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    1. The document discusses the anatomy and structures of the female reproductive system including the uterus, vagina, fallopian tubes, ovaries, and mammary glands. 2. It describes the blood supply, nerve supply, positions, and supporting ligaments of the uterus. 3. Several disorders and diseases of the uterus are mentioned such as fibroids and uterine prolapse.

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    1. The document discusses the anatomy and structures of the female reproductive system including the uterus, vagina, fallopian tubes, ovaries, and mammary glands. 2. It describes the blood supply, nerve supply, positions, and supporting ligaments of the uterus. 3. Several disorders and diseases of the uterus are mentioned such as fibroids and uterine prolapse.

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    1. The document discusses the anatomy and structures of the female reproductive system including the uterus, vagina, fallopian tubes, ovaries, and mammary glands. 2. It describes the blood supply, nerve supply, positions, and supporting ligaments of the uterus. 3. Several disorders and diseases of the uterus are mentioned such as fibroids and uterine prolapse.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    21 views65 pages

    Untitled

    Uploaded by

    Abiola Nerd
    1. The document discusses the anatomy and structures of the female reproductive system including the uterus, vagina, fallopian tubes, ovaries, and mammary glands. 2. It describes the blood supply, nerve supply, positions, and supporting ligaments of the uterus. 3. Several disorders and diseases of the uterus are mentioned such as fibroids and uterine prolapse.

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    © All Rights Reserved
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    You are on page 1of 65

    ANATOMY OF THE

    FEMALE
    REPRODUCTIVE
    SYSTEM
    OVERVIEW
    • Uterus

    • Mammary gland
    THE VAGINA
    Blood Supply & Nerve Supply
    Arterial Supply: Venous drainage:
    • Branches of internal iliac artery - Venous plexus drains via
    vaginal veins to internal iliac veins
    - vaginal artery

    - Uterine artery

    - Internal pudendal artery


    - Middle rectal artery
    BLOOD SUPPLY TO VAGINA
    PARASYMPATHETIC INNERVATION SYMPATHETIC INNERVATION
    Position of the Uterus
    Relations of Uterus

    Anteriorly:
    • Above Internal Os – Uterovesical pouch
    • Below Internal Os - Separated from urinary bladder by loose areolar
    tissue

    Posteriorly:
    • Pouch of Douglas with coils of intestine
    Laterally:
    • Broad ligament, ureter, uterine artery
    Supports of the Uterus
    • Primary supports
    - pelvic diaphragm, perineal body, urogenital diaphragm

    Fibromuscular:
    - pubocervical ligaments
    - transverse cervical (cardinal) ligament
    - uterosacral ligament
    - round ligament
    • Secondary support – Broad ligament, rectovaginal fold
    The Cervix
    Fornices of the Vagina
    Normal Cervix
    BLOOD SUPPLY TO THR UTERUS
    Lymphatic Drainage of
    Uterus and Vagina
    Disorders/Diseases of the Uterus
    • Dx of endometrium
    • Dx of myometrium
    • Dx of perimetrium
    PRESSURE SYMPTOMS PAIN DUE TO
    EFFECT OF FIBROID ON PREGNANCY EFFECT OF PREGNANCY ON FIBROID
    Uterine Prolapse
    • Uterine prolapse (procidentia) involves the loss of support by the cardinal
    and/or uterosacral ligaments, and by levator ani.

    • Support structures can no longer counteract typical intra abdominal


    pressures

    • Various degrees of prolapse may occur


    Nerve Supply of Fallopian Tubes
    • By both sympathetic and parasympathetic
    nerves

    • Sympath. from hypogastric plexus,


    stimulate tubal peristalsis (T10-L2)

    • Parasympath. from vagus and pelvic


    splanchnic nerves (S2,3,4)
    Ovaries
    • Are the female gonads

    • Paired, Almond-shaped

    • About 3 cm long, 1.5 cm wide, 1 cm thick

    • Located on either side of the uterus in the pelvic cavity

    • Anchored by ligaments (ovarian, suspensory and broad ligaments)


    One follicle matures every month, total of 400 oocytes
    are ovulated in one rep. life, after oocyte release, the
    Graafian follicle converts to corpus luteum,- produces
    progesterone
    Blood Supply of the Ovary

    Arterial Supply:
    Mainly Ovarian artery
    Venous drainage:
    Through pampiniform plexus
    Rt. Ovarian vein into IVC
    Lt. Ovarian vein into Lt. renal
    Vein
    Nerve supply:
    Both sympathetic and
    parasympathetic
    THE BREAST
    • Also called mammary gland
    • Produces milk
    • Well developed in adult females
    • Rudimentary in adolescent
    females and in males
    STRUCTURE OF THE BREAST

    1 Skin
    2 Parenchyma
    3 Stroma
    4 Adipose tissue
    LYMPHATIC DRAINAGE
    The Ovary
    Mrs wellford went to the clinic to be educated about the anchoring
    structures of the Ovary. The following may have been the ligaments
    she learnt about
    a) Round ligament
    b) Ovarian ligament
    c) Cardinal ligament
    d) Suspensory ligament
    • A 52 year old gravida 7, Para 6, 2 Alive, +2 (G7P6A6+2) woman
    came to your Antenatal Clinic with complaint of protrusion from
    her vagina. She feels it more when she goes to move her bowel.
    • A) What could be your likely diagnosis
    • B) What could have led to it
    • C) What exact supports are compromised
    • D) will you counsel her to terminate her pregnancy

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