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Chapter 3: Anatomy and Physiology of the

Reproductive System
Components of the Male and Female Reproductive
System

Female


Reproductive cells: eggs or ova

Organ for development of the fetus: uterus

Male


Reproductive cells: sperm

Organ for deposit of the sperm: penis

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Function of the External Female Reproductive Organs


Collectively called the “vulva”


Protects urethra and vaginal openings

Highly sensitive to touch to increase
female’s pleasure during sexual arousal

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External Female Reproductive Organs #1


Components of the vulva


Mons pubis

Labia majora and minora

Clitoris

Vestibular structures

Perineum

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External Female Reproductive Organs #2

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Function of the Labia and Clitoris


Labia majora: contains sweat and sebaceous glands;
protects the vaginal opening

Labia minora: highly vascular and abundant in nerve
supply; lubricates the vulva and swells with stimulation

Clitoris: small cylindrical mass of erectile tissue and
nerves; function is sexual stimulation

Prepuce: hood-like covering over the clitoris; also site of
female circumcision practiced in some cultures

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Structure and Function of the Vestibule


Vestibule: oval area enclosed by the labia minora
laterally located inside the labia minora and outside
the hymen

Opening into the vestibule: urethra from the urinary
bladder, vagina, and two sets of glands

Opening into the vagina: introitus

Fourchette: half-moon area behind the opening

Glands: Bartholin and Skene glands secrete mucus
to keep the opening moist

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Internal Female Reproductive Organs #1


Vagina

Uterus

Fallopian tubes

Ovaries

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Internal Female Reproductive Organs #2

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Question #1

Is the following statement True or False?


The clitoris is considered an internal
reproductive organ.
a. True
b. False

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Answer to Question #1

b. False
The clitoris is an external female reproductive
organ. The internal organs include the vagina,
uterus, fallopian tubes, and the ovaries.

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Layers of the Uterine Wall


Endometrium: innermost layer


Lines the uterine cavity in nonpregnant women

Myometrium: muscular middle layer


Makes up the major portion of the uterus

Composed of smooth muscle linked by connective
tissue

Perimetrium: outer serosal layer


Covers the body of the uterus
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Breasts


Accessory organs—specialized for milk secretion
after pregnancy

Nipple

Areola

Lobes

Alveolar and lactiferous glands

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Anatomy of the breasts

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Female Sexual Response


Sexual stimulation leading to vasocongestion

Vaginal expansion and elongation

Secretion of mucus by vestibular glands

Estrogen (preservation of vascular function) and
testosterone (hormone of sexual desire in women)

Orgasm (zenith of stimulation)

Rapid dissipation of vasocongestion and muscle
contraction

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Female Reproductive Cycle #1


Ovarian cycle

Endometrial cycle

Hormonal regulation

Cyclical breast changes

Menstruation (absence of fertilization)

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Female Reproductive Cycle #2

Know the process


Hypothalamus —> FSH/LH

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Menstruation


Expulsion of inner uterine lining occurring monthly

Marks the beginning and end of each menstrual
cycle

Menarche: establishment of menstruation in females

Menopause: naturally occurring cessation of regular
menstrual cycles

Frequency variable: 21 to 36 days; average 28 days

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Menstrual Cycle


Ovarian cycle


Follicular phase (day 1 through ovulation,
approximately days 10 to 14)

Ovulation (day 14 of a 28-day cycle)

Luteal phase (day 15 through day 28 of a 28-day
cycle)

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Endometrial Cycle


Proliferative phase

Secretory phase

Ischemic phase

Menstrual phase

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Question #2

A woman reports that her menstrual period occurs


every 28 days. The nurse would determine that ovulation
in this woman would occur at which time?
a. Day 10
b. Day 14
c. Day 18
d. Day 22

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Answer to Question #2

b. Day 14
For a 28-day cycle, ovulation occurs usually on day
14. The proliferation phase starts on about day 5 of the
menstrual cycle and lasts until ovulation. Then the
secretory phase begins at ovulation to about 3 days
before the next menstrual period.

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Menstrual Cycle Hormones


Gonadotropin-releasing hormone (GnRH)

Follicle-stimulating hormone (FSH)

Luteinizing hormone (LH)

Estrogen

Progesterone

Prostaglandins

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External Male Reproductive Organs


Penis


Organ of copulation

Outlet for urine and sperm

Scrotum


Sac surrounding and protecting testes

Climate-control system for testes

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Male Reproductive Organs

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Internal Male Reproductive Organs #1


Testes


Sperm production

Testosterone synthesis

Ductal system


Vas deferens (sperm transport)

Spermatic cord

Urethra

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Internal Male Reproductive Organs #2


Accessory glands


Seminal vesicles

Prostate gland

Bulbourethral glands

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Internal Male Reproductive Organs #3

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Internal Male Reproductive Organs #4

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Question #3

Is the following statement True or False?


The testes need a temperature that is warmer than
body temperature for normal sperm development.
a. True
b. False

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Answer to Question #3

b. False
The testes need to be slightly cooler than body
temperature to allow normal sperm development.

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Male Sexual Response


Excitement

Plateau

Orgasm

Resolution

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