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Medical Terminology: Reproductive System and Obstetrics – Comprehensive Study Notes

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Reproductive System and Obstetrics

Introduction

The reproductive system is essential for the creation of offspring and the continuation of the human species. Medical terminology related to this system includes terms for anatomy, physiology, diseases, disorders, procedures, and treatments. Obstetrics is the medical specialty focusing on pregnancy, childbirth, and the postpartum period.

Anatomy and Physiology of the Reproductive System

Word Parts and Combining Forms

  • andr/o: male

  • balan/o: glans penis

  • cervic/o: cervix

  • cyes/o, cyesi/o: pregnancy

  • embry/o: embryo

  • epididym/o: epididymis

  • episi/o: vulva

  • fet/o: fetus

  • gravid/o, gravidar/o: pregnancy

  • mamm/o: breast

  • men/o, menstru/o: menstruation

  • orchi/o, orchid/o: testis

  • pen/o: penis

  • semin/o: semen

  • sperm/o, spermat/o: sperm

  • test/o, testicul/o: testis

  • urethr/o: urethra

  • vas/o: vessel, duct

General Function

  • The reproductive system's primary function is the creation of offspring through the union of male (sperm) and female (ovum) gametes.

  • Fertilization results in a zygote, the origin of a new human life.

Male Reproductive System

The male reproductive system produces and delivers sperm. Key organs include:

  • Testes: Produce sperm and testosterone.

  • Scrotum: Sac that holds the testes.

  • Penis: Organ for copulation and urination.

  • Epididymis: Stores and matures sperm.

  • Vas deferens: Transports sperm from the epididymis.

  • Urethra: Passage for urine and semen.

  • Seminal vesicles, prostate gland, bulbourethral glands: Produce seminal fluid.

Sagittal section of the male reproductive system

Female Reproductive System

The female reproductive system produces ova and supports fetal development. Key organs include:

  • Ovaries: Produce ova and hormones (estrogen, progesterone).

  • Fallopian tubes: Transport ova to the uterus; site of fertilization.

  • Uterus: Site of fetal development.

  • Vagina: Receives sperm, serves as birth canal.

  • Vulva: External genitalia.

Sagittal and top view of the female reproductive system

Prenatal Development and Obstetrics

  • After fertilization, the zygote enters the prenatal development period.

  • Obstetrics (OB) is the medical specialty supporting pregnancy, childbirth, and postpartum care.

Sagittal section of a normal full-term pregnancy

Medical Specialties and Terms

Key Specialties

  • Reproductive medicine: Focuses on fertility and reproductive health.

  • Urology: Treats urinary and male reproductive disorders.

  • Gynecology: Treats female reproductive disorders.

  • Obstetrics: Manages pregnancy and childbirth.

Sexually Transmitted Infections (STIs)

  • Diseases transmitted through sexual contact, including HIV/AIDS, chlamydia, gonorrhea, syphilis, HPV, and others.

Male Reproductive System: Signs, Symptoms, Diseases, and Treatments

Common Signs and Symptoms

  • Aspermia: Absence of sperm in semen.

  • Azoospermia: Lack of live sperm in semen.

  • Balanorrhea: Discharge from the glans penis.

  • Oligospermia: Low sperm count.

  • Prostatitis: Inflammation of the prostate gland.

  • Urethritis: Inflammation of the urethra.

Diseases and Disorders

  • Benign prostatic hyperplasia (BPH): Noncancerous enlargement of the prostate, causing urinary obstruction.

Benign prostatic hyperplasia (BPH)

  • Prostate cancer: Malignant tumor of the prostate, often metastatic.

Prostate cancer with tumor invading bladder

  • Testicular torsion: Twisting of the spermatic cord, cutting off blood supply to the testis.

Testicular torsion

  • Cryptorchidism: Undescended testis.

  • Erectile dysfunction (ED): Inability to achieve or maintain an erection.

  • Hydrocele: Fluid accumulation around the testis.

  • Peyronie disease: Curvature of the penis due to fibrous tissue.

  • Phimosis: Tight foreskin that cannot be retracted.

  • Priapism: Prolonged, painful erection.

Treatments, Procedures, and Devices

  • Circumcision: Surgical removal of the prepuce (foreskin) from the penis.

Circumcision procedures

  • Digital rectal examination (DRE): Palpation of the prostate via the rectum to detect abnormalities.

Digital rectal examination (DRE)

  • Penile implant: Device implanted to treat erectile dysfunction.

Penile implants: semirigid and inflatable

  • Transurethral resection of the prostate (TURP): Removal of prostate tissue to relieve urinary obstruction.

Transurethral resection of the prostate (TURP)

  • Vasectomy: Surgical cutting and sealing of the vas deferens for male sterilization.

Vasectomy procedure

Female Reproductive System: Signs, Symptoms, Diseases, and Treatments

Common Signs and Symptoms

  • Amenorrhea: Absence of menstruation.

  • Dysmenorrhea: Painful menstruation.

  • Leukorrhea: White vaginal discharge.

  • Mastalgia: Breast pain.

  • Menorrhagia: Excessive menstrual bleeding.

  • Oligomenorrhea: Infrequent menstruation.

Diseases and Disorders

  • Breast cancer: Malignant tumor of breast tissue, often infiltrating ductal carcinoma (IDC).

Breast cancer: infiltrating ductal carcinoma

  • Cervical cancer: Malignant tumor of the cervix, often detected by Pap smear.

Carcinoma in situ of the cervix Stages of cervical cancer development

  • Endometrial cancer: Cancer of the uterine lining.

Stages of endometrial cancer

  • Rectovaginal fistula: Abnormal passage between rectum and vagina.

Rectovaginal fistula

  • Fibroid tumors (leiomyomas): Benign tumors of uterine muscle.

Fibroid tumors (leiomyomas)

  • Polycystic ovary syndrome (PCOS): Ovarian disorder with multiple cysts, hormonal imbalance, and infertility.

Polycystic ovary syndrome (PCOS)

  • Prolapsed uterus: Downward displacement of the uterus into the vagina.

Prolapsed uterus

Treatments, Procedures, and Devices

  • Biopsy: Removal of tissue for diagnostic examination.

Gynecological biopsy procedures

  • Hysterectomy: Surgical removal of the uterus.

  • Salpingo-oophorectomy: Removal of fallopian tube and ovary.

  • Panhysterectomy: Removal of uterus, both ovaries, and fallopian tubes.

Types of uterine and adnexal surgeries

  • Laparoscopy: Endoscopic examination of the abdominal cavity, often for reproductive organs.

Laparoscopy for reproductive organs

  • Mammography: X-ray imaging of the breast to detect tumors.

Mammography procedure and image

  • Mastectomy: Surgical removal of breast tissue.

Breast surgery: lumpectomy and mastectomy

  • Papanicolaou (Pap) smear: Screening test for cervical cancer.

Pap smear and cervical cell changes

  • Tubal ligation: Surgical sterilization by cutting and tying fallopian tubes.

Tubal ligation procedure

Obstetrics: Symptoms, Diseases, and Treatments

Common Obstetrical Signs and Symptoms

  • Amniorrhea: Discharge of amniotic fluid.

  • Dystocia: Difficult labor or childbirth.

  • Hyperemesis gravidarum: Severe nausea and vomiting during pregnancy.

  • Pseudocyesis: False pregnancy.

Diseases and Disorders

  • Abruptio placentae: Premature separation of the placenta from the uterine wall, endangering the fetus.

Abruptio placentae

  • Breech presentation: Fetus is delivered feet or buttocks first instead of head first.

Breech presentation

  • Ectopic pregnancy: Implantation of the embryo outside the uterus, commonly in the fallopian tube.

Ectopic pregnancy locations

  • Erythroblastosis fetalis: Hemolytic disease of the newborn due to blood group incompatibility.

Erythroblastosis fetalis mechanism

  • Placenta previa: Placenta covers the cervical opening, blocking the birth canal.

Placenta previa

Treatments, Procedures, and Devices

  • Amniocentesis: Aspiration of amniotic fluid for diagnostic testing.

Amniocentesis procedure

  • Obstetrical sonography and fetometry: Ultrasound imaging to assess fetal development and measure fetal size.

Obstetrical sonography and fetometry

Sexually Transmitted Infections (STIs)

Common STIs

  • HIV/AIDS: Human immunodeficiency virus causes acquired immunodeficiency syndrome.

  • Candidiasis: Fungal infection.

  • Chlamydia: Bacterial infection, often asymptomatic.

  • Genital herpes (HSV-2): Viral infection causing painful sores.

  • Gonorrhea: Bacterial infection affecting mucous membranes.

  • Hepatitis B (HBV): Viral infection affecting the liver.

  • Human papillomavirus (HPV): Causes genital warts and cervical cancer.

  • Syphilis: Bacterial infection, primary lesion is a chancre.

  • Trichomoniasis: Protozoal infection.

Abbreviations

Common abbreviations in reproductive and obstetric terminology include:

  • BPH: Benign prostatic hyperplasia

  • DRE: Digital rectal examination

  • ED: Erectile dysfunction

  • GYN: Gynecology

  • OB: Obstetrics

  • PCOS: Polycystic ovary syndrome

  • PMS: Premenstrual syndrome

  • PSA: Prostate-specific antigen

  • TURP: Transurethral resection of the prostate

Summary Table: Key Terms and Their Meanings

Term

Meaning

Orchiectomy

Surgical removal of a testis

Salpingectomy

Surgical removal of a fallopian tube

Hysterectomy

Surgical removal of the uterus

Colposcopy

Visual examination of the vagina and cervix

Gynecologist

Physician specializing in female reproductive health

Urologist

Physician specializing in urinary and male reproductive health

Additional info: This guide expands on the provided material with definitions, clinical context, and examples to ensure a comprehensive understanding suitable for exam preparation in a Medical Terminology course.

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