Female Reproductive Tract

Objectives:

1. Learn to identify the major organs of the female reproductive tract.
2. Become familiar with the individual structures within those organs that contribute to their function.
3. Distinguish ovarian follicles in different stages of development.
4. Identify the stages of the menstrual cycle from the structure of the endometrium of the uterus.
5. Distinguish the changes in the breast tissue in the resting stage, during pregnancy and the later lactating stages.
6. Become familiar with the unique structures found in the placenta and umbilical cord.
Reading: Histology - A Text and Atlas, Chapter 22. Atlas pages 714-739
 
I. Ovary

1. Encapsulated organ
2. Cortex/medulla organization
3. Fibrous C.T. layer encapsulating organ, the tunica albuginea
4. Simple cuboidal epithelium (continuous with mesothelium of the peritoneal cavity) also known as "germinal epithelium" (a misnomer)
5. Cortex/Ovarian stroma

a. Follicles in different stages of development found here
b. 1°, 2°, Graffian
c. Atretic
6. Medulla a. Highly vascularized with helicine (spiral) arteries
b. Corpus albicans
c. Corpus luteum (also may extend into the cortex)
7. Hilum a. Blood vessels - pampiniform plexus
b. Ligament
c. Lymphatics
d. Autonomic nerves
8. Primordial follicles a. Primary oocyte
b. Surrounded by single flattened layer of follicular cells (squamous)
c. Oocyte has large, eccentric nucleus, prominent nucleous, relatively little cytoplasm
9. Primary follicle (several developmental stages) a. Oocyte is greatly enlarged (early primary)
b. Follicular cells become cuboidal (early primary)
c. Development of zona pellucida between oocyte and follicular cells (late primary)
d. Theca folliculi (organized C.T. layer around follicle, interna (glandular), externa (C.T.))
e. Stratum granulosum, multiple layers of follicular cells
10. Secondary follicle a. Extensive proliferation of stratum granulosa
b. Appearance of follicular antrum (fluid spaces) in stratum granulosa
c. Oocyte is eccentrically situated in cumulus oophorus (thickened area of stratum granulosa)
d. Theca interna (steroid secreting) and externa (C.T.) are readily distinguishable
11. Graafian follicle a. First meiotic division completed by oocyte just prior to ovulation
b. Secondary oocyte formed as a result of meiosis
c. Follicular antrum is highly developed
d. Stratum granulosa forms an even layer around periphery
e. Oocyte surrounded by corona radiata (holds oocyte)
f. Theca interna increasing
12. Atretic follicles a. Oocyte showing signs if degeneration (multiple stages of this)
b. Stratum granulosa showing signs of disorganization
c. Follicular cells separate from basal lamina and oocyte
d. Glassy membrane (between granulosa and theca interna) is a sign of advanced atresia 
 
A. Ovarian follicles
 

129B Ovary, human, Masson
These slides show almost no developing follicles, although some slides show part of a large atretic follicle. However, these slides show several corpus albicans in various stages of involution. These can be identified as the green swirls of acellular tissue scattered throughout the cortex.
 

130 Ovary, mature follicle, cat

Most of these slides have a cut through the hilus and show extensive vasculature within the medulla which is probably the pampiniform plexus. One very nice feature of these slides is the pronounced basement membrane that separates the granulosa cells from the theca interna cells. This is very prominent in the late primary and secondary follicles but can also be seen in the prImordial follicles.

 
B. Corpus luteum

1. Corpus hemorrhagicum

a. Blood clot formed in middle of follicle after ovulation 2. Corpus luteum a. Collapsed follicle after ovulation
b. Granulosa lutein cells (large amount of cytoplasm, vacuolated appearance)
c. Theca lutein cells (smaller, densely stained, less vacuolated appearance)
d. Highly vascularized - endocrine organ
3. Corpus albicans a. Formed by involution of corpus luteum
b. Inactive fibrous mass (scar tissue like appearance)
c.Relatively acellular compared with surrounding stroma
131a Ovary, corpus luteum of pregnancy
This slide is also a good slide of ovary in general. It is apparently Mallory-Azan stained. There are 3 large glandular looking structures in the medulla, but extending into the cortex and these are the corpus luteum. In the surrounding cortex there is a large number of follicles in various stages of development, many of which are atretic. The germinal epithelium is present. Between it and the follicles within the cortex is a layer of connective tissue, the tunica albugenia. The small follicles on the outer regions of the cortex are nearly all primordial. Deeper in the cortex are follicles in nearly all stages of development or atresia. In the corpeus luteum, the intermingling of of granulosa lutein and theca lutein cells is complete. The capillary bed can be identified by the orange substance, which is the color taken up by the RBCs. You can verify that by looking at the larger blood vessels. The zona pelucida stains blue in this preparation.
 
 

131B Corpus luteum of pregnancy, human
Note the very large size of this corpus luteum which is not even completely contained within the section. The very pale regions of delicate tissue are apparently the remenants of the corpus hemmoraghicum from which the RBCs have long ago been phagocytized. There are very few follicles in this slide, but some atretic ones can be found with some persistent searching. The granulosa lutein cells are pale stained, somewhat foamy, whereas the theca lutein cells are darker, smaller and reside in cords that separate the granulosa lutein cells.
 

129A Ovary, c. luteum, human, H&E

There are 2 slides of this tissue, both equally good. The highly cellular tissue is cortical stroma. The germinal epithelium is not apparent in either slide. Virtually everything else is corpus luteum. The granulosa lutein cells are large, pale staining with a prominent nucleolus. Interspersed among the granulosa lutein cells are elongated nuclei of endothelial cells from the intricate capillary network that courses through the tissus. Theca lutein cells appear in cords. They can be identified by their smaller but more irregularly shaped nuclei. Don’t confuse them with the endothelial cells, which generally occur in narrow rows consistent with a capillary. Larger blood vessels can be identified by the RBCs in the lumen. The cortical tissue reveals no obvious follicles.
 

132A Corpus luteum, human, Mallory
132B Corpus luteum, human, H&E
These two companion slides are prepared with stains that bring out different aspects of the organ. This corpus lutein still contains significant amounts of blood from the ovulation step. However, the formation of the endocrine gland is advanced. The cortex of this ovary contains virtually no follicles. In the H&E stained preparation, the granulosa lutein cells are relatively less stained than the theca lutein cells. This is especially prominent in the Mallory stained slide. There is also a large corpus albicans in this slide.
 

II. Oviduct=Fallopian tube
1. Four sections (uterine, isthmus, ampulla, infundibulum)
2. Three layers
a. mucosa
b. muscularis
c. serosa
3. Mucosa a. Epithelium is simple columnar with 2 cell types 1. Ciliated, propel ovum towards uterus
2. Nonciliated, secretory cells called peg cells
b. Lamina propria
4. Muscularis a. Inner circular
b. Outer longitudinal layers
5. Serosa a. Thin layer of connective tissue
b. Mesothelium
6. Infundibulum a. Funnel-shaped structure with extensive folds
b. Usually folds appear in sections as finger-like projections
7. Ampulla a. Highly folded mucosa
b. Visually similar to the ampulla of the vas deferens and seminal vesicles.
8. Isthmus    

133B Oviduct, H&E, human
This appears to be a rather oblique section through the oviduct, not far from the fimbria. The two muscle layers are not very clearly separated and you will take some time to convince yourselves of the presence of two distinct layers. In the mucosa, the two cell types are easy to identify. Extensive vasculature is present. The serosa is present in only a very limited region.

 

133C Oviduct, MA, human
If you can, look at this slide before you look at 134 . There are only two slides of this tissue. It is an excellent transverse seciton through oviduct. The Mallory-Azan stain highlights the connective tissue, but nevertheless also highlights the ciliated cells, which show cilia quite clearly. Can you identify three other characteristics that distinguish the ciliated cells from the peg cells in this tissue (Some of these characteristics may hold only for this particular tissue). The serosa seems to be present in only a small part of the tissue and is difficult to see anyway because of the intense blue color color the underlying connective tissue.
 

134 Fimbrial End, Oviduct, Masson
These slides are all pretty similar. This one you should hold up to the light and view with the naked eye. Hold it with the label to the left and upright. Most of the edges are jagged and irregular. The dark region in the upper right is actually a transverse section through the portion that communicates with the ampulla. The bottom part is the fimbriated end, which is rather more open (like a funnel) so that the section reveals only one side of the fimbria. The fimbriated end is considered the distal end, whereas the near ampulla portion is the proximal (to the uterus) end. The proximal portion is easy to identify, but has some confusing aspects. First, if you look at the lower portion, i.e. away from the fimbria, you will see the muscularis very clearly; it shows two oriented layers. The orientation on muscle in the oviduct is inner circular, outer longitudinal and here at the bottom, the inner muscularis is cut in cross section, the outer cut longitudinally consistent with a longitudinal cut. However, the section seems itself to be a transverse section. This would seem to indicate that the section is really a steep oblique section. In some slides at the lower left as you look down the binocular (if you mounted the section on the microscope with the label on the left) you will see parts of what appear to be two lumen rather like blood vessels (which are numerous in this organ). These are not blood vessels but rather this is the serosa covering. The mesothelium is rather low cuboidal instead of squamous. Compare the epithelium here with the endothelium of some of the arteries and the CT with the t. media to convince yourself that these are not blood vessels. The epithelium of both the proximal and distal ends of this tissue contain both ciliated and peg cells. The ciliated cells are easy to identify.

 

133D Fallopian tube, trans. sec., human
This is a rather thicker section than the previous one, but the preservation seems to be quite good. The thickness makes it difficult to identify the ciliataed from the peg cells but you can find areas that are occupied by only cilliated cells which will remove the problem of having ciliated cells superimposing peg cells. A clear serosa surrounds the connective tissue in two places and can be identified by the dark line at the boundary. The circular and lingitudinal smooth muscle in the muscularis seem to be rather intermingled. To what organ or part of the fallopian tube do you attribute the two pieces of columnar epithelium at the left and right hand edges?
 

135 Fallopian tube, isthmus, human
There are two groups of slide of this tissue, both equally good. This region of the oviduct has a look alike in the male reproductive system, namely the vas deferens. The difference is that vas deferens does not havea columnar epithelium with mixed ciliated and peg cells, but has a pseudostratified columnar epithelium with long microvilli. The vas deferens also does not have a serosa. Only part of this tissue has the serosa intact. The inner circular and outer longitudinal smooth muscle are welldefined in this region of the oviduct, which is relatively near the uterus.

 

III. Uterus
RR&K, page 698-699, Plate 116, 117
A. Endometrium 1. Early proliferative stage a. Thin endometrium ~1-2 mm thick 1. stratum basale
2. stratum functionale consisting of a. stratum spongiosum - more basal layer
b. stratum compactum - nearer surface
b. Stratum spongiosum (glands found here) and compactum are just beginning to proliferate
c. Glands (simple tubular) have not yet significantly proliferated into compactum from the spongiosum
d. Glandular epithelium is low columnar
2. Late proliferative stage a. Glands now extend through stratum compactum and open onto endometrial surface
b. Stratum basale shows no signficant changes
c. Cell proliferation is evident, mitotic figures may abound
d. Glandular epithelium may appear to be pseudostratified as a result
3. Early secretory stage a. Endometrium ~5-6 mm thick
b. Glands now exhibit "corkscrew" configuration
c. Glandular epithelium now synthesizing glycogen (vacuolated basal portion of cell, nucleus is at apical surface of cell)
d. Diagnostic for this portion of the menstrual cycle
4. Late secretory phase a. "Saw tooth" appearance of glands
b. Active secretion of glycogen
c. Glycogen is source of nutrition for fertilized ovum
5. Menstruation a. Ischemia causes degeneration of superficial layers of endometrium
b. Further ischemia causes complete degeneration of stratum functionalis
c. Menses is composed of blood, glandular epithelium, stromal elements
B. Myometrium 1. Three muscle layers - difficult to distinguish orientation a. Inner/outer longitudinal
b. Middle circular - thickest layer
2. Middle muscle layer highly vascularized - stratum vasculare
C. Perimetrium 1. Elastic conective tissue
2. Mesothelium

 

 
138A Uterus, second week, human

This slide shows both endometrium, myometrium and perimetrium. The endometrium is characterized by relatively straight glands. Vascular lakes are visible under the surface epithelium. The serosa is intact in only a small portion of the perimetrium. Spiral arteries can be seen in some areas; they are identified by the cluster of arterial cross sections. These spiral arteries do not extend into the upper 1/3 of the endometrium and above the basalis they are relatively straight.

 
 

138B Uterus, proliferative, Day 4-14, human
Hold this slide up to the light before putting it in the microscope. After you have identified where the endometrium is, look at it by naked eye and try to estimate the thickness of the endometrium. The str. basalis/str. functionalis division is very easy to see. Notice how some of the glands run parallel with the surface, rather than the more expected perpendicuar orientation. If you look in the atlas, you can see somewhat similar orientations in plate 116. The epithelium is very faintly stained and difficult to classify. Lacunae are quite easy to identify in the functionalis. There is also a stratum vasculare in the middle myometrium. The main point to keep in mind with this slide is the distinct basalis/functionalis division. Spiral arteries can be seen in these slides. They can be identified by the fact that many lumen are found in clusters and that the lumen is small. RBCs are cherry red in this preparation.

 

138C Uterus, H&E, Human
This is a section through all 3 regions of the uterus, endometrium, myometrium and perimetrium. The perimetrium is preserved in only a few places. The large number of vessels in the center of the myometrium are the stratum vasculare. These are described as venous plexuses. It is a good review exeercise to see if you can distinguise between the arteries and veins in this region (Hint: keep in mind what the appearance of smooth muscle in the myometrium). In the myometrium, the smooth muscle orientation is quite confusing. If you look toward the perimetrium, the orientation is more regular, but even here there is come cause for confusion. The layer immediately under the perimetrium is cut longitudinally but is rather thin. Just below it, the layer is cut transversely. As you proceed further in, the orientation becomes almost random. The endometrium is in a proliferative phase with a thickness of about 2 mm (Yes, you need to know these numbers!) The glands are relatively straight. The epithelium of the endometrium is nearly impossible to classify. What you can see particularly clearly are the lacunae in the str. functionalis. The basalis/functionalis boundary is where the highly cellular lamina propria ends and the less cellular region begins.

   

139A Uterus, secretory, human, H&E

Compare the structure of these glands with those of the proliferating uterus (2nd week). Notice how saw-toothed these glands are compared with proliferating uterus. The surface epithelium is pretty well intact and in places, you can distinguish ciliated cells. Note how the glands have secretory product in the lumen.

   

139B Uterus, human, progravid phase
The uterine lumen occupies on the apex of this pie slice through the organ. The basalis/functionalis division is clear. The glands appear rather coiled and full of secretory product but not too numerous in the functionalis. The surface epithelium is easyily identified. This is a cross section theough the uterus so that the epitheium on two opposite surfaces is seen in the middle of the tissue. One thing that is rather more easily identified in this tissue than in the others is the lymphatic circulation in the endometrium. Near the glands you can find clusters of lymphocytes. Near the time of ovulation, the mucous plug of the cervix softens to allow sperm to enter the uterus. This softening can also let bacteria enter. The secretions of the endometrium although designed to facilitate the passage of sperm are also an excellent culture medium for bacteria.
 

139C Uterus, secretory, day 23-25, human
Start by holding this slide up to the light and estimating the thickness of the endometrium. Only part of the myometrium is included in the slide. The basalis functionalis division is not as easy to identify in this slide but can be found by comparing the glands which are rather less coiled in the basalis than in the functionalis. The glandular epithelium is obviously secretory because of the clear staining cytoplasm. Notice how some of the secretory cells have an apical nucleus and pale staining basal cytoplasm whereas others have just the opposite. This is a characteristic of early secretory. I would think that this is a rather earlier secretory phase than is indicated in the slide label. The surface epithelium, although not wonderfully preserved is at least identifiably columnar.
 

 

140 Uterus, menstrual, human, H&E

During menstruation, the functionalis of the uterus is in the process of being sloughed off. The s. functionale (SF) you can identify by the large concentration of glands and by the fact that the epithelium has become separated from the basal lamina, which is a sign of necrotic tissue. The s. basale (SB), in contrast, has glands that are better preserved and relatively less dense. Notice the large number of arteries in the functionalis. The myometrium has bundles of smooth muscle in many orientations. The perimetrium is absent in this slide.

 

IV. Uterine cervix
1. Endometrial differences with uterus include a. Large branched glands
b. No spiral arteries
c. Collagenous C.T.
2. Endocervical canal a. Surface epithelium is tall columnar, mucous secreting cells
b. Surface is thrown up into folds giving it a glandular appearance
c. Encocervical glands are branched, mucous secreting
3. Portio vaginalis - portion that projects into vagina a. Transition from tall columnar to stratified squamous, nonkeratinized 4. Relatively more connective tissue and relatively less smooth muscle than the uterus.
 

137 Cervix, human, H&E

  This section contains the simple columnar epithelium of the cervical canal (which is interrupted) and the stratified squamous epithelium of the portio vaginalis (which has separated in some places). The cervical glands can be identified by their columnar epithelium and branching structure. The lack of spiral arteries also helps distinguish them from uterine glands. Since this mucosa is not sloghed off during menstruation, the cellular density across it is more uniform, i.e. there is not apparent basalis/functionalis division.

 

V. Vagina
RR&K, page 707, Atlas plate 121
1. Stratified squamous, non-keratinzed, epithelium

2. Lamina propria - inner and outer regions

a. Inner region (below epithelium) is highly cellular with many elastic fibers and small veins
b. Outer region (deeper relative to epithelium) contains numerous thin walled veins that function as erectile tissue
c. No glands
3. Outer layers of smooth muscle (circular and longitudinal); orientation relatively poorly defined

4. Bulbospongiosus muscle may be present near the vestibule.

 
142 Vagina, human, H&E

The vagina is a fibromuscular tube lined with a non-keratinized stratified squamous epithelium. This epithelium is interrupted in some places in this slide. The vagina mucosa is devoid of glands which distinguishes it from the epidermis of skin. Immediately under the epithelium, there is a thin lamina propria and deeper a less cellular connective tissue that forms a submucosa. Even deeper is found a muscularis with smooth muscle fibers. Be sure that you can identify the smooth muscle fibers that define the location of the muscularis

 

VI. Breast
RR&K, pages 711-712, Atlas plates 122, 123
1. Lobular organization of secretory regions

2. Alveolar ducts lined by simple cuboidal epithelium

3. Dense fibrous and fatty connective tissue abound

4. Lactating breast: alveoli distended with milk

5. Irregular branching of alveoli allows one to easily distinguish lactating breast from its look-alike, the thyroid gland

6. Non-lactating mammary gland contains stratified cuboidal ducts; very little if any glandular tissue

7.Proliferating mammary depending on stage has numerous alveolar glands but very little secretory product in the lumen
 
 

143A Breast, non-lact., human, Masson
Non-lactating breast consists mainly of ducts as well as connective and adipose tissue. Because these glands are specialized sweat glands, these ducts will be lined with a stratified cuboidal epithelium. Ducts proliferate under the influence of estrogen and alveoli under the influence of progesterone. The epithelium is not particularly well preserved in this slide, but you can identify the two layers by the relatively well stained luminal layer and the less well stained basal layer which also contains fewer cells. Collagen fibers appear green in this slide and RBCs have a brown color and are present in large numbers in the capillaries surrounding the ducts.
 

 

143B Breast, non-lact., human
This tissue consists of essentially large excretory ducts and surrounding connective tissue. There is very little adipose tissue.
 

143C Breast, Masson, human
This is a slide of resting breast tissue and contains mostly ducts of varying sizes.

 
 

143D Mammary gland, inactive

This slide consists of small stratified cuboidal ducts, surrounding CT and some skeletal muscle. Note that the CT is loose around the ducts and dense between the lobules (groups of ducts in this case).

 

 

144 Breast, H&E, human
This is a slide of proliferating mammary gland. There is quite a bit of variation among the different slides. The lack of colloid in the glands is a clear indication that milk production has not yet begun.
 

 

145A Breast, lactating, human, H&E

The major characteristic of lactating breast is the presence of many glands full of secretory product. These glands are specialized apocrine sweat glands and share many characteristics with them. Because these glands are lined with a cuboidal epithelium, they also appear much like thyroid glands. However, unlike thyroid, breast is an exocrine organ so there are excretory ducts, identifiable in this slide by stratified cuboidal epithelium, and anastamosing glands which connect into the ducts. When you search the tissue, make sure you can identify the anastamosing follicles and the excretory ducts which are the distinguishing characteristics.

 

145B Breast, H&E, human
This is a slide of lactating mammary gland and should be examined closely. There are two key features that dinsinguish lactating mammary gland from its lookalike, thyroid: anastamosing glands and excretory ducts. Be sure you can identifying both in this slide. The ducts are stratified cuboidal just like in sweat glands, to which they are homologous but unlike sweat glands, these ducts can be quite large in diameter. Note also the lobular organization with clear CT septae separating the lobules. The glands are full of milk secretions which in a histological preparation looks just like the colloid of thyroid gland.

 

145C Mammary gland, lactating monkey
This is another slide of lactating mammary. Be sure that you can identifying anastamosing glands. The excretory ducts are more difficult to identify because the epithelium is rather more flattened than usual.
 

 

146 Nipple, MA, human
This slide shows a stratified squamous epithelium, underlying dense irregular CT. Below this is a loose connective tissue layer. Most of the lactiferous ducts will be found in the loose CT. Some slides show the ducts in the dense CT. Some sebaceous glands can be found just under the keratinized stratified squamous epithelium.

 

VII. Placenta

R,R,&K pages 702-703, Atlas plates 119, 120
1. Amnion

a. Simple cuboidal epithelium
b. Underlying connective tissue
2. Chorionic plate (fetal) a. Thick CT mass
b. Blood vessels resembling those in the umbilical cord
3. Chorionic villi (fetal) a. CT core
b. Two layered covering; syncytialtrophoblasts and cytotrophoblasts
c. Primary contain outer layer of syncytialtrophoblasts with inside filled with cytotrophoblasts
d. Secondary have two outer cell layers of syncytialtrophoblasts and cytotrophoblasts and inner region filled with loose CT and fetal nesenchyme
e. Tertiary villi have outer cell layer of syncytialtrophoblasts, incomplete inner layer of cytotrophoblasts, mesenchyme and blood vessels fill the interior.
4. Decidua basalis  

141A Uterus, pregnant, human
You will need to refer to the text and atlas for this slide. The chorionic villi are the islands of tissue composed of loose CT. They are lined by two cell layers; the outer layer is composed of synciotrophoblasts, the inner layer of cytotrophoblasts. They are almost all secondary villi because they have not been invaded yet by placental vasculature. The chorionic plate is to the left of the slide, the basal plate to the right.
 

 

141B Chorionic villi, placenta, human
These are 3° villi because of the presence of vasculature within them. Other than that, there seems to not be a lot to identify in this slide.

 

141D Placenta, H&E, human
There is a wide range of cuts for this tissue. This description is of slide 44 in this group. The slide orientation has maternal side at the top with a large cut of myometrium. There are regions of highly cellular tissue with relatively large cells. These are the stratum basale and the large cells are the decidual cells. In the chorionic villi, two identifiably different cell layers are easily distinguished in the transverse sections.
 

 
141C Placenta, human
This is a good, easy to understand slide. It contains just about nothing but 3° chorionic villi. The two cell layers that line the villi in an early placenta are not so easily seen as in the previous slides but can be seen in some regions. RBCs are easily identified by their cherry red color.

 

VIII. Umbilical cord
1. Chord containing two arteries and one vein

2. Arteries and veins contain two muscle layers

a. Inner longitudinal
b. Outer circular
3. Loose mesenchyme CT surrounding vessels

4. Amnion epithel around the tube.
 

  136A Umb. cord, H&E, human
136B Umb. cord, Masson, human
136C Umb. cord, H&E, human

Umbilical cord consists of two arteries that carry blood to the placenta and a vein that returns blood to the fetus, surrounding connective tissue and a lining serosa (amnion epithelium). Note that there seem to be no small vessels or capillaries in the connective tissue. Superficially all ofthe large vessels look like arteries. However close examination can distinguish them. These vessels are unusual in that both the arteries and vein have two muscle layers, an inner longitudinal and an outer circular. The arteries, like most arteries have thick muscle layers. With that information, can you determine which are the arteries and which is the vein? The urachus/vitelline duct are vestigial embryological structures that connected the fetus the yolk sac. In lower vertebrates the vitelline duct nurishes the developing fetus. The urachus is a fetal excretory organ. In humans they have no essential function after the placenta develops.
 
Female Reproductive Tract Terms
 
General  menarche 
menstrual cycle 
menopause 
ovaries  gametogenesis 
steroidogenesis 
oogenesis 
estrogens 
progestogens 
superior/tubal pole 
suspensory ligament 
inferior/uterine pole 
ovarian ligament 
gubernaculum 
medulla 
cortex 
germinal epithelium 
tunica albugenia 
ovarian follicles  atresia 
primordial 
primary 
secondary/antral 
Graaffian 
follicular cells 
zona pelucida 
granulosa cells 
theca folliculi 
theca interna/externa 
liquor folliculi 
stratum granulosa 
antrum 
corona radiata 
cumulus oophorus
macula pelucida/stigma 
oocyte  primary 
secondary 
polar bodies 
ovum 
pronucleus
fertilization  capacitation 
acrosome reaction 
zygote 
fast block to polyspermy 
cortical reaction 
zona reaction 
perivitelline barrier
corpus luteum  corpus hemorrhagicum 
granulosa lutein cells 
thecal lutein cells 
luteotropins  luteinizing hormone 
insulin
corpus albicans 
glassy membrane 
interstitial glands
helicine arteries 
pampiniform plexus
oviduct  Fallopian tubes 
infundibilum 
fimbriae 
ampulla 
isthmus 
uterine/intramural part 
ciliated cells 
peg cells
uterus  body 
fundus 
cervix 
isthmus 
cervical canal 
internal os 
external os 
endometrium 
myometrium 
perimetrium 
stratum vasculare 
stratum functionale 
stratum basale 
uterine glands 
radial arteries 
straight arteries 
spiral artery 
lacunae 
portio vaginalis 
menstrual cycle  proliferative phase 
secretory phase 
menstrual phase
implantation  morula 
blastomeres 
blastocyst 
trophplasts 
embryoblast 
syncytiotrophoblast 
cytotrophoblast
placenta  chorion 
decidua basalis 
decidua capsularis 
decidual parietalis 
chorionic cavity 
amnion 
primary chorionic villi 
secondary villi 
tertiary villi 
chorion laeve 
chorion frondosum 
chorionic plate 
placental (decidual) septa 
cotyledons 
basal plate 
umbilical cord 
umbilical arteries 
umbilical veins 
endocrine placenta  human chorionic gonadotropin 
insulin-like growth factors IGF-I, IGF-II 
endothelial growth factor 
relaxin
vagina 
vulva 
mons pubis 
labia majora  Meissner’s corpuscles 
Pacinian corpuscles
labia minora 
clitoris  corpora cavernosa 
glans clitoris
vestibule  lesser vestiblar glands 
Bartholin's glands
mammary glands  lactiferous duct 
areola 
lactiferous sinus 
merocrine secretion 
apocrine secretion 
colostrum