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Presented by
Khazima
Contents
 Female reproductive organs
 Diagram
 Location
 Relations
 Parts
 Histology
 Blood supply
 Nerve supply
 Lymphatic supply
 Functions
 Histology
 Clinical significance
Female reproductive organs
 Female reproductive system compromises:
Primary sex organs
Pair of ovaries
Accessory sex organs
System of genital ducts: fallopian tubes, uterus, cervix
&vagina
External genitalia: labia majora, labia minora, clitoris
FEMALE REPRODUCTIVE ORGAN
OVARY
location
Ovaries are bilateral pair of flattened,egg
shaped,intraperitoneal disc,reside within the true
pelvis
Measuring 1.5 0.75in
Attached to the back of the broad ligament by
mesovarium
Structural relation
Superior pole
Covered by the fimbriae of fallopian tube
Attached to the suspensory ligament of ovary
Inferior pole
Directed towards the body of uterus
Has a connection there by way of ligament of the ovary .
This ligament progresses as round ligament secures each
ovary to cornu of uterus
Blood supply
OVARY
Arterial supply
 Ovarian artery arise from abdominal aorta at the level
of 1st lumbar vertebrae
Venous supply
 Ovarian vein drains into the inferior vena cava on right
side and into the left renal vein on the left side.
OVARY
Lymph drainage
 Para aortic nodes at the level of 1st lumbar vertebra
Nerve supply
 Nerve supply to the ovary is derived from the aortic
plexus & accompanies the ovarian artery
OVARY
Functions
 Production of female germ cells
 Production of ova
 Production of female sex organs estrogen &
progesterone in the mature female
FALLOPIAN TUBE
FALLOPIAN TUBE OR UTERINE
TUBE
Location and trajectory:
The two fallopian tubes are about 10 cm long from the
superior border
They connect the peritoneal cavity with uterine cavity
FALLOPIAN OR UTERINE TUBE
Parts:
 The uterine tube is divided into four parts;
Infundibulum;
 Distal end of the tube
 Funnel shaped
 Opens into peritoneal cavity at the abdominal ostium
 Several Finger like projections called Fimbriae
FALLOPIAN OR UTERINE TUBE
Intramural;
Is the segment that pierces the uterine wall
Ampulla;
Longest part of the tube
Diameter of 1cm and 5cm length
Thin wall, folded luminal surface
Fertilization takes place within the lumen
FALLOPIAN OR UTERINE TUBE
Isthmus;
Rounded muscular part of fallopian tube
Narrowest part of the tube
It is 3cm long & between 1 to 5mm wide
FALLOPIAN OR UTERINE TUBE
Functions :
 Fertilization
 Nourishment
 Transportation
FALLOPIAN OR UTERINE TUBE
 Arteries
Uterine artery
Ovarian artery
 Venous drainage
Uterine veins
Ovarian veins
 Lymph drainage
Para aortic
Internal Iliac lymph node
FALLOPIAN TUBE OR UTERINE
TUBE
 Nerve supply
Sympathetic nerves arise from spinal ligament T10- L12
Parasympathetic nerves supply the medial half of the
tube derived from pelvic splanchnic nerves
Lateral half of the tube are derived from vagus nerves
CLINICAL SIGNIFICANCE
Salpingitis
 Inflammation of the fallopian tube
 Usually results from the bacterial infection
Ligation or tying
 Effective surgical method to control birth rate
 Prevents fertilization of oocytes
UTERUS
Location:
 Hollow , pear shaped organ
 Thick muscular wall
 Also called womb
 The uterus is about 8cm long
UTERUS
Parts
It is divided into 3 parts
 Fundus:
Lies above the entrance of uterine tube
 Body
Lies below the entrance of uterine tube
 Cervix
Narrow part of the uterus
It pierces the anterior wall of vagina
Two orifices:
Internal orifice to isthmus
External orifice to vagina
Relations
Anteriorly
 Uterovesical pouch
 Vaginal cervix
 Supravaginal cervix
Posteriorly
 Rectouterine pouch( pouch of douglas) with coils of
ileum
Laterally
 Supravaginal cervix
 Vaginal cervix
UTERUS
Arterial supply
Uterine artery
Ovarian artery
Venous supply
Through uterine venous plexus into internal iliac vein
UTERUS
Nerve supply
 Sympathetic and parasympathetic nerves from
branches of inferior hypogastric plexus
 Lymph drainage
 Fundus:paraortic
 Cornu:superficial inguinal
 Body:external iliac
 Cervix : cervical lymphatics
HISTOLOGY
Three layers of tissues:
Mucosa(endometrium)
 Lined with simple columnar epithelium
 Contain numerous tubular glands
 Followed by cell rich connective tissue layer called
lamina propria
 From puberty to menopause, it goes extensive changes
during menstrual cycle
HISTOLOGY
Myometrium
 Thick layer
Comprises of three smooth muscles layers
Vascular layer
Subvascular layer
Supravascular layer
Perimetrium
 Equals the peritonium
 Surrounded by thin connective tissue layer
FUNCTIONS
 Implantation
 Nourishment
 Pushing out baby during birth through muscle
contraction
 Menstrual cycle
VAGINA
Location
 Fibromuscular tube
 Anterior wall;7.5 cm long
 Posterior wall:8 to 10 cm long
 Extends from vulva to uterus
Relations
Anteriorly
 Closely related to the bladder above and to urethra below
Posteriorly
 Rectouterine pouch ( pouch of douglas )
 Ampulla of rectum
 Perineal body
Laterally
Ureter
Levator ani
Urogenital diaphragm
Bulb of vestibule
VAGINA
Arterial supply
 Vaginal artery
 Internal iliac artery
Venous supply
 Vaginal veins form plexus around the vagina that drain
into internal iliac vein
VAGINA
Lymph drainage
 External iliac nodes
 Internal iliac nodes
 Superficial inguinal nodes
Nerve supply
 Inferior hypogastric plexuses
FUNCTION
• Not only the female genital organ
• Serves as the excretory duct for the menstrual flow
• Forms part of birth canal
Clinical significance
vaginitis
 Inflammation of vagina
Sexually transmitted infections (STI)
 Caused by:
 HIV
 Human papillomavirus
 Genital herpes
Female reproductive system

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Female reproductive system

  • 2. Contents  Female reproductive organs  Diagram  Location  Relations  Parts  Histology  Blood supply  Nerve supply  Lymphatic supply  Functions  Histology  Clinical significance
  • 3. Female reproductive organs  Female reproductive system compromises: Primary sex organs Pair of ovaries Accessory sex organs System of genital ducts: fallopian tubes, uterus, cervix &vagina External genitalia: labia majora, labia minora, clitoris
  • 5. OVARY location Ovaries are bilateral pair of flattened,egg shaped,intraperitoneal disc,reside within the true pelvis Measuring 1.5 0.75in Attached to the back of the broad ligament by mesovarium
  • 6. Structural relation Superior pole Covered by the fimbriae of fallopian tube Attached to the suspensory ligament of ovary Inferior pole Directed towards the body of uterus Has a connection there by way of ligament of the ovary . This ligament progresses as round ligament secures each ovary to cornu of uterus
  • 8. OVARY Arterial supply  Ovarian artery arise from abdominal aorta at the level of 1st lumbar vertebrae Venous supply  Ovarian vein drains into the inferior vena cava on right side and into the left renal vein on the left side.
  • 9. OVARY Lymph drainage  Para aortic nodes at the level of 1st lumbar vertebra Nerve supply  Nerve supply to the ovary is derived from the aortic plexus & accompanies the ovarian artery
  • 10. OVARY Functions  Production of female germ cells  Production of ova  Production of female sex organs estrogen & progesterone in the mature female
  • 12. FALLOPIAN TUBE OR UTERINE TUBE Location and trajectory: The two fallopian tubes are about 10 cm long from the superior border They connect the peritoneal cavity with uterine cavity
  • 13. FALLOPIAN OR UTERINE TUBE Parts:  The uterine tube is divided into four parts; Infundibulum;  Distal end of the tube  Funnel shaped  Opens into peritoneal cavity at the abdominal ostium  Several Finger like projections called Fimbriae
  • 14. FALLOPIAN OR UTERINE TUBE Intramural; Is the segment that pierces the uterine wall Ampulla; Longest part of the tube Diameter of 1cm and 5cm length Thin wall, folded luminal surface Fertilization takes place within the lumen
  • 15. FALLOPIAN OR UTERINE TUBE Isthmus; Rounded muscular part of fallopian tube Narrowest part of the tube It is 3cm long & between 1 to 5mm wide
  • 16. FALLOPIAN OR UTERINE TUBE Functions :  Fertilization  Nourishment  Transportation
  • 17. FALLOPIAN OR UTERINE TUBE  Arteries Uterine artery Ovarian artery  Venous drainage Uterine veins Ovarian veins  Lymph drainage Para aortic Internal Iliac lymph node
  • 18. FALLOPIAN TUBE OR UTERINE TUBE  Nerve supply Sympathetic nerves arise from spinal ligament T10- L12 Parasympathetic nerves supply the medial half of the tube derived from pelvic splanchnic nerves Lateral half of the tube are derived from vagus nerves
  • 19. CLINICAL SIGNIFICANCE Salpingitis  Inflammation of the fallopian tube  Usually results from the bacterial infection Ligation or tying  Effective surgical method to control birth rate  Prevents fertilization of oocytes
  • 20.
  • 21. UTERUS Location:  Hollow , pear shaped organ  Thick muscular wall  Also called womb  The uterus is about 8cm long
  • 22. UTERUS Parts It is divided into 3 parts  Fundus: Lies above the entrance of uterine tube  Body Lies below the entrance of uterine tube  Cervix Narrow part of the uterus It pierces the anterior wall of vagina Two orifices: Internal orifice to isthmus External orifice to vagina
  • 23.
  • 24.
  • 25. Relations Anteriorly  Uterovesical pouch  Vaginal cervix  Supravaginal cervix Posteriorly  Rectouterine pouch( pouch of douglas) with coils of ileum Laterally  Supravaginal cervix  Vaginal cervix
  • 26. UTERUS Arterial supply Uterine artery Ovarian artery Venous supply Through uterine venous plexus into internal iliac vein
  • 27. UTERUS Nerve supply  Sympathetic and parasympathetic nerves from branches of inferior hypogastric plexus  Lymph drainage  Fundus:paraortic  Cornu:superficial inguinal  Body:external iliac  Cervix : cervical lymphatics
  • 28. HISTOLOGY Three layers of tissues: Mucosa(endometrium)  Lined with simple columnar epithelium  Contain numerous tubular glands  Followed by cell rich connective tissue layer called lamina propria  From puberty to menopause, it goes extensive changes during menstrual cycle
  • 29. HISTOLOGY Myometrium  Thick layer Comprises of three smooth muscles layers Vascular layer Subvascular layer Supravascular layer Perimetrium  Equals the peritonium  Surrounded by thin connective tissue layer
  • 30. FUNCTIONS  Implantation  Nourishment  Pushing out baby during birth through muscle contraction  Menstrual cycle
  • 31.
  • 32. VAGINA Location  Fibromuscular tube  Anterior wall;7.5 cm long  Posterior wall:8 to 10 cm long  Extends from vulva to uterus
  • 33. Relations Anteriorly  Closely related to the bladder above and to urethra below Posteriorly  Rectouterine pouch ( pouch of douglas )  Ampulla of rectum  Perineal body Laterally Ureter Levator ani Urogenital diaphragm Bulb of vestibule
  • 34.
  • 35. VAGINA Arterial supply  Vaginal artery  Internal iliac artery Venous supply  Vaginal veins form plexus around the vagina that drain into internal iliac vein
  • 36. VAGINA Lymph drainage  External iliac nodes  Internal iliac nodes  Superficial inguinal nodes Nerve supply  Inferior hypogastric plexuses
  • 37. FUNCTION • Not only the female genital organ • Serves as the excretory duct for the menstrual flow • Forms part of birth canal
  • 38. Clinical significance vaginitis  Inflammation of vagina Sexually transmitted infections (STI)  Caused by:  HIV  Human papillomavirus  Genital herpes