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    Pouch or Pouch of Douglas-The Most Inferior Point in

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    evangeline
    This document summarizes the histology and anatomy of the female reproductive system. It describes the layers of the ovary including the germinal epithelium, tunica albuginea, ovarian cortex containing follicles, and ovarian medulla. It also describes the histology of the uterus including the endometrium, myometrium, and perimetrium layers. Additionally, it lists the ligaments that support the reproductive organs and describes the blood supply. Finally, it provides an overview of common menstrual disorders including their symptoms, diagnosis, and treatment options.

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    Pouch or Pouch of Douglas-The Most Inferior Point in

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    evangeline
    35 views5 pages
    This document summarizes the histology and anatomy of the female reproductive system. It describes the layers of the ovary including the germinal epithelium, tunica albuginea, ovarian cortex containing follicles, and ovarian medulla. It also describes the histology of the uterus including the endometrium, myometrium, and perimetrium layers. Additionally, it lists the ligaments that support the reproductive organs and describes the blood supply. Finally, it provides an overview of common menstrual disorders including their symptoms, diagnosis, and treatment options.

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    This document summarizes the histology and anatomy of the female reproductive system. It describes the layers of the ovary including the germinal epithelium, tunica albuginea, ovarian cortex containing follicles, and ovarian medulla. It also describes the histology of the uterus including the endometrium, myometrium, and perimetrium layers. Additionally, it lists the ligaments that support the reproductive organs and describes the blood supply. Finally, it provides an overview of common menstrual disorders including their symptoms, diagnosis, and treatment options.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    35 views5 pages

    Pouch or Pouch of Douglas-The Most Inferior Point in

    Uploaded by

    evangeline
    This document summarizes the histology and anatomy of the female reproductive system. It describes the layers of the ovary including the germinal epithelium, tunica albuginea, ovarian cortex containing follicles, and ovarian medulla. It also describes the histology of the uterus including the endometrium, myometrium, and perimetrium layers. Additionally, it lists the ligaments that support the reproductive organs and describes the blood supply. Finally, it provides an overview of common menstrual disorders including their symptoms, diagnosis, and treatment options.

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    of 5

    1. Histology of ovary: (28.

    13) • The outer layer—the perimetrium or serosa—it is


    • The germinal epithelium (germen sprout or bud) is a composed of simple squamous epithelium and areolar
    layer of simple epithelium (low cuboidal or squamous) connective tissue. Laterally, it becomes the broad
    that covers the surface of the ovary. ligament. Anteriorly, it covers the urinary bladder and
    • The tunica albuginea is a whitish capsule of dense forms a shallow pouch, the vesicouterine pouch.
    irregular connective tissue located deep to the germinal Posteriorly, it covers the rectum and forms a deep pouch
    epithelium. 
 between the uterus and urinary bladder, the rectouterine
    • The ovarian cortex is a region just deep to the tunica pouch or pouch of Douglas—the most inferior point in
    the pelvic cavity.
    albuginea. It consists of ovarian follicles surrounded by
    dense irregular connective tissue that contains collagen
    fibers and fibroblast-like cells called stromal cells. 
 • The middle layer of the uterus, the myometrium,
    • The ovarian medulla is deep to the ovarian cortex. The consists of three layers of smooth muscle fibers that are
    border between the cortex and medulla is indistinct, but thickest in the fundus and thinnest in the cervix. The
    the medulla consists of more loosely arranged thicker middle layer is circular; the inner and outer
    connective tissue and contains blood vessels, lymphatic layers are longitudinal or oblique.
    vessels, and nerves. 
 • The inner layer of the uterus, the endometrium is highly
    • Ovarian follicles are in the cortex and consist of oocytes vascularized and has three components: (1) An
    in various stages of development plus the cells innermost layer composed of simple columnar
    surrounding them. When the surrounding cells form a epithelium (ciliated and secretory cells) lines the lumen.
    single layer, they are called follicular cells; later in (2) An underlying endometrial stroma is a very thick
    development, when they form several layers, they are region of lamina propria (areolar connective tissue). (3)
    referred to as granulosa cells. The surrounding cells Endometrial (uterine) glands develop as invaginations of
    nourish the developing oocyte and begin to secrete the luminal epithelium and extend almost to the
    estrogens as the follicle grows larger. myometrium. The endometrium is divided into two
    • A mature (graafian) follicle is a large, fluid- filled layers. The stratum func-tionalis (functional layer) lines
    follicle that is ready to rupture and expel its secondary the uterine cavity and sloughs off during menstruation.
    oocyte, a process known as ovulation. 
 The deeper layer, the stratum basalis (basal layer), is
    • A corpus luteum ( yellow body) contains the remnants permanent and gives rise to a new stratum functionalis
    of a mature follicle after ovulation. The corpus luteum after each menstruation.
    produces progesterone, estrogens, relaxin, and inhibin
    until it degener- ates into fibrous scar tissue called the
    corpus albicans.

    histology of vagina:

    histology of uterus:
    • Ligamentum Ovarii Proprium Sinistrum dan Dekstrum
    2. anatomy
    Dari sudut kiri dan kanan belakang fundus uteri ke ovarium.
    Ligamen ini berasal dari gubernaculum, sama dengan
    ligamentum rotundum.

    Blood supply to reproductive tract


    • A. uterine kiri dan kanan (asenden dan desenden):
    memperdarahi uterus
    • Berasal dari arteri iliaka interna (a hipogastrika)
    • A. ovarika kiri dan kanan: memperdarahi uterus
    • Innervais uterus: system saraf simpatetik (inervasi thd
    myometrium dan endometrium), parasimpatetik (kiri dan
    kanan os sacrum – berasal dr saraf sacral 2,3,4), dan
    serebrospinal.
    • Saraf torakal 11 dan 12: saraf sensorik (dr uterus) yg
    meneruskan rasa sakit ke otak
    • Saraf sacral 2,3,4: saraf sensorik (dr serviks bagian atas
    vagina) ke otak (pain)
    • N. pudendus dan n. ileoinguinalis: saraf sensorik (dri
    bagian bawah vagina) ke otak (pain)

    Jaringan penunjang alat genital:


    • Ligamentum Kardinale Sinsitrum and Dekstrum
    Dari serviks dan puncak vagina ke arah lateral ke dinding
    pelvis, didalamnya ditemukan banyak pembuluh darah antara
    lain vena dan arteria uterine.
    • Ligamentum Sakrouterinum Sinistrum dan Dekstrum
    Melengkung dari bagian belakang serviks kiri dan kanan
    melalui dinding rectum kearah os sacrum kiri dan kanan.
    • Ligamentum Rotundum Sinistrum dan Dekstrum
    Menahan uterus dalam anterfleksi, dari sudut fundus uteri kiri
    dan kanan ke daerah inguinal kiri dan kanan.
    • Ligamentum Pubovesikale Sinistrum dan Dekstrum
    Dari os pubis melalui kandung kemih dan seterusnya sebagai
    ligamentum vesikouterinum sinistrum dan dekstrum ke
    serviks. 3. Menstrual disorder:
    • Ligamentum Latum Sinistrum dan Dekstrum
    (Mesosalpinx, Mesovarium, danMesometrium) • Premenstrual syndrome(PMS): uncomfortable symptoms
    Dari uterus kea rah lateral dan tidak banyak mengandung during your cycle. Last few hours to many days.
    jaringan ikat, merupakan bagian dari peritoneum visceral Symptoms: psychological symp, bloating, swelling,
    berbentuk sebagai lipatan, tidak memiliki banyak arti untuk acne, headache, vertigo, faint, muscle soasm
    fiksasi uterus. • Premenstrual dysphoric disorder (PMDD): lebih parah
    • Ligamentum Infundibulopelvikum dari PMS
    Menahan tuba Fallopii dari arah infundibulum ke dinding • Amenorrhea: absent menstrual period for more than 3
    pelvis. Dalamnya ditemukan urat saraf, saluran-saluran limfe, mth. Primary: mens doesn’t begin at puberty. Secondary:
    arteria, dan vena ovarika.
    normal and regular which becomes increasingly abnormal and irregular or absent.

    • Dysmenorrhea: karakteristik by severe and frequent menstrual cramps and pain ass with
    mens, Primary: abnormal uterine contractions resulting from a chemical imbalance.
    Secondary: caused by other medical condition (endometriosis). Symp: cramp or pain in
    lower abdomen, nausea, vomit, diarrhea, fatigue
    • Menorrhagia: abnormal uterine bleeding and is characterized by heavy and prolonged
    menstrual bleeding. Polymenorrhea (too frequent), oligomenorrhea ( infrequent or
    irregular), metrorrhagia (irregular), postmenopausal bleeding( bleeding occurs in 1 yr
    after last normal menstrual period)

    Diagnostic: blood test, pap test, ultrasound, MRI, laparscopy, hysteroscopy, biopsy
    (endometrial), dilation and curettage

    Treatment: diuretic, prostaglanding inhibitor, hormone sup, oral contraceptive, tranquiliz

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