1. Copyright © 2011 Pearson Education, Inc. All rights reserved. Chapter 4 Female Sexual and Reproductive Anatomy and Physiology

2. Copyright © 2011 Pearson Education, Inc. All rights reserved. The Vulva: External Sexual and Reproductive Anatomy

3. Copyright © 2011 Pearson Education, Inc. All rights reserved. The Vulva: External Sexual and Reproductive Anatomy The Mons Veneris The Mons Veneris The Labia Majora The Labia Majora The Clitoris The Clitoris

4. Copyright © 2011 Pearson Education, Inc. All rights reserved. Female Genital Mutilation Types Types Type 1: Sunna CircumcisionType 1: Sunna Circumcision Type II: ClitorectomyType II: Clitorectomy Type III: infibulation or Pharaonic CircumcisionType III: infibulation or Pharaonic Circumcision Effects of FGM Effects of FGM

5. Copyright © 2011 Pearson Education, Inc. All rights reserved. The Vulva: External Sexual and Reproductive Anatomy (continued) The Introitus and the Hymen The Introitus and the Hymen The Bartholin Glands The Bartholin Glands The Perineum The Perineum The Pelvic Floor Muscles The Pelvic Floor Muscles Kegel Exercises Kegel Exercises

6. Copyright © 2011 Pearson Education, Inc. All rights reserved. Internal Female Sexual and Reproductive Anatomy The Vagina The Vagina Vaginal Secretions Vaginal Secretions Vaginal Lubrication During Sexual Arousal Vaginal Lubrication During Sexual Arousal The Grafenberg Spot (G-spot) The Grafenberg Spot (G-spot) Urethral spongeUrethral sponge Female ejaculationFemale ejaculation Myth or reality?Myth or reality?

7. Copyright © 2011 Pearson Education, Inc. All rights reserved. The G-Spot

8. Copyright © 2011 Pearson Education, Inc. All rights reserved. Internal Female Sexual and Reproductive Anatomy (continued) The Uterus The Uterus The Fallopian Tubes The Fallopian Tubes The Ovaries The Ovaries

9. Copyright © 2011 Pearson Education, Inc. All rights reserved. Female Sexual Maturation and Development Menarche Menarche “Normal range” is between ages 10-14“Normal range” is between ages 10-14 Menstrual Physiology Menstrual Physiology GnRH triggers release of FSH and LHGnRH triggers release of FSH and LH The Menstrual Cycle The Menstrual Cycle The Menstrual Phase: Days 1-5The Menstrual Phase: Days 1-5 The Proliferative Phase: Days 6-14The Proliferative Phase: Days 6-14 The Secretory Phase: Days 15-28The Secretory Phase: Days 15-28

10. Copyright © 2011 Pearson Education, Inc. All rights reserved. Difficulties and Changes in the Menstrual Cycle Premenstrual Syndrome Premenstrual Syndrome Dysmenorrhea Dysmenorrhea PrimaryPrimary Secondary (e.g. endometriosis)Secondary (e.g. endometriosis) Amenorrhea Amenorrhea Toxic Shock Syndrome Toxic Shock Syndrome

11. Copyright © 2011 Pearson Education, Inc. All rights reserved. Menstruation and the 21 st Century Sexual Behavior and Menstruation Sexual Behavior and Menstruation Manipulating Menstruation: Is Having a Period Obsolete? Manipulating Menstruation: Is Having a Period Obsolete? Menstrual suppressionMenstrual suppression

12. Copyright © 2011 Pearson Education, Inc. All rights reserved. The Female Breast Anatomy and Physiology

13. Copyright © 2011 Pearson Education, Inc. All rights reserved. The Breasts Breast Care: Breast Self-Exam Breast Care: Breast Self-Exam Breast Care: Clinical Breast Exams Breast Care: Clinical Breast Exams Breast Care: Mammogram Breast Care: Mammogram Breast Lumps Breast Lumps Breast Cancer Breast Cancer Breast Augmentation Breast Augmentation Breast Reduction Breast Reduction

14. Copyright © 2011 Pearson Education, Inc. All rights reserved. Sexual and Reproductive Health Genital Self-Exam Genital Self-Exam The Annual Exam The Annual Exam Pelvic examPelvic exam Pap smearPap smear Infections Infections Urinary Tract infections Urinary Tract infections Feminine Hygiene Feminine Hygiene

15. Copyright © 2011 Pearson Education, Inc. All rights reserved. Sexual Life Education Concluding Points Concluding Points