This document provides an overview of a lecture on the female genital system. It discusses the external and internal genital organs, including the mons pubis, labia, clitoris, vestibule, vagina, uterus, fallopian tubes, and ovaries. It describes the structure, blood supply, nerve supply, and relations of these organs. The learning outcomes are to explain the structure of the uterus and menstrual cycle. The document includes references for additional information.

1. Program: BSC Nursing, 3rd Year
MSN-I
Unit No. Female Reproductive System
Topic-Female genital System
Lecture No. 1
Dr. Sudharani B Banappagoudar
Professor, SONS/OBG
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2. UNIT II
Female genital System
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3. Outline
• Introduction
• Female genital organs
• Learning outcomes
• Exercise
• References
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4. ANATOMY OF
FEMALE GENITALTRACT
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5. • External genitalia
• Internal genitalia
• Accessory reproductive organs
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6. Mons
veneris
Labia
majora
• Post co
Labia
minora
mmisure
uce
• prep
• Frenulum
• Fourchette
• Fossanavicularis
clitoris
• Glans
• Body
• 2 crura
vestibule
• 6 openings
bartholin’s abscess
• Hymen
External
genitalia
(vulva,
pudendum)
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8. • Blood supply
– Arteries
• Br. of internal pudendal artery
– Labial A.,
– Transverse perineal A.,
– A to vestibular bulb,
– deep & dorsal arteries to clitoris
• Br. of Femoral A
– Superficial & deep external pudendal A
– Veins
• Internal pudendal vein
• Vesical/ vaginal venous plexuses
• Long saphenous vein
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9. • Nerve supply
– Ant-sup part
• Ilio inguinal & genital br. of genitofemoral N (L1,L2)
– Post-inf part
• Pudendal br. of post.cut. N of thigh (S123)
– In between
• Labial & perineal br.of Pudendal N (S234)
• Lymphatics
– Superf. Inguinal nodes
– Gland of Cloquet
– Ext. & Int. Iliac nodes
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10. Vagina
ovaries
Uterus
Internal
genital
organs
Fallopian
tubes
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11. Vagina
• Fibromuscular membranous sheath
• Excretory channel
• Organ of copulation
• Birth canal of parturition
• 45 horizontal
• 2.5cm diameter
• distensibility
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12. • Walls
– Ant : 7.5 cm
– Post : 9cm
– 2 lateral walls
• Fornices :
– Ant : shallow
– 2 lateral
– Post : deep
Vagina
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13. Vagina
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14. • Structure
– mucous coat
– Submucous layer of loose areolar vascular tissues
– Muscular layer
– Fibrous coat (from endopelvic fascia)
:highly vascular
• Vaginal secretion
– Doderlein’s bacilli : lactic acid from glycogen
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15. • Blood Supply
– Arteries
• Cervicovaginal br. Of uterine A
• Vaginal A
• Middle rectal A
• Internal pudendal
• Anastomose---form 2 azygos arteries
– Veins drain into:
• Internal iliac V
• Internal pudendal V
• Lymphatics drain into
• Upper 1/3rd : internal iliac nodes
• Middle 1/3rd: external iliac nodes
• Lower 1/3rd (below hymen) :
superficial inguinal gp.
• Nerve supply
• Parasympathetic : S234
• Sympathetic: hypogastric plexus
• Lower end : pudendal N (sensory )
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16. Uterus
• Hollow, pyriform muscular organ in pelvis
• Position anteversion and anti flexion
Uterus dextrotated
Cervix is levorotated
Measurements
7.5 cm long
5 cm wide
3 cm thick
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17. Parts of uterus
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19. • Structure
– Perimetrium : serous coat
– Myometrium: thick bundles of sm. M
• During pregnancy:
– Outer long.
– Middle interlacing
– Inner circular
– Endometrium
• Surface epithelium
• Lamina propria
– Stromal cells
– Endometrial glands
– Vessels & nerves
• Decidua in pregnancy
• Secretion: scanty & watery
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20. • Relation
–Anterior
• Above int.os : uterovesical pouch
• Below int.os: separated from UB by loose areolar tissue
– Posterior
• Pouch of Douglas with coils on intestine
– Lateral
• Broad ligament
• Mackenrodt’s ligament
• Uterine A &ureter
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21. nrodt’s lig
• Ligaments of uterus
– Uterosacral ligament
– Transverse cervical/ Macke
– Pubovesicocervical lig
– Round ligament
– Broad ligament
• Mesovarium
• Mesosalpinx
• mesometrium
• Suspensory lig of ovary/ infundibulopelvic ligament
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22. • Blood supply
– Arteries:
• Uterine A
• Ovarian & Vaginal As.
– Veins drain into
• Internal iliac veins
• Lymphatics
• Nerves
– Sympathetic
• Motor : T5 & T6
• Sensory : T10 – L1
– Parasympathetic
•Pelvic N ( S2,3,4) : both motor & sensory
: ends in ganglia of Frankenhauser
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23. Fallopian tube (uterine tube, oviduct)
• 10-14 cm
•Lies within the superior border of broad ligament
• 2 openings
– Medially into cornua
– Laterally into abdominal cavity
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24. Parts of fallopian tube
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26. Structure : -3 layers
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27. • Blood Supply
– Arteries
• UterineA
• OvarianA
– Veins
• Through pampiniforn plexus into ovarian veins
• Lymphatics
• Para-aortic nodes
• Nerve supply
– Uterine & ovarian nerves
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28. EXERCISE
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Explain the structure of uterus

29. LEARNING OUTCOMES
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The student explain about
Explain about menstrual cycle.

30. Student effective learning outcome
1.Application of concepts of topic & it’s technological application.
2. Critical and innovative thinking skills
3.Life long learning ability
4.Ability to observe and develop sense making , logical skills for abstract concepts.
5.Ability to understand subject related concepts clearly along with contemporary issues
6.Ability to collaborate
7.Ability to be a lifelong learner
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31. REFERENCES
• Sara Howard (2013) Midwifery retrieved April 17, 2014 from www.powershow.com
• CordeliaS.H.(2014) A brief History Of Midwifery in America. Retrieved April 11, 2014 from
wholisticmaternalnewbornhealth.org/professio nal-education/history-of-midwifery
• midwifeinsight.com/articles/a-short-history-of- midwifery/,retrieved April 18,2014.
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