11.1. CLINICAL PHYSIOLOGIC SUBSTANTIATION FOR APPLICATION OF REHABILITATION FACILITIES ON
DISEASES OF ORGANS
OF WOMAN?S REPRODUCTIVE SYSTEM
The female genital tract consists of external genitals outside of the osteal pelvis and internal genitals located in the cavity of the small pelvis. External genitals include a pubis, labia majora and labia minora, vulval vestibule, clitoris, and Bartholin glands. Internal genitals include the uterus, ovaries, uterine tubes, and vagina. The pelvic cavity is limited by osteal structures.
The function of the female reproductive system is regulated by several hormones, which are produced in the hypophysis:
• the follicle-stimulating hormone (FSH) affects the process of maturation of follicles; change of concentration of this hormone influences the process of maturation of follicles, which may result in infertility;
• the luteinizing hormone participates in the process of ovulation and formation of the yellow body;
• the prolactin influences the regulation of milk secretion during the woman's lactic period; besides, it acts as an antagonist of FSH and the lutein-izing hormone.
• regulation of the female reproductive system is regulated by the hormones produced by other endocrine glands:
• hormones of the thyroid gland - T4 (thyroxine), T3 (triiodothyronine);
• hormones of adrenal glands - DEA and DEA-S, whose change of concentration also leads to the disturbance of activity of the reproductive system, and, hence, to female infertility.
The clinical presentation of diseases of the female reproductive system differs in the etiopathogenetic characteristic, wherefore, individual methods of rehabilitation are selected for each patient.