Pemeriksaan Dalam VT

Anatomy of the Female
Reproductive System
External Anatomy of the Female
Reproductive System
Development of Genitalia and
related structures
Development of Genitalia and
related structures
Urogenital Sinus
Male Female
Prostate Gland Urethral/paraurethral gland
Bulbourethal glands Greater Vestibular Glands
Phallus
Glans Penis Glans Clitoris
Corpora Cavernosa penis Corpora Cavernosa clitoris
Corpus Spongiosum Bulb of the vestibule
Ventral aspect of Penis Labia Minora
Scrotum Labia Majora
Internal Anatomy of the Female
Reproductive System
Reproductive System
Reproductive System, gross view
Steps of Oogenesis
• Primordial Follicles:
during fetal development,
oogonia develop from
mitosis of stem cells. These
cells start through meiosis,
however, meiosis is stopped
at prophase meiosis I.
In adult ovaries,
primordial follicles contain
a primary oocyte.
Steps of Oogenesis
• Primordial Follicles:
Arrows indicate a
primordial follicle
Steps of Oogenesis
• Primary follicle: After

puberty, due to
increasing levels of FSH,
primary follicular cells
enlarge and begin
secreting estrogen. In
humans, the estrogen
inhibits other follicles
and their primary oocyte
from developing.
Steps of Oogenesis
• Secondary Follicle: The

diploid primary oocyte
undergoes meiosis I and
gives rise to one haploid
secondary oocyte and
one polar body. Several
primary oocytes within
several secondary
follicles may start this
process but usually only
one completes the
process.
Steps of Oogenesis
• Graafian follicle:
contains a haploid
secondary oocyte and the
first polar body. Due a
surge of LH, the
secondary oocyte is
ovulated before meiosis
II occurs.
Steps of Oogenesis
• The Ovum forms from

meiosis II after a sperm
cell has contacted the
secondary oocyte.
• In the picture, you can

see sperm cells
surrounding the oocyte
and both polar bodies
indicating meiosis II has
occurred.
Review of
Oogenesis
Formation of the Corpus Luteum
• After ovulation, the

follicular cells implode
forming the Corpus
Luteum.
• The Corpus Luteum
produces high amount of
progesterone and
smaller amounts of
estrogen, relaxin and
inhibin.
Hormones Involved in
an Ovarian Cycle
Action of Hormones on
the Ovaries and Uterus
Cyclic Patterns of Hormone
Production during the Ovarain Cycle
The Female Sexual Response
• Arousal: various erotic thoughts and

physical stimulation triggers
parasympathetic reflexes that cause
an erection and lubrication.
• Erection: occurs when neurons
release Nitric Oxide at their synaptic
endings.
NO causes smooth muscles of the
clitoral arteries to relax, vessels
dilate, blood flow to the erectile
tissue increases . The vascular
channels engorge with blood,
resulting pressure causes the clitoris
to become stiff.
• Blood engorgement of the labia and
bulb of the vestibule cause swelling
in the perineum.
• Lubrication: Blood engorgement
of the connective tissue of the
vagina causes lubricating fluid to
seep through the vaginal epithelial
to cover the lumen surface. A
process called “transudation.”
• Greater vestibular “Bartholin’s
glands also release mucus.
• During arousal, increases in heart
rate, blood pressure, skeletal
muscle tone, and hyperventilation
occur
• Plateau stage: Changes that begin

during arousal are sustained at an
intense level, vasocongestion in the
breast may cause breast to swell
some and erection of the nipples.
• Late in the plateau stage,
pronounced vasocongestion of the
distal third of the vagina causes it to
swell and narrows the vaginal
opening, thus increasing friction on
the penis
Orgasm; intensely pleasurable
sensations associated with
rhythmic contractions of smooth
muscles of the vaginal wall and
the uterus. Rhythmic contractions
also occur with ischiocavernosus
and bulbospongiosus muscles and
other peritoneal muscles. Also a
great increase in total body
muscle tone occurs.
Other physiological changes
include pronounced increase in
heart rate and blood pressure.
Resolution: Sense of profound

relaxation- genital tissues,
heart rate, blood pressure,
breathing, and muscle tone
return to normal.
During early period of
resolution, females lack or
have a much shorter a
refractory period than males.
Therefore, some women can
have multiple orgasms.

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Pemeriksaan Dalam VT

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Anatomy of the Female

• Primary follicle: After

• Secondary Follicle: The

• The Ovum forms from

• In the picture, you can

• After ovulation, the

• Arousal: various erotic thoughts and

• Plateau stage: Changes that begin

Resolution: Sense of profound

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