Medical Terminology Chapter 12 Reproductive System NWTC Medical

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Medical Terminology Chapter 12 Reproductive System NWTC Medical Terminology 10 -501 -101 1

Medical Terminology Chapter 12 Reproductive System NWTC Medical Terminology 10 -501 -101 1

Function n The male and female reproductive systems include the gonads (ovaries and testes),

Function n The male and female reproductive systems include the gonads (ovaries and testes), where sex cells and hormones are produced, and other organs, ducts, and glands that transport and sustain the egg or sperm cell. NWTC Medical Terminology 10 -501 -101 2

Anatomy and Physiology n Female reproductive system includes: – Ovaries produce n n –

Anatomy and Physiology n Female reproductive system includes: – Ovaries produce n n – – – NWTC Sex cells Hormones Uterine tubes Uterus Vagina Accessory glands External genital structure Medical Terminology 10 -501 -101 3

Anatomy and Physiology Combining word form genit(o) n Organ of reproduction n Another word

Anatomy and Physiology Combining word form genit(o) n Organ of reproduction n Another word form for genitals is n Genitalia n Uro/genit/al means n Pertaining to the urinary and reproductive system n NWTC Medical Terminology 10 -501 -101 4

Anatomy and Physiology n n n Combining word form means woman or female Gynec(o)

Anatomy and Physiology n n n Combining word form means woman or female Gynec(o) The medical specialty that treats disease of the female reproductive tract is: Gynecology Gynecoloc/ic means pertain to gynecology or Study of diseases that occur only in female NWTC Medical Terminology 10 -501 -101 5

Anatomy and Physiology n Internal structures – Left ovary and associated left fallopian/uterine tube

Anatomy and Physiology n Internal structures – Left ovary and associated left fallopian/uterine tube – Right ovary and associated right fallopian/uterine tube – Uterus – Vagina – Special glands NWTC Medical Terminology 10 -501 -101 6

Anatomy and Physiology n n n n Combining word form ovari(o) Structure of the

Anatomy and Physiology n n n n Combining word form ovari(o) Structure of the ovary Suffix –an means Pertaining to Ovarian means Pertaining to the ovary Combining word form oophor(o) Diagnostic and surgical terms NWTC Medical Terminology 10 -501 -101 7

Anatomy and Physiology n n n n Disease of the ovaries is oophoropathy Combining

Anatomy and Physiology n n n n Disease of the ovaries is oophoropathy Combining word form salping(o) means Uterine tube Surgical removal of a uterine tube is Salpingectomy Combining word forms uter(o) hyster(o) and metr(o) means Uterus NWTC Medical Terminology 10 -501 -101 8

Anatomy and Physiology n n n n Greeks use the word hysterikos to refer

Anatomy and Physiology n n n n Greeks use the word hysterikos to refer to Suffering in the womb Emotional upheaval caused by this suffering Combining word forms vagin(o) and colp(o) means Vagina Combining word form cysto(o) means Bladder NWTC Medical Terminology 10 -501 -101 9

Anatomy and Physiology n External structures – Mons pubis – Labia majora – Labia

Anatomy and Physiology n External structures – Mons pubis – Labia majora – Labia minora – Clitoris – Prepuce – Opening to glands n Paraurethral n Vestibular NWTC Medical Terminology 10 -501 -101 10

Anatomy and Physiology n n n n Combining word form vulv(o) means External genitalia

Anatomy and Physiology n n n n Combining word form vulv(o) means External genitalia in the female Vulv/ar or vulv/al pertains to the Vulva Vestibule is Any space or cavity at entrance to a canal Combining word form perine(o) means Perineum NWTC Medical Terminology 10 -501 -101 11

Anatomy and Physiology Combining word form cervix means n Neck n Colpo/cervic/al refers to

Anatomy and Physiology Combining word form cervix means n Neck n Colpo/cervic/al refers to n Vagina and cervix n NWTC Medical Terminology 10 -501 -101 12

Anatomy and Physiology Combining word form metr(o) means n Uterus or to measure n

Anatomy and Physiology Combining word form metr(o) means n Uterus or to measure n The uterus is composed of three layers of tissue n Perimetrium outer most layer n Myometrium middle layer n Endometrium means inner most layer n NWTC Medical Terminology 10 -501 -101 13

Anatomy and Physiology Prefix peri- means n Around n Combining word form my(o) means

Anatomy and Physiology Prefix peri- means n Around n Combining word form my(o) means n Muscle n NWTC Medical Terminology 10 -501 -101 14

Anatomy and Physiology n n n Monthly cycle of growth and discharge of endometrium

Anatomy and Physiology n n n Monthly cycle of growth and discharge of endometrium is Menstrual cycle Hypothalamus and pituitary gland secrete hormones that act on the ovaries – – – NWTC Production of ova Production of estrogen Production of progesterone Medical Terminology 10 -501 -101 15

Anatomy and Physiology n n n n Cyclic bloody discharge from shedding of the

Anatomy and Physiology n n n n Cyclic bloody discharge from shedding of the endometrium Menstruation Female reproductive cycle begins at Puberty The first menstruation is the Menarche Natural cessation of reproductive cycle is Menopause NWTC Medical Terminology 10 -501 -101 16

Anatomy and Physiology Secretion of female reproductive hormones follows monthly cyclic patterns that affect

Anatomy and Physiology Secretion of female reproductive hormones follows monthly cyclic patterns that affect the ovaries and uterus n Ovarian cycle n Menstrual (uterine) cycle n NWTC Medical Terminology 10 -501 -101 17

Anatomy and Physiology n Ovarian phase n Follicular phase days 1 -5/6 -12 n

Anatomy and Physiology n Ovarian phase n Follicular phase days 1 -5/6 -12 n Growth of follicle Secretion of estrogen n Ovulation is days 13 -14 n Ova released by the follicle n Luteal phase days 15 -28 n n n Follicle becomes corpus luteum Secretes progesterone NWTC Medical Terminology 10 -501 -101 18

Anatomy and Physiology n n n n n Uterine (menstrual) phase Menses days 1

Anatomy and Physiology n n n n n Uterine (menstrual) phase Menses days 1 -5 Blood is shed form the vagina Proliferative phase days 6 -12/13 -14 Growth of the endometruim Proliferative phase continues Secretory phase days 15 -28 Continued growth of endometruim Secretion of glycogen NWTC Medical Terminology 10 -501 -101 19

Diagnostic Tests & Procedures Physical assessment of female reproductive system includes n Breasts n

Diagnostic Tests & Procedures Physical assessment of female reproductive system includes n Breasts n External genitalia n Pelvis n Instrument for examining vagina n Vaginal speculum n NWTC Medical Terminology 10 -501 -101 20

Diagnostic Tests & Procedures Cyto/logy is n Study of cells n Cells of cervix

Diagnostic Tests & Procedures Cyto/logy is n Study of cells n Cells of cervix examined to detect vaginal infections n Yeast, Bacteria, Trichomonas n Pap smear for n Cancer cells n NWTC Medical Terminology 10 -501 -101 21

Diagnostic Tests & Procedures n n n Suffix –plasia means development or formation Prefix

Diagnostic Tests & Procedures n n n Suffix –plasia means development or formation Prefix dys- means bad Dysplasia mean Abnormal (bad) development of cervical cells Colposcopy is using a colposcope to magnify the mucosa of the vagina and cervix NWTC Medical Terminology 10 -501 -101 22

Diagnostic Tests & Procedures Cervical biopsy n Endometrial biopsy n Hysteroscopy n Direct visualization

Diagnostic Tests & Procedures Cervical biopsy n Endometrial biopsy n Hysteroscopy n Direct visualization of cervical canal and uterine cavity n Excision of cervical polyps or biopsy n NWTC Medical Terminology 10 -501 -101 23

Diagnostic Tests & Procedures n Detecting masses – Pelvis ultrasonography – Computed tomography (CT

Diagnostic Tests & Procedures n Detecting masses – Pelvis ultrasonography – Computed tomography (CT scan) Radiologic examination of uterus and fallopian tubes n Hystersalpingography n Often done to look for obstruction of fallopian tube n NWTC Medical Terminology 10 -501 -101 24

Diagnostic Tests & Procedures Examination of abdominal cavity with a laparoscope n Can be

Diagnostic Tests & Procedures Examination of abdominal cavity with a laparoscope n Can be done to view pelvic cavity n Laparoscopy n NWTC Medical Terminology 10 -501 -101 25

Pathologies Menorrhagia n Abnormally heavy or long menstrual period n Metorrhagia n Hemorrhage of

Pathologies Menorrhagia n Abnormally heavy or long menstrual period n Metorrhagia n Hemorrhage of the uterus n NWTC Medical Terminology 10 -501 -101 26

Pathologies Amenorrhea n Absence of menstruation n Dysmenorrhea n Painful or difficult menstruation n

Pathologies Amenorrhea n Absence of menstruation n Dysmenorrhea n Painful or difficult menstruation n Mittelschmerz n Abdominal pain in the region of the ovary during ovulation n NWTC Medical Terminology 10 -501 -101 27

Pathologies Premenstrual syndrome (PMS) n Nervous tension, irritability, edema, headache, and painful breasts that

Pathologies Premenstrual syndrome (PMS) n Nervous tension, irritability, edema, headache, and painful breasts that can occur the last few days before the onset of menstruation n NWTC Medical Terminology 10 -501 -101 28

Pathologies Cervicitis n Inflammation of the cervix n Possible Causes n – Chlamydia –

Pathologies Cervicitis n Inflammation of the cervix n Possible Causes n – Chlamydia – Yeast (Candida ablicans) – Trichomonas vaginalis – Gonorrhea NWTC Medical Terminology 10 -501 -101 29

Pathologies Vaginitis n Inflammation of vaginal tissues n Possible causes n – Sexual intercourse

Pathologies Vaginitis n Inflammation of vaginal tissues n Possible causes n – Sexual intercourse – Following childbirth – After taking antibiotics n Colpitis NWTC Medical Terminology 10 -501 -101 30

Pathologies Vulvitis n Inflammation of vulva n Vulvovaginitis n Inflammation of vulva and vagina

Pathologies Vulvitis n Inflammation of vulva n Vulvovaginitis n Inflammation of vulva and vagina n NWTC Medical Terminology 10 -501 -101 31

Pathologies Oophoritis n Inflammation of an ovary n Oophoralgia n Ovarian pain n Oophorosalpingitis

Pathologies Oophoritis n Inflammation of an ovary n Oophoralgia n Ovarian pain n Oophorosalpingitis n Inflammation of an ovary and fallopian tube n NWTC Medical Terminology 10 -501 -101 32

Pathologies Anovulation n Absence of ovulation n Possible causes n – Altered ovarian function

Pathologies Anovulation n Absence of ovulation n Possible causes n – Altered ovarian function – Side effects of medications – Result of disease – Stress NWTC Medical Terminology 10 -501 -101 33

Pathologies n Polycystic ovary syndrome – Anovulation – Amenorrhea – Infertility n Caused by

Pathologies n Polycystic ovary syndrome – Anovulation – Amenorrhea – Infertility n Caused by – Increased levels of testosterone, estrogen, and lutenizing hormone and decreased secretion of FSH NWTC Medical Terminology 10 -501 -101 34

Pathologies Ovarian Cancer n Leading cause of death from reproductive cancers n Difficult to

Pathologies Ovarian Cancer n Leading cause of death from reproductive cancers n Difficult to diagnose n Usually spread by the time it is found n Sonography or CT scan to look for ovarian mass n Often requires exploratory surgery n NWTC Medical Terminology 10 -501 -101 35

Pathologies Salpingocele n Hernial protrusion of a fallopian tube n Salpingitis n Inflammation of

Pathologies Salpingocele n Hernial protrusion of a fallopian tube n Salpingitis n Inflammation of a fallopian tube n Ectopic pregnancy n Outside the uterine cavity n Tubal pregnancy n Implanted in the fallopian tube n NWTC Medical Terminology 10 -501 -101 36

Pathologies n n n Pelvic inflammatory disease (PID) Infection that involves the upper genital

Pathologies n n n Pelvic inflammatory disease (PID) Infection that involves the upper genital tract beyond the cervix Toxic shock syndrome (TSS) – – – n n Sudden high fever Headache Confusion Acute renal failure Abnormal liver function Caused by staphylococcus Most common among women who use tampons NWTC Medical Terminology 10 -501 -101 37

Pathologies Uterine cancer n Stage I uterus only n Stage II cervix also involved

Pathologies Uterine cancer n Stage I uterus only n Stage II cervix also involved n Stage III spread beyond uterus but still within pelvic cavity n Stage IV spread beyond the pelvis most often spreading to liver and/or lungs n NWTC Medical Terminology 10 -501 -101 38

Pathologies Hysteroptosis n Uterine prolapse n Uterine displacements n – Anteversion – Retroversion –

Pathologies Hysteroptosis n Uterine prolapse n Uterine displacements n – Anteversion – Retroversion – Anteflexion – Retroflexion NWTC Medical Terminology 10 -501 -101 39

Pathologies Uterine leiomyoma n Uterine fibroid (benign tumor) n Cervical polyps n Myometritis n

Pathologies Uterine leiomyoma n Uterine fibroid (benign tumor) n Cervical polyps n Myometritis n Inflammation of the myometrium n Endometritis n Inflammation of the endometrium n NWTC Medical Terminology 10 -501 -101 40

Pathologies n n n Endometriosis Abnormal condition in which endometrium tissue is outside the

Pathologies n n n Endometriosis Abnormal condition in which endometrium tissue is outside the uterus, usually within the pelvic cavity Vulvitis Inflammation of the vulva Leukorrhea Normal white discharge before and after the menstrual period NWTC Medical Terminology 10 -501 -101 41

Pathologies Colpodynia n Pain of the vagina n Cystocele n Protrusion of the bladder

Pathologies Colpodynia n Pain of the vagina n Cystocele n Protrusion of the bladder through the wall of the vagina n Rectocele n Rectum is displaced causing bulging of the posterior vaginal wall n NWTC Medical Terminology 10 -501 -101 42

Surgical & Therapeutic Interventions n n n An agent that prevents pregnancy Prefix contra-

Surgical & Therapeutic Interventions n n n An agent that prevents pregnancy Prefix contra- (against) Contraceptive Hormone Replacement Therapy (HRT) Combination of estrogen and progesterone – Transition symptoms – High risk for osteoporosis, abnormal loss of bone density, and deterioration of bone tissue NWTC Medical Terminology 10 -501 -101 43

Surgical & Therapeutic Interventions n Treatments for infections of the vulva, vagina, or cervix

Surgical & Therapeutic Interventions n Treatments for infections of the vulva, vagina, or cervix – Oral antibiotics – Topical antibiotics – Vaginal creams – Vaginal suppositories NWTC Medical Terminology 10 -501 -101 44

Surgical & Therapeutic Interventions Suturing of the vagina is n Colporrhaphy n Surgical repair

Surgical & Therapeutic Interventions Suturing of the vagina is n Colporrhaphy n Surgical repair of the vagina is n Colpoplasty n Surgical fixation of an ovary is n Oophoropexy n NWTC Medical Terminology 10 -501 -101 45

Surgical & Therapeutic Interventions n n n n n Oophoro/hyster/ectomy is Removal of ovaries

Surgical & Therapeutic Interventions n n n n n Oophoro/hyster/ectomy is Removal of ovaries and uterus Oophorectomy is Removal of the ovaries Oophorosalpingectomy is Removal of uterine tube and an ovary Salpingo-oophorectomy is Removal of uterine tube and an ovary Hyster/ectomy Removal of the uterus NWTC Medical Terminology 10 -501 -101 46

Surgical & Therapeutic Interventions Hysterectomy with bilateral oophorosalpingectomy n Removal of the uterus and

Surgical & Therapeutic Interventions Hysterectomy with bilateral oophorosalpingectomy n Removal of the uterus and both ovaries and both fallopian tubes n Colpo/hyster/ectomy is n Removal of uterus by way of the vagina n Laparo/hyster/ectomy is n Removal of uterus through a small opening in the abdominal wall n NWTC Medical Terminology 10 -501 -101 47

Surgical & Therapeutic Interventions Excision of uterine tube is n Salpingectomy n Tubal ligation

Surgical & Therapeutic Interventions Excision of uterine tube is n Salpingectomy n Tubal ligation n Permanent sterilization n Dilation and curettage (D & C) n – Cervix dilated – Scraping of endometrium NWTC Medical Terminology 10 -501 -101 48

Surgical & Therapeutic Interventions n n n n Suffix –therapy means Treatment for dysplasia

Surgical & Therapeutic Interventions n n n n Suffix –therapy means Treatment for dysplasia Biopsy Cryo/therapy Cold treatment Cautery Irradiation NWTC Medical Terminology 10 -501 -101 49

Surgical & Therapeutic Interventions Surgical fixation of a displaced uterus n Hysteropexy n Surgical

Surgical & Therapeutic Interventions Surgical fixation of a displaced uterus n Hysteropexy n Surgical fixation of uterine tube is n Salpingopexy n NWTC Medical Terminology 10 -501 -101 50

Anatomy & Physiology-Male reproductive system n Produces, sustains and transport sperm n Introduces sperm

Anatomy & Physiology-Male reproductive system n Produces, sustains and transport sperm n Introduces sperm into female vagina n Produces hormones n Primary organ of male reproductive system is n Male gonads testes n NWTC Medical Terminology 10 -501 -101 51

Anatomy & Physiology-Male n external genitalia –scrotum –testicles –penis NWTC Medical Terminology 10 -501

Anatomy & Physiology-Male n external genitalia –scrotum –testicles –penis NWTC Medical Terminology 10 -501 -101 52

Anatomy & Physiology-Male n internal genitalia –vas deferens –prostate gland –urethra NWTC Medical Terminology

Anatomy & Physiology-Male n internal genitalia –vas deferens –prostate gland –urethra NWTC Medical Terminology 10 -501 -101 53

Anatomy & Physiology-Male n sperm –singular nspermatozoon –plural nspermatozoa NWTC Medical Terminology 10 -501

Anatomy & Physiology-Male n sperm –singular nspermatozoon –plural nspermatozoa NWTC Medical Terminology 10 -501 -101 54

Anatomy & Physiology-Male n urologist n medical doctor specializing in treating diseases and disorders

Anatomy & Physiology-Male n urologist n medical doctor specializing in treating diseases and disorders of urinary system of females, genitourinary system of males NWTC Medical Terminology 10 -501 -101 55

Pathology Of Male Reproductive System n balanitis - inflammation of glans penis n impotence

Pathology Of Male Reproductive System n balanitis - inflammation of glans penis n impotence - erectile dysfunction inability to achieve or maintain an erection n phimosis - narrowing of foreskin NWTC Medical Terminology 10 -501 -101 56

Pathology Of Male Reproductive System n anorchism - absence of one or both testicles

Pathology Of Male Reproductive System n anorchism - absence of one or both testicles n cryptorchidism - undescended testicles-one testicle fails to descend into scrotum n epididymitis - inflammation of epididymitis NWTC Medical Terminology 10 -501 -101 57

Pathology continued hydrocele - hernia in the testicles or tubes n testitis - inflammation

Pathology continued hydrocele - hernia in the testicles or tubes n testitis - inflammation of one or both testes n varicocele - varicose vein of testicle (may cause male infertility) n azoospermia - absence of sperm in semen n NWTC Medical Terminology 10 -501 -101 58

Pathology continued n oligospermia - low sperm count n benign prostatic hypertrophy BPH -

Pathology continued n oligospermia - low sperm count n benign prostatic hypertrophy BPH - enlarged prostate n prostate cancer - most common cancer in males - slow or fast growth NWTC Medical Terminology 10 -501 -101 59

Pathology continued n prostatitis - inflammation of the prostate gland n prostatorrhea - discharge

Pathology continued n prostatitis - inflammation of the prostate gland n prostatorrhea - discharge of prostatic fluid through urethra n prostatomegaly – enlarged prostate NWTC Medical Terminology 10 -501 -101 60

Diagnostic Procedures Of Male Reproductive System PSA - prostatic specific antigen - blood screening

Diagnostic Procedures Of Male Reproductive System PSA - prostatic specific antigen - blood screening test to check for cancer of prostate n sperm analysis - sperm count - semen is analyzed to determine sperm count, shape, size and motility n TSE - testicular self-examination monthly self exam to check for abnormalities n NWTC Medical Terminology 10 -501 -101 61

Treatment Procedures Of Male Reproductive System n circumcision - surgical removal of foreskin n

Treatment Procedures Of Male Reproductive System n circumcision - surgical removal of foreskin n orchidectomy - surgical removal of one or both testes n varicocelectomy - removal of portion of enlarged vein to relieve varicocele NWTC Medical Terminology 10 -501 -101 62

Treatment Procedures Of Male Reproductive System n castration - bilateral orchidectomy - surgical removal

Treatment Procedures Of Male Reproductive System n castration - bilateral orchidectomy - surgical removal of both testicles n sterilization - procedure to make individual incapable of reproduction NWTC Medical Terminology 10 -501 -101 63

Treatments continued n vasectomy - portion of vas deferens is removed to prevent sperm

Treatments continued n vasectomy - portion of vas deferens is removed to prevent sperm in semen n vasostomy - procedure to restore fertility after vasectomy NWTC Medical Terminology 10 -501 -101 64

Treatments continued n prostatectomy - surgical removal of all or part of prostate gland

Treatments continued n prostatectomy - surgical removal of all or part of prostate gland n radical prostatectomy - surgical removal of entire prostate gland, seminal vesicles and some surrounding tissue NWTC Medical Terminology 10 -501 -101 65

Treatments continued TURP - transurethral resection of the prostate - removal of all or

Treatments continued TURP - transurethral resection of the prostate - removal of all or part of prostate through the urethra n radiation therapy - treatment to control prostate cancer n hormone therapy - treatment to control prostate cancer n NWTC Medical Terminology 10 -501 -101 66

Medical Terminology Chapter 13 Reproduction and Sexually Transmitted Diseases NWTC Medical Terminology 10 -501

Medical Terminology Chapter 13 Reproduction and Sexually Transmitted Diseases NWTC Medical Terminology 10 -501 -101 67

Reproduction n Gonads – Ovaries – Testes Produce ova and sperm n A gamete

Reproduction n Gonads – Ovaries – Testes Produce ova and sperm n A gamete is a reproductive cell n – Ovum – Spermatozoon NWTC Medical Terminology 10 -501 -101 68

Reproduction Zygote n The product of fertilization n Suffix –blast means n Embryonic or

Reproduction Zygote n The product of fertilization n Suffix –blast means n Embryonic or early form n Ooblast is n Immature ovum n NWTC Medical Terminology 10 -501 -101 69

Reproduction n n n n Combining word form for amni(o) means Amnion Pertaining to

Reproduction n n n n Combining word form for amni(o) means Amnion Pertaining to amnion is Amniotic Combining word form chori(o) Chorion Pertaining to chorion is Chorionic Amniochorionic pertaining to 2 membranes NWTC Medical Terminology 10 -501 -101 70

Reproduction n n Placenta Highly vascular structure that nourishes the fetus Oxygen, nutrients, and

Reproduction n n Placenta Highly vascular structure that nourishes the fetus Oxygen, nutrients, and antibodies diffuse from the mother to fetal blood vessels Fetal wastes diffuse from the fetal blood into the maternal blood Placenta secretes progesterone to maintain the uterus during pregnancy NWTC Medical Terminology 10 -501 -101 71

Pregnancy and Childbirth Prefix pre- means before n Combining word form nat(o) means birth

Pregnancy and Childbirth Prefix pre- means before n Combining word form nat(o) means birth n Another name for pregnancy is n Prenatal period or gestation n A term that means childbirth is n Parturition n NWTC Medical Terminology 10 -501 -101 72

Pregnancy and Childbirth Average period of gestation is 266 days from the date of

Pregnancy and Childbirth Average period of gestation is 266 days from the date of fertilization. (38 weeks) n Expected date of delivery 280 days from the first day of the last menstrual period. (40 weeks) n NWTC Medical Terminology 10 -501 -101 73

Pregnancy and Childbirth Suffix –gravida refers to n Pregnant female n Prefix primi- means

Pregnancy and Childbirth Suffix –gravida refers to n Pregnant female n Prefix primi- means n First n Primi/gravida is n Female during first pregnancy n Gravida I n NWTC Medical Terminology 10 -501 -101 74

Pregnancy and Childbirth Prefix multi- means many multi/gravida means n Female pregnant more than

Pregnancy and Childbirth Prefix multi- means many multi/gravida means n Female pregnant more than once n Combining word form par(o) or suffix –para means n Producing or bearing viable offspring n Par/ous refers to n Producing viable offspring n NWTC Medical Terminology 10 -501 -101 75

Pregnancy and Childbirth n n n n Para I means or primi/para is Female

Pregnancy and Childbirth n n n n Para I means or primi/para is Female produced one viable offspring Prefix quadri- means Four Prefix nulli- means None Nulli/para Produced no viable offspring NWTC Medical Terminology 10 -501 -101 76

Pregnancy and Childbirth Labor n Process by which the child is expelled from the

Pregnancy and Childbirth Labor n Process by which the child is expelled from the uterus n Three stages of labor n – Cervical dilation – Expulsion – Placental and postpartum stage NWTC Medical Terminology 10 -501 -101 77

Pregnancy and Childbirth 4 th stage – Postpartum n Hour or two after delivery

Pregnancy and Childbirth 4 th stage – Postpartum n Hour or two after delivery when uterine tone is established n Cesarean delivery n Surgical procedure in which the abdomen and uterus are incised and the baby is removed from the uterus n NWTC Medical Terminology 10 -501 -101 78

Pregnancy and Childbirth Postpartum – after birth n Prefix ante- means before n Ante/natal

Pregnancy and Childbirth Postpartum – after birth n Prefix ante- means before n Ante/natal refers to n Time before birth n Prenatal also means the time before birth n NWTC Medical Terminology 10 -501 -101 79

Pregnancy and Childbirth Postnatal means n Time after birth n Prefix neo- means new

Pregnancy and Childbirth Postnatal means n Time after birth n Prefix neo- means new n Neo/natal refers to n First 28 days after birth n Neonate is a n Newborn child n NWTC Medical Terminology 10 -501 -101 80

Pregnancy and Childbirth Branch of medicine specializes in care of newborn is n Neonatology

Pregnancy and Childbirth Branch of medicine specializes in care of newborn is n Neonatology n Physician specializes in neonatology is n Neonatologist n NWTC Medical Terminology 10 -501 -101 81

Diagnostic Tests & Procedures n n n n Human chorionic gonadotropin (HCG) Hormone that

Diagnostic Tests & Procedures n n n n Human chorionic gonadotropin (HCG) Hormone that is tested for in pregnancy tests Pelvimetry Measurement of the pelvis used to estimate the size of the birth canal Cephalopelvic disproportion (CPD) Baby’s head too large with birth canal too small Most likely a cesarean will need to be done NWTC Medical Terminology 10 -501 -101 82

Diagnostic Tests & Procedures Sonography (Ultrasound) n Used to assess for structural abnormalities and

Diagnostic Tests & Procedures Sonography (Ultrasound) n Used to assess for structural abnormalities and monitor fetal development n Amniocentesis n Used to aid in the assessment of fetal growth and diagnosis of genetic defects or other abnormalities n NWTC Medical Terminology 10 -501 -101 83

Diagnostic Tests & Procedures n n n Chorionic villus sampling Used for prenatal diagnosis

Diagnostic Tests & Procedures n n n Chorionic villus sampling Used for prenatal diagnosis of potential genetic defects Fetoscope Stethoscope for assessing fetal heart rate Electronic fetal monitor Used during labor to monitor the fetal heart and record the fetal heart rate and maternal uterine contractions NWTC Medical Terminology 10 -501 -101 84

Pathologies n n Ectopic or extrauterine pregnancy Whenever a fertilized ovum implants anywhere other

Pathologies n n Ectopic or extrauterine pregnancy Whenever a fertilized ovum implants anywhere other than the uterus (outside the usual place) – – n Uterine tube Ovary Cervix Abdominal cavity Products of fertilization are removed surgically NWTC Medical Terminology 10 -501 -101 85

Pathologies Suffix –cyesis means pregnancy n Prefix pseudo- means false n False pregnancy is

Pathologies Suffix –cyesis means pregnancy n Prefix pseudo- means false n False pregnancy is n Pseudo/cyesis n May be psychogenic or caused by a physical disorder n NWTC Medical Terminology 10 -501 -101 86

Pathologies n Preeclampsia – Acute high blood pressure – Proteinuria (protein in the urine)

Pathologies n Preeclampsia – Acute high blood pressure – Proteinuria (protein in the urine) – Edema n Eclampsia – Seizures – Coma NWTC Medical Terminology 10 -501 -101 87

Pathologies Abruptio pregnancy n Separation of the placenta from the uterine wall after 20

Pathologies Abruptio pregnancy n Separation of the placenta from the uterine wall after 20 weeks n Placenta previa n Placenta is implanted abnormally in the uterus n Stillbirth fetus died before or during delivery n NWTC Medical Terminology 10 -501 -101 88

Pathologies Dystocia n Abnormal or difficult labor n Down syndrome n – Extra chromosome

Pathologies Dystocia n Abnormal or difficult labor n Down syndrome n – Extra chromosome (#21) – Moderate to severe mental retardation – Additional genetic defects NWTC Medical Terminology 10 -501 -101 89

Pathologies Hemolytic disease of the newborn n Maternal-fetal blood group incompatibility n Erythroblastosis fetalis

Pathologies Hemolytic disease of the newborn n Maternal-fetal blood group incompatibility n Erythroblastosis fetalis n Immature bed blood cell n n Baby born anemic NWTC Medical Terminology 10 -501 -101 90

Pathologies Fetal presentation entering birth canal n Cephalic (normal) head n Breech buttocks n

Pathologies Fetal presentation entering birth canal n Cephalic (normal) head n Breech buttocks n Shoulder n NWTC Medical Terminology 10 -501 -101 91

Surgical & Therapeutic Interventions n n n Amniotomy Deliberate rupture of the fetal membranes

Surgical & Therapeutic Interventions n n n Amniotomy Deliberate rupture of the fetal membranes Oxytocin Used as a drug to induce or augment uterine contractions Episiotomy Surgical procedure in which an incision is made in the female perineum to enlarge her vaginal opening for delivery NWTC Medical Terminology 10 -501 -101 92

Surgical & Therapeutic Interventions Combining word form lapar(o) means n Abdominal wall n Incision

Surgical & Therapeutic Interventions Combining word form lapar(o) means n Abdominal wall n Incision of the abdominal wall is n Laparo/tomy n Suturing of the abdominal wall is n Laparorrhaphy n NWTC Medical Terminology 10 -501 -101 93

Surgical & Therapeutic Interventions Contraception n Against conception n Birth control n – Oral

Surgical & Therapeutic Interventions Contraception n Against conception n Birth control n – Oral – Implants – Patches – Injectable n Intrauterine device (IUD) NWTC Medical Terminology 10 -501 -101 94

Surgical & Therapeutic Interventions Spermicide n Chemical substance that kills sperm n Permanent sterilization

Surgical & Therapeutic Interventions Spermicide n Chemical substance that kills sperm n Permanent sterilization of a female is n Tubal ligation n Permanent sterilization of a male is n Vas/ectomy n vasostomy - procedure to restore fertility after vasectomy n NWTC Medical Terminology 10 -501 -101 95

Surgical & Therapeutic Interventions n n n Hysterectomy (surgical removal of the uterus) Conception

Surgical & Therapeutic Interventions n n n Hysterectomy (surgical removal of the uterus) Conception is not possible after surgery Infertility Condition of not being able to produce offspring In vitro fertilization (IVF) Fertilization of the ova takes place outside of the body NWTC Medical Terminology 10 -501 -101 96

Surgical & Therapeutic Interventions Abortion n Termination of a pregnancy before the fetus is

Surgical & Therapeutic Interventions Abortion n Termination of a pregnancy before the fetus is capable of surviving outside of the uterus n Spontaneous – miscarriage n Deliberate n NWTC Medical Terminology 10 -501 -101 97

Sexually Transmitted Diseases Caused by infectious organisms passed form one person to another through

Sexually Transmitted Diseases Caused by infectious organisms passed form one person to another through n Anal n Oral n Vaginal intercourse n NWTC Medical Terminology 10 -501 -101 98

Sexually Transmitted Diseases Venereal disease (STD’s) named for n Venus goddess of love n

Sexually Transmitted Diseases Venereal disease (STD’s) named for n Venus goddess of love n Causes of STD’s are n – Viruses – Bacteria – Protozoa – Fungi – Parasites NWTC Medical Terminology 10 -501 -101 99

Sexually Transmitted Diseases Gonorrhea n Caused by gonococcus bacteria (gram negative intracellular diplococci n

Sexually Transmitted Diseases Gonorrhea n Caused by gonococcus bacteria (gram negative intracellular diplococci n Heavy urethral discharge in males n Females may be asymptomatic n Treated with penicillin n NWTC Medical Terminology 10 -501 -101 100

Sexually Transmitted Diseases Syphilis caused by a spirochete n Characterized by n Lymphadenopathy n

Sexually Transmitted Diseases Syphilis caused by a spirochete n Characterized by n Lymphadenopathy n Chancre n Congenital syphilis n NWTC Medical Terminology 10 -501 -101

Sexually Transmitted Diseases n n n n Chlamydia infection symptom is Dys/uria Difficult (painful

Sexually Transmitted Diseases n n n n Chlamydia infection symptom is Dys/uria Difficult (painful urination) Complication PID Herpes genitals Viral infection characteristic Genital blisters and ulceration NWTC Medical Terminology 10 -501 -101 102

Sexually Transmitted Diseases Genital herpes during pregnancy can cause n Spontaneous abortion n Stillbirth

Sexually Transmitted Diseases Genital herpes during pregnancy can cause n Spontaneous abortion n Stillbirth n Congenital birth defects n Prevented by cesarean section n NWTC Medical Terminology 10 -501 -101 103

Sexually Transmitted Diseases Condyloma acuminatum is commonly called n Genital warts n At risk

Sexually Transmitted Diseases Condyloma acuminatum is commonly called n Genital warts n At risk for cervical cancer n HIV virus causes n AIDS n Hepatitis B or Hepatitis C n NWTC Medical Terminology 10 -501 -101 104

Sexually Transmitted Diseases Trichomoniasis is caused by a n Protozoan n Candidiasis is an

Sexually Transmitted Diseases Trichomoniasis is caused by a n Protozoan n Candidiasis is an n Fungal infection n Vulvovaginitis n Inflammation of the vulva and vagina n Pubic lice n NWTC Medical Terminology 10 -501 -101 105

Chapter 12 and 13 Class Exercises NWTC Medical Terminology 10 -501 -101 106

Chapter 12 and 13 Class Exercises NWTC Medical Terminology 10 -501 -101 106

Meaning of Word Parts Anten before n colp(o) n vagina n metr(o) n uterine

Meaning of Word Parts Anten before n colp(o) n vagina n metr(o) n uterine tissue or measure n cervic(o) n cervix, uteri or neck n -cyesis n pregnancy n NWTC Medical Terminology 10 -501 -101 107

Meaning of Word Parts Pren before n ecto n situated outside n -para n

Meaning of Word Parts Pren before n ecto n situated outside n -para n female who has given birth n hyster(o) n uterus n extran outside n NWTC Medical Terminology 10 -501 -101 108

Meaning of Word Parts Lapar(o) n abdominal wall n orchid(o) n testes n genit(o)

Meaning of Word Parts Lapar(o) n abdominal wall n orchid(o) n testes n genit(o) n organs of reproduction n men(o) n month n gon(o) n genitals or reproduction n NWTC Medical Terminology 10 -501 -101 109

Meaning of Word Parts Multin many n primin first n neo n new n

Meaning of Word Parts Multin many n primin first n neo n new n post n after or behind n nullin none n NWTC Medical Terminology 10 -501 -101 110

What is the Combining Form? n Sperm n spermat(o) n egg n o(o) n

What is the Combining Form? n Sperm n spermat(o) n egg n o(o) n ovary n oophor(o) n hidden n crypt(o) n NWTC Medical Terminology 10 -501 -101 111

What is the Combining Form? birth nat(o) chorion chori(o) uterine tube salping(o) NWTC Medical

What is the Combining Form? birth nat(o) chorion chori(o) uterine tube salping(o) NWTC Medical Terminology 10 -501 -101 112

Male - Female - Both Laparohysteropexy n female n anorchism n male n endometrium

Male - Female - Both Laparohysteropexy n female n anorchism n male n endometrium n female n epididymitis n male n hysterosalpingogram n female n NWTC Medical Terminology 10 -501 -101 113

Male - Female - Both Metrorrhagia n female n vas deferens n male n

Male - Female - Both Metrorrhagia n female n vas deferens n male n uterine leiomyoma n female n toxic shock syndrome n female n orchidectomy n male n NWTC Medical Terminology 10 -501 -101 114

What does it mean? Formation of an opening into a uterine tube n salpingostomy

What does it mean? Formation of an opening into a uterine tube n salpingostomy n outside of the uterus n extrauterine n occurring after birth n postnatal n surgical fixation of an ovary n oophoropexy n NWTC Medical Terminology 10 -501 -101 115

What does it mean? n Inflammation of the prostatitis n pertaining to the testes

What does it mean? n Inflammation of the prostatitis n pertaining to the testes n testicular n inflammation of the uterine lining n endometritis n uterine prolapse n hystoptosis n suture of the ductus deferens n vasorrhaphy n NWTC Medical Terminology 10 -501 -101 116

Spelling Prostratitis n prostatitis n menorhagia n menorrhagia n vulvektomy n vulvectomy n histerctomy

Spelling Prostratitis n prostatitis n menorhagia n menorrhagia n vulvektomy n vulvectomy n histerctomy n hysterectomy n varicosele n varicocele n NWTC Medical Terminology 10 -501 -101 117

Spelling Epididimitis n epididymitis n laporoscopy n laparoscopy n trichamoniasis n trichomoniasis n urojenital

Spelling Epididimitis n epididymitis n laporoscopy n laparoscopy n trichamoniasis n trichomoniasis n urojenital n urogenital n NWTC Medical Terminology 10 -501 -101 118

What does it Mean? Ovary n female gland n Amniocentesis n surgical puncture of

What does it Mean? Ovary n female gland n Amniocentesis n surgical puncture of the thin membrane that covers the fetus n Myometritis n inflammation of the muscular substance/layer of the uterus n NWTC Medical Terminology 10 -501 -101 119

What does it Mean? Fetus n 3 month old developing organism n Circumcision n

What does it Mean? Fetus n 3 month old developing organism n Circumcision n surgical removal of the prepuce n Prostatectomy n excision of all or part of the prostate gland n Aspermatogenesis n absence of sperm production n NWTC Medical Terminology 10 -501 -101 120

What does it Mean? Cryptorchidism or cryptorchism n undescended testicle n Anorchism n congenital

What does it Mean? Cryptorchidism or cryptorchism n undescended testicle n Anorchism n congenital absence of testes unilateral or bilateral, a synonym for anorchidism n Dilatation and Curettage n dilatation of the cervical opening and scraping of the uterine wall n NWTC Medical Terminology 10 -501 -101 121

What does it Mean? n Laparoscopy examination of the interior of the abdomen with

What does it Mean? n Laparoscopy examination of the interior of the abdomen with laparoscope, another term for pelvic peritoneoscopy n Oophoropathy n any disease of the ovary n Salpingectomy n excision of an uterine tube n Hysteropexy n surgical fixation of the uterus n NWTC Medical Terminology 10 -501 -101 122

What does it Mean? n Oophoroma ovarian tumor n Salpingoplasty n surgical repair of

What does it Mean? n Oophoroma ovarian tumor n Salpingoplasty n surgical repair of an uterine tube n Hysteromalacia n abnormal softening of the uterus n Colpoplasty n surgical repair of the vagina n Orchiepididymitis n inflammation of testicle and epididymis n NWTC Medical Terminology 10 -501 -101 123

What is the Combining Form? Uterine tube n salping(o) n Chorion n chori(o) n

What is the Combining Form? Uterine tube n salping(o) n Chorion n chori(o) n Birth n nat(o) n Hidden n crypt(o) n NWTC Medical Terminology 10 -501 -101 124

What is the Combining Form? Semen n semin(o) n Ovary n oophor(o) n Egg

What is the Combining Form? Semen n semin(o) n Ovary n oophor(o) n Egg n o(o) n Sperm n spermat(o) n NWTC Medical Terminology 10 -501 -101 125

What does it mean? Anten before n Extran outside n Hyster(o) n uterus n

What does it mean? Anten before n Extran outside n Hyster(o) n uterus n -para n female who has given birth n NWTC Medical Terminology 10 -501 -101 126

What does it mean? Ecton situated outside n Pren before n -cyesis n pregnancy

What does it mean? Ecton situated outside n Pren before n -cyesis n pregnancy n Cervic(o) n cervix, uteri, or neck n NWTC Medical Terminology 10 -501 -101 127

What does it mean? Metr(o) n uterine tissue or measure n Colp(o) n vagina

What does it mean? Metr(o) n uterine tissue or measure n Colp(o) n vagina n Laparohysterectomy n removal of the uterus n Laparotomy n incision of the abdominal wall n NWTC Medical Terminology 10 -501 -101 128

What does it mean? Abortion n termination of pregnancy before fetus is capable of

What does it mean? Abortion n termination of pregnancy before fetus is capable of survival outside the uterus n Human chorionic gonadotropin n a hormone that is present in body fluids of pregnant females and forms the basis of most pregnancy tests n NWTC Medical Terminology 10 -501 -101 129

What does it mean? Neonatologist n a physician who specializes in conditions of newborns

What does it mean? Neonatologist n a physician who specializes in conditions of newborns n Postnatal n the time after birth n Ectopic n outside the usual place n Salpingocyesis n tubal pregnancy n NWTC Medical Terminology 10 -501 -101 130