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Histology of Female Reproductive
System
Female Reproductive System
•
•
•
•
•
•

Ovaries
Oviducts
Uterus
Vagina
External Genitalia
Mammary Glands
Ovary
• Surface has simple squamous/cuboidal
germinal epithelium covering thick
layer of dense irregular connective
tissue, the tunica albuginea
• Medulla with vessels and loose
connective tissue
• Cortex with ovarian follicles and
oocytes
• Cortical stroma has fibroblast-like cells
Ovarian Follicles
• In cortex, surrounded by stromal cells
• Consist of oocyte surrounded by one or
more layers of follicular cells
Types of Ovarian Follicles
• Primordial
• Growing Follicles
– unilaminar primary follicle
– multilaminar primary follicle
– secondary follicle

• Mature Follicles (Graafian)
Primordial Follicle
• Primary oocyte with one layer of
flattened follicular cells
Growing Follicles 1
• Oocyte diameter increases to 150 µm
• Nucleus enlarges
• Organelles increase in number and
amount (mito., Golgi, ER)
• Unilaminar primary follicle has one layer
of cuboidal follicular cells
• Multilaminar primary follicle has several
layers of follicular (granulosa) cells
Growing Follicles 2
• Zona pellucida forms just outside
oocyte membrane, thick basal lamina
• Follicle cell filopodia extend into ZP as
do oocyte filopodia, joined by gap
junctions
• Follicle cells differentiate into theca
folliculi that has a theca interna and
theca externa
• Zona pellucida forms just outside
oocyte membrane, thick basal lamina
Multilaminar primary
follicle

Unilaminar primary
follicle
Secondary Follicles
• Granulosa and theca cells increase in
number
• Fluid-filled spaces in granulosa layer
fuse to form the antrum
• Stem of follicular cells connects oocyte
with corona radiata to the surrounding
granulosa cells
Theca interna
Theca externa
Mature (Graafian) Follicles
• In later stages may be over 2 cm in
diameter, antrum enlarges
• Bulge from ovary surface
• Granulosa cells differentiate into corona
radiata which adheres to ovum when it
is ovulated
Corpus Luteum 1
• Temporary hormone secreting structure formed by
granulosa cells and theca interna cells remaining
after ovulation
• Secretes estrogen and progesterone
• Structure may include coagulated blood and
connective tissue from stroma
• Granulosa cells hypertrophy into granulosa lutein
cells with increased SER and mitochondria with
tubular cristae
• Theca interna cells form theca lutein cells which are
smaller and darker staining than granulosa lutein
cells
Corpus luteum
Corpus luteum
theca lutein cells
granulosa lutein cells
Corpus Albicans
• Scar of stromal cells that forms when
corpus luteum breaks down
• Large ones form after pregnancy and
smaller ones after each ovulation
• Older ovaries have many
Corpus albicans
Oviduct
• Muscular tube 12 cm long
• Upper end opens into peritoneal cavity near
ovary
• Lower end passes through the uterus wall
• 4 segments
–
–
–
–

intramural part in uterine wall
isthmus is adjacent to uterine wall
ampulla is dilated part
infundibulum is funnel-shaped part near ovary with
fimbriae
Oviduct Wall 1
• Mucosa
– simple columnar epithelium
– ciliated cell and nonciliated peg cell
– cilia near ovary beat toward uterus
– cilia near uterus beat toward ovary
– lamina propria of loose connective tissue
Oviduct Wall 2
• Muscularis
– Inner circular layer
– Outer longitudinal layer
– Peristaltic movements

• Serosa/Adventitia
– dense irregular connective tissue
– vasculature
Ciliated cells and peg cells
Uterus
• Pear-shaped structure attached to
oviducts at upper end and to vagina at
lower end
• Uterine wall has 3 layers
– Endometrium
– Myometrium
– Adventitia/Serosa
Adventitia/Serosa
• Dense irregular connective tissue with
attached mesothelium (serosa)
• Dense irregular connective tissue
(adventitia)
• Blood vessels
Myometrium
• Thickest layer
• Four poorly defined layers of smooth
muscle separated by connective tissue
• Inner and outer layers are mostly
longitudinal in orientation
• Middle layers are more circular
• Middle layer thickens in pregnancy with
more smooth muscle cells and
increased collagen
Endometrium
• Simple columnar epithelium invaginated
into simple tubular glands
• Ciliated columnar cells and secretory
columnar cells
• Lamina propria of highly cellular
connective tissue and vessels
• 2 zones in endometrium
– functional layer
– basal layer
Endometrial Layers
• Functional layer
– surface layer sloughed off during
menstruation
– replaced during each menstrual cycle

• Basal layer
– deeper layer retained after menstruation
– gland cells give rise to new epithelium
Endometrium Vasculature
• Arcuate arteries in the myometrium give
rise to the
– straight arteries of the basal layer which
give rise to the
– coiled arteries of the functional layer
Menstrual Cycle
• Estrogen and progesterone from ovary
stimulate changes in the endometrium
• 28 day cycle on average
• Begins age 12-15 and ends age 45-50
• 3 main phases of cycle
– Menstrual phase: days 1-4
– Proliferative (follicular) phase: days 5-14
– Ovulation around day 14
– Secretory (luteal) phase: days 15-28
Proliferative (Follicular) Phase
• Days 5-14 leading up to ovulation
• Endometrium consists of just gland bases
• Cells of gland bases proliferate forming simple
columnar epithelium
• 2-3 mm of endometrium form with glands of
straight tubes with narrow lumens
• Coiled arteries grow into regenerated lamina
propria
Secretory (Luteal) Phase
• Begins after ovulation, days 15-28
• Corpus luteum forms and produces
progesterone
• Glands develop further, become coiled
and begin to secrete
• Endometrium reaches 5 mm thick
Menstrual Phase
• Progesterone and estrogen decrease
causing coiled arteries to constrict
cutting off blood flow to the functional
layer of endometrium
• Endometrial cells die and the functional
layer is sloughed off
• Vessels distal to constrictions are shed
with the functional layer causing some
bleeding
Endometrium - menstrual
phase
Uterine Cervix 1
• Lower part of uterus
• Lined by mucous secreting simple
columnar epithelium
• Some smooth muscle and much
connective tissue in lamina propria
• Part of cervix in upper vagina has
stratified squamous nonkeratinized
epithelium
Uterine Cervix 2
• Cervical mucosa has mucous glands
• Cervical mucosa remains intact during
menstrual cycle
• Cervical gland secretions vary during
menstrual cycle
– at ovulation mucous is watery so sperm
can penetrate easily
– in luteal phase or pregnancy mucous more
viscous to block sperm or microbes
Placenta
• Organ that forms from uterine wall and fetal
tissues during pregnancy to provide site for
exchange between maternal and fetal
circulation
• Fetal part: chorion
• Maternal part: decidua basalis
• Chorionic villi contain fetal vessels and are
bathed by maternal blood
• Syncytial trophoblasts make up walls of villi;
syncytial knots are groups of nuclei
Synctyiotrophoblast erodes*
maternal blood vessels
from the remainder of*
trophoblasts chorion
developes and gives rise to
chorionic villi

placenta

early

late

:The placenta barrier is formed of
. Syncytiotrophoblasts-1
Cytotrophoblasts-2
.Basment membrane of cytotrphoblasts -3.
CT. core-4
basment membrane capillary endothelial cells -5
Capillary endothelial cells-6

:The placenta barrier is formed of 5 layers
Syncytiotrophoblasts-1
Basment membrane of trophoblasts -2
. CT core-3
Basment membrane of endothelial cells -4
.of the capillary of villi
.Capillary endothelial cells-5

at full term the placenta will not have
50

HISTICS

cytotrophoblast

428
Vagina
• Epithelium is stratified squamous partly
keratinized
• No glands in epithelium
• Underlying lamina propria of loose connective
tissue, highly vascularized with many elastic
fibers
• Muscular layer of circular and longitudinal
smooth muscle
• Adventitia of dense irregular connective tissue
with elastic fibers, many vessels and nerves
Female External Genitalia
• Vulva:
mons pubis, labia majora and minora,
clitoris, hymen, the vestibule, Skene’s
and Bartholin’s glands and ducts, minor
vestibular glands and the urethral
meatus.
Female External Genitalia
• Vulva covered by keratinized, stratified
squamous epithelium.
• Hymen is thinly keratinized on external
surface, but on vaginal surface has
non-keratinized mucosa rich in
glycogen.
Female External Genitalia
• Mons pubis and lateral aspects of labia
majora
– Changes at puberty.
– Increase subcutaneous fat and develop
coarse curly hair.
– Concomitant maturation and development
of sebaceous and apocrine glands.
Female External Genitalia
. Lateral aspects of the labia minor and inner
aspects of prepuce (which do not have
hair) also show maturation of sebaceous
and apocrine glands at puberty.
. Eccrine sweat glands, which are primarily
involved in heat regulation, function before
puberty.
Female External Genitalia
– Labia majora contain both smooth muscle
and fat.
– Labia minora are devoid of fat but are rich
in elastin and vessels (erectile tissue).
Female External Genitalia
Clitoris is the descendent of the embryonic
phallus
– No sebaceous, apocrine or eccrine sweat
glands.
– Stroma has two conjoined corpora
cavernosa which branch near the base of
the clitoris and lie along the pubic rami as
divided crura.
Female External Genitalia
. Bartholin’s glands are tubulo-alveolar glands
– Acini are composed of simple columnar
mucus-secreting epithelium.
– Drained by a duct lined by a transitional
epithelium which becomes non-keratinized
stratified squamous epithelium near its exit.
– Bartholin’s glands are equivalent to the
Cowper’s glands in the male.
Female External Genitalia:
. Skene’s glands are composed of
pseudostratified mucus-secreting
columnar epithelium.
– Ducts are lined by transitional-type
epithelium.
– Skene’s glands are equivalent to the
prostate in male.
Mammary Glands 1
• 15-25 lobes of compund tubuloacinar glands
similar to apocrine sweat glands
• Glands secrete by apocrine mechanism
(lipids) and exocytosis (proteins)
• Each lobe surrounded by dense irregular
connective tissue and has its own duct
leading into lactiferous ducts of nipple
• Interlobular ducts have simple cuboidal
epithelium surrounded by myoepithelial cells
Mammary Glands 2
• Lactiferous sinuses lined by stratified
squamous epithelium that changes to
stratified columnar/cuboidal deeper in
lactiferous ducts
• Glandular cells proliferate during
pregnancy
• at puberty there is an increase in
connective and adipose tissue , C.T
• the glands within the breast are classified
as compound tubuloalveolar glands,

64

HISTICS

428
• lactiferous sinus and duct lined by stratified
cuboidal epithelium
• smaller ducts are lined by simple columnar
epithelium
• myoepithelial cells are present
• Terminal ends of the ducts show dilated acini
• Each lobule will be enlarged
while the inter and
intra-lobular
tissues are decreased.
65

HISTICS

428
Lactating

• alveoli composed of cuboidal cells
• secretion have two kinds : lipids and
proteins
• lipids secreted by apocrine mode
• proteins secreted by merocrine mode
• reduction of interlobular tissue. reduction
of intralobular CT.distended acini (alveoli)
with milk.Acini are lined with flat epith.
• NB.Suckling stimulate prolactin
66
HISTICS
and oxytocin hormones secretion

428
Mechanism of milk
secretion
• Contain protien , lipid , water ,
myoepithelial cell “ contractile “

67

HISTICS

428
Lactating mammary gland
15. female

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15. female

  • 1. Histology of Female Reproductive System
  • 3.
  • 4. Ovary • Surface has simple squamous/cuboidal germinal epithelium covering thick layer of dense irregular connective tissue, the tunica albuginea • Medulla with vessels and loose connective tissue • Cortex with ovarian follicles and oocytes • Cortical stroma has fibroblast-like cells
  • 5.
  • 6. Ovarian Follicles • In cortex, surrounded by stromal cells • Consist of oocyte surrounded by one or more layers of follicular cells
  • 7.
  • 8. Types of Ovarian Follicles • Primordial • Growing Follicles – unilaminar primary follicle – multilaminar primary follicle – secondary follicle • Mature Follicles (Graafian)
  • 9. Primordial Follicle • Primary oocyte with one layer of flattened follicular cells
  • 10. Growing Follicles 1 • Oocyte diameter increases to 150 µm • Nucleus enlarges • Organelles increase in number and amount (mito., Golgi, ER) • Unilaminar primary follicle has one layer of cuboidal follicular cells • Multilaminar primary follicle has several layers of follicular (granulosa) cells
  • 11. Growing Follicles 2 • Zona pellucida forms just outside oocyte membrane, thick basal lamina • Follicle cell filopodia extend into ZP as do oocyte filopodia, joined by gap junctions • Follicle cells differentiate into theca folliculi that has a theca interna and theca externa • Zona pellucida forms just outside oocyte membrane, thick basal lamina
  • 13. Secondary Follicles • Granulosa and theca cells increase in number • Fluid-filled spaces in granulosa layer fuse to form the antrum • Stem of follicular cells connects oocyte with corona radiata to the surrounding granulosa cells
  • 15. Mature (Graafian) Follicles • In later stages may be over 2 cm in diameter, antrum enlarges • Bulge from ovary surface • Granulosa cells differentiate into corona radiata which adheres to ovum when it is ovulated
  • 16.
  • 17. Corpus Luteum 1 • Temporary hormone secreting structure formed by granulosa cells and theca interna cells remaining after ovulation • Secretes estrogen and progesterone • Structure may include coagulated blood and connective tissue from stroma • Granulosa cells hypertrophy into granulosa lutein cells with increased SER and mitochondria with tubular cristae • Theca interna cells form theca lutein cells which are smaller and darker staining than granulosa lutein cells
  • 19. Corpus luteum theca lutein cells granulosa lutein cells
  • 20. Corpus Albicans • Scar of stromal cells that forms when corpus luteum breaks down • Large ones form after pregnancy and smaller ones after each ovulation • Older ovaries have many
  • 22. Oviduct • Muscular tube 12 cm long • Upper end opens into peritoneal cavity near ovary • Lower end passes through the uterus wall • 4 segments – – – – intramural part in uterine wall isthmus is adjacent to uterine wall ampulla is dilated part infundibulum is funnel-shaped part near ovary with fimbriae
  • 23.
  • 24. Oviduct Wall 1 • Mucosa – simple columnar epithelium – ciliated cell and nonciliated peg cell – cilia near ovary beat toward uterus – cilia near uterus beat toward ovary – lamina propria of loose connective tissue
  • 25. Oviduct Wall 2 • Muscularis – Inner circular layer – Outer longitudinal layer – Peristaltic movements • Serosa/Adventitia – dense irregular connective tissue – vasculature
  • 26.
  • 27. Ciliated cells and peg cells
  • 28. Uterus • Pear-shaped structure attached to oviducts at upper end and to vagina at lower end • Uterine wall has 3 layers – Endometrium – Myometrium – Adventitia/Serosa
  • 29.
  • 30. Adventitia/Serosa • Dense irregular connective tissue with attached mesothelium (serosa) • Dense irregular connective tissue (adventitia) • Blood vessels
  • 31. Myometrium • Thickest layer • Four poorly defined layers of smooth muscle separated by connective tissue • Inner and outer layers are mostly longitudinal in orientation • Middle layers are more circular • Middle layer thickens in pregnancy with more smooth muscle cells and increased collagen
  • 32.
  • 33. Endometrium • Simple columnar epithelium invaginated into simple tubular glands • Ciliated columnar cells and secretory columnar cells • Lamina propria of highly cellular connective tissue and vessels • 2 zones in endometrium – functional layer – basal layer
  • 34.
  • 35. Endometrial Layers • Functional layer – surface layer sloughed off during menstruation – replaced during each menstrual cycle • Basal layer – deeper layer retained after menstruation – gland cells give rise to new epithelium
  • 36.
  • 37. Endometrium Vasculature • Arcuate arteries in the myometrium give rise to the – straight arteries of the basal layer which give rise to the – coiled arteries of the functional layer
  • 38. Menstrual Cycle • Estrogen and progesterone from ovary stimulate changes in the endometrium • 28 day cycle on average • Begins age 12-15 and ends age 45-50 • 3 main phases of cycle – Menstrual phase: days 1-4 – Proliferative (follicular) phase: days 5-14 – Ovulation around day 14 – Secretory (luteal) phase: days 15-28
  • 39.
  • 40. Proliferative (Follicular) Phase • Days 5-14 leading up to ovulation • Endometrium consists of just gland bases • Cells of gland bases proliferate forming simple columnar epithelium • 2-3 mm of endometrium form with glands of straight tubes with narrow lumens • Coiled arteries grow into regenerated lamina propria
  • 41.
  • 42. Secretory (Luteal) Phase • Begins after ovulation, days 15-28 • Corpus luteum forms and produces progesterone • Glands develop further, become coiled and begin to secrete • Endometrium reaches 5 mm thick
  • 43.
  • 44. Menstrual Phase • Progesterone and estrogen decrease causing coiled arteries to constrict cutting off blood flow to the functional layer of endometrium • Endometrial cells die and the functional layer is sloughed off • Vessels distal to constrictions are shed with the functional layer causing some bleeding
  • 46. Uterine Cervix 1 • Lower part of uterus • Lined by mucous secreting simple columnar epithelium • Some smooth muscle and much connective tissue in lamina propria • Part of cervix in upper vagina has stratified squamous nonkeratinized epithelium
  • 47. Uterine Cervix 2 • Cervical mucosa has mucous glands • Cervical mucosa remains intact during menstrual cycle • Cervical gland secretions vary during menstrual cycle – at ovulation mucous is watery so sperm can penetrate easily – in luteal phase or pregnancy mucous more viscous to block sperm or microbes
  • 48. Placenta • Organ that forms from uterine wall and fetal tissues during pregnancy to provide site for exchange between maternal and fetal circulation • Fetal part: chorion • Maternal part: decidua basalis • Chorionic villi contain fetal vessels and are bathed by maternal blood • Syncytial trophoblasts make up walls of villi; syncytial knots are groups of nuclei
  • 49.
  • 50. Synctyiotrophoblast erodes* maternal blood vessels from the remainder of* trophoblasts chorion developes and gives rise to chorionic villi placenta early late :The placenta barrier is formed of . Syncytiotrophoblasts-1 Cytotrophoblasts-2 .Basment membrane of cytotrphoblasts -3. CT. core-4 basment membrane capillary endothelial cells -5 Capillary endothelial cells-6 :The placenta barrier is formed of 5 layers Syncytiotrophoblasts-1 Basment membrane of trophoblasts -2 . CT core-3 Basment membrane of endothelial cells -4 .of the capillary of villi .Capillary endothelial cells-5 at full term the placenta will not have 50 HISTICS cytotrophoblast 428
  • 51. Vagina • Epithelium is stratified squamous partly keratinized • No glands in epithelium • Underlying lamina propria of loose connective tissue, highly vascularized with many elastic fibers • Muscular layer of circular and longitudinal smooth muscle • Adventitia of dense irregular connective tissue with elastic fibers, many vessels and nerves
  • 52.
  • 53. Female External Genitalia • Vulva: mons pubis, labia majora and minora, clitoris, hymen, the vestibule, Skene’s and Bartholin’s glands and ducts, minor vestibular glands and the urethral meatus.
  • 54. Female External Genitalia • Vulva covered by keratinized, stratified squamous epithelium. • Hymen is thinly keratinized on external surface, but on vaginal surface has non-keratinized mucosa rich in glycogen.
  • 55. Female External Genitalia • Mons pubis and lateral aspects of labia majora – Changes at puberty. – Increase subcutaneous fat and develop coarse curly hair. – Concomitant maturation and development of sebaceous and apocrine glands.
  • 56. Female External Genitalia . Lateral aspects of the labia minor and inner aspects of prepuce (which do not have hair) also show maturation of sebaceous and apocrine glands at puberty. . Eccrine sweat glands, which are primarily involved in heat regulation, function before puberty.
  • 57. Female External Genitalia – Labia majora contain both smooth muscle and fat. – Labia minora are devoid of fat but are rich in elastin and vessels (erectile tissue).
  • 58. Female External Genitalia Clitoris is the descendent of the embryonic phallus – No sebaceous, apocrine or eccrine sweat glands. – Stroma has two conjoined corpora cavernosa which branch near the base of the clitoris and lie along the pubic rami as divided crura.
  • 59. Female External Genitalia . Bartholin’s glands are tubulo-alveolar glands – Acini are composed of simple columnar mucus-secreting epithelium. – Drained by a duct lined by a transitional epithelium which becomes non-keratinized stratified squamous epithelium near its exit. – Bartholin’s glands are equivalent to the Cowper’s glands in the male.
  • 60. Female External Genitalia: . Skene’s glands are composed of pseudostratified mucus-secreting columnar epithelium. – Ducts are lined by transitional-type epithelium. – Skene’s glands are equivalent to the prostate in male.
  • 61.
  • 62. Mammary Glands 1 • 15-25 lobes of compund tubuloacinar glands similar to apocrine sweat glands • Glands secrete by apocrine mechanism (lipids) and exocytosis (proteins) • Each lobe surrounded by dense irregular connective tissue and has its own duct leading into lactiferous ducts of nipple • Interlobular ducts have simple cuboidal epithelium surrounded by myoepithelial cells
  • 63. Mammary Glands 2 • Lactiferous sinuses lined by stratified squamous epithelium that changes to stratified columnar/cuboidal deeper in lactiferous ducts • Glandular cells proliferate during pregnancy
  • 64. • at puberty there is an increase in connective and adipose tissue , C.T • the glands within the breast are classified as compound tubuloalveolar glands, 64 HISTICS 428
  • 65. • lactiferous sinus and duct lined by stratified cuboidal epithelium • smaller ducts are lined by simple columnar epithelium • myoepithelial cells are present • Terminal ends of the ducts show dilated acini • Each lobule will be enlarged while the inter and intra-lobular tissues are decreased. 65 HISTICS 428
  • 66. Lactating • alveoli composed of cuboidal cells • secretion have two kinds : lipids and proteins • lipids secreted by apocrine mode • proteins secreted by merocrine mode • reduction of interlobular tissue. reduction of intralobular CT.distended acini (alveoli) with milk.Acini are lined with flat epith. • NB.Suckling stimulate prolactin 66 HISTICS and oxytocin hormones secretion 428
  • 67. Mechanism of milk secretion • Contain protien , lipid , water , myoepithelial cell “ contractile “ 67 HISTICS 428

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