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The vagina is assessed internally by the examiner with gloved fingers, before the speculum is inserted, to note the presence of any weakness, lumps or nodules.

Inflammation and discharge are noted if present. During this time, the Skene's and Bartolin's glands are palpated to identify abnormalities in these structures.

After the digital examination of the vagina is complete, the speculum, an instrument to visualize internal structures, is carefully inserted to make the cervix visible.

Lacerations or other injuries to the vagina can occur during sexual assault or other sexual abuse. Sexual assault with objects can damage the vagina and X-ray examination may reveal the presence of foreign objects.

Intravaginal administration is a route of administration where the medication is inserted into the vagina as a creme or tablet. Pharmacologically , this has the potential advantage of promoting therapeutic effects primarily in the vagina or nearby structures such as the vaginal portion of cervix with limited systemic adverse effects compared to other routes of administration.

Vaginal rings can also be used to deliver medication, including birth control in contraceptive vaginal rings. These are inserted into the vagina and provide continuous, low dose and consistent drug levels in the vagina and throughout the body.

Before the baby merges from the womb, an injection for pain control during childbirth may be administered through the vaginal wall and near the pudendal nerve.

Because the pudendal nerve carries motor and sensory fibers that innervate the pelvic muscles, a pudendal nerve block relieves birth pain. The medicine does not harm the child, and is without significant complications.

Vaginal infections or diseases include yeast infection , vaginitis , sexually transmitted infections STIs and cancer.

Lactobacillus gasseri and other Lactobacillus species in the vaginal flora provide some protection from infections by their secretion of bacteriocins and hydrogen peroxide.

Because the vagina is self-cleansing, it usually does not need special hygiene. Both types can help avert pregnancy by preventing semen from coming in contact with the vagina.

The vaginal lymph nodes often trap cancerous cells that originate in the vagina. These nodes can be assessed for the presence of disease.

Selective surgical removal rather than total and more invasive removal of vaginal lymph nodes reduces the risk of complications that can accompany more radical surgeries.

These selective nodes act as sentinel lymph nodes. Vaginal cancer and vulvar cancer are very rare, and primarily affect older women. It may be that their causes are the same.

An applicator is inserted into the vagina to allow the administration of radiation as close to the site of the cancer as possible.

Age and hormone levels significantly correlate with the pH of the vagina. The vaginal mucosa thickens and the vaginal pH becomes acidic again.

Girls may also experience a thin, white vaginal discharge called leukorrhea. After menopause, the body produces less estrogen.

This causes atrophic vaginitis thinning and inflammation of the vaginal walls , [38] [] which can lead to vaginal itching, burning, bleeding, soreness, or vaginal dryness a decrease in lubrication.

The vascular structures become fewer with advancing age. It is thought that the weakening of the support structures of the vagina is due to the physiological changes in this connective tissue.

Menopausal symptoms can be eased by estrogen-containing vaginal creams, [] non-prescription, non-hormonal medications, [] vaginal estrogen rings such as the Femring , [] or other hormone replacement therapies, [] but there are risks including adverse effects associated with hormone replacement therapy.

Vaginal changes that happen with aging and childbirth include mucosal redundancy, rounding of the posterior aspect of the vagina with shortening of the distance from the distal end of the anal canal to the vaginal opening, diastasis or disruption of the pubococcygeus muscles caused by poor repair of an episiotomy , and blebs that may protrude beyond the area of the vaginal opening.

If a woman has weak pelvic floor muscle support and tissue damage from childbirth or pelvic surgery, a lack of estrogen can further weaken the pelvic muscles and contribute to stress urinary incontinence.

During the third stage of labor, while the infant is being born, the vagina undergoes significant changes. A gush of blood from the vagina may be seen right before the baby is born.

Lacerations to the vagina that can occur during birth vary in depth, severity and the amount of adjacent tissue involvement.

This event can be especially distressing to a new mother. The vagina, including the vaginal opening, may be altered as a result of surgeries such as an episiotomy, vaginectomy , vaginoplasty or labiaplasty.

Any scarring from the procedure is minimal, and long-term problems have not been identified. During an episiotomy, a surgical incision is made during the second stage of labor to enlarge the vaginal opening for the baby to pass through.

The incision is made through the skin, vaginal epithelium, subcutaneous fat, perineal body and superficial transverse perineal muscle and extends from the vagina to the anus.

Women often report pain during sexual intercourse up to three months after laceration repair or an episiotomy.

The median incision is a perpendicular cut between the vagina and the anus and is the most common. The medio-lateral cut takes more time to heal than the median cut.

Vaginectomy is surgery to remove all or part of the vagina, and is usually used to treat malignancy. These surgeries can impact pain, elasticity, vaginal lubrication and sexual arousal.

This often resolves after one year but may take longer. Women, especially those who are older and have had multiple births, may choose to surgically correct vaginal laxity.

This surgery has been described as vaginal tightening or rejuvenation. Women who undergo this procedure may unknowingly have a medical issue, such as a prolapse, and an attempt to correct this is also made during the surgery.

Surgery on the vagina can be elective or cosmetic. Women who seek cosmetic surgery can have congenital conditions, physical discomfort or wish to alter the appearance of their genitals.

Concerns over average genital appearance or measurements are largely unavailable and make defining a successful outcome for such surgery difficult.

Although not all intersex conditions require surgical treatment, some choose genital surgery to correct atypical anatomical conditions.

Vaginal anomalies are defects that result in an abnormal or absent vagina. Abnormal openings known as fistulas can cause urine or feces to enter the vagina, resulting in incontinence.

Vaginal evisceration is a serious complication of a vaginal hysterectomy and occurs when the vaginal cuff ruptures , allowing the small intestine to protrude from the vagina.

Cysts may also affect the vagina. Various perceptions of the vagina have existed throughout history, including the belief it is the center of sexual desire , a metaphor for life via birth, inferior to the penis, unappealing to sight or smell, or vulgar.

David Buss , an evolutionary psychologist , stated that because a penis is significantly larger than a clitoris and is readily visible while the vagina is not, and males urinate through the penis, boys are taught from childhood to touch their penises while girls are often taught that they should not touch their own genitalia, which implies that there is harm in doing so.

Buss attributed this as the reason many women are not as familiar with their genitalia, and that researchers assume these sex differences explain why boys learn to masturbate before girls and do so more often.

The word vagina is commonly avoided in conversation, [] and many people are confused about the vagina's anatomy and may be unaware that it is not used for urination.

She argued that women, unlike men, did not have locker room experiences in school where they compared each other's genitals, which is one reason so many women wonder if their genitals are normal.

Negative views of the vagina are simultaneously contrasted by views that it is a powerful symbol of female sexuality, spirituality, or life.

Author Denise Linn stated that the vagina "is a powerful symbol of womanliness, openness, acceptance, and receptivity.

It is the inner valley spirit. This theory made many women feel inadequate, as the majority of women cannot achieve orgasm via vaginal intercourse alone.

Reported methods for treatment included a midwife rubbing the walls of the vagina or insertion of the penis or penis-shaped objects into the vagina.

In this case, paroxysm was regarded as a medical treatment, and not a sexual release. The vagina and vulva have been given many vulgar names, three of which are cunt , twat , and pussy.

Cunt is also used as a derogatory epithet referring to people of either sex. This usage is relatively recent, dating from the late nineteenth century.

The vagina loquens , or "talking vagina", is a significant tradition in literature and art, dating back to the ancient folklore motifs of the "talking cunt".

These carry the implication that sexual intercourse might result in injury, emasculation , or castration for the man involved.

These stories were frequently told as cautionary tales warning of the dangers of unknown women and to discourage rape. The outer form is a giant, reclining sculpture of a woman which visitors can enter through a door-sized vaginal opening between her spread legs.

The Vagina Monologues , a episodic play by Eve Ensler , has contributed to making female sexuality a topic of public discourse.

It is made up of a varying number of monologues read by a number of women. Initially, Ensler performed every monologue herself, with subsequent performances featuring three actresses; latter versions feature a different actress for every role.

Each of the monologues deals with an aspect of the feminine experience , touching on matters such as sexual activity, love, rape, menstruation, female genital mutilation, masturbation, birth, orgasm, the various common names for the vagina, or simply as a physical aspect of the body.

A recurring theme throughout the pieces is the vagina as a tool of female empowerment, and the ultimate embodiment of individuality. Societal views, influenced by tradition, a lack of knowledge on anatomy, or sexism , can significantly impact a person's decision to alter their own or another person's genitalia.

Women may want to remain youthful in appearance and sexual function. These views are often influenced by the media, [] [] including pornography , [] and women can have low self-esteem as a result.

Female genital mutilation, also known as female circumcision or female genital cutting, is genital modification with no health benefits. A small hole is left for the passage of urine and menstrual blood, and the vagina is opened up for sexual intercourse and childbirth.

Significant controversy surrounds female genital mutilation, [] [] with the World Health Organization WHO and other health organizations campaigning against the procedures on behalf of human rights , stating that it is "a violation of the human rights of girls and women" and "reflects deep-rooted inequality between the sexes".

Custom and tradition are the most frequently cited reasons for the practice of female genital mutilation. Some cultures believe that female genital mutilation is part of a girl's initiation into adulthood and that not performing it can disrupt social and political cohesion.

The vagina is a structure of animals in which the female is internally fertilized , rather than by traumatic insemination used by some invertebrates.

The shape of the vagina varies among different animals. In placental mammals and marsupials , the vagina leads from the uterus to the exterior of the female body.

Female marsupials have two lateral vaginas , which lead to separate uteri, but both open externally through the same orifice; a third canal, which is known as the median vagina, and can be transitory or permanent, is used for birth.

Instead, the vagina exits through the clitoris , allowing the females to urinate, copulate and give birth through the clitoris. Birds, monotremes, and some reptiles have a part of the oviduct that leads to the cloaca.

The vagina extends upward from the aperture and becomes the egg gland. In insects and other invertebrates , the vagina can be a part of the oviduct see insect reproductive system.

A lack of research on the vagina and other female genitalia, especially for different animals, has stifled knowledge on female sexual anatomy.

By contrast, female genitals are more often concealed, and require more dissection, which in turn requires more time. Non-human primates are optimal models for human biomedical research because humans and non-human primates share physiological characteristics as a result of evolution.

Estrogens and progestogens in the menstrual cycles and during premenarche and postmenopause are also similar in female humans and macaques; however, only in macaques does keratinization of the epithelium occur during the follicular phase.

Another is that such conditions' causes are inextricably bound to humans' genetic makeup, making results from other species difficult to apply to humans.

From Wikipedia, the free encyclopedia. This article is about the birth canal. For the external female sex organs, see vulva. For other uses, see Vagina disambiguation.

Vulva with pubic hair removed and labia separated to show the opening of the vagina: Clitoral hood Clitoris Labia minora Urethral opening Vaginal opening Perineum Anus.

Sympathetic: lumbar splanchnic plexus Parasympathetic: pelvic splanchnic plexus. See also: Vaginal support structures.

Main article: Human vaginal size. Further information: Development of the reproductive system. Main article: Vaginal epithelium. Main articles: Vaginal discharge and Vaginal lubrication.

Further information: Human sexual activity and Human female sexuality. Main article: Childbirth. Main article: Vaginal flora. Further information: List of microbiota species of the lower reproductive tract of women.

Main articles: Vaginal disease and Safe sex. See also: Vaginal atresia. See also: Eurotophobia. Main article: Vagina and vulva in art.

See also: Genital modification and mutilation. Human sexuality portal Anatomy portal. Oxford Dictionary of English.

Oxford University Press. Random House Reference. Forensic Gynaecology. Cambridge University Press. Health Humanities Reader.

Rutgers University Press. Sage Publications. Little thought apparently has been devoted to the nature of female genitals in general, likely accounting for the reason that most people use incorrect terms when referring to female external genitals.

The term typically used to talk about female genitals is vagina , which is actually an internal sexual structure, the muscular passageway leading outside from the uterus.

The correct term for the female external genitals is vulva , as discussed in chapter 6, which includes the clitoris, labia majora, and labia minora.

In addition, there is a current lack of appropriate vocabulary to refer to the external female genitals, using, for example, 'vagina' and 'vulva' as if they were synonyms, as if using these terms incorrectly were harmless to the sexual and psychological development of women.

DC Dutta's Textbook of Gynecology. JP Medical Ltd. Gray's Basic Anatomy E-Book. Elsevier Health Sciences. Cancer and Sexual Health. Health and Wellness for Life.

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Essential Anatomy and Physiology in Maternity Care. Dewhurst's Textbook of Obstetrics and Gynaecology.

Ultrasound in Obstetrics and Gynecology. Thieme Medical Publishers. General Anatomy and Musculoskeletal System. Pathology of the Cervix.

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Robboy's Pathology of the Female Reproductive Tract. The Yale Journal of Biology and Medicine. Reproductive and developmental toxicology. London: Academic Press.

Guyton and Hall textbook of medical physiology 12th ed. Pharmaceutical Manufacturing Handbook: Production and Processes. American Journal of Reproductive Immunology.

Vaginal Surgery for Incontinence and Prolapse. Dartmouth Medical School. Cancer Management and Research. Office of Women's Health. December 23, Archived from the original on June 26, Retrieved June 25, In Gupta RC ed.

Human Physiology: An Integrated Approach 6th ed. Glenview, IL: Pearson Education. Human Physiology: From Cells to Systems 8th ed.

Belmont, California: Cengage. Lexington Books. Biology of Women. Cengage Learning. Pelvic Floor Disorders. Handbook for Conducting Research on Human Sexuality.

Psychology Press. Human Heredity: Principles and Issues Updated ed. Clinical Neurology of the Older Adult. Love, Sex and Everything in Between.

Marshall Cavendish Corporation. Exploring the Dimensions of Human Sexuality. Am J Obstet Gynecol. Human Sexuality: An Encyclopedia. Clinical Manual of Sexual Disorders.

American Psychiatric Pub. Human Sexuality: From Cells to Society. Discovery Series: Human Sexuality. Sexuality Now: Embracing Diversity 1st ed.

An Invitation to Health 1st ed. Most people agree that we maintain virginity as long as we refrain from sexual vaginal intercourse.

But occasionally we hear people speak of 'technical virginity' [ Rosenthal M Human Sexuality: From Cells to Society 1st ed. Sexuality Now: Embracing Diversity.

The Big Book of Sex Toys. Cultural Encyclopedia of the Body. Greenwood Publishing Group. The Journal of Urology.

The Journal of Sexual Medicine. The Reproductive System at a Glance. Color Atlas of Physiology. The Pregnant Body Book. Our Bodies, Ourselves: Pregnancy and Birth.

Blueprints Obstetrics and Gynecology. Department of Health and Human Services. February 1, Archived from the original on July 28, Retrieved July 15, Maternity and Pediatric Nursing.

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Centers for Disease Control and Prevention. Retrieved January 19, Preventive Services Task Force recommendation statement". Annals of Internal Medicine.

Journal of Lower Genital Tract Disease. American Cancer Society. November 1, Retrieved January 7, Retrieved January 4, Anatomy Workbook.

World Scientific Publishing Company. Hoffman, Barbara L. December 13, This article incorporates text from this source, which is in the public domain.

Drug Delivery Systems 3rd ed. CRC Press. Pharmacology for Nursing Care. International Urogynecology Journal.

January 8, Retrieved January 8, In Shaw R ed. Annali di Igiene: Medicina Preventiva e di Comunita. Epidemiologic Reviews.

McGraw Hill Professional. Essentials of Clinical Infectious Diseases. Demos Medical Publishing. Ferri's Clinical Advisor An Invitation to Health Brief New Dimensions in Women's Health.

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