Chapter 4 Female Sexual and Reproductive Anatomy and

Chapter 4 Female Sexual and Reproductive Anatomy and Physiology

The Vulva: External Sexual and Reproductive Anatomy

The Vulva: External Sexual and Reproductive Anatomy n n The The Mons Veneris Labia Majora Clitoris

Female Genital Mutilation n Types • • • n Type 1: Sunna Circumcision Type II: Clitorectomy Type III: infibulation or Pharaonic Circumcision Effects of FGM

The Vulva: External Sexual and Reproductive Anatomy (continued) n n n The Introitus and the Hymen The Bartholin Glands The Perineum The Pelvic Floor Muscles Kegel Exercises

Internal Female Sexual and Reproductive Anatomy n n The Vaginal Secretions Vaginal Lubrication During Sexual Arousal The Grafenberg Spot (G-spot) • • • Urethral sponge Female ejaculation Myth or reality?

The G-Spot

Internal Female Sexual and Reproductive Anatomy (continued) n n n The The Uterus Fallopian Tubes Ovaries

Female Sexual Maturation and Development n Menarche • “Normal range” is between ages 10 -14 n Menstrual Physiology • Gn. RH triggers release of FSH and LH n The Menstrual Cycle • • • The The Menstrual Phase: Days 1 -5 Proliferative Phase: Days 6 -14 Secretory Phase: Days 15 -28

Difficulties and Changes in the Menstrual Cycle n n Premenstrual Syndrome Dysmenorrhea • Primary • Secondary (e. g. endometriosis) n n Amenorrhea Toxic Shock Syndrome

Menstruation and the 21 st Century n n Sexual Behavior and Menstruation Manipulating Menstruation: Is Having a Period Obsolete? • Menstrual suppression

The Female Breast Anatomy and Physiology

The Breasts n n n n Breast Breast Care: Breast Self-Exam Care: Clinical Breast Exams Care: Mammogram Lumps Cancer Augmentation Reduction

Sexual and Reproductive Health n n Genital Self-Exam The Annual Exam • Pelvic exam • Pap smear n n n Infections Urinary Tract infections Feminine Hygiene

Sexual Life Education n Concluding Points