Female Reproductive System Overview

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Questions and Answers

What hormone stimulates the secretion of progesterone by the corpus luteum after ovulation?

  • Luteinizing hormone (LH) (correct)
  • Follicle stimulating hormone (FSH)
  • Oxytocin
  • Estrogen

What is the primary function of the fimbriae in the fallopian tubes?

  • To transport the ovum to the uterus
  • To draw an ovum into the tube (correct)
  • To produce estrogen
  • To initiate the menstrual cycle

Which layer of the uterus is lost and regenerated with each menstrual cycle?

  • Myometrium
  • Cervix
  • Endometrium (correct)
  • Perimetrium

What initiates the development of ovarian follicles?

<p>Follicle stimulating hormone (FSH) (C)</p> Signup and view all the answers

Which structure is primarily responsible for milk production after pregnancy?

<p>Mammary glands (C)</p> Signup and view all the answers

What role does progesterone play during pregnancy?

<p>Promotes growth of blood vessels in the endometrium (D)</p> Signup and view all the answers

How often are eggs released from the ovaries?

<p>Every 28 days (B)</p> Signup and view all the answers

What is the primary purpose of the acidic pH in the vagina?

<p>To prevent microbial growth (A)</p> Signup and view all the answers

What hormone decreases the secretion of FSH towards the end of the menstrual cycle?

<p>Inhibin (A)</p> Signup and view all the answers

What is the primary function of oxytocin during labor?

<p>Stimulating uterine contractions (A)</p> Signup and view all the answers

What physiological change typically occurs in women between the ages of 45 and 55?

<p>Ceasing of ovulation and menstruation (C)</p> Signup and view all the answers

During which phase of the menstrual cycle is progesterone secretion at its peak?

<p>Luteal phase (A)</p> Signup and view all the answers

What role does testosterone play in the male reproductive system?

<p>Contributing to sperm maturation (A)</p> Signup and view all the answers

What is a common risk associated with the decrease in estrogen levels in women?

<p>Risk for osteoporosis and fractures (A)</p> Signup and view all the answers

Which of the following is a typical issue faced by older men related to testosterone and prostate health?

<p>Enlargement of the prostate gland (B)</p> Signup and view all the answers

What occurs to the corpus luteum if fertilization does not take place?

<p>It degenerates and progesterone levels decrease (D)</p> Signup and view all the answers

What change occurs during aging in men related to sperm production?

<p>Gradual decrease in spermatogenesis (D)</p> Signup and view all the answers

What is the pH level of the vagina and its significance?

<p>7.4, allowing sperm to remain viable (C)</p> Signup and view all the answers

What symptom is associated with the atrophy of the vaginal epithelium in older women?

<p>Painful intercourse (A)</p> Signup and view all the answers

What is a major characteristic of male spermatogenesis?

<p>It is a continuous process throughout life (D)</p> Signup and view all the answers

What signifies the end of a woman's reproductive capability?

<p>Menopause, occurring after 12 months of no periods (B)</p> Signup and view all the answers

What is one of the signs that may indicate changes in the female reproductive system?

<p>Irregular menstruation with significant pain (A)</p> Signup and view all the answers

What effect does aging have on muscle strength in older men?

<p>Gradual decrease in muscle size and strength (D)</p> Signup and view all the answers

What is a consequence of the hypertrophy of the prostate gland in older men?

<p>Urinary retention (C)</p> Signup and view all the answers

What does the 'P' in the GTPAL system represent?

<p>Number of term pregnancies (D)</p> Signup and view all the answers

Which of the following abnormalities observed during a clinical breast examination might indicate breast cancer?

<p>Changes in nipple exudate (B), Asymmetrical breast movement (C)</p> Signup and view all the answers

During a breast examination, which technique is considered the best for identifying changes?

<p>Palpation of the breast (C)</p> Signup and view all the answers

When should Breast Self Examination (BSE) ideally be performed?

<p>One week after menses (B)</p> Signup and view all the answers

Which observation during the inspection of external genitalia may indicate a potential infection?

<p>Presence of lesions (D)</p> Signup and view all the answers

What is the primary purpose of performing a mammography?

<p>To provide a radiographic view of the breast tissues (B)</p> Signup and view all the answers

Which findings during an internal examination may suggest a cervical cancer risk?

<p>Color changes or lesions on the cervix (D)</p> Signup and view all the answers

What does the examination of inguinal nodes involve?

<p>Palpating for swelling and tenderness (A)</p> Signup and view all the answers

What is an important post-operative care for a patient undergoing laparoscopy?

<p>Advise wearing a peri-pad until vaginal discharge stops. (C)</p> Signup and view all the answers

What type of endoscopic examination is specifically used to visualize the inside of the uterus?

<p>Hysteroscopy (D)</p> Signup and view all the answers

What should a patient monitor for at the incision site after surgery?

<p>Redness, bleeding, or drainage. (D)</p> Signup and view all the answers

Which endoscopic procedure involves the examination of the fallopian tubes?

<p>Salpingoscopy (C)</p> Signup and view all the answers

What potential discomforts may a patient experience following CO2 insufflation during a procedure?

<p>Pain in the neck, shoulders, and upper back. (B)</p> Signup and view all the answers

During a physical examination of the male reproductive system, which observation might indicate a hormone imbalance?

<p>Excess breast tissue or gynecomastia. (A)</p> Signup and view all the answers

Why is it important to ask men about their ejaculation history during a health history assessment?

<p>To help them discuss any difficulties they may be experiencing. (A)</p> Signup and view all the answers

What is the purpose of colposcopy in the examination of the female reproductive system?

<p>To study lesions of the cervix closely. (B)</p> Signup and view all the answers

Which of the following describes the typical positioning of the left testis?

<p>It hangs slightly lower than the right testis. (C)</p> Signup and view all the answers

What is the appropriate method to check if a mass in the scrotum is fluid-filled or solid?

<p>Transillumination test. (D)</p> Signup and view all the answers

What should be checked for on an uncircumcised penis?

<p>Signs of inflammation or foul-smelling discharge. (C)</p> Signup and view all the answers

What is a common indicator of a varicocele when palpating the scrotum?

<p>A feeling resembling a bag of worms. (D)</p> Signup and view all the answers

Which of the following is specifically used to assess the prostate during a Digital Rectal Evaluation?

<p>Inserting a gloved, lubricated finger. (D)</p> Signup and view all the answers

What is the purpose of prostate cancer screening for men aged 50 and older?

<p>To identify early signs of prostate cancer. (A)</p> Signup and view all the answers

What diagnostic test involves inserting a rectal probe to evaluate the prostate gland?

<p>Transrectal ultrasound. (C)</p> Signup and view all the answers

What should men regularly perform to detect any changes in the scrotum?

<p>Testicular self-examination. (A)</p> Signup and view all the answers

Flashcards

Oogenesis

The process of egg cell production in the ovaries.

Ovarian Follicles

Structures in the ovaries that produce estrogen.

Corpus Luteum

Structure that forms from a ruptured follicle and secretes progesterone.

Fallopian Tubes

Transport eggs or zygotes to the uterus.

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Endometrium

The inner lining of the uterus; shed during menstruation.

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Progesterone's Role

Supports pregnancy and mammary gland growth; inhibits uterine contractions.

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FSH (Follicle Stimulating Hormone)

Stimulates follicle development, and estrogen production

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LH (Luteinizing Hormone)

Causes ovulation and converts follicle to corpus luteum.

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Inhibin's role in the menstrual cycle

Inhibin decreases follicle-stimulating hormone (FSH) secretion, particularly near the end of the menstrual cycle.

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Prolactin's function

Prolactin promotes milk production after childbirth.

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Oxytocin's function

Oxytocin stimulates uterine contractions during labor and milk release.

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Menstrual cycle duration

The average menstrual cycle lasts approximately 28 days.

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Spermatogenesis location

Spermatogenesis, the process of sperm production, occurs in the seminiferous tubules of the testes.

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FSH's role in spermatogenesis

FSH initiates the process of sperm production (spermatogenesis).

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Testosterone's effect on sperm

Testosterone promotes the maturation of sperm.

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Menopause definition

Menopause is the permanent cessation of menstruation for 12 consecutive months.

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Menopause

A natural process in women usually occurring between ages 45-55, marked by a decline in estrogen production, leading to cessation of ovulation and menstruation.

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Menopause Effects

Menopause brings about various physical changes like vaginal atrophy, increased cholesterol, bone loss, and urinary incontinence.

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Benign Prostatic Hyperplasia (BPH)

A common condition in older men characterized by enlargement of the prostate gland, causing urinary retention.

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Male Aging Effects

As men age, testosterone production decreases, leading to decreased muscle mass, bone loss, and sperm production. However, sperm production continues throughout life.

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Menstrual Cycle Normality

A healthy menstrual cycle involves regular, painless shedding of the uterine lining (menstruation), free from infection, and a high chance of successful pregnancy.

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Reproductive System Clues

Many female reproductive system disorders are internal, often with few external signs. Observing pain (WHATS UP? format) is key for early detection.

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Reproductive System Basics

Collects information about personal, menstrual, obstetrical, gynecological, sexual, and family histories to effectively address reproductive health.

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WHATS UP? Format

A mnemonic tool used to help understand and document pain, including location, onset, character, severity, duration, pattern, and associated symptoms.

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Colposcopy

A procedure using a binocular microscope and an endoscope to closely examine the cervix for lesions.

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Hysteroscopy

A procedure using an endoscope to visualize the inside of the uterus.

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Laparoscopy

A procedure using an endoscope to examine the abdominal cavity, often used to identify endometriosis.

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Salpinogoscopy

A procedure using an endoscope to examine the inside of the fallopian tubes.

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Culdoscopy

A procedure using an endoscope introduced into the vagina and through a small incision to observe the cul-de-sac of Douglas.

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Insufflation

The process of pumping CO2 into the body compartment being examined during an endoscopic procedure, increasing the distance between structures for visualization.

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Gynecomastia

Excess breast tissue in males, often caused by an imbalance of female hormones.

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Microphallus

An abnormally small penis.

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GTPAL system

A system used to describe a woman's obstetrical history, summarizing the number of terms, pregnancies, live births, abortions, and living children.

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Clinical Breast Examination (CBE)

A physical examination of the breasts, including visual observation and palpation, to detect any abnormalities.

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External Genitalia Examination

A visual inspection of the vulva, including the labia, clitoris, and vaginal opening, to assess color, symmetry, hair distribution, lesions, swelling, and discharge.

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Vagina Examination

A visual examination of the vagina to assess for shape, bulges, color changes, lesions, and discharge.

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Internal Genitalia Examination

A physical examination of the internal reproductive organs, including the cervix, uterus, and ovaries, by palpation or visualization.

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Breast Self Examination (BSE)

A routine practice where a woman checks her own breasts for any lumps, changes in size or shape, or skin abnormalities.

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Ultrasound of Breasts

A medical imaging technique using sound waves to assess the density and structure of breast tissue.

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Mammography

A specialized X-ray imaging technique used to detect breast abnormalities.

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Hypospadias

A condition where the urethral opening is located on the underside of the penis shaft.

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Epispadias

A condition where the urethral opening is located on the top (dorsum) of the penis shaft.

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Transillumination test

A noninvasive test to determine if a scrotal mass is fluid-filled or solid. A light is shone through the scrotum; fluid glows red, solids appear opaque.

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Varicocele

Swelling of the veins in the spermatic cord, often feeling like a 'bag of worms'.

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Digital Rectal Evaluation (DRE)

Examination of the prostate by inserting a gloved, lubricated finger into the rectum.

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Prostate Cancer Screening

Men aged 50 and older should be reminded about prostate cancer screening.

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Testicular Self-Examination

A monthly self-check to detect tumors or changes in the scrotum.

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Breast Self-Examination

Men should also be familiar with their breasts and report any changes, as breast cancer is possible in men.

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Study Notes

Female Reproductive System

  • Ovaries: Produce egg cells (oogenesis), starting in the fetus, resuming at puberty, and ending at menopause. Eggs are released roughly every 28 days. Follicles produce estrogen, and the corpus luteum secretes progesterone.
  • Fallopian Tubes: Fimbriae draw the ovum into the tube, and cilia move the ovum/zygote towards the uterus.
  • Uterus: Expands during pregnancy, housing the placenta; it has three layers: perimetrium, myometrium, and endometrium. The endometrium is a vascular mucous membrane that is shed and regenerated with each menstrual cycle or during pregnancy.
  • Vagina: An acidic environment prevents microbial growth.
  • Mammary Glands: Located within the breasts, surrounded by adipose tissue, these glands produce milk after pregnancy. Prolactin stimulates milk production; oxytocin stimulates milk release and uterine contractions during labor.

Ovarian and Menstrual Cycles

  • FSH starts the development of ovarian follicles, stimulating estrogen production by follicle cells.
  • LH causes ovulation and converts the ruptured follicle into the corpus luteum, which produces progesterone.
  • Estrogen matures ovarian follicles, develops secondary sex characteristics, and promotes mammary duct growth.
  • Progesterone helps with continued endometrial blood vessel growth during pregnancy and inhibits uterine contractions.
  • Inhibin lowers FSH secretion.

Male Reproductive System

  • Testes: Contain seminiferous tubules where spermatogenesis occurs (a continuous process). LH stimulates testosterone production contributing to sperm maturation; FSH initiates spermatogenesis. Inhibin regulates FSH secretion.
  • Epididymis: Transports sperm from testes to ductus deferens.
  • Ductus Deferens (Vas Deferens): Carries sperm from epididymis to ejaculatory duct.
  • Ejaculatory Ducts: Allow sperm into the urethra.
  • Seminal Vesicles, Prostate, and Bulbourethral Glands: These glands produce alkaline secretions essential for sperm viability in the acidic vaginal environment.

Aging and Reproductive Systems

  • Women: Menopause marks the end of reproduction; estrogen levels decline, leading to cessation of menstruation, atrophy of vaginal epithelium, and increased risk of coronary artery disease and osteoporosis.
  • Men: Testosterone levels continue throughout life, leading to continuous sperm production; benign prostatic hyperplasia is a common issue.

Normal Female Reproductive System Data Collection

  • Normal menstruation is expected in healthy menstruating women.
  • Comprehensive sexual, obstetrical, and psychosocial histories are essential.
  • Examination includes assessment of external genitalia, vagina, and internal genitalia.
  • Appropriate tests may be used to evaluate suspected conditions.

Breast Examination

  • Palpation is important for detecting lumps, tenderness, and consistency deviations from norm.
  • Regular breast self-examination (BSE) can detect changes.
  • Screening mammograms/ ultrasounds are important diagnostic tools.

Diagnostic Tests for Reproductive Systems (in general)

  • Hormone tests can evaluate fertility, hormone levels, and the role of hormones in the reproductive process.
  • Ultrasound and mammograms help visualize breast structures.
  • Biopsies help confirm suspicious findings (e.g., lumps).
  • Cytology (like a PAP smear) reviews cells for certain conditions.
  • CT, MRI, and others can provide detailed images.
  • Laboratory tests (e.g., PSA, PAP) identify potential cancer and other conditions.
  • Bone density testing (DEXA) helps assess bone health.

Transgender Population Data Collection

  • Appropriate tests and patient care should adhere to the patient's gender identity.

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