abstract
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Medical Terminology A Living Language
CHAPTER
Copyright © 2016, 2013, 2009 by Pearson Education, Inc.
All Rights Reserved
Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht
SIXTH EDITION
Reproductive System
10
Female Reproductive System Combining Forms
• amni/o – amnion
• cervic/o – neck, cervix
• chori/o – chorion
• colp/o – vagina
• culd/o – cul-de-sac
• dilat/o – to widen
• embry/o – embryo
• episi/o – vulva continued on next slide
Female Reproductive System Combining Forms
• estr/o – female
• fet/o – fetus
• gynec/o – woman, female
• hymen/o – hymen
• hyster/o – uterus
• lact/o – milk
• mamm/o – breast
• mast/o – breast continued on next slide
Female Reproductive System Combining Forms
• men/o – menses, menstruation
• metr/o – uterus
• nat/o – birth
• o/o – egg
• oophor/o – ovary
• ov/o, ov/i – ovum
• ovari/o – ovary
• perine/o – perineum continued on next slide
Female Reproductive System Combining Forms
• salping/o – uterine tubes, fallopian tubes
• tox/o – poison
• uter/o – uterus
• vagin/o – vagina
• vulv/o – vulva
Female Reproductive System Suffixes
• –arche beginning
• –cyesis state of pregnancy
• –genesis produced
• –gravida pregnancy
• –oid resembling
• –para to bear (offspring)
• –partum childbirth
continued on next slide
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Female Reproductive System Suffixes
• –salpinx uterine tube
• –tocia labor, childbirth
Female Reproductive System Prefixes
• ante- before, in front of
• contra- against
• primi- first
Female Reproductive System at a Glance
• Functions
Produces ova
Provides location for fertilization
Provides location for development of
fetus
Secretes female sex hormones
Produces milk to nourish infant
continued on next slide
Female Reproductive System at a Glance
• Organs
Breasts
Uterine tubes
Ovaries
Uterus
Vagina
Vulva
Anatomy and Physiology of the Female Reproductive System
• Ovaries produce ova
• Fallopian (uterine) tubes are most common site for fertilization to take place
• Uterus provides location for development of fetus
• Breasts nourish infant
• Ovaries produce female sex hormones
continued on next slide
Anatomy and Physiology of the Female Reproductive System
• Internal genitalia located in pelvic cavity
Uterus
Two ovaries
Two uterine (fallopian) tubes
Vagina
• External genitalia
Collectively called vulva
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Figure 10.1 The female reproductive system, sagittal view showing organs of the system in relation
to the urinary bladder and rectum.
Ovaries
• Two almond-shaped glands
• Located on each side of pelvic cavity
• Produce and release ova
Approximately every 28 days
• Secretes female sex hormones
Figure 10.2 Structure of the ovary and uterine (fallopian) tube. Figure illustrates stages of ovum
development and the relationship of the ovary to the uterine tube.
Ovaries
• Follicle stimulating hormone (FSH) and luteinizing hormone (LH)
Secreted by the anterior pituitary
Stimulate maturation of ovum
Trigger ovulation
continued on next slide
Ovaries
• Estrogen and progesterone
Secreted by ovary
Prepare endometrium to receive fertilized ovum
Female secondary sexual characteristics
Uterine Tubes
• Also called fallopian tubes or oviducts
• Purpose is to transport ovum from ovary to uterus
• Fertilization typically occurs within upper half of fallopian tubes
continued on next slide
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Uterine Tubes
• 5-1/2 inches long
• Project from either side of uterus
• End with finger-like projections
Fimbriae
Figure 10.4 Uterine (fallopian) tube, showing released ovum within the uterine tube.
Uterus
• Pear shaped organ in center of pelvic cavity
• Regions
Fundus
Corpus
Cervix
continued on next slide
Uterus
• Endometrium
Inner layer
• Myometrium
Middle layer
Thick muscle
• Perimetrium
Outer layer
Endometrium
• Inner layer of uterus
• Contains rich blood supply
• Reacts to estrogen and progesterone
• Thickens to receive ovum
• Fertilized egg implants here
• Provides nourishment and protection to embryo
Menstruation
• Menstrual period
When pregnancy does not occur
Endometrium is sloughed off
• Menarche
First menstrual period
• Menopause
End of menstrual activity and childbearing
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Figure 10.5 The uterus. Cutaway view shows regions of the uterus and cervix and its relationship to
the uterine (fallopian) tubes and vagina.
Vagina
• Thin muscular tube
• Lined with mucous membrane
• Extends from cervix to outside of body
Vaginal orifice
• Allows for passage of menstrual flow
continued on next slide
Vagina
• Serves as birth canal
• Hymen
Thin membranous tissue
Partially covers external vaginal opening
• Bartholin's glands
Secrete mucus for lubrication during intercourse
Figure 10.6 The vagina, sagittal section showing the location of the vagina and its relationship to the
cervix, uterus, rectum, and bladder.
Vulva
• Labia majora and minora
Folds of skin
Protective covering
Also protects urinary meatus
• Clitoris
Erectile tissue
• Perineum
Region between vaginal orifice and anus Figure 10.7 The vulva.
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Breasts
• Also called mammary glands
• Lactiferous glands
Produce milk
Lactation
continued on next slide
Breasts
• Lactiferous ducts
Carry milk to nipple
Areola is pigmented area around nipple
Figure 10.8 The breast, cutaway view showing both internal and external features.
Pregnancy
• Gestation
Period of pregnancy
40 weeks
• Premature
Birth before 37 weeks of gestation completed
Figure 10.9 A full-term pregnancy. Image illustrates position of the fetus and the structures
associated with pregnancy.
Pregnancy
• Embryo
From implantation into endometrium
until eight weeks
Major organs and systems are formed
• Fetus
Ninth week until birth
Organs mature and begin to function
continued on next slide
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Pregnancy
• Infant is surrounded by two membranous sacs
• Amnion
Inner sac
Holds amniotic fluid in which fetus floats
continued on next slide
Pregnancy
• Chorion
Outer sac
Protective
Forms part of placenta
Placenta
• Provides nourishment for fetus
• Spongy blood-filled organ
• Forms in uterus next to fetus
• Commonly called afterbirth
• Fetus attached to placenta by umbilical cord
Additional Combining Forms
• abdomin/o – abdomen
• amni/o – amnion
• bi/o – life
• carcin/o – cancer
• cervic/o – cervix
• chori/o – chorion
• colp/o – vagina
• culd/o – cul-de-sac continued on next slide
Additional Combining Forms
• cyst/o – bladder
• dilat/o – to widen
• embry/o – embryo
• episi/o – vulva
• fet/o – fetus
• fibr/o – fibers
• gynec/o – woman
• hem/o – blood continued on next slide
Additional Combining Forms
• hemat/o – blood
• hymen/o – hymen
• hyster/o – uterus
• lact/o – milk
• lapar/o – abdomen
• later/o – side
• leuk/o – white
• mamm/o – breast continued on next slide
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Additional Combining Forms
• mast/o – breast
• men/o – menstruation
• metr/o – uterus
• nat/o – birth
• olig/o – scanty
• oophor/o – ovary
• or/o – mouth
• ovari/o – ovary continued on next slide
Additional Combining Forms
• pelv/o – pelvis
• perine/o – perineum
• py/o – pus
• radic/o – root
• rect/o – rectum
• salping/o – uterine tube
• son/o – sound
• tox/o – poison continued on next slide
Additional Combining Forms
• uter/o – uterus
• vagin/o –vagina
• vulv/o – vulva
Additional Suffixes
• -al pertaining to
• -algia pain
• -an pertaining to
• -ary pertaining to
• -cele protrusion
• -centesis puncture to withdraw fluid
• -cyesis pregnancy
• -ectomy surgical removal continued on next slide
Additional Suffixes
• -gram record
• -graphy process of recording
• -ia condition
• -iasis abnormal condition
• -ic pertaining to
• -ine pertaining to
• -itis inflammation
• -logy study of continued on next slide
Additional Suffixes
• -lytic destruction
• -nic pertaining to
• -oid resembling
• -oma tumor
• -opsy to view
• -osis abnormal condition
• -otomy cutting into
• -para to bear continued on next slide
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Additional Suffixes
• -partum childbirth
• -pexy surgical fixation
• -plasty surgical repair
• -rrhagia abnormal flow condition
• -rrhaphy suture
• -rrhea discharge
• -rrhexis rupture
• -salpinx uterine tube continued on next slide
Additional Suffixes
• -scope instrument for viewing
• -scopy process of viewing
• -tic pertaining to
• -tocia labor and childbirth
Additional Prefixes
• a- without
• ante- before
• bi- two
• contra- against
• dys- abnormal, difficult
• endo- within
• in- not
• intra- inside continued on next slide
Additional Prefixes
• multi- many
• neo- new
• nulli- none
• peri- around
• post- after
continued on next slide
Additional Prefixes
• pre- before
• primi- first
• pseudo- false
• ultra- beyond
Building Anatomical Terms
• Fetal
Pertaining to the fetus
• Mammary
Pertaining to a breast
fet/o + -al
mamm/o + -ary
continued on next slide
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Building Anatomical Terms
• Embryonic
Pertaining to the embryo
• Uterine
Pertaining to the uterus
embry/o + -nic
uter/o + -ine
Building Pregnancy Terms
• Multigravida
Many pregnancies
• Nulligravida
No pregnancies
multi- + -gravida
nulli- + -gravida
continued on next slide
Building Pregnancy Terms
• Primigravida
First pregnancy
• Postpartum
After childbirth
primi- + -gravida
post- + -partum
Building Signs and Symptoms Terms
• Hematosalpinx
Blood in uterine tube
• Amenorrhea
Without menstrual flow
hemat/o + -salpinx
a- + -rrhea+ men/o
continued on next slide
Building Signs and Symptoms Terms
• Dystocia
Difficult childbirth
• Mastalgia
Breast pain
dys- + -tocia
mast/o + -algia
Building Pathology Terms
• Endocervicitis
Inflammation within cervix
• Hysterorrhexis
Rupture of uterus
endo- + -itis+ cervic/o
hyster/o + -rrhexis
continued on next slide
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Building Pathology Terms
• Perimetritis
Inflammation around uterus
• Pseudocyesis
False pregnancy
peri- + -itis+ metr/o
pseudo- + -cyesis
Building Diagnostic Terms
• Mammogram
Record of the breast
• Colposcopy
Process of visually examining the vagina
mamm/o + -gram
colp/o + -scopy
continued on next slide
Building Diagnostic Terms
• Amniocentesis
Puncture amnion to withdraw fluid
• Biopsy
View of life
amni/o + -centesis
bi/o + -opsy
Building Therapeutic Terms
• Intrauterine
Pertaining to inside the uterus
• Hysteropexy
Surgical fixation of the uterus
intra- + -ine+ uter/o
hyster/o + -pexy
continued on next slide
Building Therapeutic Terms
• Laparotomy
Cutting into the abdominal cavity
• Mastectomy
Surgical removal of breast
lapar/o + -otomy
mast/o + -ectomy
Combining Forms Match Up
1. colp/o
2. episi/o
3. lact/o
4. nat/o
5. salping/o
a. vulva
b. uterine tubes
c. vagina
d. birth
e. milk
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Male Combining Forms
• andr/o – male
• balan/o – glans penis
• crypt/o – hidden
• epididym/o – epididymis
• genit/o – genitals
• orch/o – testes
• orchi/o – testes
• orchid/o – testes continued on next slide
Male Combining Forms
• pen/o – penis
• prostat/o – prostate
• spermat/o – sperm
• testicul/o – testes
• vas/o – vas deferens
• vesicul/o – seminal vesicle
Male Suffixes
• –cide to kill
• –plasia formation of cells
• –spermia condition of sperm
Male Reproductive System at a Glance
• Functions
Produces sperm
Delivers sperm to female reproductive tract
Secretes male sex hormones
continued on next slide
Male Reproductive System at a Glance
• Organs
Bulbourethral glands
Epididymis
Penis
Prostate gland
Seminal vesicles
Testes
Vas deferens
Anatomy and Physiology of the Male Reproductive System
• Testes produce sperm
• Vas deferens and epididymis transport semen
• Reproductive glands add vital fluids to sperm
Produces semen
• Penis delivers semen to vagina
• Testes produce male sex hormones
Testosterone continued on next slide
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Anatomy and Physiology of the Male Reproductive System
• Located outside the body
Penis
Two testes
Two epididymides (plural for
epididymis)
Anatomy and Physiology of the Male Reproductive System
• Located in pelvic cavity
Two vas deferentia (plural for vas
deferens)
Two seminal vesicles
Prostate gland
Two bulbourethral glands
Figure 10.20 The male reproductive system, sagittal section showing the organs of the system and
their relation to the urinary bladder and rectum.
Testes
• Singular is testis; also called testicles
• Oval-shaped organs in scrotum
• Produce sperm
continued on next slide
Testes
• Secrete testosterone
Necessary for proper development of
sperm
Stimulates growth and development of male reproductive organs
Produces male secondary sexual characteristics
Spermatogenesis
• Process that produces sperm
Occurs within seminiferous tubules of
testes
continued on next slide
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Spermatogenesis
• The testes must be maintained at proper temperature for sperm to survive
This lower temperature level is achieved
by suspending testes in scrotum outside body
Scrotum is sac that contains testes, epididymides, and beginning of vas deferentia Figure 10.21
Electronmicrograph of human sperm. (Juergen Berger, Max-Planck Institute/Science Photo Library/Science Source)
Epididymis
• Coiled tube-shaped organ
• Lies on top of testes within scrotum
• Location for sperm maturation and storage
• Releases sperm into vas deferens
Vas Deferens
• Carries sperm from epididymis up into pelvic cavity
Travels up in front of urinary bladder,
over top, and then back down posterior side of the bladder
Empties into urethra
Penis
• Contains erectile tissue
• Increased blood flow during sexual stimulation results in erection
Ejaculation of semen
Urethra
• Serves a dual function:
Elimination of urine
Ejaculation of semen
During ejaculation, sphincter closes to
keep urine from escaping
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Spermatic Cord
• Cord-like structure between pelvic cavity and scrotum
• Consists of:
Two vas deferentia
Nerves
Arteries
Veins
Lymphatic vessels
Seminal Vesicles
• Two glands
• At base of urinary bladder
• Connected to vas deferens just before it empties into urethra
continued on next slide
Seminal Vesicles
• Secrete a fluid that nourishes sperm
Rich in glucose
• This fluid, along with sperm, constitutes semen
Fluid ejaculated during sexual intercourse
Prostate Gland
• Single gland located just below urinary bladder
• Surrounds urethra
Vas deferens empties into urethra within prostate
continued on next slide
Prostate Gland
• Secretes alkaline fluid
Neutralizes pH of urethra and vagina
Critical for sperm survival
• Enlargement of prostate puts pressure on both urethra and vas deferens
Causes problems with both urination and ejaculation
Bulbourethral Gland
• Also known as Cowper's glands
• Two small glands
Either side of urethra
Just below prostate
• Secrete mucus-like lubricating fluid
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Additional Combining Forms
• andr/o – male
• balan/o – glans penis
• carcin/o – cancer
• crypt/o – hidden
• epididym/o – epididymis
• genit/o – genital
• hydr/o – water
• immun/o – protection continued on next slide
Additional Combining Forms
• olig/o – scanty
• orch/o – testes
• orchi/o – testes
• orchid/o – testes
• pen/o – penis
• prostat/o – prostate gland
• rect/o – rectum
• spermat/o – sperm continued on next slide
Additional Combining Forms
• testicul/o – testicle
• ur/o – urine
• urethr/o – urethra
• varic/o – dilated vein
• vas/o – vas deferens
• vesicul/o – seminal vesicle
Additional Suffixes
• -al pertaining to
• -ar pertaining to
• -cele protrusion
• -ectomy surgical removal
• -gen that which produces
• -iasis abnormal condition
• -ic pertaining to
• -ile pertaining to continued on next slide
Additional Suffixes
• -ism state of
• -itis inflammation
• -logy study of
• -lysis destruction
• -oid resembling
• -oma tumor
• -osis abnormal condition
• -ostomy create a new opening continued on next slide
Additional Suffixes
• -otomy cutting into
• -pexy surgical fixation
• -plasia growth
• -plasty surgical repair
• -rrhea discharge
• -spermia sperm condition
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Additional Prefixes
• a- without
• an- without
• anti- against
• dys- abnormal, difficult
• epi- upon
• hyper- excessive
• hypo- below
• trans- across
Building Anatomical Terms
• Balanic
Pertaining to the glans penis
• Penile
Pertaining to the penis
balan/o + -ic
pen/o + -ile
continued on next slide
Building Anatomical Terms
• Testicular
Pertaining to the testes
• Vasal
Pertaining to the vas deferens
testicul/o + -ar
vas/o + -al
Building Signs and Symptoms Terms
• Aspermia
Condition of no sperm
• Balanorrhea
Discharge from the glans penis
a- + -spermia
balan/o + -rhea
continued on next slide
Building Signs and Symptoms Terms
• Oligospermia
Condition of too few sperm
• Spermatolysis
Sperm destruction
olig/o + -spermia
spermat/o + -lysis
Building Pathology Terms
• Cryptorchidism
State of hidden testes
• Carcinoma
Cancerous tumor
crypt/o + -ism+ orchid/o
carcin/o + -oma
continued on next slide
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Building Pathology Terms
• Prostatitis
Inflammation of the prostate gland
• Hyperplasia
Excessive growth
prostat/o + -itis
hyper- + -plasia
Building Therapeutic Terms
• Transurethral
Pertaining to across the urethra
• Orchidopexy
Surgical fixation of a testis
+ urethr/o + -altrans-
orchid/o + -pexy
continued on next slide
Building Therapeutic Terms
• Balanoplasty
Surgical repair of the glans penis
• Vasovasostomy
Create a new opening between the vas deferens and the vas deferens
balan/o + -plasty
vas/o + -ostomy+ vas/o
Combining Forms Match Up
1. andr/o
2. balan/o
3. crypt/o
4. orch/o
5. spermat/o
a. testes
b. glans penis
c. sperm
d. male
e. hidden