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Chapter 15, MedTerms
The Female Reproductive System; Pregnancy and Birth
Term | Definition |
---|---|
vasectomy/tubal ligation | cutting and tying the tubes that carry the gametes |
birth control pills | estrogen and progestin or progestin alone taken orally to prevent ovulation |
birth control shot | injection of synthetic progesterone every three months to prevent ovulation |
birth control patch | adhesive patch placed on body that administers estrogen and progestin through the skin; left on for three weeks and removed for a fourth week |
birth control ring | flexible ring inserted into vagina that releases hormones internally; left in place for three weeks and removed for a fourth week |
condom | sheath that prevents sperm cells from contacting an ovum; a male condom fits over an erect penis; a female condom fits in the vagina and covers the cervix |
diaphragm (with spermicide) | rubber cap that fits over cervix and prevents sperm entrance |
contraceptive sponge (with spermicide) | soft, disposable foam disk containing spermicide, which is moistened with water and inserted into vagina |
intrauterine device (IUD) | metal or plastic device inserted into uterus through vagina; prevents fertilization and implantation by release of copper or birth control hormones |
spermicide | chemicals used to kill sperm; best when used in combination with a barrier method |
fertility awareness | abstinence during fertile part of cycle as determined by menstrual history, basal body temperature, or quality of cervical mucus |
cervix | Neck; usually means the lower narrow portion (neck) of the uterus (root: cervic/o); also called the cervix uteri |
clitoris | A small erectile body anterior to the urethral opening that is similar in developmental origin to the penis (roots: clitor/o, clitorid/o) |
contraception | The prevention of pregnancy |
corpus luteum | This small yellow structure that develops from the ovarian follicle after ovulation and secretes progesterone and estrogen |
cul-de-sac | A blind pouch, such as the recess between the rectum and the uterus; the rectouterine pouch or pouch of Douglas |
endometrium | The inner lining of the uterus |
estrogen | A group of hormones that produce female characteristics and prepare the uterus for the fertilized egg; the most active of these is estradiol |
fallopian tube | A tube extending from the upper lateral portion of the uterus that carries the ovum to the uterus (root: salping/o); also called uterine tube |
fimbriae | The long finger-like extensions of the uterine tube that wave to capture the released ovum (singular: fimbria) |
follicle-stimulating hormone (FSH) | A hormone secreted by the anterior pituitary that acts on the gonads; in the female, it stimulates ripening of ova in the ovary |
fornix | An arch-like space, such as the space between the uppermost wall of the vagina and the cervix; from Latin meaning arch |
greater vestibular gland | A small gland that secretes mucus through a duct that opens near the vaginal orifice; also called Bartholin gland |
labia majora | The two large folds of skin that form the sides of the vulva (root labi/o means "lip") (singular: labium majus) |
labia minora | The two small folds of skin within the labia majora (singular: labium minus) |
luteinizing hormone (LH) | A hormone secreted by the anterior pituitary that acts on the gonads; in the female, it stimulates ovulation and corpus luteum formation |
mammary gland | A specialized gland capable of secreting milk in the female (roots: mamm/o, mast/o); the breast |
menarche | The first menstrual period, which normally occurs during puberty |
menopause | Cessation of menstrual cycles in the female |
menstruation | The cyclic discharge of blood and mucosal tissues from the lining of the nonpregnant uterus (roots: men/o, mens); menstrual period, menses |
myometrium | The muscular wall of the uterus |
ovarian follicle | The cluster of cells in which the ovum ripens in the ovary |
ovary | A female gonad (roots: ovari/o, oophor/o) |
ovulation | The release of a mature ovum from the ovary (from ovule, meaning "little egg") |
ovum | The female gamete or reproductive cell (roots: oo, ov/o) (plural: ova) |
perineum | The region between the thighs from the external genitalia to the anus (root: perine/o) |
progesterone | A hormone produced by the corpus luteum and the placenta that maintains the endometrium for pregnancy |
tubal ligation | Surgical constriction of the uterine tubes to produce sterilization |
uterine tube | A tube extending from the upper lateral portion of the uterus that carries the ovum to the uterus (root: salping/o); also called fallopian tube |
uterus | The organ that receives the fertilized egg and maintains the developing offspring during pregnancy (roots: uter/o, metr, hyster/o) |
vagina | The muscular tube between the cervix and the vulva (roots: vagin/o, colp/o) |
vulva | The external female genital organs (roots: vulv/o, episi/o) |
gyn/o, gynec/o | woman |
men/o, mens | month, menstruation |
oo | ovum, egg cell |
ov/o, ovul/o | ovum, egg cell |
ovari/o | ovary |
oophor/o | ovary |
salping/o | uterine tube, tube |
uter/o | uterus |
metr/o, metr/i | uterus |
hyster/o | uterus |
cervic/o | cervix, neck |
vagin/o | vagina |
colp/o | vagina |
vulv/o | vulva |
episi/o | vulva |
perine/o | perineum |
clitor/o, clitorid/o | clitoris |
mamm/o | breast, mammary gland |
mast/o | breast, mammary gland |
candidiasis | Infection with the fungus Candida, a common cause of vaginitis |
dysmenorrhea | Painful or difficult menstruation; a common disorder that may be caused by infection, use of an intrauterine device, endometriosis, overproduction of prostaglandins, or other factors |
endometriosis | Growth of endometrial tissue outside the uterus, usually in the pelvic cavity |
fibroid | Benign tumor of smooth muscle |
leiomyoma | Benign tumor of smooth muscle, usually in the uterine wall (myometrium); in the uterus, may cause bleeding and pressure on the bladder or rectum; also called fibroid or myoma |
pelvic inflammatory disease (PID) | Condition caused by the spread of infection from the reproductive tract into the pelvic cavity; commonly caused by sexually transmitted gonorrhea and Chlamydia infections |
salpingitis | Inflammation of a uterine tube, typically caused by urinary tract infection or sexually transmitted infection; chronic salpingitis may lead to infertility or ectopic pregnancy |
vaginitis | Inflammation of the vagina |
colposcope | Instrument of the vagina |
cone biopsy | Removal of a cone of tissue from the cervical lining for cytologic examination; also called conization |
dilation and curettage (D&C) | Procedure in which the cervix is dilated (widened) and the uterine lining is scraped with a curette |
hysterectomy | Surgical removal of the uterus; most commonly done because of tumors; often the uterine tubes and ovaries are removed as well |
mammography | Radiographic study of the breast for the detection of breast cancer; the image obtained is a mammogram |
mastectomy | Excision of breast tissue to eliminate malignancy |
oophorectomy | Excision of an ovary |
Pap smear | Study of cells collected from the cervix and vagina for early detection of cancer; also called Papanicolaou smear or Pap test |
salpingectomy | Surgical removal of the uterine tube |
sentinel node biopsy | Biopsy of the first lymph nodes to receive drainage from a tumor; used to determine spread of cancer in planning treatment |
stereotactic biopsy | Needle biopsy using a computer-guided imaging system to locate suspicious tissue and remove samples for study |
tomosynthesis | Three-dimensional x-ray imaging technique for detection of breast cancer; digital tomosythesis |
adnexa | Appendages, such as the adnexa uteri—the ovaries, uterine tubes, and uterine ligaments |
areola | A pigmented ring, such as the dark area around the nipple of the breast |
Graafian follicle | A mature ovarian follicle |
hymen | A fold of mucous membrane that partially covers the entrance of the vagina |
mons pubis | The rounded, fleshy elevation anterior to the pubic joint that is covered with hair after puberty |
oocyte | An immature ovum |
perimenopause | The period immediately before menopause; begins at the time of irregular menstrual cycles and ends one year after the last menstrual period; averages three to four years |
vestibule | The space between the labia minora that contains the openings of the urethra, vagina, and ducts of the greater vestibular glands |
cystocele | Herniation of the urinary bladder into the wall of the vagina |
dyspareunia | Pain during sexual intercourse |
fibrocystic disease of the breast | A condition in which there are palpable lumps in the breasts, usually associated with pain and tenderness; these lumps or "thickenings" change with the menstrual cycle and must be distinguished from malignant tumors by diagnostic methods |
hirsutism | Excess hair growth |
leukorrhea | White or yellowish discharge from the vagina; infection and other disorders may change the amount, color, or odor of the discharge |
microcalcification | Small deposit of calcium that appears as a white spot on mammograms; most microcalcifications are harmless, but some might indicate breast cancer |
prolapse of the uterus | Downward displacement of the uterus with the cervix sometimes protruding from the vagina |
rectocele | Herniation of the rectum into the wall of the vagina; also called proctocele |
culdocentesis | Puncture of the vaginal wall to sample fluid from the rectouterine space for diagnosis |
episiorrhaphy | Suture of the vulva or suture of the perineum cut in an epistiotomy (incision to ease childbirth) |
laparoscopy | Endoscopic examination of the abdomen; may include surgical procedures, such as tubal ligation |
myomectomy | Surgical removal of a uterine leiomyoma (fibroid, myoma) |
speculum | An instrument used to enlarge the opening of a passage or cavity to allow examination |
teletherapy | Delivery of radiation to a tumor from an external beam source, as compared to implantation of radioactive material (brachytherapy) or systemic administration of radionuclide |
aromatase inhibitor (AI) | Agent that inhibits estrogen production; used for postmenopausal treatment of breast cancers that respond to estrogen; examples are exemestane (Aromasin), anastrozole (Arimidex), and letrozole (Femara) |
bisphosphonate | Agent used to prevent and treat osteoporosis; increases bone mass by decreasing bone turnover; examples are aldronate (Fosamax) and risedronate (Actonel) |
HER2 inhibitor | Drug used to treat breast cancers that show excess receptors (HER2) for human epidermal growth factor; example is trastuzumab (Herceptin) |
paclitaxel | Antineoplastic agent derived from yew trees used mainly in treatment of breast and ovarian cancer; Taxol |
selective estrogen receptor modulator (SERM) | Drug that acts on estrogen receptors; examples are tamoxifen (Nolvadex) and raloxifene (Evista), which is also used to prevent bone loss after menopause |
AI | Aromatase inhibitor |
BRCA1 | Breast cancer gene 1 |
BRCA2 | Breast cancer gene 2 |
BSE | Breast self-examination |
BSO | Bilateral salpingo-oophorectomy |
BV | Bacterial vaginosis |
CIN | Cervical intraepithelial neoplasia |
D&C | Dilation and curettage |
DCIS | Ductal carcinoma in situ |
DES | Diethylstilbestrol |
DUB | Dysfunctional uterine bleeding |
FSH | Follicle-stimulating hormone |
GC | Gonococcus (cause of gonorrhea) |
GYN | Gynecology |
HPV | Human papillomavirus |
HRT | Hormone replacement therapy |
IUD | Intrauterine device |
LH | Luteinizing hormone |
MHT | Menopausal hormone therapy |
NGU | Nongonococcal urethritis |
PCOS | Polycystic ovarian syndrome |
PID | Pelvic inflammatory disease |
PMS | Premenstrual syndrome |
SERM | Selective estrogen receptor modulator |
STD | Sexually transmitted disease |
STI | Sexually transmitted infection |
TAH | Total abdominal hysterectomy |
TSS | Toxic shock syndrome |
UFE | Uterine fibroid embolization |
VD | Venereal disease (sexually transmitted disease) |
amniotic sac | The membranous sac filled with fluid that holds the fetus; also called amnion (root: amnio) |
Apgar score | A system of rating an infant's physical condition immediately after birth; five features are rated as 0, 1, or 2 at one and five minutes after delivery and sometimes thereafter; the maximum possible score at each test interval is 10 |
chorion | The outermost layer of the embryo that, with the endometrium, forms the placenta (adjective: chorionic) |
colostrum | Breast fluid that is secreted in the first few days after giving birth before milk is produced |
ductus arteriosus | A fetal blood vessel that connects the pulmonary artery with the descending aorta, thus allowing blood to bypass the lungs |
embryo | The stage in development between the zygote and the fetus, extending from the second through the eighth week of growth in the uterus (root: embry/o) (adjective: embryonic) |
fertilization | The union of an ovum and a spermatozoon |
fetus | The developing child in the uterus from the third month to birth (root: fet/o) (adjective: fetal) |
foramen ovale | A small hole in the interatrial septum in the fetal heart that allows blood to pass directly from the right to the left side of the heart |
gestation | The period of development from contraception to birth |
gravida | Pregnant woman |
human chorlonic gonadotropin (hCG) | A hormone secreted by the embryo early in pregnancy that maintains the corpus luteum so that it will continue to secrete hormones |
lactation | The secretion of milk from the mammary glands |
oxytocin | A pituitary hormone that stimulates contractions of the uterus; it also stimulates release ("letdown") of milk from the breasts |
para | Woman who has produced a viable infant; multiple births are considered as single pregnancies |
parturition | Childbirth (root: nat/i); labor (root: toc/o) |
placenta | The organ composed of fetal and maternal tissues that nourishes and maintains the developing fetus |
prostaglandins | A group of hormones with varied effects, including the stimulation of uterine contractions |
umbilical cord | The structure that connects the fetus to the placenta; it contains vessels that carry blood between the mother and the fetus |
zygote | The fertilized ovum |
amnio | amnion, amniotic sac |
embry/o | embryo |
fet/o | fetus |
toc/o | labor |
nat/i | birth |
lact/o | milk |
galact/o | milk |
gravida | pregnant woman |
para | woman who has given birth |
albinism | recessive gene mutation; lack of pigmentation |
cystic fibrosis | recessive gene mutation; affects respiratory system, pancreas, and sweat glands; most common hereditary disease in white populations |
Down syndrome | extra chromosome 21; slanted eyes, short stature, mental retardation, and others; incidence increases with increasing maternal age; trisomy 21 syndrome |
fragile X chromosome | defect in an X (sex-determining) chromosome; reduced intellectual abilities, autism, hyperactivity; enlarged head and ears; passed from mothers to sons with the X chromosome (sex-linked) |
hemophilia | recessive gene mutation on the X chromosome; bleeding disease inherited with an X chromosome and usually passed from mothers to sons |
Huntington disease | dominant gene mutation; altered metabolism destroys specific nerve cells; appears in adulthood and is fatal within about 10 years; causes motor and mental disorders |
Klinefelter syndrome | extra X chromosome; lack of sexual development, lowered intelligence |
Marfan syndrome | dominant gene mutation; disease of connective tissue with weakness of the aorta |
neurofibromatosis | dominant gene mutation; multiple skin tumors containing nerve tissue |
phenylketonuria (PKU) | recessive gene mutation; lack of enzyme to metabolize an amino acid (phenylalanine); neurologic signs, mental retardation, lack of pigment; tested for at birth; special diet can prevent retardation |
sickle cell anemia | recessive gene mutation; abnormally shaped red cells block blood vessels; mainly affects black populations |
Tay-Sachs disease | recessive gene mutation; an enzyme deficiency causes lipid to accumulate in nerve cells and other tissues; causes death in early childhood; carried i eastern European Jewish populations |
Turner syndrome | single X chromosome; sexual immaturity, short stature, possible lowered intelligence |
abortion | Termination of a pregnancy before the fetus is capable of surviving outside the uterus, usually at 20 weeks or 500 g; may be spontaneous or induced; a spontaneous abortion is commonly called a miscarriage |
anencephaly | Congenital absence of a brain |
atresia | Congenital absence or closure of a normal body opening |
carrier | An individual who has an unexpressed genetic defect that can be passed to his or her children |
cleft lip | A congenital separation of the upper lip |
cleft palate | A congenital split in the roof of the mouth |
congenital disorder | A disorder that is present at birth; may be developmental or hereditary (familial) |
eclampsia | Convulsions and coma occurring during pregnancy or after delivery and associated with the conditions of pregnancy-induced hypertension (adjective: eclamptic) |
ectopic pregnancy | Development of the fertilized ovum outside the body of the uterus; usually occurs in the uterine tube (tubal pregnancy) but may occur in other parts of the reproductive tract or abdominal cavity |
hemolytic disease of the newborn (HDN) | Disease that results from Rh incompatibility between the blood of a mother and her fetus |
mastitis | Inflammation of the breast, usually associated with the early weeks of breast-feeding |
mutation | A change in the genetic material of the cell; most mutations are harmful; if the change appears in the sex cells, it can be passed to future generations |
placental abruption | Premature separation of the placenta; abruptio placentae |
placenta previa | Placental attachment in the lower portion of the uterus instead of the upper portion, as is normal; may result in hemorrhage late in pregnancy |
pregnancy-induced hypertension (PH) | A toxic condition of late pregnancy associated with hypertension, edema, and proteinuria that, if untreated, may lead to eclampsia; also called preeclampsia and toxemia of pregnancy |
spina bifida | A congenital defect in the closure of the spinal column through which the spinal cord and its membranes may project |
teratogen | A factor that causes developmental abnormalities in the fetus (root terat/o means "malformed fetus") (adjective: teratogenic) |
amniocentesis | Transabdominal puncture of the amniotic sac to remove amniotic fluid for testing; tests on the cells and fluid obtained can reveal congenital abnormalities, blood incompatibility, and sex of the fetus |
chorionic villus sampling (CVS) | Removal of chorionic cells through the cervix for prenatal testing; can be done earlier in pregnancy than amniocentesis |
dilatation and evacuation (D&E) | Widening of the cervix and removal of conception products by suction |
karyotype | A picture of cellular chromosomes arranged in order of decreasing size; can reveal abnormalities in the chromosomes themselves or in their number or arrangement (root kary/o means "nucleus") |
ultrasonography | The use of high-frequency sound waves to produce a photograph of an organ or tissue; used in obstetrics to diagnose pregnancy, multiple births, and abnormalities and also to study and measure the fetus; the image obtained is a sonogram or ultrasonogram |
afterbirth | The placenta and membranes delivered after birth of a child |
antepartum | Before childbirth, with reference to the mother |
Braxton Hicks contractions | Light uterine contractions that occur during pregnancy and increase in frequency and intensity during the third trimester; they strengthen the uterus for delivery |
chloasma | Brownish pigmentation that appears on the face during pregnancy; melasma |
fontanel | A membrane-covered space between cranial bones in the fetus that later becomes ossified; a soft spot; also spelled fontanelle |
intrapartum | Occuring during childbirth |
linea nigra | A dark line on the abdomen from the umbilicus to the pubic region that may appear late in pregnancy |
lochia | The mixture of blood, mucus, and tissue discharged from the uterus after childbirth |
meconium | The first feces of the newborn |
peripartum | Occurring during the end of pregnancy or the first few months after delivery, with reference to the mother |
postpartum | After childbirth, with reference to the mother |
premature | Describing an infant born before the organ systems are fully developed; immature |
preterm | Occurring before the 37th week of gestation; describing an infant born before the 37th week of gestation |
puerperium | The first 42 days after childbirth, during which the mother's reproductive organs usually return to normal (root puer means "child") |
striae atrophicae | Pinkish or gray lines that appear where skin has been stretched, as in pregnancy; stretch marks, striae gravidarum |
umbilicus | The scar in the middle of the abdomen that marks the attachment point of the umbilical cord to the fetus; the navel |
vernix caseosa | The cheese-like deposit that covers and protects the fetus (literally "cheesy varnish") |
cephalopelvic disproportion | The condition in which the head of the fetus is larger than the mother's pelvic outlet; also called fetopelvic disproportion |
choriocarcinoma | A rare malignant neoplasm composed of placental tissue |
galactorrhea | Excessive secretion of milk or continued milk production after breast-feeding has ceased; often results from excess prolactin secretion and may signal a pituitary tumor |
hydatidiform mole | A benign overgrowth of placental tissue; the placenta dilates and resembles grape-like cysts; the neoplasm may invade the uterine wall, causing rupture; also called hydatid mole |
hydramnios | An excess of amniotic fluid; also called polyhydramnios |
oligohydramnios | A deficiency of amniotic fluid |
patent ductus arteriosus (PDA) | Persistence of the ductus arteriosus after birth so that blood continues to shunt from the pulmonary artery to the aorta |
puerperal infection | Infection of the genital tract after delivery |
abortifacient | Agent that induces abortion |
alpha-fetoprotein (AFP) | A fetal protein that may be elevated in amniotic fluid and maternal serum in cases of certain fetal disorders |
artificial insemination (AI) | Placement of active semen into the vagina or cervix for the purpose of impregnation; the semen can be from a husband, partner, or donor |
cesarean section | Incision of the abdominal wall and uterus for delivery of a fetus; also called cesarean birth |
endometrial ablation | Selective destruction of the endometrium for therapeutic purpose; done to relieve excessive menstrual bleeding (menorrhagia) |
extracorporeal membrane oxygenation (ECMO) | A technique for pulmonary bypass in which deoxygenated blood is removed, passed through a circuit that oxygenates the blood, and then returned; used for selected newborn and pediatric patients in respiratory failure with an otherwise good prognosis |
in vitro fertilization (IVF) | Clinical procedure for achieving fertilization when it cannot be accomplished naturally; an oocyte (immature ovum) is removed, fertilized in the laboratory, and placed as a zygote into the uterus or fallopian tube (ZIFT, zygote intrafallopian transfer) |
obstetrics | The branch of medicine that treats women during pregnancy, childbirth, and the puerperium; usually combined with the practices of gynecology |
pediatrics | The branch of medicine that treats children and diseases of children (root ped/o means "child") |
pelvimetry | Measurement of the pelvis by manual examination or radiographic study to determine whether delivery of a fetus through the vagina will be possible |
Pitocin | Trade name for oxytocin; used to induce and hasten labor |
presentation | Term describing the part of the fetus that can be felt by vaginal or rectal examination; normally the head presents first (vertex presentation), but sometimes the buttocks (breech presentation), face, or other part presents first |
RhoGAM | Trade name for a preparation of antibody to the Rh(D) antigen; used to prevent hemolytic disease of the newborn in cases of Rh incompatibility |
AB | Abortion |
AFP | Alpha-fetoprotein |
AGA | Appropriate for gestational age |
AI | Artificial insemination |
ART | Assisted reproductive technology |
C-section | Cesarean section |
CPD | Cephalopelvic disproportion |
CVS | Chorionic villus sampling |
D&E | Dilatation and evacuation |
ECMO | Extracorporeal membrane oxygenation |
EDC | Estimated date of confinement |
FHR | Fetal heart rate |
FHT | Fetal heart tone |
FTND | Full-term normal delivery |
FTP | Full-term pregnancy |
GA | Gestational age |
GIFT | Gamete intrafallopian transfer |
hCG | Human chorionic gonadotropin |
HDN | Hemolytic disease of the newborn |
IVF | In vitro fertilization |
LMP | Last menstrual period |
NB | Newborn |
NICU | Neonatal intensive care unit |
OB | Obstetrics, obstetrician |
PDA | Patent ductus arteriosus |
PIH | Pregnancy-induced hypertension |
PKU | Phenylketonuria |
SVD | Spontaneous vaginal delivery |
UC | Uterine contractions |
UTP | Uterine term pregnancy |
VBAC | Vaginal birth after cesarean section |
ZIFT | Zygote intrafallopian transfer |