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Female Reproductive System at a Glance

Functions of Female Reproductive System


Produces ova Provides location for fertilization Provides location for development of fetus Secretes female sex hormones Produces milk to nourish infant

Female Reproductive System at a Glance

Organs of Female Reproductive System


Ovaries Fallopian tubes Uterus Vagina Vulva Breasts

Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht

Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Female Combining Forms


amni/o cervic/o chori/o colp/o culd/o embry/o episi/o fet/o

amnion neck, cervix chorion vagina cul-de-sac embryo vulva fetus

Female Combining Forms


gynec/o hymen/o hyster/o lact/o mamm/o mast/o men/o metr/o

woman, female hymen uterus milk breast breast menses, menstruation uterus

Female Combining Forms


nat/o oophor/o ov/o ovari/o perine/o salping/o uter/o vagin/o vulv/o

birth ovary egg ovary perineum fallopian tubes, uterine tubes uterus vagina vulva

Female Suffixes
arche cyesis gravida para partum salpinx tocia

beginning state of pregnancy pregnancy to bear (offspring) childbirth fallopian tube labor, childbirth

Anatomy and Physiology Function


Ovaries produce ova Fallopian (uterine) tubes are most common site for fertilization to take place Uterus provides location for development of fetus Breasts nourish infant Ovaries produce female sex hormones

Internal Genitalia

Internal organs located in pelvic cavity


Uterus Two ovaries Two fallopian (uterine) tubes Vagina

Figure 10.1 Organs of the female reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

External Genitalia
External organs Also called vulva

Labia majora Labia minora Clitoris

Region between vagina and anus


Perineum

Female Reproductive System Animation

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Ovaries
Two almond-shaped glands Located on each side of pelvic cavity Produce and release ova

Approximately every 28 days

Secretes female sex hormones

Figure 10.2 Structure of the ovary and fallopian (uterine) tube.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Female Sex Hormones

Follicle stimulating hormone (FSH) and luteinizing hormone (LH)


Secreted by the anterior pituitary Stimulate maturation of ovum Trigger ovulation

Estrogen and progesterone


Secreted by ovary Prepare endometrium to receive fertilized ovum Female secondary sexual characteristics

Figure 10.3 An ovum (pink) released by the ovary at ovulation surrounded by follicle (white) tissue. (P.M. Motta and J. Van Blekrom/Science Photo Library/Photo Researchers, Inc.)
Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Fallopian Tubes
Also called uterine tubes or oviducts Purpose is to transport ovum from ovary to uterus Fertilization typically occurs within upper half of fallopian tubes

Fallopian Tubes
5 inches long Project from either side of uterus End with fingerlike projections

Fimbriae

Figure 10.4 Fallopian (uterine) tube, showing released ovum within the fallopian tube.

Uterus
Pear shaped organ in center of pelvic cavity Regions

Fundus Corpus Cervix

Layers of the Uterus


Endometrium
Inner layer

Myometrium
Middle layer Thick muscle

Perimetrium
Outer layer

Figure 10.5 The uterus.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Endometrium
Inner layer of uterus Contains rich blood supply Reacts to estrogen and progesterone Thickens to receive ovum Fertilized egg implants here Provides nourishment and protection to embryo

Menstruation

Menstrual period
When pregnancy does not occur Endometrium is sloughed off

Menarche
First menstrual period

Menopause
End of menstrual activity and childbearing

Vagina
Thin muscular tube Lined with mucous membrane Extends from cervix to outside of body

Vaginal orifice

Allows for

Vagina
During intercourse, receives male penis and semen Serves as birth canal Hymen

Thin membranous tissue Partially covers external vaginal opening

Bartholins glands
Secrete mucus for lubrication during intercourse

Figure 10.6 The vagina.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Vulva

Labia majora and minora


Folds of skin Protective covering Also protects urinary meatus

Clitoris
Erectile tissue

Figure 10.7 The vulva.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Female Reproductive Anatomy Exercise

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Breasts

Also called mammary glands Lactiferous glands


Produce milk Lactation

Lactiferous ducts
Carry milk to nipple Areola is pigmented area around nipple

Figure 10.8 The breast.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Pregnancy

Gestation
Period of pregnancy 40 weeks

Premature
Birth before 37 weeks of gestation completed

Pregnancy

Embryo
From implantation into endometrium until eight weeks Major organs and systems are formed

Fetus
Ninth week until birth Organs mature and begin to function

Fetal Membranes
Infant is surrounded by two membranous sacs Amnion

Inner sac Holds amniotic fluid in which fetus floats

Chorion
Outer sac Protective Forms part of placenta

Figure 10.10 Photograph illustrating the development of an embryo. (Petit Format/Nestle/Photo Researchers, Inc.)
Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Figure 10.11 Photograph illustrating the development of a fetus. (Petit Format/Nestle/Photo Researchers, Inc.)
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht

Placenta
Provides nourishment for fetus Spongy blood-filled organ Forms in uterus next to fetus Commonly called afterbirth Fetus attached to placenta by umbilical cord

Figure 10.9 A full-term pregnancy.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Stages of Labor and Delivery

Dilation stage
First stage Strong uterine muscle contractions pushes fetus against cervix

Effacement
Thinning of the cervix

Dilation
Expands to 10 cm

Figure 10.12A Dilation stage of labor and delivery.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Labor First Stage Video 1

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Labor First Stage Video 2

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Stages of Labor and Delivery

Expulsion stage
Second stage Begins with full dilation of cervix Ends with birth of baby

Crowning
When head appears

Figure 10.12B Expulsion stage of labor and delivery.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Labor Second Stage Video

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Stages of Labor and Delivery

Placental stage
Third stage Uterus continues to contract Placenta is delivered

Figure 10.12C Placental stage of labor and delivery.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Labor Third Stage Video 1

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Labor Third Stage Video 2

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Labor Third Stage Video 3

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Infant Delivery Video

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Breech Birth
Normally crown of head appears first in birth canal Any other body part appearing first is breech presentation Buttocks first is most common

Figure 10.13 A breech birth.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Word Building with amni/o & cervic/o


otomy tic amniotomy amniotic incision into amnion pertaining to amnion

rrhea

amniorrhea

flow from amnion

ectomy al

cervicectomy cervical

surgical removal of cervix pertaining to cervix inflammation inside cervix

endo itis endocervicitis

Word Building with chori/o, colp/o, embry/o, and episi/o


nic chorionic pertaining to chorion instrument to view inside vagina pertaining to embryo

scope

colposcope

nic rrhaphy

embryonic

episiorrhaphy

suture of vulva

Word Building with fet/o, gynec/o, and hymen/o


al ologist fetal pertaining to fetus

gynecologist

female specialist surgical removal of hymen

ectomy

hymenectomy

Word Building with hyster/o, lact/o, and lapar/o


pexy rrhexis ic rrhea otomy scope hysteropexy hysterorrhexis lactic lactorrhea laparotomy laparoscope surgical fixation of uterus rupture of uterus pertaining to milk milk discharge incision into abdomen instrument to view inside abdomen

Word Building with mamm/o & mast/o


gram ary mammogram mammary X-ray record of breast pertaining to breast

plasty

mammoplasty

surgical repair of breast

algia itis ectomy

mastalgia mastitis mastectomy

breast pain inflammation of breast removal of breast

Word Building with men/o


a rrhea dys rrhea amenorrhea dysmenorrhea menorrhagia lack of menstrual flow painful menstrual flow rapid menstrual flow

oligo rrhea
rrhagia

oligomenorrhea scanty menstrual flow

Word Building with metr/o & nat/o


endo itis peri itis endometritis perimetritis inflammation within uterus inflammation around uterus

rrhea
rrhagia neo neo ologist

metrorrhea
metrorrhagia neonate

flow from uterus


rapid flow from uterus newborn

neonatologist specialist in newborn

Word Building with oophor/o, ovari/o, and salping/o


itis an cyesis oophoritis ovarian salpingocyesis inflammation of ovary pertaining to ovary fallopian tube pregnancy removal of fallopian tube

ectomy salpingectomy

itis

salpingitis

inflammation of fallopian tube

Word Building with uter/o and vagin/o


ine al uterine pertaining to uterus

vaginal

pertaining to vagina

itis

vaginitis

inflammation of vagina

Word Building with cyesis & gravida


pseudo nulli primi multi pseudocyesis nulligravida primigravida multigravida false pregnancy no pregnancies first pregnancy multiple pregnancies

Word Building with para & partum


nulli primi nullipara primipara no births first birth

multi

multipara

multiple births

ante post

antepartum postpartum

before birth after birth

Word Building with salpinx & tocia


hemato pyo dys hematosalpinx pyosalpinx dystocia blood in fallopian tube pus in fallopian tube difficult labor and childbirth

Female Reproductive System Vocabulary


atresia barrier contraception colostrum fraternal twins gynecology (GYN) congenital lack of normal body opening prevents sperm from meeting ovum; condom, diaphragms thin fluid secreted by breast after delivery before actual milk appears develop from two different ova fertilized by two different sperm diagnosis and treatment of diseases of female reproductive system

Female Reproductive System Vocabulary


hormonal contraception using hormones to block ovulation; no ovum to fertilize; pills, patch, implant develop from the splitting of a single identical twins fertilized ovum unable to produce children; no infertility pregnancy after properly timed intercourse for one year intrauterine device inserted into uterus to prevent device (IUD) pregnancy from establishing meconium first bowel movement of newborn

Figure 10.14 Shape of two different intrauterine devices (IUDs). (Jules Selmes and Debi Treloar/Dorling Kindersley Media Library)
Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Female Reproductive System Vocabulary


diagnosis and treatment of diseases of the newborn obstetrics diagnosis and treatment of women during (OB) pregnancy and childbirth premenstrual symptoms appear just prior to menstrual syndrome period; irritability, headache, tender (PMS) breasts, and anxiety beginning of menstruation and puberty reproductive years neonatology

Ovary Pathology
ovarian carcinoma malignant tumor of the ovaries ovarian cyst cysts developing in the ovaries; may rupture causing pain and bleeding

Uterus Pathology
cervical cancer malignant tumor of the cervix

endometrial cancer fibroid tumor

malignant tumor of the lining of the uterus benign fibrous tumor in the uterus

excessive bleeding during menstrual menometrorrhagia period or between menstrual periods fallen uterus; may cause cervix to prolapsed uterus protrude through vaginal opening

Figure 10.15 Common sites for the development of fibroid tumors.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Vagina Pathology
candidiasis cystocele rectocele toxic shock syndrome (TSS) yeast infection of mucous membrane lining of vagina bladder presses backwards on vaginal wall rectum presses forward on vaginal wall staphylococcus infection occurring in menstruating women; associated with prolonged wearing of superabsorbent tampon

Pelvic Cavity Pathology


endometriosis pelvic inflammatory disease occurs when endometrial tissue flows backwards from uterus through fallopian tubes and into pelvic cavity bacterial infection that has spread through female reproductive tract and out into pelvic cavity

Breast Pathology
breast cancer fibrocystic breast disease malignant tumor of the breast tissue appearance of fibrous tumors in breast tissue; no association with cancer

Figure 10.16 Comparison of breast cancer (A) and fibrocystic disease (B).
Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Breast Cancer Video

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Pregnancy Pathology
abruptio placentae eclampsia placenta tears away from uterine wall prior to delivery of baby convulsions and coma occurring in woman in late stages of pregnancy occurs when mother is Rh and baby is Rh+; mothers antibodies cross the placenta and attack babys blood; older name is erythroblastosis fetalis

hemolytic disease of the newborn (HDN)

Pregnancy Pathology
placenta previa placenta forms low in the uterus overlying the opening to the cervix metabolic disease of pregnancy; may result in true eclampsia; symptoms include hypertension, headaches, and edema; also called toxemia

preeclampsia

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Figure 10.17 Placenta previa.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Pregnancy Pathology
prolapsed umbilical cord
spontaneous abortion stillbirth if umbilical cord emerges from birth canal before baby does, it will become pinched between babys head & vaginal wall, cutting off blood flow to baby unplanned loss of pregnancy early in gestation; commonly called a miscarriage death of a fetus of viable age; occurs shortly before or at time of delivery

Clinical Laboratory Tests


PAP smear pregnancy test

scraping of cervical cells is examined for early signs of cervical cancer chemical test to determine a pregnancy during first few weeks

Diagnostic Imaging
X-ray of uterus and fallopian hysterosalpingography tubes after injecting dye in (HSG) through cervix X-ray of breast for detection of mammography breast cancer use of ultrasound waves to pelvic ultrasonography produce image of pelvic organs or a fetus within the uterus

Endoscopic Procedures
colposcopy culdoscopy examination of the vagina using a colposcope examination of pelvic cavity behind the uterus using a culdoscope introduced through an incision in the vaginal wall examination of the pelvic cavity and organs using a laparoscope introduced through an incision just below the navel

laparoscopy

Figure 10.18 A laparoscopic examination; uterus is visible below probe, ovary is at tip of probe, and fallopian tube along left side. (Southern Illinois University/Photo Researchers, Inc.)
Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Obstetrical Diagnostic Procedures


removal of amniotic fluid using a needle; fluid can be used to determine fetal amniocentesis maturity and developmental and genetic disorders evaluates newborns adjustment to outside environment; observes color, Apgar score heart rate, respiratory rate, muscle tone, and response to stimulus

Apgar Score Video

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Obstetrical Diagnostic Procedures


chorionic villus removal of a small piece of chorion for sampling genetic analysis (CVS) fetal monitoring electronic equipment on mothers abdomen or fetuss scalp to check heart rate during labor and delivery

Fetal Heart Rate Video

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Additional Diagnostic Procedures


cervical biopsy endometrial biopsy (EMB) pelvic examination removing a piece of cervical tissue to examine for cancer removing a sample of endometrial tissue to examine for cancer physical exam of vagina and adjacent organs; a speculum is used to open the vagina

Figure 10.19 A speculum.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Surgical Treatments
cesarean section (CS, C-section) conization surgical delivery of baby through abdominal incision removal of a core of cervical tissue

dilation & curettage dilation of cervix and scraping away (D&C) of endometrial lining episiotomy

incision of perineum to widen birth canal during delivery

Cesarean Delivery Video

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Surgical Treatments
lumpectomy removal of breast lump and tissue immediately surrounding it
removal of breast tissue plus chest muscles and axillary lymph nodes

simple mastectomy removal of breast tissue radical mastectomy

Surgical Treatments
elective abortion therapeutic abortion

legal termination of an early pregnancy termination of a pregnancy for the health of the mother

Surgical Treatments
total abdominal hysterectomybilateral salpingooophorectomy (TAH-BSO) removal of the entire uterus, cervix, both fallopian tubes, and both ovaries through an abdominal incision

vaginal hysterectomy
tubal ligation

removal of the uterus through vagina rather than an abdominal incision surgical tying off of fallopian tubes to prevent conception

Female Reproductive System Pharmacology


abortifacient fertility drug terminates a pregnancy triggers ovulation

Mifeprex, Prostin E2 Clomid, Gonal-F

hormone replacement estrogen after Cenestin, replacement menopause or loss of Premarin therapy (HRT) ovaries

Female Reproductive System Pharmacology


oral contraceptive pills (OCPs) oxytocin prevents conception by blocking ovulation improves uterine contractions during labor and delivery Ortho-Cept, Lo/Ovral Pitocin, Syntocinon

Examples
gynecology gynecologist study of female (disorders) specialist in the study of female (disorders)

Illustratio n 101

Examples
hysterectomy
uteroptosis

excision of the uterus


drooping or prolapse of the uterus

Illustratio n 102

Examples
oophoroma
ovariorrhexis

tumor of the ovary


rupture of the ovary

Illustratio n 103

Examples
cervical cervicomalacia pertaining to the cervix softening of the cervix

Illustratio n 104

Examples
vulvodynia episiotomy pain of the vulva incision into the vulva

Illustratio n 105

Examples
colposcopy visual examination of the vagina inflammation of the vagina

vaginitis

Illustratio n 106

Examples
salpingitis inflammation of the (fallopian) tube

salpingomegaly

enlargement of the (fallopian) tube

Illustratio n 107

Other Female Reproductive Terms


mamm/o mast/o
men/o nat/o

Next Chapter 108

Examples
mammogram mastalgia record of the breast pain in the breast

Illustratio n 109

Examples
menorrhea menopause flow of menses cessation of menses

Illustratio n 110

Examples
perinatal pertaining to the time around birth

neonatal

new birth

Illustratio n 111

Pathologies
Menorrhagia Abnormally heavy or long menstrual period Metorrhagia Hemorrhage of the uterus

112

Pathologies
Amenorrhea Absence of menstruation Dysmenorrhea Painful or difficult menstruation Mittelschmerz Abdominal pain in the region of the ovary during ovulation

113

Pathologies

Premenstrual syndrome (PMS) Nervous tension, irritability, edema, headache, and painful breasts that can occur the last few days before the onset of menstruation

114

Pathologies
Cervicitis Inflammation of the cervix Possible Causes

Chlamydia Yeast (Candida ablicans) Trichomonas vaginalis Gonorrhea

115

Pathologies
Vaginitis Inflammation of vaginal tissues Possible causes

Sexual intercourse Following childbirth After taking antibiotics

Colpitis

116

Pathologies
Vulvitis Inflammation of vulva Vulvovaginitis Inflammation of vulva and vagina

117

Pathologies
Oophoritis Inflammation of an ovary Oophoralgia Ovarian pain Oophorosalpingitis Inflammation of an ovary and fallopian tube

118

Pathologies
Anovulation Absence of ovulation Possible causes

Altered ovarian function Side effects of medications Result of disease Stress

119

Pathologies

Polycystic ovary syndrome


Anovulation Amenorrhea Infertility

Caused by
Increased levels of testosterone, estrogen, and lutenizing hormone and decreased secretion of FSH

120

Pathologies

Ovarian Cancer
Leading cause of death from reproductive cancers Difficult to diagnose Usually spread by the time it is found Sonography or CT scan to look for ovarian mass Often requires exploratory surgery

121

Pathologies
Salpingocele Hernial protrusion of a fallopian tube Salpingitis Inflammation of a fallopian tube Ectopic pregnancy Outside the uterine cavity Tubal pregnancy Implanted in the fallopian tube

122

Pathologies

Pelvic inflammatory disease (PID) Infection that involves the upper genital tract beyond the cervix Toxic shock syndrome (TSS)
Sudden high fever Headache Confusion Acute renal failure Abnormal liver function

Caused by staphylococcus Most common among women who use tampons


123

Pathologies

Uterine cancer
Stage I uterus only Stage II cervix also involved Stage III spread beyond uterus but still within pelvic cavity Stage IV spread beyond the pelvis most often spreading to liver and/or lungs

124

Pathologies
Hysteroptosis Uterine prolapse Uterine displacements

Anteversion Retroversion Anteflexion Retroflexion

125

Pathologies
Uterine leiomyoma Uterine fibroid (benign tumor) Cervical polyps Myometritis Inflammation of the myometrium Endometritis Inflammation of the endometrium

126

Pathologies
Endometriosis Abnormal condition in which endometrium tissue is outside the uterus, usually within the pelvic cavity Vulvitis Inflammation of the vulva Leukorrhea Normal white discharge before and after the menstrual period

127

Pathologies
Colpodynia Pain of the vagina Cystocele Protrusion of the bladder through the wall of the vagina Rectocele Rectum is displaced causing bulging of the posterior vaginal wall

128

Surgical & Therapeutic Interventions

Suturing of the vagina is Colporrhaphy Surgical repair of the vagina is Colpoplasty Surgical fixation of an ovary is Oophoropexy

129

Surgical & Therapeutic Interventions

Oophoro/hyster/ectomy is Removal of ovaries and uterus Oophorectomy is Removal of the ovaries Oophorosalpingectomy is Removal of uterine tube and an ovary Salpingo-oophorectomy is Removal of uterine tube and an ovary Hyster/ectomy is Removal of the uterus

130

Surgical & Therapeutic Interventions


Hysterectomy with bilateral oophorosalpingectomy Removal of the uterus and both ovaries and both fallopian tubes Colpo/hyster/ectomy is Removal of uterus by way of the vagina Laparo/hyster/ectomy is Removal of uterus through a small opening in the abdominal wall

NWTC Medical Terminology 10-501-101 131

Surgical & Therapeutic Interventions

Excision of uterine tube is Salpingectomy Tubal ligation is Permanent sterilization Dilation and curettage (D & C)

Cervix dilated Scraping of endometrium

132

Surgical & Therapeutic Interventions


Suffix therapy means Treatment Treatment for dysplasia Biopsy Cryo/therapy Cold treatment Cautery Irradiation

Surgical fixation of a displaced uterus


Hysteropexy

Surgical fixation of uterine tube is


Salpingopexy
133

Female Reproductive System Abbreviations


AB AI
BSE CS, C-section CVS Cx D&C

abortion artificial insemination


breast self-examination cesarean section chorionic villus sampling cervix dilation and curettage

Female Reproductive System Abbreviations


EDC EMB
ERT FEKG FHR FHT FSH

estimated date of confinement endometrial biopsy


estrogen replacement therapy fetal electrocardiogram fetal heart rate fetal heart tone follicle stimulating hormone

Female Reproductive System Abbreviations


FTND GI, grav I GYN, gyn HCG, hCG HDN HPV HRT full term normal delivery first pregnancy gynecology human chorionic gonadotropin hemolytic disease of the newborn human papilloma virus hormone replacement therapy

HSG

hysterosalpingography

Female Reproductive System Abbreviations


IUD IVF LBW LH LMP NB OB intrauterine device in vitro fertilization low birth weight luteinizing hormone last menstrual period newborn obstetrics

OCPs

oral contraceptive pills

Female Reproductive System Abbreviations


PAP PI, para I PID PMS TAH-BSO TSS UC Papanicolaou test first birth pelvic inflammatory disease premenstrual syndrome total abdominal hysterectomy-bilateral salpingo-oophorectomy toxic shock syndrome uterine contraction

Male Reproductive System at a Glance

Functions of Male Reproductive System


Produces sperm Delivers sperm to female reproductive tract Secretes male sex hormones

Male Reproductive System at a Glance

Organs of Male Reproductive System


Testes Epididymis Vas deferens Seminal vesicle Prostate gland Bulbourethral gland Penis

Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht

Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Male Combining Forms


andr/o balan/o crypt/o epididym/o orch/o orchi/o orchid/o

male glans penis hidden epididymis testes testes testes

Male Combining Forms


prostat/o spermat/o testicul/o varic/o vas/o vesicul/o

prostate sperm testes varicose veins vas deferens seminal vesicle

Male Suffixes

spermia

condition of sperm

Anatomy and Physiology Function


Testes produce sperm Vas deferens and epididymis transport semen Reproductive glands add vital fluids to sperm

Produces semen

Penis delivers semen to vagina Testes produce male sex hormones

Testosterone

External Genitalia

Located outside the body


Penis Two testes Two epididymides (plural for epididymis)

Internal Genitalia

Located in pelvic cavity


Two vas deferentia (plural for vas deferens) Two seminal vesicles Prostate gland Two bulbourethral glands

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Male Reproductive Anatomy Animation

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Testes
Singular is testis; also called testicles Oval-shaped organs in scrotum Produce sperm

Testes

Secrete testosterone
Necessary for proper development of sperm Stimulates growth and development of male reproductive organs Produces male secondary sexual characteristics

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Spermatogenesis

Process that produces sperm


Occurs within seminiferous tubules of testes

The testes must be maintained at proper temperature for sperm to survive


This lower temperature level is achieved by suspending testes in scrotum outside body Scrotum is sac that contains testes, epididymides, and beginning of vas

Figure 10.21 Electronmicrograph of human sperm. (Juergen Berger, Max-Planck Institute/Science Photo Library/Photo Researchers, Inc.)

Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht

Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Epididymis
Coiled tube-shaped organ Lies on top of testes within scrotum Location for sperm maturation and storage Releases sperm into vas deferens

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Penis

Shaft of penis
Contains urethra

Glans penis
Tip of the penis Protected by prepuce

Penis
Contains erectile tissue Increased blood flow during sexual stimulation results in erection

Allows it to be placed within vagina Ejaculation of semen

Urethra

Male urethra extends from urinary bladder to the external opening at tip of penis
Urinary meatus

Serves a dual function:

Elimination of urine Ejaculation of semen During ejaculation, sphincter closes to keep urine from escaping Sometimes referred to as Genitourinary System

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Vas Deferens

Carries sperm from epididymis up into pelvic cavity


Travels up in front of urinary bladder, over top, and then back down posterior side of the bladder Empties into

Spermatic Cord
Cord-like structure between pelvic cavity and scrotum Consists of:

Two vas deferentia Nerves Arteries Veins Lymphatic vessels

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Seminal Vesicles
Two glands At base of urinary bladder Connected to vas deferens just before it empties into urethra

Seminal Vesicles

Secrete a fluid that nourishes sperm


Rich in glucose

This fluid, along with sperm, constitutes semen


Fluid ejaculated during sexual intercourse

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Prostate Gland
Single gland located just below urinary bladder Surrounds urethra

Vas deferens empties into urethra within prostate

Prostate Gland

Secretes alkaline fluid


Neutralizes pH of urethra and vagina Critical for sperm survival

Enlargement of prostate puts pressure on both urethra and vas deferens


Causes problems with both urination and ejaculation

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Bulbourethral Gland
Also known as Cowpers glands Two small glands

Either side of urethra Just below prostate

Secrete mucus-like lubricating fluid

Figure 10.20 The male reproductive system.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Male Reproductive Anatomy Exercise

Click here to review male reproductive organs in a labeling activity.


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Word Building with andr/o & balan/o


gen pathy itis plasty rrhea androgen andropathy balanitis balanoplasty balanorrhea male producing male disease inflammation of glans penis surgical repair of glans penis discharge from glans penis

Word Building with epididym/o & orch/o


ectomy al epididymectomy removal of epididymis epididymal pertaining to epididymis

itis

epididymitis

inflammation of epididymis

an ism

anorchism

condition of no testes

Word Building with orchi/o & orchid/o


ectomy otomy orchiectomy orchiotomy removal of testes incision into testes

plasty

orchioplasty

surgical repair of testes

ectomy pexy

orchidectomy orchidopexy

removal of testes surgical fixation of testes

Word Building with prostat/o & spermat/o


itis ectomy prostatitis prostatectomy inflammation of prostate removal of prostate

ic

prostatic

pertaining to prostate

ic lysis

spermatic spermatolysis

pertaining to sperm destruction of sperm

Word Building with testicul/o & vesicul/o


ar testicular pertaining to testes

ar

vesicular

pertaining to seminal vesicles

Word Building with spermia


a oligo aspermia oligospermia condition of no sperm condition of scanty sperm

Male Reproductive System Vocabulary


erectile dysfunction (ED) sterility inability to engage in sexual intercourse due to inability to maintain an erection; also called impotence inability to father children due to a problem with spermatogenesis

Erectile Dysfunction Video

Click here to view a video on erectile dysfunction.


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Testes Pathology
cryptorchidism hydrocele testicular carcinoma testicular torsion failure of testes to descend into scrotum before birth accumulation of fluid around testes or along spermatic cord

malignant tumor of testes


twisting of spermatic cord

varicocele

varicose veins of the spermatic cord

Prostate Gland Pathology


benign prostatic hypertrophy (BPH) noncancerous enlargement of prostate gland; common in older men

prostate cancer

malignant tumor of prostate gland

Penis Pathology
epispadias hypospadias phimosis priapism

congenital opening of urethra on dorsal surface of penis congenital opening of urethra on underside of penis narrowing of prepuce; constricts glans penis persistent and painful erection; caused by pathology, not sexual stimulation

Sexually Transmitted Disease


chancroid highly infections non-syphilitic venereal ulcer chlamydia bacterial genital infection in males & females genital herpes genital warts gonorrhea (GC) viral infection that appears like blisters warts on the genitalia of both males & females; caused by a virus bacterial infection of mucous membranes of males & females

Figure 10.22 Photograph showing a chancroid on the glans penis. (Joe Miller/Centers for Disease Control andPrevention [CDC])
Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Sexually Transmitted Disease


human immunodeficiency virus (HIV) sexually transmitted disease (STD) syphilis sexually transmitted virus that attacks immune system disease usually acquired as a result of sexual intercourse; formerly called venereal disease (VD) chronic bacterial infection; attacks multiple organs including brain genitourinary infection caused by a protist in both males and females

trichomoniasis

Clinical Laboratory Tests


prostate-specific blood test to screen for prostate antigen (PSA) cancer part of fertility workup; analyzed for semen analysis number, swimming strength, and shape

Additional Diagnostic Tests


digital rectal manual examination for enlarged prostate exam (DRE)

Surgical Procedures
castration removal of testes

circumcision
orchidopexy

removal of prepuce surgical fixation to pin undescended testes in scrotum process of rendering a male or female unable to conceive children

sterilization

Surgical Procedures
transurethral resection removal of prostate tissue by of prostate (TUR, inserting device through urethra TURP) removal of a segment of vas vasectomy deferens to prevent sperm from ejaculating reconnects ends of vas deferens vasovasostomy to reverse a vasectomy

Figure 10.23 A vasectomy.


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht
Copyright 2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Vasectomy Video

Click here to view a video on vasectomy.


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Pathology Of Male Reproductive System


anorchism

- absence of one or both testicles cryptorchidism - undescended testicles-one testicle fails to descend into scrotum epididymitis - inflammation of epididymitis
193

Pathology continued
hydrocele - hernia in the testicles or tubes testitis - inflammation of one or both testes varicocele - varicose vein of testicle (may cause male infertility) azoospermia - absence of sperm in semen

194

Pathology continued
oligospermia

- low sperm count benign prostatic hypertrophy BPH - enlarged prostate prostate cancer - most common cancer in males - slow or fast growth
195

Pathology continued
prostatitis

- inflammation of the prostate gland prostatorrhea - discharge of prostatic fluid through urethra prostatomegaly enlarged prostate
196

Diagnostic Procedures Of Male Reproductive System


PSA - prostatic specific antigen - blood screening test to check for cancer of prostate sperm analysis - sperm count - semen is analyzed to determine sperm count, shape, size and motility TSE - testicular self-examination monthly self exam to check for abnormalities

197

Treatment Procedures Of Male Reproductive System


circumcision

- surgical removal of

foreskin orchidectomy - surgical removal of one or both testes varicocelectomy - removal of portion of enlarged vein to relieve varicocele
198

Treatment Procedures Of Male Reproductive System


castration

- bilateral orchidectomy - surgical removal of both testicles sterilization - procedure to make individual incapable of reproduction
199

Treatments continued
vasectomy

- portion of vas deferens is removed to prevent sperm in semen vasovasostomy - procedure to restore fertility after vasectomy
200

Treatments continued
prostatectomy

- surgical removal of all or part of prostate gland radical prostatectomy - surgical removal of entire prostate gland, seminal vesicles and some surrounding tissue

201

Treatments continued
TURP - transurethral resection of the prostate - removal of all or part of prostate through the urethra radiation therapy - treatment to control prostate cancer hormone therapy - treatment to control prostate cancer

202

Examples
vasodynia pain in a vessel

vasectomy

surgical excision of a vessel (part of the vas deferens)

Illustratio n 203

Examples
prostatomegaly enlargement of the prostate surgical excision of the prostate

prostatectomy

Illustratio n Med Term Mainstay 204

Examples
balanitis inflammation of the glans penis

Illustratio n 205

Examples
orchalgia
orchiopexy

pain of the testes


surgical fixation of the testes rupture of the testes disease of the testes
Illustratio n 206

orchidorrhexis testopathy

Examples
spermatogenesis
spermatocyte aspermia hypospermia

creating or producing sperm


sperm cell a condition of no sperm a condition low (levels of) sperm
Illustratio n 207

Male Reproductive System Pharmacology


replacement of male hormones antiprostatic shrinks benign agents prostatic hypertrophy erectile temporarily produces dysfunction agents erection
androgen therapy spermatocide destroys sperm

Andronate, DepAndro Proscar, Avodart


Viagra, Cialis Semicid, Ortho-Gynol

Male Reproductive System Abbreviations


BPH DRE
ED GC GU PSA

benign prostatic hypertrophy digital rectal exam


erectile dysfunction gonorrhea genitourinary prostate-specific antigen

Male Reproductive System Abbreviations


RPR SPP
STD TUR TURP VD

rapid plasma reagin (test for syphilis) suprapubic prostatectomy


sexually transmitted disease transurethral resection transurethral resection of prostate venereal disease

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