Emily Matthews (e.k.matthews@warwick.ac.uk) Female Repro Anatomy Emily Matthews (e.k.matthews@warwick.ac.uk)

Posterior

Posterior Bartholin’s gland

Name the parts of the fallopian tube Infundibulum Fimbriae Ampulla Isthmus Name the parts of the fallopian tube Internal os External os The cervix has two openings. What are they called?

Describe the blood supply to the female reproductive tract Rich anastamoses from following arteries: Ovarian artery Aorta at L2 level Uterine artery From internal iliac artery Vaginal artery From uterine artery OR From internal iliac artery

Now we understand the blood supply, describe the lymphatic drainage Organ Lymph drainage Ovaries Para-aortic nodes around L2 level Uterus Fundus and upper body Lower body Cervix Para-aortic nodes External iliac Internal and external iliac and sacral

* Pick out the normal uterine alignment and name it Name this alignment Anteverted retroflexed * Anteverted anteflexed

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus

Name these reflections of peritoneum of the ovary and uterus Parietal peritoneum surrounds and supports the uterus, tubes and ovaries Name these reflections of peritoneum of the ovary and uterus mesometrium, mesosalpinx, mesovarium

Pelvic Organ Pain Referral Organs covered in peritoneum Organs not covered in peritonuem Organs Uterus Bladder Colon Lower 1/3 rectum Refer pain to which dermatome? T10-12 S2-4 Via which nerves? Sympathetic Parasympathetic Pain blocked by which method? Spinal or epidural Caudal anaesthesia Remember the diarrhoea! Hypogastric pain Faeces in the rectum, pain in the ass!

Pudendal nerve block blocks the somatic innervation (S2-4) of the perineum, distal vagina and anal canal Pelvic Organ Pain Referral Organs covered in peritoneum Organs not covered in peritonuem Organs Uterus Bladder Colon Lower 1/3 rectum Refer pain to which dermatome? T10-12 S2-4 Via which nerves? Sympathetic Parasympathetic Pain blocked by which method? Spinal or epidural Caudal anaesthesia Remember the diarrhoea! Hypogastric pain Faeces in the rectum, pain in the ass!