CHAPTER 1 The anatomy of the female reproductive system Section 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 composition 1 ． bone ： sacrum ， coccyx ， 2 coxae （ ilium,ischium,pubis ） 2 ． joints ： pubic symphysis ， sacro- iliac j.sacro-coccygeal j. 3 ． ligaments ： sacro-tuberous lig. ligaments ： Sacro-spinous lig. （二） Boundary of pelvis the linea terminalis differentiating the true from the false pelvis

（三） plane 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 axis Def ： the line through the center of the four imaginary planes. （六） classification 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 structureAnatomic structure fundus,corpus,cervix 2 ． Histologic structure ① endometrium:functional/basal layer ② myometrium ③ serosal layer

3 ． ligamentsligaments ① round lig. ② broad lig. ③ cardinal lig. ④ uterosacral lig. （三） fallopian tube 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 external layer 1 ， bulbocavernosus m. 2 ， ischiocavernosus m. 3 ， superficial transverse perineal m. 4 ， external sphincter m.of anus （二） urogenital diaphragm 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.levator ani m. ischiococcygeal m. In addition:

Normal pelvis ilium sacrum coccyx

Pelvic ligament Sacro-tuberale lig. Sacro-spinous lig.

planes

classification gynecoidandroidanthropoid platypelloid

uterus fundus cavity corpus cervix fornix vagina isthmus Supra-vaginal Vaginal part coronary sagittal Anatomical os. Histologic os.

myometrium

Uterine lig.

Utero-sacral ligUtero-sacral lig.

Fallopian tubes infundibulum ampulla isthmus interstitial

ovary Germinal layer medulla Corpus luteum follicle Corpus albican cortex Tunica albuginea

Superficial layer

Middle layer

Pelvic diaphragm