Human Reproductive Anatomy MEDICAL CURRICULUM SESSION 1 SEPTEMBER

Human Reproductive Anatomy MEDICAL CURRICULUM SESSION 1 – SEPTEMBER 2017 BAT-SHEVA L. MASLOW, MD BLMASLOW@GMAIL. COM 917 -363 -3895

Introduction • Goals of Medical Curriculum • Enrich the Yoatzot’s learning of halacha with a deeper knowledge of the relevant anatomy and physiology. (Year 1, Part 1) • Educate the Yoatzot on relevant medical issues that may have halachik implications (Year 1, Part 2) • Enable to the Yoetzet to synthesize her knowledge of medicine with her halachik thought process (Year 2) • Empower the Yoetzet to recognize when serious health issues may be present and/or when further professional evaluation is warranted

Plan of Study • Year 1 • Part 1: Structure and Function of Human Reproductive Systems • Part 2: Diagnosis and Treatment of Disorders/Disease of the Reproductive Systems • Assessments: • Multiple choice quizzes on each session • Multiple choice final exam • Year 2/Part 3 - Seminars in Health and Halacha • • Sessions will focus on topics that yoatzot have dealt with in the past Incorporate (and review) topics from Year 1 Discussion based with experts in the field Assessments: Problem based case studies, Final exam written/oral problem based from Yoatzot archives

Session 1: Anatomy of Human Reproductive Systems §Objectives: § The Yoetzet should gain a working knowledge of the nomenclature, location, and function of the following female anatomical structures: § Female external and internal genitalia § Female pelvic reproductive organs, specifically their location with respect to other pelvic organs and internal/external landmarks § Correlate the anatomical structures with their halachik equivalents § Understand the embryologic development of the female reproductive organs in so much as it may lead to anatomical abnormalities § The mechanics behind the basic female pelvic exam, including speculum exam, pap smear, and bimanual exam § The Yoetzet should understand the following with respect to male anatomy § Nomenclature and function of the basic male reproductive organs § The function and mechanics of reproductive structures during intercourse § The basics of spermatogenesis and how it differs from oogenesis

External Genitalia § Mons §Clitoris §Labia (Minora/Majora) §Urethral meatus §Vaginal meatus (introitus) §Perineum §Anus

The Hymen §Part of normal development §Must have some opening for menstrual flow §Imperforate/septate require surgical correction to allow for intercourse §May or may not bleeding with first penetration

Internal Reproductive Organs §Vagina §Cervix §Uterus §Fallopian Tubes §Ovaries

Mechanics of Pelvic Exam

Vagina § 3 D space to accommodate intercourse/delivery (exam) §Cervix at the “top” although may be pointed toward back or front §Bimanual exam allows palpation of surrounding organs

Pelvis §Bladder/Bowel §Ureters §Pelvic floor §https: //vimeo. com/45379737

Halachik Equivalents §Kever §Petichat ha Kever §Makor §Pi ha makor

Embryologic Development

Mullerian Anomalies

Male Reproductive System §Testicle §Epididymis §Spermatic Cord §Vas Deferens §Prostate §Bladder §Urethra §Penis §Urethral meatus

Spermatogenesis §Very different than oogenesis § Continuous production § Millions per milliliter of ejaculate § Affected by environment

Until next time… § Online quiz to be emailed in 1 -2 weeks §Review/Prep for the first few lectures “Crash Course” https: //www. youtube. com/watch? v=RFDat. Cchpus https: //www. youtube. com/watch? v=-XQcn. O 4 i. X_U https: //www. youtube. com/watch? v=SUd. AEGXLO-8&t=54 s https: //www. youtube. com/watch? v=Bts. Sb. Z 85 yi. Q&t=13 s