FEMALE GENITAL ORGANS ORGANA GENITALIA FEMININA INTERNAL ORGANS: ovarium tuba uterina uterus vagina EXTERNAL ORGANS mons pubis (veneris) labia majora pudendi labia minora pudendi clitoris bulbus vestibuli glandulae vestibulares majores et minores OVARIUM 4x2x1 cm, 6g facies lateralis, medialis margo liber, mesovaricus-mesovarium-hilum ovarii extremitas tubaria - lig. suspensorim ovarii extremitas uterina - lig. ovarii proprium nullipara - fossa ovarica multipara - fossa Claudii epithelium, tunica albuginea, cortex ovarii - folliculi ovarici primarii, folliculi ovarici vesiculosi (Graaf) – ovum, antrum folliculi, liquor folliculi, membrana granulosa – cumulus oophorus, ovulation, corpus luteum menstruationis/graviditatis, progesterone, estrogens, medulla ovarii a. ovarica, r. ovaricus a. uterinae, v. ovarica, nodi lymphatici lumbales, plexus ovaricus TUBA UTERINA 10-12 cm ostium uterinum tubae, ostium abdominale tubae uterinae pars intramuralis, isthmus, ampulla, infundibulum - fimbriae, fimbria ovarica r. tubarius a. ovaricae, r. tubarius a. uterinae plexus venosus uterinus, nodi lymph. lumbales plexus ovaricus, plexus uterovaginalis UTERUS /HYSTERA/METRA 7x5x3 cm, 40-50 g (1000 g) corpus uteri, cornua uteri, fundus uteri, isthmus uteri, cervix uteri - portio supravaginalis, portio vaginalis facies vesicalis, facies intestinalis, margo uteri dx. et sin. cavum uteri (6 cm), canalis cervicis - plicae palmatae, canalis isthmi (orificium internum canalis cervicis) ostium uteri (orificium externum canalis cervicis) anteversio, anteflexio, lateropositio, dextrotorsio (retroversio, retroflexio) ligamentum latum uteri - excavatio vesicouterina, excavatio rectouterina (Douglas) parametrium - lig. cardinale uteri, ligg. sacrouterina, ligg. vesicouterina - ligg. pubovesicalia, lig. teres uteri endometrium - zona functionalis, zona basalis, myometrium - stratum supravasculosum, vasculosum, subvasculosum, parametrium a. uterina, plexus venosus uterinus, nodi lymph. lumbales, inguinales spf., iliaci int. - n. lymph. parauterinus (Bayer), nodi lymph. iliaci externi, sacrales plexus uterovaginalis menstrual cycle: phase of proliferation phase of secretion phase of ischemia phase of desquamation (menstruation) VAGINA ostium vaginae - vestibulum vaginae, hymen (anularis, cribriformis, septus, semilunaris), carunculae hymenales paries ant. et post. - rugae vaginales - columna rugarum ant. et post., carina urethralis vaginae, fornix vaginae septum urethrovaginale, septum rectovaginale, paracolpium, m. pubovaginalis r. vaginalis a. uterinae, plexus uterovaginalis, nodi lymph. iliaci int. , inguinales spf. plexus uterovaginalis, n. pudendus ORGANA GENITALIA FEMININA EXTERNA Mons pubis - pubes Labia majora pudendi - 8 x 2cm, sulcus genitofemoralis, commissura labiorum anterior et posterior, rima pudendi, perineum, raphe perinei Labia minora pudendi - 4cm x 5mm, sulcus interlabialis, praeputium clitoridis, frenulum clitoridis, frenulum labiorum pudendi - fossa navicularis, smegma praeputii Vestibulum vaginae - glandulae vestibulares majores (Bartholini), glandulae vestibulares minores Clitoris - crura clitoridis, corpus clitoridis, glans clitoridis, corpora cavernosa clitoridis, fascia clitoridis, lig. suspensorium clitoridis, lig fundiforme clitoridis Bulbus vestibuli - 3 x 1 cm, pars intermedia, m. bulbospongiosus PELVIC FLOOR DIAPHRAGMA PELVIS 1. M. levator ani - m. iliococcygeus - arcus tendineus m. levatoris ani, lig. anococcygeum - m. pubococcygeus - hiatus genitalis - (m. puborectalis) 2. M. coccygeus DIAPHRAGMA UROGENITALE 1. M. transversus perinei profundus - lig. transversum perinei 2. M. sphincter urethrae 3. M. transversus perinei superficialis MUSCLES OF THE EXTERNAL GENITAL ORGANS 1. M. ischiocavernosus 2. M. bulbospongiosus 3. M. sphincter ani externus Centrum tendineum perinei Fascia pelvis parietalis - fascia obturatoria (arcus tendineus m. levatoris ani), fascia diaphragmatis pelvis superior, fascia diaphragmatis urogenitalis superior, arcus tendineus fasciae pelvis Fascia pelvis visceralis Fascia diaphragmatis pelvis inferior Fascia diaphragmatis urogenitalis inferior - spatium perinei profundum Fascia perinei superficialis - spatium perinei superficiale Fossa ischiorectalis, canalis pudendalis (Alcock)