FEMALE GENITAL ORGANS Internal female genital organs: Ovarium Tuba uterina (Fallopian tube) Uterus Vagina External female genital organs: Mons pubis Labia majora pudendi Labia minora pudendi Clitoris Glandulae vestibulares majores Glandulae vestibulares minores Bulbi vestibuli Ductus Mülleri, plica genitalis Torus genitalis OVARIUM Extremitas tubaria et uterina Lig. suspensorium ovarii Lig. ovarii proprium Facies medialis et lateralis Margo liber et mesovaricus Hilum ovarii Mesovarium – lig. latum uteri Parametrium Tunica albuginea Epoophoron Cortex ovarii Apendix vesiculosa epoophori - folliculi ovarii Paroophoron - corpora lutea Gartner’s canal Medulla ovarii Folliculi ovarici primarii Folliculus ovaricus vesiculosus (Graaf) - Ovum - Antrum folliculi - Liquor folliculi - Membrana granulosa - Cumulus oophorus Ovulation Corpus luteum menstruationis Corpus luteum graviditatis Corpus albicans Plica genitalis – gubernaculum Nullipara – fossa ovarica Multipara – fossa of Claudius TUBA UTERINA (FALLOPIAN TUBE) Infundibulum Ostium abdominale Fimbriae Fimbria ovarica Ampulla Isthmus Pars uterina – ostium uterinum Mesosalpinx OSTIUM ABDOMINALE TUBAE UTERINAE Plicae tubariae Ectopic tubal pregnancy HYSTEROSALPINGOGRAPHY UTERUS (HYSTERA, METRA) Corpus Margo dexter et sinister Isthmus Cavum uteri Cervix - portio vaginalis Canalis isthmi - portio supravaginalis Canalis cervicis Fundus Plicae palmatae Facies vesicalis Ostium internum canalis Facies intestinalis cervicis Cornu dextrum et sinistrum OSTIUM UTERI EXTERNUM NULLIPARA MULTIPARA Endometrium - zona basalis - zona functionalis Glandulae uterinae Glandulae cervicales Myometrium Perimetrium Excavatio vesicouterina Excavatio rectouterina (Douglas) Excavatio rectovesicalis ISCHEMIA Menstrual cycle: 1. Phase of menstruation 2. Phase of proliferation 3. Phase of secretion 4. Phase of ischemia Menarche Menopause (climacterium) GRAVIDITAS 3 4 5 6 7 8 9 10 Anteversio Anteflexio PARAMETRIUM Lig. sacrouterinum (m. rectouterinus) Lig. cardinale uteri Lig. vesicouterinum Lig. pubovesicale Plica sacrouterina Lig. teres uteri A. uterina x ureter Plexus venosus uterovaginalis Nll. lumbales, iliaci int., iliaci ext. nodus lymph.uterinus (Bayer), inguinales spf., sacrales Plexus uterovaginalis VAGINA (COLPOS) Ostium vaginae Vestibulum vaginae Paries anterior Paries posterior Rugae vaginales Columna rugarum ant. et posterior Fornix Receptaculum seminis Septum urethrovaginale Crista urethralis Ostium vaginae: Hymen Defloratio Carunculae hymenales A.uterina - a. vaginalis A. rectalis media A. pudenda int. Plexus venosus uterovaginalis Nll. iliaci int., ext, inguinales spf. Plexus uterovaginalis, n. pudendus ORGANA GENITALIA EXTERNA Mons pubis – pubes Labia majora pudendi – commissura labiorum ant. et post. Labia minora pudendi - praeputium et frenulum clitoridis - frenulum labiorum Smegma Sulcus genitofemoralis Sulcus interlabialis Rima pudendi CLITORIS Crura clitoridis – crista phalica Corpus clitoridis Glans clitoridis Lig. fundiforme Lig. suspensorium BULBI VESTIBULI GLANDULAE VESTIBULARES MAJORES (BARTHOLlN) GLANDULAE VESTIBULARES MINORES DIAPHRAGMA PELVIS M. levator ani – pars iliaca (m. iliococcygeus) - pars pubica (m. pubococcygeus) - m. puborectalis M. coccygeus Hiatus urogenitalis DIAPHRAGMA UROGENITALE M. transversus perinei profundus – centrum perineale M. sphincter urethrae M. transversus perinei superficialis Lig. transversum perinei A.dorsalis penis (clitoridis) N. dorsalis penis (clitoridis) V. dorsalis penis (clitoridis) profunda A.,v. et n. perinealis Gl. bulbourethralis M. ischiocavernosus M. bulbospongiosus (M. constrictor cunni) M. sphincter ani externus Lig. anococcygeum Fascia obturatoria Canalis pudendalis (Alcock) Fascia diaphragmatis pelvis sup. Fascia diaphragmatis pelvis inf. Fossa ischiorectalis Fascia diaphragmatis urogenitalis sup. et inf. Spatium perinei profundum Fascia perinei spf. Spatium perinei spf. Recessus pubicus fossae ischio- rectalis FOSSA ISCHIORECTALIS – recessus pubicus •et v. pudenda interna, n. pudendus – canalis pudendalis Aa., vv. et nn. rectales inf. Illustrations and photographs were copied from: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München: Urban & Schwarzenberg, 1993 Netter: Interactive Atlas of Human Anatomy. Windows Version 2.0 Čihák R: Anatomie 2 (Splanchnologia). Avicenum, zdravotnické nakladatelství, Praha, 1988.