female reproductive system
DESCRIPTION
By Mr. Hanan KumarTRANSCRIPT
![Page 1: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/1.jpg)
CLINICAL LABORATORY CYTOPATHOLOGY
FEMALE REPRODUCTIVE SYSTEM
BY HANAN
![Page 2: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/2.jpg)
INTRODUCTION
• OVARIES• OVIDUCTS• UTERUS • VAGINA
![Page 3: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/3.jpg)
Ovaries
Suspended by ovarian ligament & suspensory ligament
Functions: 1. Ova production 2. Hormone production
![Page 4: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/4.jpg)
Oogenesis (= ovum production)
takes place inside ovarian follicles in ovaries as part of ovarian cycle
Oogonia (= stem cells) complete mitotic divisions before birth
![Page 5: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/5.jpg)
Histology of ovary
– Germinal epithelium – covers surface of ovary• Does not give rise to ova – cells that arise form yolk sac and migrate to ovaries
do– Tunica albuginea– Ovarian cortex
• Ovarian follicles and stromal cells– Ovarian medulla
• Contains blood vessels, lymphatic vessels, and nerves– Ovarian follicles – in cortex and consist of oocytes in various stages of
development• Surrounding cells nourish developing oocyte and secrete estrogens as follicle
grows– Mature (graafian) follicle – large, fluid-filled follicle ready to expel
secondary oocyte during ovulation– Corpus luteum – remnants of mature follicle after ovulation
• Produces progesterone, estrogens, relaxin and inhibin until it degenerates into corpus albicans
![Page 6: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/6.jpg)
Histology of the ovary
![Page 7: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/7.jpg)
![Page 8: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/8.jpg)
![Page 9: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/9.jpg)
Oogenesis and follicular development
– Formation of gametes in ovary– Oogenesis begins before females are born– Essentially same steps of meiosis as spermatogenesis– During early fetal development, primordial (primitive) germ cells
migrate from yolk sac to ovaries– Germ cells then differentiate into oogonia – diploid (2n) stem cells– Before birth, most germ cells degenerate – atresia– A few develop into primary oocytes that enter meiosis I during fetal
development• Each covered by single layer of flat follicular cells – primordial follicle• About 200,000 to 2,000,000 at birth, 40,00 remain at puberty, and around
400 will mature during a lifetime
![Page 10: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/10.jpg)
Follicular development– Each month from puberty to menopause, FSH and LH stimulate
the development of several primordial follicles• Usually, only one reaches ovulation
– Primordial follicles develop into primary follicles• Primary oocyte surrounded by granulosa cells• Forms zona pellucida between granulosa cells and primary oocyte• Stromal cells begin to form theca folliculi
– Primary follicles develop into secondary follicles• Theca differentiates into theca interna secreting estrogens and
theca externa• Granulosa cells secrete follicular fluid in antrum• Innermost layer of granulosa cells attaches to zona pellucida
forming corona radiata
![Page 11: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/11.jpg)
Ovarian follicles
![Page 12: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/12.jpg)
![Page 13: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/13.jpg)
(simple squamous layer)
Primordial Follicle or Egg Nests
in cortex
Present at birth
![Page 14: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/14.jpg)
Primary Follicle
OocytesFollicle cells
Follicles enlarge in response to FSH and produce estrogens
![Page 15: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/15.jpg)
Few relative to number of primary follicles
Produce follicular fluid
Rapid enlargement
= Clear glycoprotein layer
Secondary Follicle
![Page 16: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/16.jpg)
Tertiary or Graafian Follicle
Spans entire width of cortex
First meiotic division being completed: 1oocyte divides into one 2 oocyte and one polar body
![Page 17: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/17.jpg)
Oocyte and follicular cells shed into abdominal cavity then
1. Empty follicle forms corpus luteum which produces progesterone
2. Corpus luteum degenerates and becomes corpus albicans
3. GnRH increases under low estrogen and progesterone levels
Ovulation
![Page 18: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/18.jpg)
Summary of oogenesis and follicular development
![Page 19: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/19.jpg)
Uterine (fallopian) tubes or oviducts
– Provide a route for sperm to reach an ovum– Transport secondary oocytes and fertilized ova from ovaries to
uterus– Infundibulum ends in finger-like fimbriae• Produce currents to sweep secondary oocyte in
– Ampulla – widest longest portion– Isthmus – joins uterus– 3 layers• Mucosa – ciliary conveyor belt, peg cells provide
nutrition to ovum• Muscularis – peristaltic contractions• Serosa – outer layer
![Page 20: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/20.jpg)
![Page 21: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/21.jpg)
Uterine Tube= Fallopian tube = oviduct
Two muscular tubes– infundibulum with fimbriae– Ampulla (place of fertilization)– Isthmus– intramural portion
Fig 27-14
![Page 22: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/22.jpg)
Histology of the uterine (fallopian) tube
![Page 23: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/23.jpg)
Uterine Tube Histology
Ciliated and non-ciliated simple columnar epithelium
Ciliary movement and periodic peristaltic contractions move ova
Secretion of nutrient substances
![Page 24: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/24.jpg)
• TWO CELL TYPES • CILIATED• NON CILIATED (PEG CELLS)
![Page 25: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/25.jpg)
Uterus
• Pear-shaped structure attached to oviducts at upper end and to vagina at lower end
• Uterine wall has 3 layers– Endometrium– Myometrium– Adventitia/Serosa
![Page 26: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/26.jpg)
![Page 27: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/27.jpg)
Adventitia/Serosa
• Dense irregular connective tissue with attached mesothelium (serosa)
• Dense irregular connective tissue (adventitia)
• Blood vessels
![Page 28: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/28.jpg)
Myometrium• Thickest layer• Four poorly defined layers of smooth
muscle separated by connective tissue• Inner and outer layers are mostly
longitudinal in orientation• Middle layers are more circular• Middle layer thickens in pregnancy with
more smooth muscle cells and increased collagen
![Page 29: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/29.jpg)
Endometrium• Simple columnar epithelium invaginated
into simple tubular glands• Ciliated columnar cells and secretory
columnar cells• Lamina propria of highly cellular connective
tissue and vessels• 2 zones in endometrium– functional layer– basal layer
![Page 30: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/30.jpg)
Endometrial Layers• Functional layer– surface layer sloughed off during menstruation– replaced during each menstrual cycle
• Basal layer– deeper layer retained after menstruation– gland cells give rise to new epithelium
![Page 31: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/31.jpg)
Histology of the uterus
![Page 32: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/32.jpg)
Functions of Uterus
• Protection of embryo/fetus
• Nutritional support
• Waste removal
• Ejection of fetus at birth
![Page 33: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/33.jpg)
Uterine Cervix
• Lower part of uterus• Lined by mucous secreting simple columnar
epithelium• Some smooth muscle and much connective
tissue in lamina propria• Part of cervix in upper vagina has stratified
squamous nonkeratinized epithelium
![Page 34: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/34.jpg)
Uterine Cervix
• Cervical mucosa has mucous glands• Cervical mucosa remains intact during
menstrual cycle• Cervical gland secretions vary during
menstrual cycle– at ovulation mucous is watery so sperm can
penetrate easily– in luteal phase or pregnancy mucous more
viscous to block sperm or microbes
![Page 35: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/35.jpg)
Vagina
• Epithelium is stratified squamous partly keratinized• No glands in epithelium• Underlying lamina propria of loose connective
tissue, highly vascularized with many elastic fibers• Muscular layer of circular and longitudinal smooth
muscle• Adventitia of dense irregular connective tissue with
elastic fibers, many vessels and nerves
![Page 36: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/36.jpg)
![Page 37: Female reproductive system](https://reader038.vdocuments.site/reader038/viewer/2022102710/5466b55aaf7959483f8b4a4c/html5/thumbnails/37.jpg)
HOME WORK • MAMARY GLANDS