1
NUR ANISAH
BAGIAN HISTOLOGI & BIOLOGI SEL,
FAKULTASKEDOKTERAN,
UNIVERSITAS GADJAH MADA, YOGYAKARTA
Blok Sistem Reproduks...
22
memilikimemiliki
enam fungsi utama:enam fungsi utama:
Menghasilkan gamet betina, yaituMenghasilkan gamet betina, yaitu
...
33
GAMBARAN UMUMGAMBARAN UMUM
SISTEM REPRODUKSI WANITASISTEM REPRODUKSI WANITA
██ KOMPONEN SISTEMKOMPONEN SISTEM
■■ Ovariu...
44
ORGANA GENITALIAORGANA GENITALIA
FEMININAFEMININA
ORGANA GENITALIA EXTERNAORGANA GENITALIA EXTERNA
ORGANA GENITALIA INT...
55
Organa genitalia femininaOrgana genitalia feminina
interna dan externainterna dan externa
Ø lateral organa genitalia
fe...
6
Figure . Internal organs of the female reproductive system.
7
1. Ovarium
● Organ ini merupakan gonade
● Tersusun oleh:
- folikel-folikel → perkembangan telur
(ovum)
- setelah folikel...
8
Figure 23—2. Ovary of a woman of reproductive age showing its main components:
germinal epithelium, tunica albuginea, co...
9
Figure. Photomicrograph of part of
an ovary showing the cortical and
medullary regions. H&E stain. Low
magnification.
Ov...
1010
Folliculus ovariiFolliculus ovarii
1.1. Folliculus primordialisFolliculus primordialis
2.2. Pertumbuhan follikel:Pert...
11
Fig. Types of ovarian follicles, from
primordial to mature.
The relative proportions of the follicles are
not maintaine...
12
Perkembangan folikel
Folliculus ovarii
Epitel
Cortex
13
Figure 23—6. Cortical region of an
ovary. Besides primordial follicles
formed by an oocyte and flat
follicular cells, a...
14
Figure 23—7.
Photomicrograph of a
preantral ovarian follicle
formed by an oocyte and
several layers of
granulosa cells....
15
Folliculus
secundarius Folliculus de Graaf
16
Figure 23—9. Photomicrograph
of part of an antral follicle.
Cavities (A) that appear in the
granulosa layer will fuse a...
17
Figure 23—10. Photomicrograph of an antral follicle showing the oocyte
surrounded by the granulosa cells of the corona ...
18
Figure 23—11. Photomicrograph of a small part of the wall of an antral
follicle, showing the antrum, the layer of granu...
19
Figure 23—12. Photomicrograph of the atresia of a follicle characterized
by: (1) the death of granulosa cells, many of ...
20
Figure 23—13. Part of
a corpus luteum.
Granulosa lutein cells,
which constitute the
majority of the cells,
derive from ...
21
Figure 23—14.
Photomicrograph of a
small portion of a
corpus luteum. Most
cells present in the
figure are granulosa
lut...
22
Figure 23—15. Pituitary hormones
control most ovarian functions.
Follicle-stimulating hormone (FSH)
stimulates follicul...
23
Figure 23—16. Corpus
albicans, the scar of
connective tissue that
replaces a corpus luteum
after its involution.
24
Corpus luteum
25
Corpus albicans
mrpk massa jar. fibrosa
tidak aktif
Gamb. utama ovarium
manusia, jumlahnya
meningkat dng usia,
sering...
2626
2. Tuba uterina (oviduct)2. Tuba uterina (oviduct)
Terdapat sepasang, panjangTerdapat sepasang, panjang ± 12± 12
cmcm...
2727
Bagian-bagian tuba uterinaBagian-bagian tuba uterina
Pars interstitialisPars interstitialis
IsthmusIsthmus
AmpullaAmp...
28
Figure 23—17.
Photomicrograph of part of
the wall of an oviduct. The
highly folded mucosa
indicates that this region is...
29
Figure 23—18. Photomicrograph of the epithelial lining of an oviduct. The
epithelial lining is formed by ciliated and m...
3030
Struktur dinding tuba uterinaStruktur dinding tuba uterina
1. Tunika mukosa: Epithelium simplex1. Tunika mukosa: Epit...
3131
Tuba uterina (tuba Fallopii)Tuba uterina (tuba Fallopii)
32
Ampula & ismus tuba uterina
3333
3. Uterus3. Uterus
Dilapisi oleh mukosa (endometrium)Dilapisi oleh mukosa (endometrium)
yg mengalami perubahan-yg men...
3434
Bagian-bagian uterus:Bagian-bagian uterus:
Badan = body atau corpusBadan = body atau corpus
FundusFundus
Cervix atau ...
3535
Struktur dinding uterus:Struktur dinding uterus:
Fundus dan corpus disusun oleh 3Fundus dan corpus disusun oleh 3
lap...
36
Uterus
Fundus
Tumor
otot
/Leiomyoma
Body
Endocervix
Cervix
Ectocervix
3737
Tipe leiomyoma kecilTipe leiomyoma kecil
3838
EndoserviksEndoserviks
39
Serviks uteri
40
Carsinoma cervix
Sel epitel cervix
Sel epitel
abnormal
Membana basalis
Stroma
41
Korpus uteri fase haid
4242
4.4. VaginaVagina
Mrpk organ serupa tabung iniMrpk organ serupa tabung ini
membantumembantu
mendorong sperma melalui ...
43
Vagina
4444
VaginaVagina
4545
5. Apparatus genitalia externa5. Apparatus genitalia externa
●● Terdiri atas : - ClitorisTerdiri atas : - Clitoris
- ...
46
4747
Siklus menstruasiSiklus menstruasi
UterusUterus→ Lap. Mukosa: -→ Lap. Mukosa: -
endometriumendometrium
--
miometriumm...
48
49
5050
Endometrium proliferatifEndometrium proliferatif
5151
Endometrium proliferatifEndometrium proliferatif
5252
EndometriumEndometrium
5353
EndometriumEndometrium
5454
Endometrium: permulaanEndometrium: permulaan
menstruasimenstruasi
5555
Permukaan endometriumPermukaan endometrium
5656
Endometrium: pascaEndometrium: pasca
menopausemenopause
5757
Endometrium pascaEndometrium pasca
menopausemenopause
58
Miometrium
5959
Fertilisasi dan implantasiFertilisasi dan implantasi
6060
PlasentaPlasenta
61
62
63
Desidua
a. desidua hub.→
Perkembangan
fetus&plasenta
b. desidua :
- parietalis(DP)
- capsularis (DC)
- basalis (DB)
...
6464
DesiduaDesidua
6565
Plasenta tahap awalPlasenta tahap awal
6666
Bagian tepi vilusBagian tepi vilus
6767
Plasenta mudaPlasenta muda
6868
Plasenta tuaPlasenta tua
69
Plasenta tua
7070
Membran janinMembran janin
71
Funikulus umbilikalis
7272
Funikulus umbilikalis (tali pusat)Funikulus umbilikalis (tali pusat)
73
GLANDULA MAMMAE
74
- Schematic drawing of the
female breast showing
inactive and active
mammary glands.
- Each lactiferous duct with
its a...
75
Figure 23—28. Changes in the
mammary gland. A: In
nonpregnant women, the gland
is quiescent and
undifferentiated, and i...
76
Glandula mammae
7777
STRUKTUR MAMMAESTRUKTUR MAMMAE
Terdiri dari : Jaringan alveolarTerdiri dari : Jaringan alveolar
(kelenjar susu) :(kel...
78
Photomicrograph of lactating
mammary gland.
Several alveoli are filled
with milk, visible as granular
material.
The vac...
79
Figure 23—30. Secreting cells from the mammary gland.
From left to right, note the accumulation and extrusion of
lipids...
8080
Glandula mammaeGlandula mammae
8181
Kelenjar mamma non-aktifKelenjar mamma non-aktif
8282
Glandula mammae selamaGlandula mammae selama
kehamilankehamilan
8383
Glandula mammae dalamGlandula mammae dalam
masa laktasimasa laktasi
84
Kelenjar mamma dalam masa
laktasi
8585
ORGANA GENITALIAORGANA GENITALIA
FEMININAFEMININA
ORGANA GENITALIA EXTERNAORGANA GENITALIA EXTERNA
ORGANA GENITALIA I...
8686
ORGANA GENITALIAORGANA GENITALIA
EXTERNAEXTERNA
CLITORISCLITORIS
VESTIBULUMVESTIBULUM
LABIUM MINUSLABIUM MINUS
LABIUM...
8787
FUNGSI :FUNGSI :
Sebagai jalan masuk sperma keSebagai jalan masuk sperma ke
dalam tubuh wanitadalam tubuh wanita
Seba...
88
89
Klitoris
9090
Labium minusLabium minus
9191
Labium mayusLabium mayus
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52684484 04-dra-nur-anisah-systema-genitalia-feminina

  1. 1. 1 NUR ANISAH BAGIAN HISTOLOGI & BIOLOGI SEL, FAKULTASKEDOKTERAN, UNIVERSITAS GADJAH MADA, YOGYAKARTA Blok Sistem Reproduksi, 9 Feb 2010 [04] SISTEM REPRODUKSI WANITA
  2. 2. 22 memilikimemiliki enam fungsi utama:enam fungsi utama: Menghasilkan gamet betina, yaituMenghasilkan gamet betina, yaitu ovum,ovum, melalui proses oogenesismelalui proses oogenesis Menerima gamet jantan, yaituMenerima gamet jantan, yaitu spermatozoaspermatozoa Menyediakan lingkungan yang sesuaiMenyediakan lingkungan yang sesuai untukuntuk pembuahan ovum oleh spermatozoapembuahan ovum oleh spermatozoa Menyediakan lingkungan yang sesuaiMenyediakan lingkungan yang sesuai untukuntuk
  3. 3. 33 GAMBARAN UMUMGAMBARAN UMUM SISTEM REPRODUKSI WANITASISTEM REPRODUKSI WANITA ██ KOMPONEN SISTEMKOMPONEN SISTEM ■■ Ovarium (indung telur)Ovarium (indung telur) ■■ Tuba uterina (tubaTuba uterina (tuba Falopii/oviduct)Falopii/oviduct) ■■ Uterus (rahim)Uterus (rahim) ■■ VaginaVagina ■■ Apparatus genitalia externaApparatus genitalia externa
  4. 4. 44 ORGANA GENITALIAORGANA GENITALIA FEMININAFEMININA ORGANA GENITALIA EXTERNAORGANA GENITALIA EXTERNA ORGANA GENITALIA INTERNAORGANA GENITALIA INTERNA
  5. 5. 55 Organa genitalia femininaOrgana genitalia feminina interna dan externainterna dan externa Ø lateral organa genitalia feminina
  6. 6. 6 Figure . Internal organs of the female reproductive system.
  7. 7. 7 1. Ovarium ● Organ ini merupakan gonade ● Tersusun oleh: - folikel-folikel → perkembangan telur (ovum) - setelah folikel masak, ovum dilepaskan, sedangkan folikel yg tertinggal membentuk → corpus luteum: memproduksi hormon estrogen & progesteron
  8. 8. 8 Figure 23—2. Ovary of a woman of reproductive age showing its main components: germinal epithelium, tunica albuginea, cortical region, and medullary region.
  9. 9. 9 Figure. Photomicrograph of part of an ovary showing the cortical and medullary regions. H&E stain. Low magnification. Ovary human, H&E
  10. 10. 1010 Folliculus ovariiFolliculus ovarii 1.1. Folliculus primordialisFolliculus primordialis 2.2. Pertumbuhan follikel:Pertumbuhan follikel: a. Folliculi primarius:a. Folliculi primarius: i. Folliculus primarius unilaminariusi. Folliculus primarius unilaminarius ii. Folliculus multilaminariusii. Folliculus multilaminarius b. Folliculus secundariusb. Folliculus secundarius 3.3. Folliculus maturus = folliculus de GraafFolliculus maturus = folliculus de Graaf 4.4. Folliculus atreticusFolliculus atreticus
  11. 11. 11 Fig. Types of ovarian follicles, from primordial to mature. The relative proportions of the follicles are not maintained in this drawing.
  12. 12. 12 Perkembangan folikel Folliculus ovarii Epitel Cortex
  13. 13. 13 Figure 23—6. Cortical region of an ovary. Besides primordial follicles formed by an oocyte and flat follicular cells, a few follicles at the initial stage of growth (unilaminar primary follicles) are present. These are formed by an oocyte and one layer of cuboidal granulosa cells. Pararosaniline— toluidine blue (PT) stain. Low magnification.
  14. 14. 14 Figure 23—7. Photomicrograph of a preantral ovarian follicle formed by an oocyte and several layers of granulosa cells. The oocyte is surrounded by the zona pellucida. Picrosirius-hematoxylin (PSH) stain. Medium magnification.
  15. 15. 15 Folliculus secundarius Folliculus de Graaf
  16. 16. 16 Figure 23—9. Photomicrograph of part of an antral follicle. Cavities (A) that appear in the granulosa layer will fuse and form one large cavity, the antrum. The oocyte is surrounded by the zona pellucida. Granulosa cells (G) surround the oocyte and cover the wall of the follicle. A theca can be seen around the follicle. H&E. Medium magnification.
  17. 17. 17 Figure 23—10. Photomicrograph of an antral follicle showing the oocyte surrounded by the granulosa cells of the corona radiata and supported by the cells of the cumulus oophorus. The remaining granulosa cells form the wall of the follicle and surround the large antrum. A theca surrounds the whole follicle. PT stain. Medium magnification.
  18. 18. 18 Figure 23—11. Photomicrograph of a small part of the wall of an antral follicle, showing the antrum, the layer of granulosa cells, and the thecas. The theca interna surrounds the follicle, and its cells appear lightly stained because their cytoplasm contains lipid droplets, a characteristic of steroid- producing cells. The theca interna is surrounded by the theca externa, which merges with the stroma of the ovary. A basement membrane separates the granulosa layer from the theca interna. PT stain. High magnification.
  19. 19. 19 Figure 23—12. Photomicrograph of the atresia of a follicle characterized by: (1) the death of granulosa cells, many of which are seen loose in the antrum; (2) loss of the cells of the corona radiata; and (3) the oocyte floating free within the antrum. PT stain. Medium magnification.
  20. 20. 20 Figure 23—13. Part of a corpus luteum. Granulosa lutein cells, which constitute the majority of the cells, derive from the granulosa layer. They are larger and stain more lightly than the theca lutein cells, which originate from the theca interna.
  21. 21. 21 Figure 23—14. Photomicrograph of a small portion of a corpus luteum. Most cells present in the figure are granulosa lutein cells. PT stain. High magnification.
  22. 22. 22 Figure 23—15. Pituitary hormones control most ovarian functions. Follicle-stimulating hormone (FSH) stimulates follicular growth and synthesis of estrogen by the granulosa cells. - Luteinizing hormone (LH) induces ovulation and transforms the granulosa layer and the theca interna into an actively secreting gland, the corpus luteum. - Estrogen and progesterone produced in the ovary act on the hypothalamus, stimulating or inhibiting the liberation of gonadotropin-releasing hormone (GnRH).
  23. 23. 23 Figure 23—16. Corpus albicans, the scar of connective tissue that replaces a corpus luteum after its involution.
  24. 24. 24 Corpus luteum
  25. 25. 25 Corpus albicans mrpk massa jar. fibrosa tidak aktif Gamb. utama ovarium manusia, jumlahnya meningkat dng usia, sering tampak menempati hampir seluruh jar. stroma ovarium
  26. 26. 2626 2. Tuba uterina (oviduct)2. Tuba uterina (oviduct) Terdapat sepasang, panjangTerdapat sepasang, panjang ± 12± 12 cmcm Menjaring ovum yang telah lepasMenjaring ovum yang telah lepas Sebagai tempat utama fertilisasiSebagai tempat utama fertilisasi Membawa ovum ke uterus, baikMembawa ovum ke uterus, baik yang sudah mengalami fertilisasiyang sudah mengalami fertilisasi maupun yang belum mengalamimaupun yang belum mengalami fertilisasi, transportasi zygot kefertilisasi, transportasi zygot ke
  27. 27. 2727 Bagian-bagian tuba uterinaBagian-bagian tuba uterina Pars interstitialisPars interstitialis IsthmusIsthmus AmpullaAmpulla Infundibulum, lanjutan lapisanInfundibulum, lanjutan lapisan mukosanya berbentuk seperti jari-jarimukosanya berbentuk seperti jari-jari →→ fimbriaefimbriae
  28. 28. 28 Figure 23—17. Photomicrograph of part of the wall of an oviduct. The highly folded mucosa indicates that this region is close to the ovary. PT stain. Low magnification.
  29. 29. 29 Figure 23—18. Photomicrograph of the epithelial lining of an oviduct. The epithelial lining is formed by ciliated and more darkly staining nonciliated secretory cells. Ciliated cells contribute to the movement of the oocyte or conceptus to the uterus. PT stain. High magnification.
  30. 30. 3030 Struktur dinding tuba uterinaStruktur dinding tuba uterina 1. Tunika mukosa: Epithelium simplex1. Tunika mukosa: Epithelium simplex columnare:columnare: a. Kolumner bersiliaa. Kolumner bersilia b. “Peg cells”b. “Peg cells” → berukuran rendah,→ berukuran rendah, diantaradiantara sel-sel bersilia, mensekresisel-sel bersilia, mensekresi mukus:mukus: - menolong transportasi ovum- menolong transportasi ovum dandan menghalang-halangi masuknyamenghalang-halangi masuknya bakteribakteri ke cavum peritoniike cavum peritonii
  31. 31. 3131 Tuba uterina (tuba Fallopii)Tuba uterina (tuba Fallopii)
  32. 32. 32 Ampula & ismus tuba uterina
  33. 33. 3333 3. Uterus3. Uterus Dilapisi oleh mukosa (endometrium)Dilapisi oleh mukosa (endometrium) yg mengalami perubahan-yg mengalami perubahan- perubahan struktur berkalaperubahan struktur berkala→→ dikendalikan oleh hormon ovariumdikendalikan oleh hormon ovarium Berperan sebagai tempat implantasiBerperan sebagai tempat implantasi dan pemberian makanan ovum ygdan pemberian makanan ovum yg telah mengalami fertilisasitelah mengalami fertilisasi
  34. 34. 3434 Bagian-bagian uterus:Bagian-bagian uterus: Badan = body atau corpusBadan = body atau corpus FundusFundus Cervix atau leherCervix atau leher
  35. 35. 3535 Struktur dinding uterus:Struktur dinding uterus: Fundus dan corpus disusun oleh 3Fundus dan corpus disusun oleh 3 lapisan:lapisan: - Myometrium: otot polos 4 lapis- Myometrium: otot polos 4 lapis - Endometrium: mukosa uterus t.d.:- Endometrium: mukosa uterus t.d.: selapis epitel kolumner, laminaselapis epitel kolumner, lamina propria,propria, gld. tubuler simplex.gld. tubuler simplex. Endometrium : - stratumEndometrium : - stratum fungsionalefungsionale - stratum- stratum
  36. 36. 36 Uterus Fundus Tumor otot /Leiomyoma Body Endocervix Cervix Ectocervix
  37. 37. 3737 Tipe leiomyoma kecilTipe leiomyoma kecil
  38. 38. 3838 EndoserviksEndoserviks
  39. 39. 39 Serviks uteri
  40. 40. 40 Carsinoma cervix Sel epitel cervix Sel epitel abnormal Membana basalis Stroma
  41. 41. 41 Korpus uteri fase haid
  42. 42. 4242 4.4. VaginaVagina Mrpk organ serupa tabung iniMrpk organ serupa tabung ini membantumembantu mendorong sperma melalui cervixmendorong sperma melalui cervix Cairan di dalam lumen vaginaCairan di dalam lumen vagina menambahmenambah motilitas spermamotilitas sperma Di bawah pengaruh estrogen, epitelDi bawah pengaruh estrogen, epitel vaginavagina menebal dan sel-selnya menimbunmenebal dan sel-selnya menimbun
  43. 43. 43 Vagina
  44. 44. 4444 VaginaVagina
  45. 45. 4545 5. Apparatus genitalia externa5. Apparatus genitalia externa ●● Terdiri atas : - ClitorisTerdiri atas : - Clitoris - Labium- Labium mayusmayus - Labium- Labium minusminus ●● Mengandung sejumlahMengandung sejumlah besarbesar ujung-ujung serabut sarafujung-ujung serabut saraf
  46. 46. 46
  47. 47. 4747 Siklus menstruasiSiklus menstruasi UterusUterus→ Lap. Mukosa: -→ Lap. Mukosa: - endometriumendometrium -- miometriummiometrium Perubahan siklis endometriumPerubahan siklis endometrium berlangsung melalui 2 fase:berlangsung melalui 2 fase: * Fase proliferasi* Fase proliferasi
  48. 48. 48
  49. 49. 49
  50. 50. 5050 Endometrium proliferatifEndometrium proliferatif
  51. 51. 5151 Endometrium proliferatifEndometrium proliferatif
  52. 52. 5252 EndometriumEndometrium
  53. 53. 5353 EndometriumEndometrium
  54. 54. 5454 Endometrium: permulaanEndometrium: permulaan menstruasimenstruasi
  55. 55. 5555 Permukaan endometriumPermukaan endometrium
  56. 56. 5656 Endometrium: pascaEndometrium: pasca menopausemenopause
  57. 57. 5757 Endometrium pascaEndometrium pasca menopausemenopause
  58. 58. 58 Miometrium
  59. 59. 5959 Fertilisasi dan implantasiFertilisasi dan implantasi
  60. 60. 6060 PlasentaPlasenta
  61. 61. 61
  62. 62. 62
  63. 63. 63 Desidua a. desidua hub.→ Perkembangan fetus&plasenta b. desidua : - parietalis(DP) - capsularis (DC) - basalis (DB) c. sel desidua: - poligonal - nukleus tercat pucat - granula sitoplasma eosinofilik
  64. 64. 6464 DesiduaDesidua
  65. 65. 6565 Plasenta tahap awalPlasenta tahap awal
  66. 66. 6666 Bagian tepi vilusBagian tepi vilus
  67. 67. 6767 Plasenta mudaPlasenta muda
  68. 68. 6868 Plasenta tuaPlasenta tua
  69. 69. 69 Plasenta tua
  70. 70. 7070 Membran janinMembran janin
  71. 71. 71 Funikulus umbilikalis
  72. 72. 7272 Funikulus umbilikalis (tali pusat)Funikulus umbilikalis (tali pusat)
  73. 73. 73 GLANDULA MAMMAE
  74. 74. 74 - Schematic drawing of the female breast showing inactive and active mammary glands. - Each lactiferous duct with its accompanying smaller ducts is a gland in itself and constitutes the lobes of the gland.
  75. 75. 75 Figure 23—28. Changes in the mammary gland. A: In nonpregnant women, the gland is quiescent and undifferentiated, and its duct system is inactive. B: During pregnancy, alveoli proliferate at the ends of the ducts and prepare for the secretion of milk. C: During lactation, alveoli are fully differentiated, and milk secretion is abundant. Once lactation is completed, the gland reverts to the nonpregnant condition.
  76. 76. 76 Glandula mammae
  77. 77. 7777 STRUKTUR MAMMAESTRUKTUR MAMMAE Terdiri dari : Jaringan alveolarTerdiri dari : Jaringan alveolar (kelenjar susu) :(kelenjar susu) : * lobus-lobus dipisahkan oleh j. ikat &* lobus-lobus dipisahkan oleh j. ikat & j.j. lemaklemak * setiap lobus bermuara ke ductus* setiap lobus bermuara ke ductus lactiferus (saluran air susu)lactiferus (saluran air susu) * Saluran limfe sebagai plexus halus* Saluran limfe sebagai plexus halus dalamdalam
  78. 78. 78 Photomicrograph of lactating mammary gland. Several alveoli are filled with milk, visible as granular material. The vacuoles in the lumen and in the alveolar cell cytoplasm represent the lipid portion of milk. PT stain. Medium magnification.
  79. 79. 79 Figure 23—30. Secreting cells from the mammary gland. From left to right, note the accumulation and extrusion of lipids and proteins. The proteins are released through exocytosis.
  80. 80. 8080 Glandula mammaeGlandula mammae
  81. 81. 8181 Kelenjar mamma non-aktifKelenjar mamma non-aktif
  82. 82. 8282 Glandula mammae selamaGlandula mammae selama kehamilankehamilan
  83. 83. 8383 Glandula mammae dalamGlandula mammae dalam masa laktasimasa laktasi
  84. 84. 84 Kelenjar mamma dalam masa laktasi
  85. 85. 8585 ORGANA GENITALIAORGANA GENITALIA FEMININAFEMININA ORGANA GENITALIA EXTERNAORGANA GENITALIA EXTERNA ORGANA GENITALIA INTERNAORGANA GENITALIA INTERNA
  86. 86. 8686 ORGANA GENITALIAORGANA GENITALIA EXTERNAEXTERNA CLITORISCLITORIS VESTIBULUMVESTIBULUM LABIUM MINUSLABIUM MINUS LABIUM MAYUSLABIUM MAYUS KELENJAR DEWASAKELENJAR DEWASA (SELAMA KEHAMILAN)(SELAMA KEHAMILAN) KELENJAR LAKTASIKELENJAR LAKTASI INVOLUSI SENILISINVOLUSI SENILIS
  87. 87. 8787 FUNGSI :FUNGSI : Sebagai jalan masuk sperma keSebagai jalan masuk sperma ke dalam tubuh wanitadalam tubuh wanita Sebagai pelindung organ kelaminSebagai pelindung organ kelamin dalam dari organisme penyebabdalam dari organisme penyebab infeksiinfeksi
  88. 88. 88
  89. 89. 89 Klitoris
  90. 90. 9090 Labium minusLabium minus
  91. 91. 9191 Labium mayusLabium mayus

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