labor and birth---the uterine muscles contract and the cervix dilates during labor to expel the fetus 29 30 3. Fallopian tubes • The two tubes extended from the uterus to the ovary. • It runs in the upper free border of the broad ligament. • Length average is 10 cm • Its divided into 4 parts. • The ends of the fallopian tubes lying next to the ovaries feather into ends called fimbria (Latin for "fringes" or "fingers"). Millions of tiny hair-like cilia line the fimbria and interior of the fallopian tubes 31 Segments of the fallopian tube 1. Fimbria segment - faces the ovary 2. Infundibulum segment - funnel shaped segment behind the fimbria 3. Ampulla segment - wide middle segment Fertilization occurs in the ampulla. 4. Isthmus segment - narrow muscular segment near the uterus 32 33 Functions of fallopian tube 1. Transport of fertilized and unfertilized ovum to the uterus. 2. Fluid environment for early embryonic development 34 4. Ovaries • Oval solid structure, 1cm in thickness, 2 cm in width and 4 cm in length. Each weights about 4–5 gm. • Ovary is located on each side of the uterus, below and behind the uterine tubes 35 Structure of the ovaries •Cortex •Medulla 36 Ovaries and Relationship to Uterine Tube and Uterus 37 Figure 28–14 Function of the ovary 1. Secrete estrogen & progesterone. 2. Production of ova 38 Bony pelvis 39 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 intraabdominal pressure 40 Bony Pelvis • Bony Pelvis Is Composed of 4 bones: 1. Two hip bones. 2. Sacrum. 3. Coccyx. 41 1. Two hip bones. • Each or hip bone is composed of three bones: *Ilium *Ischium *Pubis 42 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 43 3. Coccyx. Consists of four vertebrae forming a small triangular bone. 44 Pelvic Joints • There are four pelvic joints: * One Symphysis pubis * Two sacro-iliac joints * One sacro-coccygeal joint 45 PELVIC SHAPE 1-GYNECOID • Typical female pelvis found in 50% of women • Rounded—slightly oval inlet • Straight pelvic sidewalls • Good sacral curve • Pubic arch is wide PELVIC SHAPE 2-ANDROID • Typical male pelvis found in 1/3 white women 1/6 non-white • Pelvic brim is heart shaped • Pelvis funnels from above downwards • Narrow pubic arch PELVIC SHAPE 3-ANTHROPOID 25% white women & 50% nonwhite Pelvic brim APD > TD Long & narrow pelvic canal with long sacrum Straight pelvic sidewalls 4-PLATYPELLOID 3% of women Pelvic brim TD >>>APD kidney shape Sacral promontory pushed forwards Pelvic Shape Differentiation between female and male pelvic Female Male Cavity is broad, shallow Cavity is narrow, deep Pelvic inlet oval + outlet round Smaller inlet + outlet Bones are lighter, thinner Bones heavier, thicker Pubic angle larger Pubic angle more acute Coccyx more flexible, straighter Coccyx less flexible, more curved Ischial tuberosities shorter, more Ischial tuberosities longer, face everted more medially Frolich, Human Anatomy, Pelvis I Blood Supply • The 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. 52 Student Practice 1 1. Eating Seafood During Pregnancy is it safe or not? 2. What is recommended diet during Pregnancy 53