This document summarizes the internal female genitalia, including the ovaries, fallopian tubes, uterus, cervix, and upper part of the vagina. It describes the location, structure, blood supply, functions, and common disorders of each organ. The ovaries produce eggs and sex hormones. The fallopian tubes receive eggs from the ovaries, provide a site for fertilization, and transport fertilized eggs to the uterus. The uterus receives and nourishes a fertilized egg. The cervix connects the uterus to the vagina, which acts as a birth canal. Common disorders like ovarian cysts, ovarian cancer, and ectopic pregnancies are also discussed.
6. Ovaries
Female gonads
Almond shaped, 4 x 2 cm
Located in ovarian fossa which is bounded
above by external iliac artery and behind
by internal iliac artery
Covered by a true capsule, the tunica
albuginea and a false capsule, the
germinal epithelium.
Dr Ndayisaba Corneille
7. Supports for the ovaries
Mesovarium that attaches it to the back of
the broad ligament
Round ligament that runs from the medial
border of the ovaries to the uterus
Suspensory ligament that runs from lateral
aspect of the ovaries to the pelvic wall.
Dr Ndayisaba Corneille
9. CONT…
Before puberty, the ovary is smooth but
after puberty, it becomes scarry due to
continous release of mature ova.
Blood supply: ovarian artery, a branch of
abdominal aorta at L1
Veins are ovarian vein that join inferior
venacava on the right and left renal vein
on the left.
Dr Ndayisaba Corneille
17. Fallopian tubes
Tubular muscular organs, 10 cm long, that
extend from the ovaries to the uterus
Composed of the infundibulum, ampulla,
isthmus and the intramural part
Infundibulum: funnel shaped with
numerous fimbriae overlying the ovaries
Ampulla: widest part. Site for fertilisation
Isthmus: narrowest part, lies lateral to the
uterus
Dr Ndayisaba Corneille
18. CONT…
Intramural part: segment that pierces the
uterine wall.
Functions of the fallopian tubes
Receives ova
Site of fertilization
Nourishment of fertilized ova
Transport of fertilized ova to the uterus.
Dr Ndayisaba Corneille
19. Blood supply of fallopian tubes
Ovarian artery from abdominal aorta and
uterine artery from internal iliac.
Dr Ndayisaba Corneille
22. Disorders of uterine tubes
Ectopic pregnancy
Occluded oviducts due to Pelvic
inflammatory disease.
Dr Ndayisaba Corneille
23. Uterus
Hollow pear shaped organ, 8X5X2.5cm
Divided into fundus, body and cervix
Fundus: part of uterus above entrance of
fallopian tubes
Body: part below entrance of fallopian
tubes
Cervix: part next to vagina.
Dr Ndayisaba Corneille
26. Relations of the uterus
Anteriorly: urinary bladder. Between uterus
and bladder is the uterovesicle pouch.
Posteriorly: rectum.between uterus and
rectum is the puch of douglas
Laterally: broad ligament, uterine artery,
uterine tubes, round ligament
Dr Ndayisaba Corneille
27. CONT…
Blood supply: uterine artery from internal
iliac artery. Veins follow arteries.
Supports of the uterus: Levator ani
muscles, transverse cervical,
pubocervical, sacrocervical ligaments and
broad ligament. Most important support is
transverse cervical ligament.
Dr Ndayisaba Corneille
28. CONT…
Functions of the uterus
Reception, retention and nutrition of
fertilized ova.
Positions of the uterus
Anteversion: long axis of uterus bent at 90
degrees to long axis of vagina.
Commonest position.
Anteflexion: long axis of uterus bent at 90
degrees to long axis of cervix.
Dr Ndayisaba Corneille
29. CONT…
Retroversion: long axis of uterus bent
backwards to long axis of vagina
Retroflexion: long axis of uterus bent
backwards to long axis of cervix.
Dr Ndayisaba Corneille
35. Vagina
A muscular tube, 8 cm long with an
anterior and posterior walls in apposition
Extends from the vaginal orifice to the
cervix
Has an upper half that lies within the pelvis
and a lower half that lies below the pelvis
Dr Ndayisaba Corneille
36. CONT…
Functions of the vagina
Copulation
Birth canal
Excretory organ for menstural blood.
Relations of the vagina
Anteriorly: bladder, urethra
Posteriorly; sigmoid, rectum, perineal body
Laterally: ureter, levator ani muscles, vestibule
Dr Ndayisaba Corneille
37. CONT…
Blood supply: vaginal artery and vaginal
branch of uterine artery,
Lymphatics: upper half, internal ilaic
nodes, lover half, superficial inguinal
nodes
Supports of the vagina: levator ani
muscles, uterine ligaments, perineal body,
urogenital diaphragm.
Dr Ndayisaba Corneille
39. END
Dr Ndayisaba Corneille
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By
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