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FUNCTIONS
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Production of female gametes/ ova by process called oogenesis Reception of male gametes/spermatozoa Provision of a suitable environment for fertilization of ova by spermatozoa Provision of an environment for the development of fetus Means for expulsion of the developed fetus to the external environment Nutrition of newborn
DIVISIONS
A. Internal genitalia 1. 2 oviducts 2. 2 ovaries 3. Uterus 4. Cervix 5. Vagina B. External genitalia 1. Labia majora 2. Labia minora 3. Clitoris C. Accessory organs 1. Mammary glands 2. Placenta
EXTERNAL GENITALIA
The external genital organs of the female are the clitoris, labia minora, labia majora and the glands that open the vestibule (the space flanked by the labia minora) Richly supplied with sensory nerve endings. Meissners corpuscles are found in the papillae at the base of the epithelium Genital corpuscles present in the subpapillary layer. Pacinian corpuscles present in the deeper parts of the connective tissue of the labia majora and in the cavernous bodies of the
Clitoris
Located below the mons pubis and is the female equivalent of the penis. Consists of two erectile corpora cavernosa which is side by side surrounded by a fibrocollagenous sheath. An incomplete central septum partly separates the two. Covered by a thin epidermis that is devoid of hair follicles, sebaceous glands, eccrine and apocrine glands but is richly equipped with sensory nerves and a variety of receptors.
Clitoris
Over the superior surface, skin forms an incomplete hood (clitoral prepuce). Inferior surface, with a thin midline frenulum. At the base, corpora cavernosa diverge to lie the pubic rami, where they contain fibers of ischiocevernous muscle. Small before puberty, enlarges to greater or lesser extent with the onset sexual maturity. Becomes engorged in a manner similar to that of the penis during sexual arousal.
Clitoris
Clitoris
Labia Majora
Plump folds of skin containing a large amount of subcutaneous adipose tissue and a thin layer of smooth muscles that corresponds to the tunica dartos of the scrotum in male. Outer surface bears hair in varying amount. Inner surface is smooth and hairless. Sebaceous and sweat glands are numerous on both surfaces.
Apocrine and sebaceous glands become active at the onset sexual maturity Eccrine glands which are present at
Labia Minora
Labia Minora
Covered with stratified squamous epithelium which contains some pigments (melanin) in its deeper layers and a thin keratinized layer at the surface. Have more spongy connective tissue permeated by networks of fine elastic fibers Lacks adipose cells Abundant with blood vessels in their connective tissue No hairs found within the labia, but with numerous sebaceous glands
Vestibule
Lined with stratified squamous epithelium and into it, opens the urethra and the vagina Around the opening of the urethra and on the body of the clitoris are several vestibular glands (glandulae vestibulares minors) which contain mucus-secreting cells that resembles that of the glands of Littre in male urethra Two larger glands of Bartholin are located on the lateral walls of the vestibule
Tubuloalveolar glands corresponding to that of the males bulbourethral glands and secreting a similar
Mons Pubis
Also known as Mons Veneris is a skin superimposed in the substantial pad of subcutaneous fat. Area overlying the symphysis pubis. Characterized by the presence of unusually oblique hair follicles which produce the coarse curly hair common to most races Underneath the skin is a pad of fat.
EXTERNAL GENITALIA
VAGINA
A fibromuscular, collapsed tube that connects the uterus to the exterior of the body. Lined with nonkeratinized stratified squamous with abundaant glycogen As part of the birth canal, it is tremendously dilated during parturition. Wall follows the pattern of the female genital tract
Mucosa Muscularis Adventitia
Mucosa
Longitudinal folds (rugae) extend throughout the anterior and posterior surfaces of the vagina Stratified squamous nonkeratinized epithelium lines the cavity
Epithelium
does not undergo typical menstrual changes but undergoes minor cyclic changes during sex cycle. With the influence of estrogen in the proliferative stage, slight keratinization of the lining cells occur which stains acidiphilic. These cells store glycogen which is released in the vaginal lumen when surface cells are exfoliated.
Mucosa
Lamina propia contains many elastic fibers, a few lymph nodes and various leukocytes. Has an extensive coiled venous plexus engorged with blood during sexual stimulation
Plexus also serves as a source of tissue fluid that leak into the lumen of the vagina during copulation. Together with secretions from cervical and vestibular glands, fluid provides lubrication of the vaginal lumen during sexual intercourse.
Muscularis
Composed of 2 poorly defined smooth muscle layers Thin fibers of the inner layer are oriented circularly Thick fibers of the outer layers are situated longitudinally and are continuous with the myometrium of the uterus. Encircling the entrance of the vagina is a weak sphincter of skeletal muscles.
Adventitia
A dense connective tissue layer Surrounds the vagina and blends with adjacent organs. Has elastic tissue. Blood vessels, nerves and lymphatics transverse the region to supply the inner layers of the vagina
Vagina
Vagina
CERVIX
The cervix (or neck of the uterus) is the lower part of the uterus, part of which protrudes into the vagina The tapering, almost cylindrical, inferior part of the uterus. It is occasionally called "cervix uteri". Cervix means neck in Latin. External surface of the part of the cervix that protrudes into the vagina is the ectocervix and the lining of the lumen is the endocervix
Ectocervix
Ectocervix is covered by epithelium continuous with that of the vagina at the vaginal fornices.
Ectocervical epithelium in nonkeratinizing, stratified squamous and rich in glycogen in the sexually mature period.
Undergoes cyclical changes during menstrual cycle through the influence of estrogens and progesterone. Before the menache and after menopause, the epithelium is much thinner with fewer layers and smaller cells with less glycogen
Endocervix
Endocervical canal runs between the uterine and vaginal cavities Lined by a single layer of tall columnar mucus-secreting epithelium (endocervical epithelium) There is a large surface area for the production of cervical mucus which fills the endocervical canal.
Mucin
acts as a vaginal lubrication during sexual intercourse and as a protective barrier preventing bacterial ascent into the endometrial cavity. Movement of endometrial mucus is facilitated by a few ciliated columnar epithelial cells scattered among the mucus-secreting endocervical cells.
Endocervix
Before puberty and after menopause, amount of cervical mucus us greatly reduced. The columnar epithelium of the endocervical canal and the squamous epithelium of the ectocervix meet at the squamo-columnar junction.
Cervical Canal
Wall consists of largely of dense collagenous and elastic fibers with only about 15% of the wall being smooth muscle. Mucosa contains complex mucous glands and deep branching folds (plicae palmate). Mucosa does not participate in menstruation since it is not supplied with spiral arteries which are the functional layer of the endometrium.
Cervical Canal
Cervical Canal
Cervical Canal
UTERUS
Pear-shaped organ About 7cm long, 4 cm across at its widest, 2.5cm thick Has a thick muscular wall that is continuous with the wall of the Fallopian tubes It receives the products of conception from one of the oviducts and its endometrium undergoes cytological changes to provide sustenance to the embryo throughout its development
Fundus rounded upper portion above a line joinging the openings of the oviducts Body or corpus uteri wide upper two-thirds of the organ Isthmus - slightly narrower portion below the body Cervix cylindrical lower segment
vaginalis portion of cervix that protrudes into upper end of vagina Cervical canal External os of the uterus opens into vagina
portio
Myometrium
Consists
of smooth muscle Composed of interlacing bundles of long, slender fibers arranged in ill-defined layers Layers.
Stratum
bundles Stratum vasculare outside stratum submucosum many blood vessels gives spongy appearance; longitudinal bundles Stratum supravasculare mainly circular bundles, some longitudinal bundles Stratum subserosum outermost; thin layer of longitudinally oriented fiber bundles
During pregnancy, under the influence of estrogen, the myometrium increases greatly in size by both cell division and cell growth At parturition, strong contractions of the myometrium are reinforced by the action of the hormone oxytocin secreted by the posterior pituitary. These contractions expel the fetus from the uterus into the vagina and also constrict the blood supply to the placenta, thus precipitatin its detachment from the uterine wall
Endometrium
Consists
simple
of
columnar epithelium with or without cilia A wide tunica propria housing extensive mucosal glands The endometrial stroma (thick lamina propria) Divided into Lamina basalis basal one third Lamina functionalis luminal two-thirds
Endometrium
Functions
Normal
locale for the implantation of the morula and the blastocyst stages of the early embryo Usual site for the development of the placenta Location of the glandular and vascular changes associated with the menstrual cycle
During menstruation, the functional zone degenerates while most of the basal layer remains intact, which regenerates the new mucosa for the next menstrual cycle
OVIDUCT/FALLOPIAN TUBE
Portion of the female reproductive system that receives the ovum released from the ovary, provides the appropriate environment for its fertilization and transports it to the uterus. It is a muscular tube about 12cm long
Infundibulum the funnel-shaped abdominal end Fimbriae fringe-like processes Ampulla an expanded intermediate segment below the infundibulum Isthmus the slender medial third near the uterine wall
Mucosa
Relatively
OVARY
Primary sexual organ Small ovoid organs lying in the right and left lateral pelvic cavities Sites of oogenesis Paired organs about the size and shape of almonds Mesovarium: folds of peritoneum from each side of uterus that suspend and enclose the ovary : carries blood vessels and nerves to ovary Functions: 1. Source of mature ova 2. Endocrine organs producing steroid hormone that prepare the endometrium for conception and maintain pregnancy if fertilization occur
Epithelium of Ovary
Epithelium of Ovary
Hilum- a shallow depression on the medial surface of ovary where mesovarium attaches
- route where blood vessels, lymphatics and nerves enter and leave the ovary - Continuous with medulla and central cortex of ovary
- Contain vestigial remnants of the embryonic Wolffian duct and clusters of hilus or hilar cells
Wolffian duct remnants- persist as irregular tubules lined by flat or cuboidal epithelium (rete ovarii)
- round or oval with eosinophilic granular or goamy cytoplasm containing brown lipofuscin-like pigment - densely packed