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Internalgenitalia
2ovaries 2oviducts (uterine or Fallopian tubes) uterus vagina
Externalgenitalia
clitoris labiaminora labiamajora Breastsand mammary glands
ovary structure
tunicaalbuginea cortexwith follicles medullawith blood supply
ligaments of the ovary
mesovarium mesosalpinx ovarianligament broadligament suspensoryligament
number of ova from development to now
7million at 5th month 2million at birth 40,000at puberty
OOGENESIS
oögonium enters meiosis. goes to primary oocyte. it stays arrested in prophase 1. when follicle develops, it becomes unarrested, and sheds its polar body to become a secondary oocyte arrested in metaphase 2. if it fertilizes, then egg completes meiosis 2, sheds another polar body and beco…
the ovarian cycle - stages
primordial primary unilaminar primary multilaminar secondary follicle tertiary follice corpus leteum corpus albicans
primordial follicle
primary oocyte arrested in prophase 1, plus a layer of flattened follicle cells (given by ovary at birth)
primary unilaminar
primary oocyte resuming meiosis 1, 1 layer of cudoidal cells in mitosis secreting estrogen
primary multilaminar
primary oocyte getting to first meiotic division. multiple layers of cuboidal cells in mitosis and secreting estrogen
secondary follicle
secondary oocyte arrested in metaphase 2, multiple follice cells in mitosis secreting
tertiary follicle
secondaryoöcytethat is arrested in metaphase II + multiplefollicle cells secreting estrogen
Corpusluteum
remnantsof follicle cells after ovulation
Corpusalbicans
scarredover corpus luteum
2 stages of ovarian cycle
Follicular– primordial to tertiary (estrogen) Leutal – ovulation – on (estrogen +progesterone)
oviducts sections
fimbriae - sweeping fingers infundibulum - right after sweeping ampulla - where you get pregnant isthmus - narrowing into the uterus
uterus anatomy sections
fundus corpus(body) cervix
Pouches of the peritoneum over uterus
vesicouterine pouch: between the bladder and uterus rectouterine pouch: between the rectum and uterus (pouch of douglas)
histology of the uterus
perimetrium myometrium - muscle endometrium - stratum basalis + functionalis
vagina gross anatomy
fornix(anterior and posterior) - where vagina goes to cervic rugae - ridges hymen introitus(orifice)
there are no vaginal glands, but what is there?
cervicalmucous glands transudationof tissue fluid cellssecrete glycogen
Vulva parts
monspubis labiamajora labiaminora vestibule (including urethralorifice vaginalintroitus) clitoria (prepuce, glans and crus)
vulva lubrication
vestibular bulbs vestibular glands paraurethral glands
Perineum
urogenitaltriangle analtriangle
breast anatomy
adipose tissue with mammary glands in. alveolar ducts attaching. lactiferous sinus (milk storage) ending in lactiferous duct
female hormones
see card
relaxin
relaxespubic symphysis/cervical dilation
inhibin
inhibitsGn-RF and FSH (don’twant to waste any more eggs)
progesterone
stimulatessecretory endometrium & prepares mammaryglands for milk synthesis
low levels of estrogen
Gn-RFsecretion and the anterior pituitary gland to secrete FSH, whichinitiates follicular development at the beginning of a newcycle.
Highlevels of estrogen
allow Gn-RF secretion and the anterior pituitary gland to secrete LH, which stimulates ovulation, thus leading to formation of the corpus luteum.
Moderatelevels of estrogen
inhibitGn-RFsecretion and therefore inhibits FSH and LH.
female cycle
menses preovulatory ovulation postovulatory ischemic
menses
greatlydiminished blood estrogen and progesterone levels; stratum functionalis dead and shedding; low estrogenstimulates Gn-RF + FSH
preovulatory
newfollicles developing and secreting estrogen; rising blood estrogen causesmitosis of stratum basalis and rebuilding of stratum functionalis
ovulation
highestrogen stimulates Gn-RF + LH, thus stimulatingovulation; as a result corpus luteum is formed
postovulatory
corpusluteum produces estrogen + progesterone;stratum functionalis becomes secretory: 1. retains water 2. uterine glands secrete glycogen 3. spiral arterioles rapidly develop
ischemic
corpusluteum dying; blood estrogen andprogesterone levels dropping; spiral arterioles vasoconstrict for 6 hours at a time; stratum functionalis begins to die
sexual responses for male
excitement - erection and bulbourethral gland lubrication orgasm - emission & ejaculation resolution - detumescence & refractory period
sexual responses for female
excitement & plateau - vaginaltransudate, lubricationfrom vestibular glands, orgasmicplatform formed, tentingeffect orgasm resolution - detumescence
detumescence
loss of erection
vaginaltransudate
vaginal weeping
Orgasmicplatfrom
cervixarea lengthens and outside contricts to grip – uterus moves up fromover the bladder to pull cervix up

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