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III. Anatomy and Physiology
Vagina
The vagina is a muscular, hollow
tube that extends from the vaginal
opening to the cervix of the uterus. It is
situated between the urinary bladder and
wall allows the vagina to expand and
contract. The muscular walls are lined
with mucous membranes, which keep it
protected and moist. A thin sheet of
tissue with one or more holes in it, called the hymen, partially covers the opening
of the vagina. The vagina receives sperm during sexual intercourse from the
penis. The sperm that survive the acidic condition of the vagina continue on
through to the fallopian tubes where fertilization may occur. The vagina is made
up of three layers, an inner mucosal layer; middle muscular is layer, and an outer
fibrous layer. The inner layer is made of vaginal rugae that stretch and allow
penetration to occur. These also help with stimulation of the penis. The middle
layer has glands that secrete acidic mucus (pH of around 4.0.) that keeps
bacterial growth down. The outer muscular layer is especially important with
delivery of a fetus and placenta.
Purposes of the Vagina
•Receives a males erect penis and semen during sexual intercourse.
•Pathway through a woman's body for the baby to take during childbirth.
•Provides the route for the menstrual blood (menses) from the uterus, to leave
the body.
•May hold forms of birth control, such as a diaphragm, FemCap, Nuva Ring, or
female condom.

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The cervix (from Latin
"neck") is the lower, narrow
portion of the uterus where
it joins with the top end of
the vagina. Where they
join together forms an
almost 90 degree curve. It
is cylindrical or conical in
shape and protrudes through the
upper anterior vaginal wall. Approximately
half its length is visible with appropriate medical equipment; the remainder lies
above the vagina beyond view. It is occasionally called "cervix uteri", or "neck of
the uterus".During menstruation, the cervix stretches open slightly to allow the
endometrium to be shed. This stretching is believed to be part of the cramping
pain that many women experience. Evidence for this is given by the fact that
some women's cramps subside or disappear after their first vaginal birth because
the cervical opening has widened. The portion projecting into the vagina is
referred to as the portio vaginalis or ectocervix.
. On average, the ectocervix is three cm long and two and a half cm wide. It has
a convex, elliptical surface and is divided into anterior and posterior lips. The
ectocervix's opening is called the external os. The size and shape of the external
os and the ectocervix varies widely with age, hormonal state, and whether the
woman has had a vaginal birth. In women who have not had a vaginal birth the
external os appears as a small, circular opening. In women who have had a
vaginal birth, the ectocervix appears bulkier and the external os appears wider,
more slit-like and gaping. The passageway between the external os and the
uterine cavity is referred to as the endocervical canal.
. It varies widely in length and width, along with the cervix overall. Flattened
anterior to posterior, the endocervical canal measures seven to eight mm at its
widest in reproductive-aged women. The endocervical canal terminates at the
internal os which is the opening of the cervix inside the uterine cavity. During
childbirth, contractions of the uterus will dilate the cervix up to 10 cm in diameter
to allow the child to pass through. During orgasm, the cervix convulses and the
external os dilates.

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III. Anatomy and Physiology Vagina The vagina is a muscular, hollow tube that extends from the vaginal opening to the cervix of the uterus. It is situated between the urinary bladder and wall allows the vagina to expand and contract. The muscular walls are lined with mucous membranes, which keep it protected and moist. A thin sheet of tissue with one or more holes in it, called the hymen, partially covers the opening of the vagina. The vagina receives sperm during sexual intercourse from the penis. The sperm that survive the acidic condition of the vagina continue on through to the fallopian tubes where fertilization may occur. The vagina is made up of three layers, an inner mucosal layer; middle muscular is layer, and an outer fibrous layer. The inner layer is made of vaginal rugae that stretch and allow penetration to occur. These also help with stimulation of the penis. The middle layer has glands that secrete acidic mucus (pH of around 4.0.) that keeps bacterial growth down. The outer muscular layer is especially important with delivery of a fetus and placenta. Purposes of the Vagina •Receives a males erect penis and semen during sexual intercourse. •Pathway through a woman's body for the baby to take during childbirth. •Provides the route for the menstrual blood (menses) from the uterus, to leave the body. •May hold forms of birth control, such as a diaphragm, FemCap, Nuva Ring, or female condom. The cervix (from Latin "neck") is the lower, narrow portion of ...
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