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Reproductive and Sexual Health Gynecomastia- an overdevelopment or

enlargement of the breast tissue in men or


Adrenache- ‘’ the awakening of the adrenal boys.
gland. The adrenal gland is responsible for
making hormones including androgens Laparoscopy- a type of surgical procedure
that allows a surgeon to access the inside of
Andrology- the specialty of medical the abdomen (tummy) and pelvis without
science that deals with male reproductive having to make large incisions in the skin.
functions under physiological and
pathological conditions. Menarche- the onset of menstruation

Anteflexion- a bending forward of an Oocyte- an immature egg (an immature


organ, especially of the body of the uterus ovum)

Anteversion- leaning forward


Puberty - breast development in females
Aspermia- complete lack of semen with (thelarche), pubic hair development
ejaculation (pubarche), genital changes in males, voice
changes, an increase in height, and the
Bicornuate uterus- a uterine malformation onset of menstruation (menarche)
that is produced due to impairment in the
fusion of Mullerian ducts.
Retroflexion
Culdoscopy- an endoscopic examination
through a puncture in the posterior vaginal
fornix Retroversion

Cystocele- when the wall between the


bladder and the vagina weakens. Spermatic cord

Rectocele- a type of prolapse where the


supportive wall of tissue between a The male gametes are called
woman’s rectum and vaginal wall weakens. spermatozoa
The female gametes are called ova.
Gonad- the testes in male and the ovaries
in females. Andrology: study of the male
reproductive system.
Gynecology-the area of medicine that
involves the treatment of women's diseases,
especially those of the reproductive organs.
ovaries in the female.
They are about 4.5 cm long, 2.5 cm wide
and 3 cm thick and are suspended in the
scrotum by the spermatic cords.
They are surrounded by three layers of
tissue.

An Uncircumcised and a circumcised Penis 1) Tunica vaginalis.


2) Tunica albuginea.
❖ production, maturation and 3) Tunica vasculosa.
storage of spermatozoa
❖ delivery of spermatozoa in semen
into the female reproductive
tract.

Scrotum
- is a pouch of pigmented skin, fibrous
and connective tissue and smooth muscle.
- It is divided into two compartments,
each of which contains one testis, one
epididymis and the testicular end of a
spermatic cord.

Structure
•In each testis are 200–300 lobules, and
within each lobule are 1–4 convoluted
loops of germinal epithelial cells, called
seminiferous tubules.
• Between the tubules are groups of
interstitial cells (of Leydig) that secrete
the hormone testosterone after puberty.

Functions
• Spermatozoa (sperm) are produced in
the seminiferous tubules of the testes

Testes
The testes are the male reproductive
glands and are the equivalent of the
Spermatic cords
- The spermatic cords suspend the
testes in the scrotum. Each cord
contains a testicular artery,
testicular veins, lymphatics
Seminal vesicles
- is a 5 cm long tube that joins with
the different duct to form the
common ejaculatory duct.
Functions
The seminal vesicles contract and expel Urethra
their stored contents, seminal fluid, ● 19-20 cm long
during ejaculation. Seminal fluid, which ● Prostatic urethra
forms 60% of the volume of semen, ● Membranous urethra
● Penile urethra
Ejaculatory ducts
● The ejaculatory ducts are two tubes ● Two sphincter.
about 2 cm long, each formed by the
union of the duct from a seminal
vesicle and a deferent duct.
● They pass through the prostate gland
and join the prostatic urethra,
carrying seminal fluid and
spermatozoa to the urethra
Gynecology: study of the female
reproductive system

An anterior view of female


reproductive organs showing the
relationship of the fallopian tubes and
body of the uterus.

The functions of the female reproductive


system
● formation of ova
● reception of spermatozoa
● provision of suitable environments
for fertilisation and fetal
development parturition (childbirth)
● lactation, the production of breast
milk, which provides complete
100 million spermatozoa per mL. nourishment for the baby in its early
If not ejaculated, sperm gradually life.
lose their fertility after several
months and are reabsorbed by the
epididymis.
Anatomy and Physiology of the
Reproductive System: The Female
between the labia majora, containing
External genitalia (vulva) numerous sebaceous and eccrine
sweat glands.
The external genitalia are known
collectively as the vulva, and consist - or "lesser lips" are the thin hairless
of the : ridges at the entrance of the vagina,
which joins behind and in front.
• labia majora and labia minora,
- In front they split to enclose the
• the clitoris, clitoris
• the vaginal orifice,
• the vestibule, Clitoris
the hymen and the
- The clitoris corresponds to the penis
vestibular glands (Bartholin’s in the male and contains sensory
glands) nerve endings and erectile tissue.
- The clitoris is a small pea-shaped
structure.
- It plays an important part in sexual
excitement in females.

Vestibular glands
- The vestibular glands (Bartholin’s
glands) are situated one on each side
near the vaginal opening. They are
about the size of a small pea and
their ducts open into the vestibule
Labia majora immediately lateral to the attachment
of the hymen.
- These are the two large folds
forming the boundary of the vulva.
- They secrete mucus that keeps the
vulva moist.
- They are composed of skin, fibrous
tissue and fat and contain large
numbers of sebaceous and eccrine
sweat glands.
- Labia majora or "greater lips" are
the part around the vagina containing
two glands (Bartholin’s glands)
which helps lubrication during
intercourse.
- At puberty, hair grows on the mons pubis
and on the lateral surfaces of the labia
majora.

Labia minora
- These are two smaller folds of skin
labia minora to the anal canal.
● It consists of connective tissue,
muscle and fat.
● It gives attachment to the muscles of
the pelvic floor

Blood supply to the uterus.

Internal genitalia
Blood supply, lymph drainage and nerve
supply
● vagina
Arterial supply ● uterus
- This is by branches from the internal ● two uterine tubes
pudendal arteries that branch from ● two ovaries
the internal iliac arteries and by
external pudendal arteries that
branch from the femoral arteries.
Venous drainage Vagina
- This forms a large plexus which
eventually drains into the internal
iliac veins.

Lymph drainage
- This is through the superficial
inguinal nodes. •
Nerve supply
- This is by branches from pudendal
nerves.

Perineum
● The perineum is a roughly triangular
area extending from the base of the

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