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Chapter 4: Female Sexual and Reproductive Anatomy and Physiology. Anatomy: science of the structure of body parts Physiology: biological study of functions of body parts. The Vulva: External Sexual and Reproductive Anatomy. Vulva: external female genitalia
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Chapter 4: Female Sexual and Reproductive Anatomy and Physiology Anatomy: science of the structure of body parts Physiology: biological study of functions of body parts
The Vulva: External Sexual and Reproductive Anatomy • Vulva: external female genitalia • Mons Veneris (Mount of Venus): layer of fatty tissue at the top of the pubic bone • Becomes covered by pubic hair during puberty • May be sensitive to gentle stimulation
The Vulva • Labia Majora (major lips)- thick, bulging around the outside of vaginal opening • Labia Minora (minor lips)- just inside of the labia majora and extends further outward (most pronounced feature) • Viewed as highly erotic in some cultures (Africa) • Lots of variation in appearance • Extremely sensitive to touch
The Vulva • Clitoris (Greek= kleitoris, “hill”, “slope”)- formed from same tissue as glans, penis, in the male • Sole purpose is for pleasure with 6-8000 nerve endings • Extends about 1 inch inward • Becomes enlarged during arousal due to vasocongestion, then retracts under the hood where contact produces pleasurable sensations • Clitoral hood (Prepuce)- part of labia minora which covers the clitoris • Glans- visible part of the clitoris • Shaft- extends deeper into the pelvis toward vaginal wall
The Vulva • Urethral- expels urine from the bladder • External urethral orifice- opening of the urethra
Female Genital Mutilation (FGM) • The practice of surgically altering female genitalia to decrease pleasurable sensations during intimacy • Illegal in the U.S., but once performed on Victorian era girls • Still performed in some parts of the world (Africa and the Middle East) • Three types (see book, pages 62-63, Figure 4.2) • Adverse effects- infections, diseases, immediate and long-term pain, negative impact on a woman’s basic functions, including intercourse and urination • Comprehensive web resource on FGM: www.fgmnetwork.org/index.php
The Introitus and the Hymen • Introitus (“entrance”)- vaginal opening • Hymen (Greek God of Marriage)- fold of tissue across the vaginal opening, present at birth • Bartholin’s glands- located at the base of the labia minora • Secretes a few drops of fluid during arousal which protects the sperm • Perineum- area between vaginal and anal openings
Pelvic Floor Muscles • Thick muscle tissue surrounds the vagina that controls the urine flow • Control vaginal contractions • Weak vaginal sensations and incontinence linked with weak pelvic muscles • Voluntary control may be regained by performing Kegel exercises
The Internal Female Sexual and Reproductive Anatomy • Vagina (“sheath”)- positioned between bladder and rectum • 3”-5” at rest, butexpands to 6”-7” during arousal • Multi-layered tissue, outer layer similar to that of the mouth • Highly elastic after puberty and before menopause • Becomes lubricated during vasocongestion and due to blood engorgement • Allows for the passage of babies and menstrual flow • Self-cleansing; secretions should be white or yellowish • Has a musky odor when healthy; avoid sprays
Grafenberg spot (G-spot) • Dime to quarter sized area of increased sensitivity roughly 2 inches inside the anterior vaginal wall • Discovered by Ernest Grafenberg in 1950 • Highly disputed • Stimulation may lead to female ejaculation • Some have suggested the actual tissue is the urethral sponge • Skene’s glands- located on either side of the urethral opening • Contributes fluid chemically similar to seminal fluid
The Uterus (Womb) • Hollow, pear-shaped structure which holds a baby until birth; only 3” X 3” in childless women • Fundus- top of uterus • Cervix- lower end of uterus • Os- opening of cervix • 3 layers • Perimetruim- outermost layer • Myometrium- middle layer, contains muscle fibers that expand during pregnancy and expel baby during childbirth • Endometrium-innermost layer, where implantation takes place • Thickens until ovulation, then peels away and is discharged if implantation does not occur
Fallopian Tubes and Ovaries • Fallopian Tubes (Oviducts)- extend 4” from uterus to the ovaries • Conception occurs here • Ovaries- almond shaped organs which contain ova and produce reproductive hormones (estrogen and progesterone) • Every ovary contains about 400,000 immature ova (oocytes)
Female Sexual Maturation and Development • Puberty- transition from childhood to adulthood in which a person reaches sexual maturity • Menarche- initial menstrual cycle • Ovulation- expulsion of an ovum from an ovary • Menopause- cessation of menstrual cycles
The Menstrual Cycle • Regulated by hypothalamus and pituitary gland • Typical cycle is 28 days in adult women (longer for adolescent women and shorter for older women) • Phases: Menstrual Phase, Proliferative Phase, Secretory Phase (see text)
Difficulties and Changes in the Menstrual Cycle • Pre-menstrual syndrome (PMS)- a cluster of psychological and physical symptoms, including depression, irritability, fluid retention, and cramping leading up to menstruation • Dysmenorrhea- pain or discomfort during menstruation • Amenorrhea- absence of menstruation for 6 months or longer • Toxic Shock Syndrome (TSS)- caused by build-up of bacteria (Staphylococcus aureus) and subsequent toxins produced • Mimics flu symptoms and may cause death • 85% of cases related to menstruation • Harmless in most areas of the body, but deadly when it infects the blood stream
Breasts • Contain layers of fatty tissue and mammary glands • Categorized as secondary sex characteristics, which means they do not play a direct role in reproduction • Become enlarged in puberty as a result of estrogen • One is usually larger than the other (generally the left)
Breasts Continued • Size is not linked to number of mammary glads or nerve endings • Due to large number of nerve endings in the breasts and nipples, they are considered to be erogenous zones (areas of heightened sexual sensitivity)
Breast Health • Recommended that women regularly examine their breasts, starting in their early 20s • Mammogram- diagnostic technique using an x-ray • Breast Cancer- the most dangerous reproductive cancer in women • Killing around 40,000 women each year
More on Breasts • Breast Augmentation- insertion of implants in the breast tissue • Breast Reconstruction- rebuilding of tissue following a mastectomy • Breast Reduction- removal of excess fatty tissue
Sexual and Reproductive Health • Genital Self Exam- examination of the vulval area- including the mons, clitoris, labia, and vagina • Pelvic Exam- professional exam of the vagina • Pap Smear- direct examination of cells taken from the cervix
Vaginitis- Vaginal Infections • Bacterial vaginosis (BV)- most common due to overabundance of naturally occurring bacteria • Yeast Infections- inflammation due to an overabundance of natural vaginal yeast • Trichomoniasis- parasitic infection often caused by sexual activity • Vulvitis- infections of the vulva • Urinary Tract Infections (UTI)- bacterial infections in the urinary tract