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15-44

GtENDER IDENTITY

Age of reproductivity
Femininity and Masculinity

20 - 30

Ideal age for childbearing

TANNER SCALE

Sexual Maturity rating (tool)

Anatomy of female external organ


VULVA OR PUDENDA

MONS PUBIS
Tanner Scale:
Stages:
I.
Pre- adolescent
II.
11-12
III.
IV.

12-13
13-14

V.

Sexual Maturity

refers to the entire female external


genitalia

- Pad of fatty tissue


Escutcheon- curly hair

No hair , except fine downy hair


Sparse long, slightly pigmented, curly
(labia)
Darker , curlier, symphysis pubis
Normal appearance of an adult Not so
thick
Normal appearance of adult inner
aspect of thigh.

L ABIA MAJORA

- Main function: covering and


protection to external organs located
under it.
- Large lips
- homologous with the male scrotum

LABIA MINORA
Fourchette. (Site for episiotomy)
CLITORIS

- Nymphae

FOURCHETTE

Site of episiotomy

VESTIBULE

Almond shape
Perforated by 6 openings (1
urethral meatus, vagina, 2 ducts of
bartholins gland, 2 ducts of skenes
glands.

SKENES GLAND
BARTHOLINS GLAND

Para urethral glands


Vulvo vaginal glands

HYMEN

Membranous tissue cover Vaginal


orifice

VAGINA

Female genital canal


organ of copulation
8-10 cm. (3-4 inches
( Marieb)

- Pea shape Site of female sexual


arousal and orgasm

long)

Rugae Permits stretching


without tearing
Doderleins
bacillus

Responsible for the acidity of the


vagina

Internal female organ


Uterus
Composed of:

Pear shaped pelvic structure found


between the bladder and the rectum.
Womb

DECIDUA uterus of a pregnant


women
Wt. Pregnant 1000 gms.
-500 gms..- 2 weeks after delivery
-300 gms. 3 weeks after delivery
-50-70 gms. 5-6 weeks after delivery
-

Fundus

Uppermost portion of the uterus


-Muscular

Corpus
Cornua

Body of the uterus


Part of the uterus which connects with
the fallopian tube
Inferior portion

Cervix

Neck of the uterus

Layers:
Endometrium
-

Layer for menstruation

Endometriosis- abnormal growth of


endometrial lining
- Common site
Signs and Sx.
1.
Low back oain
2.
Dx. Test
Biopsy and laparoscopy
DOC: Danazol ( Danocrine) STOP mens
Luprolide (Lupron) Inhibit ovulation
Myometrium
Perimetrium

OVARIES

Muscular layer/ power of labor/living


ligature of the body
Protect the entire uterus.

Responsible for housing developing ova


and releasing these during ovulation

6 m immature- 30 wks AOG


1 m immature - Birth
300-400 mature Puberty
180-280 mature 23 y/o
60-160-mature- 33 y/o
24-124 mature- 36 y/o
4 mature46 y/o
FALOPPIAN TUBE

MALE REPRODUCTIVE SYSTEM


EXTERNAL:
PENIS
3 CYLINDRICAL LAYERS
2 corpora cavernosa
1 corpus spongiosum

SCROTUM

2-3 inches
Segments:
Infundibulum- Trumphet funnel shape
Ampulla- Common site fertilization
- Outer 3rd or 2nd half
Isthmus- site BTL
Interstitial- most dangerous site for
ectopic

Male organ of copulation


tail
Male gonads
erectile tissue a spongy tissue that
fills
with
blood
during
sexual
excitement. This Causes the penis to
enlarge and become rigid This event is
called Erection (this helps the penis
serve as a penetrating organ to deliver
the
semen
into
the
females
reproductive tract
Houses the testes

Function in the production of sperm

and testosterone
Pouch
<2
degrees
temperature

than

body

INTERNAL
TESTES
SPERMATOGENESIS

Sperm production
Begins during puberty and
continues throughout life. Everyday
a man makes a millions of sperm.
Since only one sperm fertilized the
egg, it seems that nature has made
sure that the human species will
not be endangered for lack of
sperm.
The process begun by primitive
stem cells called spermatogonia
ANDROPOSE- stops production of sperm

900 coiled seminiferous tubules


SITE OF SPERMATOGENESIS)
sperm forming factories
TESTOSTERONE PRODUCTION
Produce by the interstitial
cells
The most important hormonal
product of the testes
Hypothalamus
GnRH
APG
FSH
(maturation of sperm cell)
LH
(Testosterone production)
Leydig cells
Release testosterone

Seminiferous tubulesEPIDIDYMIS
VAS DEFERENS

Storage for spermatozoa


6 m long- maturation of sperm.
Carrying Away
Conduit
for
spermatozoa
(pathway)
VASECTOMY minor operation, the
surgeon makes a small incision into
the scrotum and then cuts through
cauterizes the vas deference.
-Sperms are still produce but they
can no longer reach the exterior
and eventually they deteriorate
and are reabsorbed.
-

A man is sterile after this


procedure,
but because
testosterone is still produced,
the sex drive and secondary
sex
characteristics
are
retained.
Extends from the base of the

urinary bladder to the tip of the


penis, is the terminal part of the
male duct system.
EJACULATORY DUCT

Conduit for semen.


At the moment of ejaculation (Ejacto shoot forth) the thick layers of
smooth muscle in its walls create
peristaltic
waves
that
rapidly
squeeze the sperm forward.

ACCESSORY GLAND
SEMINAL VESICLES

PROSTATE GLAND

Produce about 60% of the fluid


volume of the semen
Seminal fluid and sperms enter
the
urethra
during
the
ejaculation.

URETHRA
SEMEN
Semen is a milky white,
somewhat sticky mixture of
sperm and accessory glands
secretion.
The liquid provides transport
medium and nutrients and
contains chemicals that protect
the sperm and aid in their
movement.
Mature
sperm
cells
are
streamlined cellular missiles
containing cytoplasm or stored
nutrients.
The fructose in the seminal
vesicle
secretion
provides
essentially all of their energy fuel.
Semen
also
contains
Seminalplasmin an antibiotic
chemical that inhibits bacterial
multiplication
3-5 cc
24-36hrs48-72 hrs (2-3 days)
Meiosis
MENSTRUAL CYCLE

Amount of ejaculated sperm


ovum life span
Sperm viability
Division of reproductive cells
(Halfploid)

Stages of sexual response:


(Initial)
1. Vasocongestion Congest blood
vessel
2. Myotonia- Increase muscle tension
PHASES:
1. Excitement- Vs Moderate
minutes- hrs.
2. Plateau- Accelerate V/S 30 secs.3 mins.
3. Orgasm- Peak V/S 2-10 seconds
Resolution- v/s normal - 0
PHASES:
4. Excitement- Vs Moderate
minutes- hrs.
5. Plateau- Accelerate V/S 30 secs.3 mins.
6. Orgasm- Peak V/S 2-10 seconds
7. Resolution- v/s normal 30
minutes.