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Female Anatomy. Vulva. Vulva. Vulva. Vulva. Vulva. Female Genital Exam. Use a hand mirror to look at your genitals Identify the various parts Look for any unusual bumps or coloring
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Female Genital Exam • Use a hand mirror to look at your genitals • Identify the various parts • Look for any unusual bumps or coloring • Think about your feelings regarding your genital anatomy. • Do it on a regular basis
Vulva • External genitals • Mon veneris • Labia majora and minora • Clitoris
Clitoris • Homologus to penis • Same # of nerve endings as the head of penis • Only purpose is sexual arousal • Most common method of self stimulation & orgasm
Underlying structures • Vestibular bulbs • Bartholin’s glans
Kegel Exercises • Urinary control after childbirth • Increases genital sensitivity • Increases sensation during intercourse • Technique of doing exercises
Internal structures (summary) • Vagina • Vasocongestion = lubrication • Grafenberg (G) spot • Cervix • Uterus • Ovaries
Vagina • Vaginal opening has highest concentration of vaginal musculature • Inner 2/3 = fewest nerve endings • Changes during intercourse • Orgasmic platform
Vaginal lubrication • The first sign of sexual arousal • Occurs within 10 – 30 seconds after effective physical or psychological stimulation • Seeps through the vaginal walls as vasocongestion occurs.
Other vaginal lubrication • Saliva • Water-based lubricant • Lubricated condoms • Not Vaseline
Chronic vaginitis • Due to • Birth control pills • Antibiotic medication
Bartholin’s glands • Located on either side of the vaginal opening • Produces fluid • Function unknown • Possibly to lubricate entrance to vagina
Hymen • Use is largely unknown • Types • Imperforate hymen
Grafenberg (G) spot • Location • http://mama.indstate.edu/users/nizrael/grafenberg.html • Female counterpart to male prostate gland • Female ejaculation
Cervix • Cervical cancer - increases risk due to • Genital warts • Having several male sexual partners • First intercourse at an early age • Cigarette smoke
Uterus • Endometrioses • Cells from uterine lining implant in abdominal cavity
Ovaries • 40,000 to 400,000 innature ova at birth • 300 - 450 mature in a woman’s lifetime • Ovaries are endocrine glands • Produce sex hormones • Estrogen and progesterone
After release from ovary, eggs viable for 24-48 hours for fertilization
Breasts • Size • Fatty tissue determines size • Unrelated to milk or sensitivity • Preoccupation with size • Surgical alternatives • Enlargement • http://www.plasticsurgerypa.com/pgallery/benlargement.html • Reduction • http://www.plasticsurgerypa.com/pgallery/breduction.html • Lift • http://www.plasticsurgerypa.com/pgallery/blift.html
Breast exams • Self-exam = good • Mammogram = better • MRI (Magnetic Resonance Imaging) = Best
Menstruation • Menarche • Onset = 11 - 15 years • Menstrual synchrony • Women living together develop similar cycles
Menstrual synchrony • Synchronized menstration • Apparently based on the sense of smell
Menopause • Permanent cessation of menstruation • Hormone replacement therapy • Benefits • Protects against • Osteoporoses • Cardiovascular disease • Loss of vaginal lubrication • KY • Risks • May increase estrogen dependent breast cancer • Endometrial cancer