1.A person’s sexuality encompasses the complex behaviors, attitudes emotions and preferences that are related tosexual self and eroticism.2.Sex – basic and dynamic aspect of life3.During reproductive years, the nurse performs as resource person on human sexuality.
B.Definitions related to sexuality:
Gender identity – sense of femininity or masculinity2-4 yrs/3 yrs gender identity develops.Role identity – attitudes, behaviors and attributes that differentiate rolesSex – biologic male or female status. Sometimes referred to a specific sexual behavior such as sexual intercourse.Sexuality - behavior of being boy or girl, male or female man/ woman. Entity life long dynamic change.- developed at the moment of conception.
II. Sexual Anatomy and PhysiologyA. Female Reproductive System
1. External value or pretender
a. Mons pubis/veneris
- a pad of fatty tissues that lies over the symphysis pubis covered by skin and at puberty covered by pubic hair that serves as cushion or protection to the symphysis pubis.
Stages of Pubic Hair Development
Tannerscale tool - used to determine sexual maturity rating.Stage 1 – Pre-adolescence. No pubic hair. Fine body hair onlyStage 2 – Occurs between ages 11 and 12 – sparse, long, slightly pigmented & curly hair at pubissymphysisStage 3 occurs between ages 12 and 13 – darker & curlier at labiaStage 4 – occurs between ages 13 and 14, hair assumes the normal appearance of an adult but is not sothick and does no appear to the inner aspect of the upper thigh.Stage 5 sexual maturity- normal adult- appear inner aspect of upper thigh .
b. Labia Majora
- large lips longitudinal fold, extends symphisis pubis to perineum
c. Labia Minora
– 2 sensitive structuresclitoris- anterior, pea shaped erectile tissue with lots sensitive nerve endings sight of sexual arousal (Greek-key)fourchette- Posterior, tapers posteriorly of the labia minora- sensitive to manipulation, torn during delivery.Site – episiotomy.
– an almond shaped area that contains the hymen, vaginal orifice and bartholene’s glands.1.Urinary Meatus – small opening of urethra, serves for urination2.Skenes glands/or paraurethral gland – mucus secreting subs for lubrication3.hymen – covers vaginal orifice, membranous tissue4.vaginal orifice – external opening of vagina5.bartholene’s glands- paravaginal gland or vulvo vaginal gland -2 small mucus secreting subs – secrets alkaline subs.Alkaline – neutralizes acidity of vaginaPh of vagina - acidicDoderleins bacillus – responsible for acidity of vaginaCarumculae mystiformes-healing of torn hymen
e. Perineum –
muscular structure – loc – lower vagina & anusInternal:
– female organ of copulation, passageway of mens & fetus, 3 – 4inches or 8 – 10 cm long, dilated canalRugae – permits stretching without tearing
Organ of mens is a hollow, thick walled muscular organ. It varies in size, shape and weights.Size- 1x2x3Shape: nonpregnant pear shaped / pregnant - ovoid