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Early menopause surgical removal of ovaries, chemotherapy, radiations, unknown etiology i n d i v i d u a l external gentilia the vulva refers to those parts that are outwardly visible the vulva includes mons pubis labia majora labia minora clitoris urethral opening d i f vaginal opening perineum external female genitalia vulva or pudendum mons pubis fatty pad over pubic symphysis, with hair after puberty labia lips majora long fatty hair-covered skin folds labia minora thin, hairless, folds enclosing vestibule vestibule houses external openings of urethra and vagina urethra is anterior drains urine from bladder baby comes out through vagina vaginal orifice in pic clitoris anterior, homolog of penis sensitive erectile tissue perineum diamond shaped region 10 external genitals of the female mons pubis the triangular mound of fatty tissue that covers the pubic bone it protects the pubic symphysis during adolescence sex hormones trigger the growth of pubic hair on the mons pubis hair varies in coarseness curliness, amount, color and thickness labia majora referred to as the outer lips they have a darker pigmentation the labia majora protect the introitus and urethral openings are covered with hair and sebaceous glands become flaccid with age and after childbirth labia minora referred to as the inner lips made up of erectile, connective tissue that darkens and swells during sexual arousal located inside the labia majora they are more sensitive and responsive to touch than the labia majora the labia minora tightens during intercourse tend to be smooth, moist, and hairless clitoris highly sensitive organ composed of nerves, blood vessels, and erectile tissue located under the prepuce it is made up of a shaft and a glans becomes engorged with blood during sexual stimulation key to sexual pleasure for most women urethral opening is located directly below clitoris vaginal opening introitus opening may be covered by a thin sheath called the hymen using the presence of an intact hymen for determining virginity is erroneous some women are born without hymens the hymen can be perforated by many different events perineum the muscle and tissue located between the vaginal opening and anal canal it supports and surrounds the lower parts of the urinary and digestive tracts the perinium contains an abundance of nerve endings that make it sensitive to touch an episiotomy is an incision of the perinium used during childbirth for widening the vaginal opening internal genitalia the internal genitalia consists of the vagina cervix uterus fallopian tubes ovaries unit 3 female vagina the vagina connects the cervix to the external genitals it is located between the bladder and rectum it functions as a passageway for the menstrual flow for uterine secretions to pass down through the introitus as the birth canal during labor with the help of two bartholin s glands becomes lubricated during si vagina 4 inch, thin-walled accordion-like tube from the introitus to the cervix, tilted back; organ of intercourse and canal for menses and babies; lubricant secreted from vaginal wall openings when engorged; first 1 3 contains many nerve endings, inner 2 3 has little nerves internal sex organs grafenberg spot g-spot dime to quarter sized spot in the lower third of anterior vaginal wall 2-3 inches up , just past the pubic bone; sensitive area; controversy female ejaculation powerful orgasms and expulsion of fluid up to 4 ounces due to stimulation of the g-spot in some women; may be skene s glands fluid or urine cervix the cervix connects the uterus to the vagina the cervical opening to the vagina is small this acts as a safety precaution against foreign bodies entering the uterus during childbirth, the cervix dilates to accommodate the passage of the fetus this dilation is a sign that labor has begun internal sex organs cervix at bottom of the uterus; doughnut-shaped; secretes mucus to help or impede sperm, depending on the monthly cycle os opening leading into the uterus perineum uterus commonly referred to as the womb a pear shaped organ about the size of a clenched fist it is made up of the endometrium, myometrium and perimetrium consists of blood-enriched tissue that sloughs off each month during menstrual cycle the powerful muscles of the uterus expand to accommodate a growing fetus and push it through the birth canal histology of uterine wall perimetrium – external serosa layer myometrium – middle muscular layer 1.

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