1. Bladder
2. Urethra
3. Uterus
4. Vagina
5. Rectum
6. Peritoneum
7. Perineum
VERTICAL SECTION OF PELVIS
Lining the cavity of the abdomen and also folded over the womb, ovaries, tubes and other organs is a thin membrane called the peritoneum. An inflammation of this lining is called peritonitis.
All these organs I have mentioned are situated inside the body out of sight, but there are other organs that are external. You have noticed two longitudinal folds of skin extending from the anus, or external opening of the rectum, to the rounded eminence in front. Their outer surface is covered with hair and their inner surface with glands that secrete a lubricating material. These folds are called the labia majora. Within the labia majora are two smaller folds called the labia minora. These folds meet at their anterior (front) end. At the meeting point you will notice a very small structure which is called the clitoris. This clitoris is very similar in structure to the penis of the male, having a tiny prepuce or foreskin which folds over to protect the sensitive end. Sometimes the foreskin is bound down too tightly, so that instead of being a protection to the parts, it becomes a source of irritation. Then we say the clitoris is hooded and it is necessary to loosen or cut this fold of skin. The operation is similar to that of circumcision in the male.
Just back of the clitoris, within the folds of the labia, is situated the meatus urinarius, or opening leading to the bladder. This aperture does not open directly into the bladder but is connected to it by a tube, about an inch and a half long, called the urethra.
The orifice or external opening of the vagina is situated just back of the meatus urinarius, also within the folds of the labia. In the virgin it is partly closed by a membranous fold called the hymen or maidenhead. The shape and size of the hymen varies greatly in different individuals, sometimes being entirely absent. After marriage it usually persists as notched folds. The presence of an intact hymen is not necessarily a sign of virginity, nor does its absence necessarily indicate defloration. Its congenital absence or absence at the time of birth is known. It sometimes is injured, or may be destroyed by an accident, as by falling astride of an object; again violent exercise may rupture it (horseback riding). Surgical operations or vaginal examinations, roughly conducted, not infrequently cause rupture. Then, too, authentic cases are on record in which prostitutes have had perfectly preserved hymens. It is well known that the use of vaginal astringents may tone up and narrow the vagina and even restore the hymen to a great degree.
The surface between the vaginal orifice and the anus is called the perineum (Do not confuse this with the peritoneum, for they are entirely different). It is this perineum that sometimes becomes torn during childbirth. The vaginal opening does not always stretch sufficiently to allow the passage of the child's head and the great pressure being exerted on the child by the uterine and abdominal muscles pushes it through, causing the tear. (You will understand this better when I explain about the development and birth of the child.) If this tear is repaired immediately no inconvenience usually results but if it is neglected it may produce a series of complications, some of which are falling of the womb, inflammation and even sterility.
Not directly connected with any of the other organs but still associated with them are the breasts. They vary in size at different periods of life, being usually of small size when the girl is young but increasing in size as the generative organs develop. The breasts consist of fatty tissue surrounding milk glands and ducts. During pregnancy they increase in size and become filled with milk. After the menopause (change of life) they ordinarily shrink in size. The ancient Greek statues, such as the Venus de Medici, long regarded as a type of perfect beauty, the Venus of Capua, regarded as the bust of a perfect form, show that the Grecian ideal of the feminine form had small busts. The modern idea seems to have wandered far from the Grecian ideal and many women devote much time and money trying to develop their busts. Perhaps sometime we will give up trying to be so artificial and conform to Nature's ideal.
Nature has constructed the internal female organs so wisely that we seldom need give them much thought. But the external organs do need our attention every day. I told you that the labia secreted a lubricating material which kept the parts moist, but this secretion must not be allowed to accumulate. The scalp secretes an oil that is necessary to the health of the hair but if this and the perspiration are allowed to accumulate the hair has an offensive odor. So it is with the female organs, the parts must be bathed carefully every day. I have been surprised in the past to find how many intelligent women neglect these parts. Women come for an examination, their clothing is scrupulously clean, their bodies show recent care but in the folds of the labia, especially near the clitoris, I find an accumulation of a cheesy-like material which has an odor very offensive to any truly refined woman. Sometimes in public gatherings, I have been seated near a woman with this same offensive odor very noticeable, and I have longed to tell her how to avoid it, for I am sure others must notice the same odor. But even from a physician, in the privacy of the office, women resent any suggestion that they are not thorough in matters of cleanliness. Daily cleansing of these parts is a necessity. At least once a day these parts should be sponged carefully. The labia should be separated and every fold thoroughly cleansed. Occasional vaginal douches also are necessary, for the various secretions often are retained in the folds of the vagina and cause irritation. But in taking a douche one always should remember to have the water warm. Cold water may produce congestion. The virtue of douches (except when taken for medicinal purposes) lies in their cleansing properties and warm water cleanses even better than cold. Many women produce grave disorders by the use of cold douches under the mistaken notion that they are of greater value than hot ones. A douche should be taken at the close of the menstrual period especially.
These female organs should not be the source of worry but they do require as much or even more attention to cleanliness than we give to our mouths or other parts of the body.