CHAPTER 1 The anatomy of the female reproductive systemSection 1 Pelvis

Section 2 External genital organs

Section 3 Internal genital organs

Section 4 Neighbouring organs

Section 5 Vascular ,lymphatic and nervous system

Section 6 Pelvic floor

Section 1 Pelvis

• （一） composition • 1 ． bone ： sacrum ， coccyx ， 2 coxae

（ ilium,ischium,pubis ）• 2 ． joints ： pubic symphysis ， sacro-ili

ac j.sacro-coccygeal j.• 3 ． ligaments：sacro-tuberous lig.• Sacro-spinous lig.• （二） Boundary of pelvis• the linea terminalis differentiating the tr

ue from the false pelvis

• （三） plane

• 1 ． inlet plane 2 ． largest plane• 3 ． mid-plane 4 ． outlet-plane• （四） inclination• Def ： the angle which the plane of the

superior strait forms with the horizon.• （五） axis• Def ： the line through the center of th

e four imaginary planes.• （六） classification

• mons veneris• labium majus• labium minus• clitoris

• vaginal vestibule• vestibular bulb,Bartholin's gland• urethral orifice,vaginal orifice and hymen

Sec tion 2 External genital organs

vestibule

Vestibular bulb

Vestibular gland

Urethral orifice

Vaginal orifice

hymen

Section 3 Internal genital organs

• （一） vagina• （二） uterus• 1 ． Anatomic structure • fundus,corpus,cervix • 2 ． Histologic structure• ① endometrium:functional/basal layer• ② myometrium• ③ serosal layer

• 3 ． ligaments• ① round lig.• ② broad lig.• ③ cardinal lig.• ④ uterosacral lig.• （三） fallopian tube• 1 ． interstitial portion• 2 ． isthmic portion• 3 ． ampulla• 4 ． infundibulum• （四） ovary

Section 4 neighbouring organs

• urethra• urinary bladder• ureter• rectum• appendix vermiformis

Section 6 pelvic floor• （一） external layer• 1 ， bulbocavernosus m.• 2 ， ischiocavernosus m.• 3 ， superficial transverse perineal m.• 4 ， external sphincter m.of anus• （二） urogenital diaphragm• 1 ． superior/inferior facia• 2. deep transverse perineal m.• 3 ． Compressor of urethra

• （三） pelvic diaphragm• pubococcygeal m.• levator ani m. →iliococcygeal m.• ischiococcygeal m.

• In addition:

Normal pelvis

ilium

sacrum

coccyx

Pelvic ligament

Sacro-tuberale lig.

Sacro-spinous lig.

planes

classificationgynecoid android anthropoid platypelloid

uterus

fundus

cavity

corpus

cervix

fornix

vagina

isthmus

Supra-vaginal

Vaginal part

coronarysagittal

Anatomical os.Histologic os.

myometrium

Uterine lig.

Utero-sacral lig.

Fallopian tubes

infundibulum

ampullaisthmus interstitial

ovary

Germinal layer

medulla

Corpus luteum

follicle

Corpus albican

cortex

Tunica albuginea

Superficial layer

Middle layer

Pelvic diaphragm