L2: Embryology of Female Genital Tract

Question 1

Development of External genitalia

Answer 1

Question 2

Development of External genitalia

• Median genital Tubercle

Answer 2

Gives the clitoris

Question 3

Development of External genitalia

• Medial genital Folds

Answer 3

Give the labia minora

Question 4

Development of External genitalia

• Lateral Genital Swellings

Answer 4

Give the labia majora

Question 5

Development of External genitalia

• Urogenital Membrane

Answer 5

Gives vestibule, vaginal and urethral orifices.

Question 6

Development of External genitalia

• Urogenital Sinus

Answer 6

Outer layer of urogenital sinus covers the vaginal orifice as the hymen.

Question 7

Development of Internal genitalia

Question 8

Development of Internal genitalia

• Ovaries

Answer 8

Question 9

Development of Internal genitalia

• FT, Uterus, Upper Vagina

Answer 9

Question 10

Congenital anomalies of The Female Genital Tract

Question 11

Congenital anomalies of The Female Genital Tract

• Ovary

Answer 11

Question 12

Congenital anomalies of The Ovary

• Aplasia

Answer 12

No development → primary amenorrhea.

Question 13

Congenital anomalies of The Ovary

• hypoplasia

Answer 13

Causes oligo-hypomenorrhea or premature menopause.

Question 14

Congenital anomalies of The Ovary

• Savage Syndrome

Answer 14

receptor defect with no response to ESH and LH.

Question 15

Congenital anomalies of The Ovary

• Pure turner

Answer 15

causes primary amenorrhea.

Question 16

Congenital anomalies of The Ovary

• Mosaic Turner

Answer 16

can present by premature ovarian failure.

Question 17

Congenital anomalies of The Ovary

• Testicular feminization syndrome

Answer 17

Question 18

Congenital anomalies of The Ovary

• Hermaphrodite

Answer 18

Question 19

Congenital anomalies of The Fallopian Tube

Answer 19

Question 20

Congenital anomalies of The Fallopian Tube

• Aplasia

Answer 20

No development causing primary infertility.

Question 21

Congenital anomalies of The Fallopian Tube

• Hypoplasia

Answer 21

In the form of long narrow tortuous tube and may cause ectopic pregnancy.

Question 22

Congenital anomalies of The Fallopian Tube

• Accessory ostium

Answer 22

Congenital diverticulum that may cause ectopic pregnancy.

Question 23

Congenital Anomalies of The Uterus

Answer 23

Question 24

Congenital Anomalies of The Uterus

• Aplasia

Answer 24

no development.

Question 25

Congenital Anomalies of **The Uterus** - Hypoplasia

Answer 25

Which may be rudimentary solid uterus, infantile OR prepubescent uterus.

Question 26

Congenital Anomalies of **The Uterus** - Unicornate Uterus

Answer 26

Absence of one Mullerian duct with one tube, and narrow vagina.

Question 27

Congenital Anomalies of **The Uterus** - Uterus Didelphys

Answer 27

Question 28

Congenital Anomalies of **The Uterus** - Uterus Bicornis Bicollis

Answer 28

2 uteri, 2 cervices and one vagina.

Question 29

Congenital Anomalies of **The Uterus** - Septate & Sub-Septate Uterus

Answer 29

Question 30

Congenital Anomalies of **The Uterus** - Arcuate Uterus

Answer 30

slight depression at the fundus.

Question 31

Presentations of uterine anomalies

Answer 31

Question 32

Treatment of uterine anomalies

Answer 32

Some anomalies are usually treatable by surgery

Question 33

**Anomalies of The Vagina**

Answer 33

Question 34

**Anomalies of The Vulva**

Answer 34

Question 35

Def of **Imperforate Hymen**

Answer 35

means absence of hymeneal opening.

Question 36

Symptoms of **Imperforate Hymen**

Answer 36

Question 37

Signs of **Imperforate Hymen**

Answer 37

Question 38

Signs of **Imperforate Hymen** - General

Answer 38

Normal changes of puberty and secondary sex characters are present.

Question 39

Signs of **Imperforate Hymen** - Abdominal

Answer 39

Question 40

Signs of **Imperforate Hymen** - PR

Answer 40

uterus may be palpated as a small mass in front of the accumulated blood.

Question 41

Signs of **Imperforate Hymen** - Local

Answer 41

By inspection - there is bluish bulging hymen due blood behind

Question 42

INVx for **Imperforate Hymen**

Answer 42

Ultrasound, and IVP (intravenous pyelography) to exclude associated urological anomalies.

Question 43

TTT of **Imperforate Hymen**

Answer 43