27B
Terms in this set (76)
Reproductive role of female more complex because of _____________.
Pregnancy
Internal genitalia: located in pelvic cavity. Includes ____ and _____ _____(____tubes, _____, and ______)
ovaries and duct system
(uterine tubes, uterus and vagina)
____ ligament: anchors ovary medially to uterus
____ ligament: anchors ovary laterally to pelvic wall
_____: suspends ovary
Ovarian
Suspensory
Mesovarium
The ____ ligament and mesovarium are part of ____ ____ that supports uterine tubes, uterus and vagina.
Suspensory
Broad Ligament
______ ______(branches off abdominal aorta)
Ovarian arteries
______ branch of the ______ _____: vessels travel through suspensory ligament and mesovaria.
Ovarian Branch of the Uterine arteries
Each ovary is surrounded by fibrous _____ _____.
Then covered by _____ _____ outer layer.
-Surface epithelium is a continuation of the ______.
Tunica albuginea
Surface Epithelium
peritoneum
Outer cortex of the ovary house forming ______.
Inner ______ contains large blood vessels and nerves.
gametes
medulla
_______ _______: Tiny saclike structures embedded in cortex.
ovarian follicles
Uterine tube system does not have direct contact with ______.
ovaries
_____ oocyte is released into ____ ____, where some oocytes never make it to tube system.
ovulated
Peritoneal cavity
The uterine tube system includes _____ _____, _____ and _____.
uterine tubes, uterus and vagina
Regions of the uterine tube:
Infundibulum
ampulla
isthmus
The _____ is a funnel shaped opening into the peritoneal cavity,
Infundibulum
Margin contains ciliated projections called ______ that drape over the ovary
fimbriae
______ forms half of uterine tube length, where _____ usually occurs
Ampulla
fertilization
______: Narrow medial third that empties into superolateral region of the uterus.
Isthmus
_______ ________: When oocyte is fertilized in peritoneal cavity or distal uterine tube and begins developing there.
Ectopic pregnancy
Spread of infection from reproductive tract to peritoneal cavity.
Pelvic Inflammatory Disease (PID)
PID may cause _____ _____ and lead to _____.
scar tissue
infertility
Hollow, thick walled, muscular organ
uterus
The function of the uterus is to _____, _____ and _____ fertilized ovum.
Receive, retain and nourish
What are the 4 regions of the uterus?
Body
Fundus
Isthmus
Cervix
Major portion of the uterus
Body
Rounded superior region of the uterus
Fundus
Narrowed inferior region of the uterus:
Isthmus
Narrow neck, or outlet of uterus that projects into vagina
Cervix
Cervical cancer affects ____ women each year, killing ____.
-Most common between ages ___ and ___
450,000
half
30 to 50
Cervical cancer prevention:
_______: Three dose vaccine, projects against HPV.
For girls ages ____ to ____
____ ____: for Detection
Gardasil
11 to 12
Pap smear
_____ of the _____:
Unsupported uterus sinks inferiorly, until tip of cervix protrudes through the external vaginal opening
Prolapse of the Uterus
What causes prolapse of uterus?
Overstretching or tearing of muscles during childbirth
Layers of the Uterine wall:
_____: outermost serous layer
_____: bulky middle layer consisting of interlacing layers of smooth muscle
- Contracts _______ during childbirth.
_____: Simple columnar epithelium on top of a thick lamina propria
Peritoneum (visceral peritoneum)
Myometrium
-Rhythmically
Endometrium
Fertilized egg burrows into _____ and resides there during development
endometrium
Functions of Vagina:
______ ______
Passageway for _____ _____
Organ of ______
Birth Canal
menstrual flow
Copulation
Vagina Wall:
Fibroelastic _____
Smooth muscle _____
_____ _____ mucosa with rugae
adventitia
muscularis
stratified squamous
External genitalia:
_____ ____
_____ ____
_____ ____
_____ ____
Greater _____ _____
_____
Bulb of the _____
Mons Pubis
Labia Majora
Labia Minora
Vestibule
Greater vestibular glands
Clitoris
Bulb of the vestibule
fatty area overlying pubic symphysis
mons pubis
_____ _____: hair covered, fatty skin folds
-Counterpart of male scrotum
Labia Majora
What are the skin folds that lie within the labia majora?
Labia minora
What is the recess within labia minora?
vestibule
The _____ _____ glands, flank the vaginal opening
greater vestibular glands
____ ____ ____: along the sides of the orifice; fill with blood during sexual arousal.
Bulb of vestibule
what glands usually only functions in females?
mammary glands
Mammary glands are modified _____ glands consisting of ___ to ___ lobes.
sweat glands
15-25
Lobules within lobes contain _____ _____
glandular alveoli
Glandular alveoli produce what?
milk
What determines breast size?
amount of fat deposits
pigmented skin surrounding nipple
areola
Second most common cause of cancer death in the US in women.
__% of women will develop this condition
Invasive breast cancer
13
Breast cancer usually arises from ____ cells of ____ ducts that eventually metastasize
epithelial cells of smallest ducts
Risk factors for Breast cancer:
Early onset of ____ and late ____.
No ____, or first one, late in life.
No, or short periods of _____ _____.
Family ____ of breast cancer.
menstruation and late menopause
pregnancy
breast feeding
history
Drugs for estrogen-responsive cancers:
_____
_____
anastrozole
letrozole
Production of female gametes
Oogenesis
oogenesis begins in ____ period
fetal
_____ follicles are the first to develop in fetus
primordial
functional unit of ovary that encloses a single oocyte
ovarian follicle
Before ovulation, ____ oocyte inside _____ follicle, resumes ____ and becomes _____ oocyte
Primary
vesicular
meiosis
secondary
Ovulation is caused by _____ hormonal levels, especially ___.
One from this group is selected each month to become ____ ____
High
FSH
dominant follicle
____:
large cell with enough cytoplasm to nourish fertilized egg for ___ to ___ journey to uterus.
ovum
6-7
Small cell lacking cytoplasm degenerates and dies.
Second Polar Body
____ phase:
Period of vesicular follicle growth (days __ - __)
Follicular phase
1-14
____ phase:
period of corpus luteum activity (days __-__)
luteal phase
14-28
What percentage of women have a 28 day cycle?
10-15%
_____ phase varies, but luteal phase is always ____ days from ovulation to end of cycle.
Follicular
14
FSH levels drop around middle of follicular phase.
_____ follicle outcompetes other follicles and is the only one to continue on.
Other non-dominant follicles will undergo _____
dominant
atresia
after ovulation, ruptured follicle collapses and ____ fills with _____ _____ , that will eventually be ____.
atrium
clotted blood
absorbed
Remaining granulosa cells and internal thecal cells enlarge to form the ____ ____.
corpus luteum
The ____ ____ secretes progesterone and some estrogen
Corpus luteum
If no pregnancy occurs, ____ ____ degenerates into ____ ____ (scar) in __ days.
endometrium begins to ____
Corpus luteum
corpus albicans
10
erode
If pregnancy occurs, Corpus luteum produces hormones that ____ pregnancy, until placenta takes over at about __ months.
sustain
3
Shortly after ovulation:
____ levels decline
LH transforms ruptured follicle into ____ ____.
LH stimulates corpus luteum to secrete ____ and some ____ almost immediately.
estrogen
corpus luteum
progesterone and estrogen
If no fertilization, corpus luteum _____.
degenerates
Cyclic series of changes in endometrium that occur in response to fluctuating ovarian hormone levels.
Uterine (Menstrual) cycle
Menstrual cycle : 3 phases:
Days __-__: menstrual phase
Days __-__: proliferative (preovulatory) phase
Days __-__: secretory (postovulatory) phase
1-5
6-14
15-28
What promotes oogenesis and follicle growth in ovary?
estrogen
Estrogen:
exert ____ effect on female reproductive tract.
Causes _____ _____, _____, and _____ to enlarge and become more functional
anabolic
uterine, tubes, uterus and vagina