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Women's sexual anatomy 2: The uterus, Fallopian tubes and ovaries

 

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As we move deeper into the female body, we move away from what can be seen from the outside or felt during intercourse. The uterus, Fallopian tubes and ovaries are essential for female hormone production and fertility. (To read more on the outer parts of the female sex organs go to the page on the vulva, vagina and G-spot.)

 

 

The uterus

The uterus (or womb) is the organ that houses and nourishes a growing baby inside a woman's body. It is roughly the size and shape of a pear, which sits upside down in the body between the bladder and the final parts of the digestive tract at the back. The top of the uterus is dome shaped and is called the fundus. The main section, which slowly narrows down, is called the body and the end, which connects uterus and vagina, is the cervix. The uterus is held in position in the body by various ligaments which pull it to the back of the body during sex. Some women experience uterine contractions during orgasm.

The uterus is built up of layers of tissues with the uterine cavity in its center. Three layers of muscles constitute most of the uterine wall. They are arranged in circular and longitudinal consecutive layers, making the uterus a powerful, muscular organ. The inner layer, or endometrium, is rich in blood vessels, which are able to bring nourishment to the fetus as it grows through pregnancy. During each menstrual cycle the outermost layer of the endometrium thickens and builds up in preparation for a possible pregnancy. If no egg is fertilized and "nests" in the uterine wall, this layer is shed by the body, resulting in the bleeding which constitutes a woman's menstruation.

The uterus also functions as a passageway for sperm to reach an egg which is traveling from the ovaries down the Fallopian tubes on its way to the uterus. An interesting detail is that there are special cells at the cervix, the part where the uterus connects with the vagina, which secrete cervical mucus. This mucus builds a natural barrier like a plug, which does not allow sperm to enter when no egg needs fertilizing. However, after ovulation (i.e. when an egg cell which could be fertilized has been released) the mucus becomes supportive to sperm motility and survival. As you can see, the female reproductive system is a finely tuned system, optimizing for fertilization when that's possible, but protecting its owner from infection or contamination from the outside world at other times.

 

The Fallopian tubes

The Fallopian tubes are the next element in the reproductive system beyond the uterus. They are a pair of 10 cm long tubes linking the uterus with the ovaries, where the egg cells are produced. The Fallopian tubes join the uterus at its side towards the top. At first, the tubes are fairly narrow, but then they widen more over two thirds of their length. This section is called the ampulla. At the end, the tubes do not attach themselves seamlessly to the ovaries; rather, they terminate in a ring of fingerlike protrusions which surround the ovary, but also leave the tubes open to the pelvic cavity. The protrusions, or fimbriae, move and are normally able to sweep an egg cell which is released from an ovary into the tubes. If the egg does not enter the tubes successfully but is still fertilized, a fetus can start to grow in the pelvic cavity, which results in major health risks for the mother and baby.

Once an egg cell has entered a Fallopian tube it is slowly pushed along by small hair-like structures on the inside of the tubes. Normally, sperm will meet an egg cell in the tubes and fertilization will take place there and then. The whole journey for an egg cell to the uterus takes about seven days. Another point of interest is that healthy Fallopian tubes are essential for a woman to get pregnant. As the tubes are long and thin it's hardly surprising that they can get blocked. This is often the result of scar tissue which forms after a woman has acquired the sexually transmitted infection known as Chlamydia. Once a tube is blocked it cannot be unblocked again, and if both tubes become blocked the woman in question will be infertile, unless she resorts to IVF treatment. 

 

The Ovaries

The ovaries are paired glands, which are the centerpiece of the female reproductive system. They are small and oval shaped and are located to the side of and above the uterus, behind the bladder. The ovaries release egg cells and hormones during the fertile years of a woman's life. The formation of an egg cell from primordial germ cells is highly complex. When a girl is born her ovaries will contain between 200,000  and  2,000,000 precursor cells that can produce eggs; only 40,000 will make it to puberty, and the others will die off progressively. In fact, out of the 40,000 left at puberty only 400 will mature successfully and be released for potential fertilization. 

Each potential egg cell is surrounded by supportive cells constituting a primordial follicle. Some of these follicles start to grow and develop into cells surrounding a potential egg cell in the middle. This structure is then called a primary follicle. It develops further into cells surrounding a tiny liquid-filled bubble with the egg cell in the middle, a secondary follicle. Each month the pituitary gland in the brain releases hormones which stimulate the development of follicles and prepare the genetic material in each egg cell so it can merge with a completely different set of genes from the sperm cell.

Each month, one of the follicles matures (after which it's known as a Graafian follicle), ruptures, and releases its egg cell, which is then swept into the Fallopian tubes. This process is called ovulation. Normally, only one mature follicle ruptures each month, but if two happen to do so at the same time, there is the potential for non-identical twins. This will of course only happen if both egg cells are fertilized and grow into healthy babies. Once the egg cell has been released from the Graafian follicle, this tiny bubble in the ovaries changes into a Corpus luteum, a cluster of cells, which releases progesterone and estrogen, the female sex hormones.  The hormones  control the condition of the tissues lining the uterus, which is waiting for a fertilized egg to nest in it. If no egg is fertilized, the Corpus luteum dies. As it stops producing hormones the tissue in the uterus is shed, which results in  menstruation.

The whole interplay of female sex hormones every month is highly complicated and superbly coordinated. If you want to know more, please go to Female sex hormones and reproductive cycle.

Other related topics: 

 

Female sexual anatomy: Vulva, vagina and the G-spot

 

Source for the facts cited in this page: 

ABC of Sexual Health (2005) Second edition edited by John M Tomlinson, British Medical Journal Books and Blackwell Publishing.

Principles of anatomy and physiology (2000) Ninth edition by Gerard J. Tortora and Sandra Reynolds Grabowski. Publishers: John Wiley and Sons


 

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