Organs of the female reproductive system

• External genitalia

Vulva & clitoris

• Internal genitalia

Uterus

Ovaries

Cervix

vagina

Anatomy of uterus/fallopian tube/ovary/cervix/vaginaOvarian ligament;

Suspensory ligament

Broad ligament

Round ligament

Mesovarium

Function:

Ova prouction

Hormone:

Progesterone

Estrogens

Relaxin

• Fallopian tube:(2)

Fimbriae

Infundibulum

Ampulla

Isthmus

• Uterus lie in anteflexion

Fundus

Body has uterine cavity

Cervix has cervical canal

Isthmus

Internal & external os

Pouch:vesicouterine/rectouterine

Layers:endometrium,myometrium,

perimetrium

Anatomy of breast• athelia;absence of nipple

• Polythelia: many nipples

• Gynaecomastia: development of breast in males

Female Reproductive system• AB:absorption• AFP: Alfa feto protein• C-section: caesarean section• CIS: carcinoma in situ• Cx: cervix• D& C: Dilatation & Curettage• DUB: dysfunctional uterine bleeding• ECC: endocervical curettage• EDC: estimated date of confinement• EMB: endometrial biopsy• FSH:follicle stimulating hormone• G: gravida• Gyn; gynecology(diseases)• HCG: Human Chronic Gonadrotropin• HSG:hysterosalphingography• IVD/IVP:intrauterine device/pregnancy• LH: luetinising hormone• LMP:last menstrual period• Multip:multipara• OB:obstretics(pregnancy & delivery)• OCP: oral contraceptive pills• Pap smear: papanicolaou smear• Path: pathology• Peds: pediatrics• PID: pelvic inflammatory disease• PMS: premenstrual syndrome• Primip:primipara• TAH-BSP: total abdominal hysterectomy with bilateral

salphingo oophorectomy• UC: uterine contractions

Ova production

Growth of embryo

•Hormones

Estrogen:development of FRS,secondary sex character

& breast

Progesterone:endometrium maturation & mammary gland

Relaxin:parturation

Pitutary :FSH & LH

•Life cycle of female

Prepuberty

Puberty

Fertilization period

Menopause

Menstrual cycle

Pregnancy• Presentation:fetal part occupies the lower part of uterus

• TypesCephalicShoulderBreechPopalic• Lie of the fetus:Relation of long axis of

fetal spine to maternal spineObliqueTransverse• Position:Relation of denominator to different quadrants

of pelvisLOA:left occipital anteriorLOPLOTROAROPROT

Terms related to gynecology

• Adrenarche:beginning of hormonal activity leading to puberty

• Amenorrhea:stoppage or absence of menstrual cycle

• Aminocentisis: removal of aminiotic fluid for sex determination

• Braxton Hick’s sign:irregular contraction of uterus after first trimester of pregnancy

• Breech presentation:fetal position of baby in utero with feet or buttock appears first

• Cervical; pertaining to cervix

• Colposcopy: ex. Of vagina & cervix with lighted instrument

• Condyloma: warty growth in genital area

• Dysmenorrhea: painful menstruation

• oligomenorrhea: irregular menstruation period

• Menorrhagia: prolonged menstrual bleed

• Dysparaneuria:painful sexual intercourse

• Ectopic pregnancy: outside the normal site, i.e in pelvis or uterine tube

• Menometrorrhagia: excessive uterine bleeding in MC & inbetween

• Perineum:area between vagina & anus

• Emesis: throwing up

• Fetal distress: fetus in jeopardy

• Oophorectomy: removal of ovaries

• Salphingectomy:removal of fallopian tubes

• Psuedocyesis: no pregnancy, but symptoms of pregnancy are present

• Primigravida:first pregnancy of women

• Primipara: one child women

• Nullipara:women who is never pregnant

• Multipara: women delivering multiple child

• Multigravida:more than two fetus in uterus

• Menarche:first menses

• Leukorrhea: per vaginal white discharge

• Insitu: in position

• Inversion:reversal of position as upside down or inside out

• Introitus: opening or entrance into a canal or cavity such as vagina

• Hypomenoria: decrease menses

• Hystrectomy: removal of uterus

• Tocia: labor birth

• Retroflexion: uterus bend to posterior side

• Infertility:women has problem to conceive

• Imperforate hymen:covering over the cervix os

• LMP: last menstrual period

• EDD: expected date of delivery

Pathological disease of uterus/ovaries/fallopian tube/breast/pregnancy

• Cervicitis• Endometrosis• Fibroids• Cervical carcinoma• Endometrial ca

• Ovarian cyst• Ovarian ca.• PID

• Fibrocystic diseases• Congenital conditions• Ca. of breast

• Abruptio placentae• Choriocarcinoma• Ectopic pregnancy• Placenta previa• preeclampsia

Clinical test & procedure uterus/gynecology/pregnancy

• Pap smear

• Pregnancy test

• Hysterosalphingography

• Mamography

• USG Pelvic

• Aspiration

• cauterization

• Coloscopy

• Hysteroscopy

• Cyldocentesis

• Dilatation & curretage

• Conization

• Tubectomy

• Abortion

• Aminocentesis

• Cesarean section

• pelvimetry

Drugs• Ethinyl estradiol

• Estradiol

• Estrogen

• Levanogestrol

• Medroxyprogesterno acetate

• norethanadrone