title: Vagina

text: The vaginal wall from the lumen outwards consists firstly of a mucosa of stratified squamous epithelium that is not keratinized, with a lamina propria (a thin layer of connective tissue) underneath it. Secondly, there is a layer of smooth muscle with bundles of circular fibers internal to longitudinal fibers (those that run lengthwise). Lastly, is an outer layer of connective tissue called the adventitia. Some texts list four layers by counting the two sublayers of the mucosa (epithelium and lamina propria) separately.


title: Vagina

text: The smooth muscular layer within the vagina has a weak contractive force that can create some pressure in the lumen of the vagina; much stronger contractive force, such as during childbirth, comes from muscles in the pelvic floor that are attached to the adventitia around the vagina.


title: Vagina

text: The lamina propria is rich in blood vessels and lymphatic channels. The muscular layer is composed of smooth muscle fibers, with an outer layer of longitudinal muscle, an inner layer of circular muscle, and oblique muscle fibers between. The outer layer, the adventitia, is a thin dense layer of connective tissue and it blends with loose connective tissue containing blood vessels, lymphatic vessels and nerve fibers that are between pelvic organs. The vaginal mucosa is absent of glands. It forms folds (transverse ridges or rugae), which are more prominent in the outer third of the vagina; their function is to provide the vagina with increased surface area for extension and stretching.


title: Vagina

text: The epithelium of the ectocervix (the portion the uterine cervix extending into the vagina) is an extension of, and shares a border with, the vaginal epithelium. The vaginal epithelium is made up of layers of cells, including the basal cells, the parabasal cells, the superficial squamous flat cells, and the intermediate cells. The basal layer of the epithelium is the most mitotically active and reproduces new cells. The superficial cells shed continuously and basal cells replace them. Estrogen induces the intermediate and superficial cells to fill with glycogen. Cells from the lower basal layer transition from active metabolic activity to death (apoptosis). In these mid-layers of the epithelia, the cells begin to lose their mitochondria and other organelles. The cells retain a usually high level of glycogen compared to other epithelial tissue in the body.


title: Vagina

text: Under the influence of maternal estrogen, the vagina of a newborn is lined by thick stratified squamous epithelium (or mucosa) for two to four weeks after birth. Between then to puberty, the epithelium remains thin with only a few layers of cuboidal cells without glycogen. The epithelium also has few rugae and is red in color before puberty. When puberty begins, the mucosa thickens and again becomes stratified squamous epithelium with glycogen containing cells, under the influence of the girl's rising estrogen levels. Finally, the epithelium thins out from menopause onward and eventually ceases to contain glycogen, because of the lack of estrogen.


title: Vagina

text: Flattened squamous cells are more resistant to both abrasion and infection. The permeability of the epithelium allows for an effective response from the immune system since antibodies and other immune components can easily reach the surface. The vaginal epithelium differs from the similar tissue of the skin. The epidermis of the skin is relatively resistant to water because it contains high levels of lipids. The vaginal epithelium contains lower levels of lipids. This allows the passage of water and water-soluble substances through the tissue.


title: Vagina

text: Keratinization happens when the epithelium is exposed to the dry external atmosphere. In abnormal circumstances, such as in pelvic organ prolapse, the mucosa may be exposed to air, becoming dry and keratinized.


title: Vagina

text: Blood is supplied to the vagina mainly via the vaginal artery, which emerges from a branch of the internal iliac artery or the uterine artery. The vaginal arteries anastamose (are joined) along the side of the vagina with the cervical branch of the uterine artery; this forms the azygos artery, which lies on the midline of the anterior and posterior vagina. Other arteries which supply the vagina include the middle rectal artery and the internal pudendal artery, all branches of the internal iliac artery. Three groups of lymphatic vessels accompany these arteries; the upper group accompanies the vaginal branches of the uterine artery; a middle group accompanies the vaginal arteries; and the lower group, draining lymph from the area outside the hymen, drain to the inguinal lymph nodes. Ninety-five percent of the lymphatic channels of the vagina are within 3 mm of the surface of the vagina.


title: Vagina

text: Two main veins drain blood from the vagina, one on the left and one on the right. These form a network of smaller veins, the vaginal venous plexus, on the sides of the vagina, connecting with similar venous plexuses of the uterus, bladder, and rectum. These ultimately drain into the internal iliac veins.


title: Vagina

text: The nerve supply of the upper vagina is provided by the sympathetic and parasympathetic areas of the pelvic plexus. The lower vagina is supplied by the pudendal nerve.


title: Vagina

text: Vaginal secretions are primarily from the uterus, cervix, and vaginal epithelium in addition to minuscule vaginal lubrication from the Bartholin's glands upon sexual arousal. It takes little vaginal secretion to make the vagina moist; secretions may increase during sexual arousal, the middle of or a little prior to menstruation, or during pregnancy. Menstruation (also known as a "period" or "monthly") is the regular discharge of blood and mucosal tissue (known as menses) from the inner lining of the uterus through the vagina. The vaginal mucous membrane varies in thickness and composition during the menstrual cycle, which is the regular, natural change that occurs in the female reproductive system (specifically the uterus and ovaries) that makes pregnancy possible. Different hygiene products such as tampons, menstrual cups, and sanitary napkins are available to absorb or capture menstrual blood.


title: Vagina

text: The Bartholin's glands, located near the vaginal opening, were originally considered the primary source for vaginal lubrication, but further examination showed that they provide only a few drops of mucus. Vaginal lubrication is mostly provided by plasma seepage known as transudate from the vaginal walls. This initially forms as sweat-like droplets, and is caused by increased fluid pressure in the tissue of the vagina (vasocongestion), resulting in the release of plasma as transudate from the capillaries through the vaginal epithelium.


title: Vagina

text: Before and during ovulation, the mucus glands within the cervix secrete different variations of mucus, which provides an alkaline, fertile environment in the vaginal canal that is favorable to the survival of sperm. Following menopause, vaginal lubrication naturally decreases.


title: Vagina

text: Nerve endings in the vagina can provide pleasurable sensations when the vagina is stimulated during sexual activity. Women may derive pleasure from one part of the vagina, or from a feeling of closeness and fullness during vaginal penetration. Because the vagina is not rich in nerve endings, women often do not receive sufficient sexual stimulation, or orgasm, solely from vaginal penetration. Although the literature commonly cites a greater concentration of nerve endings and therefore greater sensitivity near the vaginal entrance (the outer one-third or lower third), some scientific examinations of vaginal wall innervation indicate no single area with a greater density of nerve endings. Other research indicates that only some women have a greater density of nerve endings in the anterior vaginal wall. Because of the fewer nerve endings in the vagina, childbirth pain is significantly more tolerable.


title: Vagina

text: Pleasure can be derived from the vagina in a variety of ways. In addition to penile penetration, pleasure can come from masturbation, fingering, oral sex (cunnilingus), or specific sex positions (such as the missionary position or the spoons sex position). Heterosexual couples may engage in cunnilingus or fingering as forms of foreplay to incite sexual arousal or as accompanying acts, or as a type of birth control, or to preserve virginity. Less commonly, they may use non penile-vaginal sexual acts as a primary means of sexual pleasure. In contrast, lesbians and other women who have sex with women commonly engage in cunnilingus or fingering as main forms of sexual activity. Some women and couples use sex toys, such as a vibrator or dildo, for vaginal pleasure. The "Kama Sutra" – an ancient Hindu text written by Vātsyāyana, which includes a number of sexual positions – may also be used to increase sexual pleasure, with special emphasis on female sexual satisfaction.


title: Vagina

text: Most women require direct stimulation of the clitoris to orgasm. The clitoris plays a part in vaginal stimulation. It is a sex organ of multiplanar structure containing an abundance of nerve endings, with a broad attachment to the pubic arch and extensive supporting tissue to the labia. Research indicates that it forms a tissue cluster with the vagina. This tissue is perhaps more extensive in some women than in others, which may contribute to orgasms experienced vaginally.


title: Vagina

text: During sexual arousal, and particularly the stimulation of the clitoris, the walls of the vagina lubricate. This begins after ten to thirty seconds of sexual arousal, and increases in amount the longer the woman is aroused. It reduces friction or injury that can be caused by insertion of the penis into the vagina or other penetration of the vagina during sexual activity. The vagina lengthens during the arousal, and can continue to lengthen in response to pressure; as the woman becomes fully aroused, the vagina expands in length and width, while the cervix retracts. With the upper two-thirds of the vagina expanding and lengthening, the uterus rises into the greater pelvis, and the cervix is elevated above the vaginal floor, resulting in tenting of the mid-vaginal plane. This is known as the tenting or ballooning effect. As the elastic walls of the vagina stretch or contract, with support from the pelvic muscles, to wrap around the inserted penis (or other object), this creates friction for the penis and helps to cause a man to experience orgasm and ejaculation, which in turn enables fertilization.


title: Vagina

text: An area in the vagina that may be an erogenous zone is the G-spot. It is typically defined as being located at the anterior wall of the vagina, a couple or few inches in from the entrance, and some women experience intense pleasure, and sometimes an orgasm, if this area is stimulated during sexual activity. A G-spot orgasm may be responsible for female ejaculation, leading some doctors and researchers to believe that G-spot pleasure comes from the Skene's glands, a female homologue of the prostate, rather than any particular spot on the vaginal wall; other researchers consider the connection between the Skene's glands and the G-spot area to be weak. The G-spot's existence (and existence as a distinct structure) is still under dispute because reports of its location can vary from woman to woman, it appears to be nonexistent in some women, and it is hypothesized to be an extension of the clitoris and therefore the reason for orgasms experienced vaginally.


title: Vagina

text: The vagina is the birth canal for the delivery of a baby. When labor nears, several signs may occur, including vaginal discharge and the rupture of membranes (water breaking). The latter results in a gush or small stream of amniotic fluid from the vagina. Water breaking most commonly happens at the beginning of labor. It happens before labor if there is a premature rupture of membranes, which occurs in 10% of cases. Among women giving birth for the first time, Braxton Hicks contractions are mistaken for actual contractions, but they are instead a way for the body to prepare for true labor. They do not signal the beginning of labor, but they are usually very strong in the days leading up to labor.


title: Vagina

text: As the body prepares for childbirth, the cervix softens, thins, moves forward to face the front, and begins to open. This allows the fetus to settle into the pelvis, a process known as lightening. As the fetus settles into the pelvis, pain from the sciatic nerves, increased vaginal discharge, and increased urinary frequency can occur. While lightening is likelier to happen after labor has begun for women who have given birth before, it may happen ten to fourteen days before labor in women experiencing labor for the first time.


title: Vagina

text: The fetus begins to lose the support of the cervix when contractions begin. With cervical dilation reaching 10 cm to accommodate the head of the fetus, the head moves from the uterus to the vagina. The elasticity of the vagina allows it to stretch to many times its normal diameter in order to deliver the child.


title: Vagina

text: Vaginal births are more common, but if there is a risk of complications a caesarean section (C-section) may be performed. The vaginal mucosa has an abnormal accumulation of fluid (edematous) and is thin, with few rugae, a little after birth. The mucosa thickens and rugae return in approximately three weeks once the ovaries regain usual function and estrogen flow is restored. The vaginal opening gapes and is relaxed, until it returns to its approximate pre-pregnant state six to eight weeks after delivery, known as the postpartum period; however, the vagina will continue to be larger in size than it was previously.


title: Vagina

text: After giving birth, there is a phase of vaginal discharge called lochia that can vary significantly in the amount of loss and its duration but can go on for up to six weeks.


title: Vagina

text: The vaginal flora is a complex ecosystem that changes throughout life, from birth to menopause. The vaginal microbiota resides in and on the outermost layer of the vaginal epithelium. This microbiome consists of species and genera which typically do not cause symptoms or infections in women with normal immunity. The vaginal microbiome is dominated by "Lactobacillus" species. These species metabolize glycogen, breaking it down into sugar. "Lactobacilli" metabolize the sugar into glucose and lactic acid. Under the influence of hormones, such as estrogen, progesterone and follicle-stimulating hormone (FSH), the vaginal ecosystem undergoes cyclic or periodic changes.


title: Vagina

text: Vaginal health can be assessed during a pelvic examination, along with the health of most of the organs of the female reproductive system. Such exams may include the Pap test (or cervical smear). In the United States, Pap test screening is recommended starting around 21 years of age until the age of 65. However, other countries do not recommend pap testing in non-sexually active women. Guidelines on frequency vary from every three to five years. Routine pelvic examination on adult women who are not pregnant and lack symptoms may be more harmful than beneficial. A normal finding during the pelvic exam of a pregnant women is a bluish tinge to the vaginal wall.


title: Vagina

text: Pelvic exams are most often performed when there are unexplained symptoms of discharge, pain, unexpected bleeding or urinary problems. During a pelvic exam, the vaginal opening is assessed for position, symmetry, presence of the hymen, and shape. 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. Examination of the vagina may also be done during a cavity search.


title: Vagina

text: Lacerations or other injuries to the vagina can occur during sexual assault or other sexual abuse. These can be tears, bruises, inflammation and abrasions. Sexual assault with objects can damage the vagina and X-ray examination may reveal the presence of foreign objects. If consent is given, a pelvic examination is part of the assessment of sexual assault. Pelvic exams are also performed during pregnancy, and women with high risk pregnancies have exams more often.


title: Vagina

text: 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. Medications used to ripen the cervix and induce labor are commonly administered via this route, as are estrogens, contraceptive agents, propranolol, and antifungals. 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.


title: Vagina

text: 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.


title: Vagina

text: 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. The healthy vagina of a woman of child-bearing age is acidic, with a pH normally ranging between 3.8 and 4.5. The low pH prohibits growth of many strains of pathogenic microbes. The acidic balance of the vagina may also be affected by pregnancy, menstruation, diabetes or other illness, birth control pills, certain antibiotics, poor diet, and stress (such as from a lack of sleep). Any of these changes to the acidic balance of the vagina may contribute to yeast infection. An elevated pH (greater than 4.5) of the vaginal fluid can be caused by an overgrowth of bacteria as in bacterial vaginosis, or in the parasitic infection trichomoniasis, both of which have vaginitis as a symptom. Vaginal flora populated by a number of different bacteria characteristic of bacterial vaginosis increases the risk of adverse pregnancy outcomes. During a pelvic exam, samples of vaginal fluids may be taken to screen for sexually transmitted infections or other infections.


title: Vagina

text: Because the vagina is self-cleansing, it usually does not need special hygiene. Clinicians generally discourage the practice of douching for maintaining vulvovaginal health. Since the vaginal flora gives protection against disease, a disturbance of this balance may lead to infection and abnormal discharge. Vaginal discharge may indicate a vaginal infection by color and odor, or the resulting symptoms of discharge, such as irritation or burning. Abnormal vaginal discharge may be caused by STIs, diabetes, douches, fragranced soaps, bubble baths, birth control pills, yeast infection (commonly as a result of antibiotic use) or another form of vaginitis. While vaginitis is an inflammation of the vagina, and is attributed to infection, hormonal issues, or irritants, vaginismus is an involuntary tightening of the vagina muscles during vaginal penetration that is caused by a conditioned reflex or disease. Vaginal discharge due to yeast infection is usually thick, creamy in color and odorless, while discharge due to bacterial vaginosis is gray-white in color, and discharge due to trichomoniasis is usually a gray color, thin in consistency, and has a fishy odor. Discharge in 25% of the trichomoniasis cases is yellow-green.


title: Vagina

text: HIV/AIDS, human papillomavirus (HPV), genital herpes and trichomoniasis are some STIs that may affect the vagina, and health sources recommend safe sex (or barrier method) practices to prevent the transmission of these and other STIs. Safe sex commonly involves the use of condoms, and sometimes female condoms (which give women more control). Both types can help avert pregnancy by preventing semen from coming in contact with the vagina. There is, however, little research on whether female condoms are as effective as male condoms at preventing STIs, and they are slightly less effective than male condoms at preventing pregnancy, which may be because the female condom fits less tightly than the male condom or because it can slip into the vagina and spill semen.


title: Vagina

text: 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. Instead of surgery, the lymph nodes of concern are sometimes treated with radiation therapy administered to the patient's pelvic, inguinal lymph nodes, or both.


title: Vagina

text: Vaginal cancer and vulvar cancer are very rare, and primarily affect older women. Cervical cancer (which is relatively common) increases the risk of vaginal cancer, which is why there is a significant chance for vaginal cancer to occur at the same time as, or after, cervical cancer. It may be that their causes are the same. Cervical cancer may be prevented by pap smear screening and HPV vaccines, but HPV vaccines only cover HPV types 16 and 18, the cause of 70% of cervical cancers. Some symptoms of cervical and vaginal cancer are dyspareunia, and abnormal vaginal bleeding or vaginal discharge, especially after sexual intercourse or menopause. However, most cervical cancers are asymptomatic (present no symptoms). Vaginal intracavity brachytherapy (VBT) is used to treat endometrial, vaginal and cervical cancer. An applicator is inserted into the vagina to allow the administration of radiation as close to the site of the cancer as possible. Survival rates increase with VBT when compared to external beam radiation therapy. By using the vagina to place the emitter as close to the cancerous growth as possible, the systemic effects of radiation therapy are reduced and cure rates for vaginal cancer are higher. Research is unclear on whether treating cervical cancer with radiation therapy increases the risk of vaginal cancer.


title: Vagina

text: Age and hormone levels significantly correlate with the pH of the vagina. Estrogen, glycogen and lactobacilli impact these levels. At birth, the vagina is acidic with a pH of approximately 4.5, and ceases to be acidic by three to six weeks of age, becoming alkaline. Average vaginal pH is 7.0 in pre-pubertal girls. Although there is a high degree of variability in timing, girls who are approximately seven to twelve years of age will continue to have labial development as the hymen thickens and the vagina elongates to approximately 8 cm. The vaginal mucosa thickens and the vaginal pH becomes acidic again. Girls may also experience a thin, white vaginal discharge called leukorrhea. The vaginal microbiota of adolescent girls aged 13 to 18 years is similar to women of reproductive age, who have an average vaginal pH of 3.8–4.5, but research is not as clear on whether this is the same for premenarcheal or perimenarcheal girls. The vaginal pH during menopause is 6.5–7.0 (without hormone replacement therapy), or 4.5–5.0 with hormone replacement therapy.


title: Vagina

text: After menopause, the body produces less estrogen. This causes atrophic vaginitis (thinning and inflammation of the vaginal walls), which can lead to vaginal itching, burning, bleeding, soreness, or vaginal dryness (a decrease in lubrication). Vaginal dryness can cause discomfort on its own or discomfort or pain during sexual intercourse. Hot flashes are also characteristic of menopause. Menopause also affects the composition of vaginal support structures. The vascular structures become fewer with advancing age. Specific collagens become altered in composition and ratios. It is thought that the weakening of the support structures of the vagina is due to the physiological changes in this connective tissue.


title: Vagina

text: 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 creams and vaginal estrogen rings may not have the same risks as other hormone replacement treatments. Hormone replacement therapy can treat vaginal dryness, but a personal lubricant may be used to temporarily remedy vaginal dryness specifically for sexual intercourse. Some women have an increase in sexual desire following menopause. It may be that menopausal women who continue to engage in sexual activity regularly experience vaginal lubrication similar to levels in women who have not entered menopause, and can enjoy sexual intercourse fully. They may have less vaginal atrophy and fewer problems concerning sexual intercourse.


title: Vagina

text: 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. Other vaginal changes related to aging and childbirth are stress urinary incontinence, rectocele, and cystocele. Physical changes resulting from pregnancy, childbirth, and menopause often contribute to stress urinary incontinence. 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. Pelvic organ prolapse, such as a rectocele or cystocele, is characterized by the descent of pelvic organs from their normal positions to impinge upon the vagina. A reduction in estrogen does not cause rectocele, cystocele or uterine prolapse, but childbirth and weakness in pelvic support structures can. Prolapse may also occur when the pelvic floor becomes injured during a hysterectomy, gynecological cancer treatment, or heavy lifting. Pelvic floor exercises such as Kegel exercises can be used to strengthen the pelvic floor muscles, preventing or arresting the progression of prolapse. There is no evidence that doing Kegel exercises isotonically or with some form of weight is superior; there are greater risks with using weights since a foreign object is introduced into the vagina.


title: Vagina

text: 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. The laceration can be so extensive as to involve the rectum and anus. This event can be especially distressing to a new mother. When this occurs, fecal incontinence develops and stool can leave through the vagina. Close to 85% of spontaneous vaginal births develop some form of tearing. Out of these, 60–70% require suturing. Lacerations from labor do not always occur.


title: Vagina

text: The vagina, including the vaginal opening, may be altered as a result of surgeries such as an episiotomy, vaginectomy, vaginoplasty or labiaplasty. Those who undergo vaginoplasty are usually older and have given birth. A thorough examination of the vagina before a vaginoplasty is standard, as well as a referral to a urogynecologist to diagnose possible vaginal disorders. With regard to labiaplasty, reduction of the labia minora is quick without hindrance, complications are minor and rare, and can be corrected. Any scarring from the procedure is minimal, and long-term problems have not been identified.


title: Vagina

text: 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. Although its routine use is no longer recommended, and not having an episiotomy is found to have better results than an episiotomy, it is one of the most common medical procedures performed on women. 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. Episiotomies can be painful after delivery. Women often report pain during sexual intercourse up to three months after laceration repair or an episiotomy. Some surgical techniques result in less pain than others. The two types of episiotomies performed are the medial incision and the medio-lateral incision. The median incision is a perpendicular cut between the vagina and the anus and is the most common. The medio-lateral incision is made between the vagina at an angle and is not as likely to tear through to the anus. The medio-lateral cut takes more time to heal than the median cut.


title: Vagina

text: Vaginectomy is surgery to remove all or part of the vagina, and is usually used to treat malignancy. Removal of some or all of the reproductive organs and genitalia can result in damage to the nerves and leave behind scarring or adhesions. Sexual function may also be impaired as a result, as in the case of some cervical cancer surgeries. These surgeries can impact pain, elasticity, vaginal lubrication and sexual arousal. This often resolves after one year but may take longer.


title: Vagina

text: 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. While a woman may experience an improvement in self-image and sexual pleasure by undergoing vaginal tightening or rejuvenation, there are risks associated with the procedures, including infection, narrowing of the vaginal opening, insufficient tightening, decreased sexual function (such as pain during sexual intercourse), and rectovaginal fistula. 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.


title: Vagina

text: 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. A number of sex reassignment surgeries are available to transgender people. Although not all intersex conditions require surgical treatment, some choose genital surgery to correct atypical anatomical conditions.


title: Vagina

text: Vaginal anomalies are defects that result in an abnormal or absent vagina. The most common obstructive vaginal anomaly is an imperforate hymen, a condition in which the hymen obstructs menstrual flow or other vaginal secretions. Another vaginal anomaly is a transverse vaginal septum, which partially or completely blocks the vaginal canal. The precise cause of an obstruction must be determined before it is repaired, since corrective surgery differs depending on the cause. In some cases, such as isolated vaginal agenesis, the external genitalia may appear normal.


title: Vagina

text: Abnormal openings known as fistulas can cause urine or feces to enter the vagina, resulting in incontinence. The vagina is susceptible to fistula formation because of its proximity to the urinary and gastrointestinal tracts. Specific causes are manifold and include obstructed labor, hysterectomy, malignancy, radiation, episiotomy, and bowel disorders. A small number of vaginal fistulas are congenital. Various surgical methods are employed to repair fistulas. Untreated, fistulas can result in significant disability and have a profound impact on quality of life.


title: Vagina

text: 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.


title: Vagina

text: Cysts may also affect the vagina. Various types of vaginal cysts can develop on the surface of the vaginal epithelium or in deeper layers of the vagina and can grow to be as large as 7 cm. Often, they are an incidental finding during a routine pelvic examination. Vaginal cysts can mimic other structures that protrude from the vagina such as a rectocele and cystocele. Cysts that can be present include Müllerian cysts, Gartner's duct cysts, and epidermoid cysts. A vaginal cyst is most likely to develop in women between the ages of 30 to 40. It is estimated that 1 out of 200 women has a vaginal cyst. The Bartholin's cyst is of vulvar rather than vaginal origin, but it presents as a lump at the vaginal opening. It is more common in younger women and is usually without symptoms, but it can cause pain if an abscess forms, block the entrance to the vulval vestibule if large, and impede walking or cause painful sexual intercourse.


title: Vagina

text: 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. These views can largely be attributed to sex differences, and how they are interpreted. 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.


title: Vagina

text: 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. This is exacerbated by phrases such as "boys have a penis, girls have a vagina", which causes children to think that girls have one orifice in the pelvic area. Author Hilda Hutcherson stated, "Because many [women] have been conditioned since childhood through verbal and nonverbal cues to think of [their] genitals as ugly, smelly and unclean, [they] aren't able to fully enjoy intimate encounters" because of fear that their partner will dislike the sight, smell, or taste of their genitals. 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. Scholar stated that having a vagina meant she would typically be treated less well than her vagina-less counterparts and subject to inequalities (such as job inequality), which she categorized as being treated like a second-class citizen.


title: Vagina

text: 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." Sigmund Freud placed significant value on the vagina, postulating the concept that vaginal orgasm is separate from clitoral orgasm, and that, upon reaching puberty, the proper response of mature women is a changeover to vaginal orgasms (meaning orgasms without any clitoral stimulation). This theory made many women feel inadequate, as the majority of women cannot achieve orgasm via vaginal intercourse alone. Regarding religion, the womb represents a powerful symbol as the "yoni" in Hinduism which represents "the feminine potency", and this may indicate the value that Hindu society has given female sexuality and the vagina's ability to deliver life; however, "yoni" as a representation of "womb" is not the primary denotation.


title: Vagina

text: While, in ancient times, the vagina was often considered equivalent (homologous) to the penis, with anatomists Galen (129 AD – 200 AD) and Vesalius (1514–1564) regarding the organs as structurally the same except for the vagina being inverted, anatomical studies over latter centuries showed the clitoris to be the penile equivalent. Another perception of the vagina was that the release of vaginal fluids would cure or remedy a number of ailments; various methods were used over the centuries to release "female seed" (via vaginal lubrication or female ejaculation) as a treatment for (suffocation of the womb,  'suffocation from retained seed'), green sickness, and possibly for female hysteria. 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. Symptoms of the female hysteria diagnosis – a concept that is no longer recognized by medical authorities as a medical disorder – included faintness, nervousness, insomnia, fluid retention, heaviness in abdomen, muscle spasm, shortness of breath, irritability, loss of appetite for food or sex, and a propensity for causing trouble. It may be that women who were considered suffering from female hysteria condition would sometimes undergo "pelvic massage" – stimulation of the genitals by the doctor until the woman experienced "hysterical paroxysm" (i.e., orgasm). In this case, paroxysm was regarded as a medical treatment, and not a sexual release.


title: Vagina

text: 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. Reflecting different national usages, "cunt" is described as "an unpleasant or stupid person" in the "Compact Oxford English Dictionary", whereas the Merriam-Webster has a usage of the term as "usually disparaging and obscene: woman", noting that it is used in the United States as "an offensive way to refer to a woman". "Random House" defines it as "a despicable, contemptible or foolish man". Some feminists of the 1970s sought to eliminate disparaging terms such as "cunt". "Twat" is widely used as a derogatory epithet, especially in British English, referring to a person considered obnoxious or stupid. "Pussy" can indicate "cowardice or weakness", and "the human vulva or vagina" or by extension "sexual intercourse with a woman". In contemporary English, use of the word "pussy" to refer to women is considered derogatory or demeaning, treating people as sexual objects.


title: Vagina

text: 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 tales usually involve vaginas talking due to the effect of magic or charms, and often admitting to their lack of chastity. Other folk tales relate the vagina as having teeth – "vagina dentata" (Latin for "toothed vagina"). 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.


title: Vagina

text: In 1966, the French artist Niki de Saint Phalle collaborated with Dadaist artist Jean Tinguely and Per Olof Ultvedt on a large sculpture installation entitled (also spelled , which means "she-a cathedral") for Moderna Museet, in Stockholm, Sweden. 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.


title: Vagina

text: "The Vagina Monologues", a 1996 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.


title: Vagina

text: 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 alter their genitalia (vagina or vulva) because they believe that its appearance, such as the length of the labia minora covering the vaginal opening, is not normal, or because they desire a smaller vaginal opening or tighter vagina. 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. They may be embarrassed to be naked in front of a sexual partner and may insist on having sex with the lights off. When modification surgery is performed purely for cosmetic reasons, it is often viewed poorly, and some doctors have compared such surgeries to female genital mutilation (FGM).


title: Vagina

text: Female genital mutilation, also known as female circumcision or female genital cutting, is genital modification with no health benefits. The most severe form is Type III FGM, which is infibulation and involves removing all or part of the labia and the vagina being closed up. A small hole is left for the passage of urine and menstrual blood, and the vagina is opened up for sexual intercourse and childbirth.


title: Vagina

text: 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". Female genital mutilation has existed at one point or another in almost all human civilizations, most commonly to exert control over the sexual behavior, including masturbation, of girls and women. It is carried out in several countries, especially in Africa, and to a lesser extent in other parts of the Middle East and Southeast Asia, on girls from a few days old to mid-adolescent, often to reduce sexual desire in an effort to preserve vaginal virginity. Comfort Momoh stated it may be that female genital mutilation was "practiced in ancient Egypt as a sign of distinction among the aristocracy"; there are reports that traces of infibulation are on Egyptian mummies.


title: Vagina

text: 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. In these societies, a girl is often not considered an adult unless she has undergone the procedure.


title: Vagina

text: 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. The female spotted hyena does not have an external vaginal opening. Instead, the vagina exits through the clitoris, allowing the females to urinate, copulate and give birth through the clitoris. The vagina of the female coyote contracts during copulation, forming a copulatory tie.


title: Vagina

text: Birds, monotremes, and some reptiles have a part of the oviduct that leads to the cloaca. Chickens have a vaginal aperture that opens from the vertical apex of the cloaca. The vagina extends upward from the aperture and becomes the egg gland. In some jawless fish, there is neither oviduct nor vagina and instead the egg travels directly through the body cavity (and is fertilised externally as in most fish and amphibians). In insects and other invertebrates, the vagina can be a part of the oviduct (see insect reproductive system). Birds have a cloaca into which the urinary, reproductive tract (vagina) and gastrointestinal tract empty. Females of some waterfowl species have developed vaginal structures called dead end sacs and clockwise coils to protect themselves from sexual coercion.


title: Vagina

text: A lack of research on the vagina and other female genitalia, especially for different animals, has stifled knowledge on female sexual anatomy. One explanation for why male genitalia is studied more includes penises being significantly simpler to analyze than female genital cavities, because male genitals usually protrude and are therefore easier to assess and measure. By contrast, female genitals are more often concealed, and require more dissection, which in turn requires more time. Another explanation is that a main function of the penis is to impregnate, while female genitals may alter shape upon interaction with male organs, especially as to benefit or hinder reproductive success.


title: Vagina

text: Non-human primates are optimal models for human biomedical research because humans and non-human primates share physiological characteristics as a result of evolution. While menstruation is heavily associated with human females, and they have the most pronounced menstruation, it is also typical of ape relatives and monkeys. Female macaques menstruate, with a cycle length over the course of a lifetime that is comparable to that of female humans. 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. The vaginal pH of macaques also differs, with near-neutral to slightly alkaline median values and is widely variable, which may be due to its lack of lactobacilli in the vaginal flora. This is one reason why, although macaques are used for studying HIV transmission and testing microbicides, animal models are not often used in the study of sexually transmitted infections, such as trichomoniasis. Another is that such conditions' causes are inextricably bound to humans' genetic makeup, making results from other species difficult to apply to humans.


title: Latin

text: Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the Roman Republic it became the dominant language in the Italian region and subsequently throughout the Roman Empire. Even after the fall of Western Rome, Latin remained the common language of international communication, science, scholarship and academia in Europe until well into the 18th century, when other regional vernaculars (including its own descendants, the Romance languages) supplanted it in common academic and political usage, and it eventually became a dead language in the modern linguistic definition.


title: Latin

text: Latin is a highly inflected language, with three distinct genders (masculine, feminine, and neuter), six or seven noun cases (nominative, accusative, genitive, dative, ablative, and vocative), five declensions, four verb conjugations, six tenses (present, imperfect, future, perfect, pluperfect, and future perfect), three persons, three moods, two voices (passive and active), two or three aspects, and two numbers (singular and plural). The Latin alphabet is directly derived from the Etruscan and Greek alphabets.


title: Latin

text: By the late Roman Republic (75 BC), Old Latin had been standardized into Classical Latin used by educated elites. Vulgar Latin was the colloquial form spoken at that time among lower-class commoners and attested in inscriptions and the works of comic playwrights Plautus and Terence and author Petronius. Late Latin is the written language from the 3rd century, and its various Vulgar Latin dialects developed in the 6th to 9th centuries into the modern Romance languages. Medieval Latin was used during the Middle Ages as a literary language from the 9th century to the Renaissance, which then used Renaissance Latin. Later, New Latin evolved during the early modern era to eventually become various forms of rarely spoken Contemporary Latin, one of which, Ecclesiastical Latin, remains the official language of the Holy See and the Roman Rite of the Catholic Church at Vatican City.


title: Latin

text: Latin has also greatly influenced the English language and historically contributed many words to the English lexicon after the Christianization of Anglo-Saxons and the Norman conquest. In particular, Latin (and Ancient Greek) roots are still used in English descriptions of theology, science disciplines (especially anatomy and taxonomy), medicine, and law.


title: Latin

text: A number of historical phases of the language have been recognized, each distinguished by subtle differences in vocabulary, usage, spelling, morphology, and syntax. There are no hard and fast rules of classification; different scholars emphasize different features. As a result, the list has variants, as well as alternative names.


title: Latin

text: In addition to the historical phases, Ecclesiastical Latin refers to the styles used by the writers of the Roman Catholic Church from late antiquity onward, as well as by Protestant scholars.


title: Latin

text: After the Western Roman Empire fell in 476 and Germanic kingdoms took its place, the Germanic people adopted Latin as a language more suitable for legal and other, more formal uses.


title: Latin

text: The earliest known form of Latin is Old Latin, which was spoken from the Roman Kingdom to the later part of the Roman Republic period. It is attested both in inscriptions and in some of the earliest extant Latin literary works, such as the comedies of Plautus and Terence. The Latin alphabet was devised from the Etruscan alphabet. The writing later changed from what was initially either a right-to-left or a boustrophedon script to what ultimately became a strictly left-to-right script.


title: Latin

text: During the late republic and into the first years of the empire, a new Classical Latin arose, a conscious creation of the orators, poets, historians and other literate men, who wrote the great works of classical literature, which were taught in grammar and rhetoric schools. Today's instructional grammars trace their roots to such schools, which served as a sort of informal language academy dedicated to maintaining and perpetuating educated speech.


title: Latin

text: Philological analysis of Archaic Latin works, such as those of Plautus, which contain fragments of everyday speech, indicates that a spoken language, Vulgar Latin (termed , "the speech of the masses", by Cicero), existed concurrently with literate Classical Latin. The informal language was rarely written, so philologists have been left with only individual words and phrases cited by classical authors and those found as graffiti.


title: Latin

text: As it was free to develop on its own, there is no reason to suppose that the speech was uniform either diachronically or geographically. On the contrary, Romanised European populations developed their own dialects of the language, which eventually led to the differentiation of Romance languages.


title: Latin

text: The Romance languages descend from Vulgar Latin and were originally the popular and informal dialects spoken by various layers of the Latin-speaking population. These dialects were distinct from the classical form of the language spoken by the Roman upper classes, the form in which Romans generally wrote.


title: Latin

text: The decline of the Roman Empire meant a deterioration in educational standards that brought about Late Latin, a postclassical stage of the language seen in Christian writings of the time. It was more in line with everyday speech, not only because of a decline in education but also because of a desire to spread the word to the masses.


title: Latin

text: Currently, the five most widely spoken Romance languages by number of native speakers are Spanish, Portuguese, French, Italian and Romanian. Despite dialectal variation, which is found in any widespread language, the languages of Spain, France, Portugal, and Italy have retained a remarkable unity in phonological forms and developments, bolstered by the stabilising influence of their common Christian (Roman Catholic) culture. It was not until the Muslim conquest of Spain in 711, cutting off communications between the major Romance regions, that the languages began to diverge seriously. The Vulgar Latin dialect that would later become Romanian diverged somewhat more from the other varieties, as it was largely separated from the unifying influences in the western part of the Empire.


title: Latin

text: One key marker of whether a given Romance feature was found in Vulgar Latin is to compare it with its parallel in Classical Latin. If it was not preferred in Classical Latin, then it most likely came from the undocumented contemporaneous Vulgar Latin. For example, the Romance for "horse" (Italian , French , Spanish , Portuguese and Romanian ) came from Latin . However, Classical Latin used . Therefore, was most likely the spoken form.


title: Latin

text: Vulgar Latin began to diverge into distinct languages by the 9th century at the latest, when the earliest extant Romance writings begin to appear. They were, throughout the period, confined to everyday speech, as Medieval Latin was used for writing.


title: Latin

text: Medieval Latin is the written Latin in use during that portion of the postclassical period when no corresponding Latin vernacular existed. The spoken language had developed into the various incipient Romance languages; however, in the educated and official world, Latin continued without its natural spoken base. Moreover, this Latin spread into lands that had never spoken Latin, such as the Germanic and Slavic nations. It became useful for international communication between the member states of the Holy Roman Empire and its allies.


title: Latin

text: Without the institutions of the Roman Empire that had supported its uniformity, medieval Latin lost its linguistic cohesion: for example, in classical Latin and are used as auxiliary verbs in the perfect and pluperfect passive, which are compound tenses. Medieval Latin might use and instead. Furthermore, the meanings of many words have been changed and new vocabularies have been introduced from the vernacular. Identifiable individual styles of classically incorrect Latin prevail.


title: Latin

text: The Renaissance briefly reinforced the position of Latin as a spoken language by its adoption by the Renaissance Humanists. Often led by members of the clergy, they were shocked by the accelerated dismantling of the vestiges of the classical world and the rapid loss of its literature. They strove to preserve what they could and restore Latin to what it had been and introduced the practice of producing revised editions of the literary works that remained by comparing surviving manuscripts. By no later than the 15th century they had replaced Medieval Latin with versions supported by the scholars of the rising universities, who attempted, by scholarship, to discover what the classical language had been.


title: Latin

text: During the Early Modern Age, Latin still was the most important language of culture in Europe. Therefore, until the end of the 17th century, the majority of books and almost all diplomatic documents were written in Latin. Afterwards, most diplomatic documents were written in French (a Romance language) and later native or other languages.


title: Latin

text: Despite having no native speakers, Latin is still used for a variety of purposes in the contemporary world.


title: Latin

text: The largest organisation that retains Latin in official and quasi-official contexts is the Catholic Church. The Catholic Church required that Mass be carried out in Latin until the Second Vatican Council of 1962–1965, which permitted the use of the vernacular. Latin remains the language of the Roman Rite. The Tridentine Mass (also known as the Extraordinary Form or Traditional Latin Mass) is celebrated in Latin. Although the Mass of Paul VI (also known as the Ordinary Form or the Novus Ordo) is usually celebrated in the local vernacular language, it can be and often is said in Latin, in part or in whole, especially at multilingual gatherings. It is the official language of the Holy See, the primary language of its public journal, the , and the working language of the Roman Rota. Vatican City is also home to the world's only automatic teller machine that gives instructions in Latin. In the pontifical universities postgraduate courses of Canon law are taught in Latin, and papers are written in the same language.


title: Latin

text: In the Anglican Church, after the publication of the "Book of Common Prayer" of 1559, a Latin edition was published in 1560 for use in universities such as Oxford and the leading "public schools" (English private academies), where the liturgy was still permitted to be conducted in Latin. There have been several Latin translations since, including a Latin edition of the 1979 USA Anglican Book of Common Prayer.


title: Latin

text: In the Philippines and in the Western world, many organizations, governments and schools use Latin for their mottos due to its association with formality, tradition, and the roots of Western culture.


title: Latin

text: Canada's motto ("from sea to sea") and most provincial mottos are also in Latin. The Canadian Victoria Cross is modelled after the British Victoria Cross which has the inscription "For Valour". Because Canada is officially bilingual, the Canadian medal has replaced the English inscription with the Latin .


title: Latin

text: Spain's motto "Plus ultra", meaning "even further", or figuratively "Further!", is also Latin in origin. It is taken from the personal motto of Charles V, Holy Roman Emperor and King of Spain (as Charles I), and is a reversal of the original phrase ("No land further beyond", "No further!"). According to legend, this phrase was inscribed as a warning on the Pillars of Hercules, the rocks on both sides of the Strait of Gibraltar and the western end of the known, Mediterranean world. Charles adopted the motto following the discovery of the New World by Columbus, and it also has metaphorical suggestions of taking risks and striving for excellence.


title: Latin

text: In the United States the unofficial national motto until 1956 was "E pluribus unum" meaning "Out of many, one". The motto continues to be featured on the Great Seal, it also appears on the flags and seals of both houses of congress and the flags of the states of Michigan, North Dakota, New York, and Wisconsin. The mottos 13 letters symbolically represent the original Thirteen Colonies which revolted from the British Crown. The motto is featured on all presently minted coinage and has been featured in most coinage throughout the nation's history.


title: Latin

text: Some colleges and universities have adopted Latin mottos, for example Harvard University's motto is ("truth"). Veritas was the goddess of truth, a daughter of Saturn, and the mother of Virtue.


title: Latin

text: Switzerland has adopted the country's Latin short name on coins and stamps, since there is no room to use all of the nation's four official languages. For a similar reason, it adopted the international vehicle and internet code "CH", which stands for , the country's full Latin name.


title: Latin

text: Some films of ancient settings, such as "Sebastiane" and "The Passion of the Christ", have been made with dialogue in Latin for the sake of realism. Occasionally, Latin dialogue is used because of its association with religion or philosophy, in such film/television series as "The Exorcist" and "Lost" ("Jughead"). Subtitles are usually shown for the benefit of those who do not understand Latin. There are also songs written with Latin lyrics. The libretto for the opera-oratorio by Igor Stravinsky is in Latin.


title: Latin

text: The continued instruction of Latin is often seen as a highly valuable component of a liberal arts education. Latin is taught at many high schools, especially in Europe and the Americas. It is most common in British public schools and grammar schools, the Italian and , the German and the Dutch .


title: Latin

text: A variety of organisations, as well as informal Latin 'circuli' ('circles'), have been founded in more recent times to support the use of spoken Latin. Moreover, a number of university classics departments have begun incorporating communicative pedagogies in their Latin courses. These include the University of Kentucky, the University of Oxford and also Princeton University.


title: Latin

text: There are many websites and forums maintained in Latin by enthusiasts. The Latin Wikipedia has more than 130,000 articles.


title: Latin

text: Urdaneta City's motto ("It is enough for the people to serve God") the Latin motto can be read in the old seal of this Philippine city.


title: Latin

text: Italian, French, Portuguese, Spanish, Romanian, Catalan, Romansh and other Romance languages are direct descendants of Latin. There are also many Latin borrowings in English and Albanian, as well as a few in German, Dutch, Norwegian, Danish and Swedish. Latin is still spoken in Vatican City, a city-state situated in Rome that is the seat of the Catholic Church.


title: Latin

text: Some inscriptions have been published in an internationally agreed, monumental, multivolume series, the (CIL). Authors and publishers vary, but the format is about the same: volumes detailing inscriptions with a critical apparatus stating the provenance and relevant information. The reading and interpretation of these inscriptions is the subject matter of the field of epigraphy. About 270,000 inscriptions are known.


title: Latin

text: The works of several hundred ancient authors who wrote in Latin have survived in whole or in part, in substantial works or in fragments to be analyzed in philology. They are in part the subject matter of the field of classics. Their works were published in manuscript form before the invention of printing and are now published in carefully annotated printed editions, such as the Loeb Classical Library, published by Harvard University Press, or the Oxford Classical Texts, published by Oxford University Press.


title: Latin

text: Latin translations of modern literature such as: "The Hobbit", "Treasure Island", "Robinson Crusoe", "Paddington Bear", "Winnie the Pooh", "The Adventures of Tintin", "Asterix", "Harry Potter", , "Max and Moritz", "How the Grinch Stole Christmas!", "The Cat in the Hat", and a book of fairy tales, "", are intended to garner popular interest in the language. Additional resources include phrasebooks and resources for rendering everyday phrases and concepts into Latin, such as Meissner's Latin Phrasebook.


title: Latin

text: The Latin influence in English has been significant at all stages of its insular development. In the Middle Ages, borrowing from Latin occurred from ecclesiastical usage established by Saint Augustine of Canterbury in the 6th century or indirectly after the Norman Conquest, through the Anglo-Norman language. From the 16th to the 18th centuries, English writers cobbled together huge numbers of new words from Latin and Greek words, dubbed "inkhorn terms", as if they had spilled from a pot of ink. Many of these words were used once by the author and then forgotten, but some useful ones survived, such as 'imbibe' and 'extrapolate'. Many of the most common polysyllabic English words are of Latin origin through the medium of Old French. Romance words make respectively 59%, 20% and 14% of English, German and Dutch vocabularies. Those figures can rise dramatically when only non-compound and non-derived words are included.


title: Latin

text: The influence of Roman governance and Roman technology on the less-developed nations under Roman dominion led to the adoption of Latin phraseology in some specialized areas, such as science, technology, medicine, and law. For example, the Linnaean system of plant and animal classification was heavily influenced by "Historia Naturalis", an encyclopedia of people, places, plants, animals, and things published by Pliny the Elder. Roman medicine, recorded in the works of such physicians as Galen, established that today's medical terminology would be primarily derived from Latin and Greek words, the Greek being filtered through the Latin. Roman engineering had the same effect on scientific terminology as a whole. Latin law principles have survived partly in a long list of Latin legal terms.


title: Latin

text: A few international auxiliary languages have been heavily influenced by Latin. Interlingua is sometimes considered a simplified, modern version of the language. Latino sine Flexione, popular in the early 20th century, is Latin with its inflections stripped away, among other grammatical changes.


title: Latin

text: Throughout European history, an education in the classics was considered crucial for those who wished to join literate circles. This also was true in the United States where many of the nation's Founders obtained a classically-based education in grammar schools or from tutors. Admission to Harvard in the Colonial era required that the applicant "Can readily make and speak or write true Latin prose and has skill in making verse . . ." Latin Study and the classics were emphasized in American secondary schools and colleges well into the Antebellum era.


title: Latin

text: Instruction in Latin is an essential aspect. In today's world, a large number of Latin students in the US learn from "Wheelock's Latin: The Classic Introductory Latin Course, Based on Ancient Authors". This book, first published in 1956, was written by Frederic M. Wheelock, who received a PhD from Harvard University. "Wheelock's Latin" has become the standard text for many American introductory Latin courses.


title: Latin

text: The Living Latin movement attempts to teach Latin in the same way that living languages are taught, as a means of both spoken and written communication. It is available in Vatican City and at some institutions in the US, such as the University of Kentucky and Iowa State University. The British Cambridge University Press is a major supplier of Latin textbooks for all levels, such as the Cambridge Latin Course series. It has also published a subseries of children's texts in Latin by Bell & Forte, which recounts the adventures of a mouse called Minimus.


title: Latin

text: In the United Kingdom, the Classical Association encourages the study of antiquity through various means, such as publications and grants. The University of Cambridge, the Open University, a number of prestigious independent schools, for example Eton, Harrow, Haberdashers' Aske's Boys' School, Merchant Taylors' School, and Rugby, and The Latin Programme/Via Facilis, a London-based charity, run Latin courses. In the United States and in Canada, the American Classical League supports every effort to further the study of classics. Its subsidiaries include the National Junior Classical League (with more than 50,000 members), which encourages high school students to pursue the study of Latin, and the National Senior Classical League, which encourages students to continue their study of the classics into college. The league also sponsors the National Latin Exam. Classicist Mary Beard wrote in "The Times Literary Supplement" in 2006 that the reason for learning Latin is because of what was written in it.


title: Latin

text: The ancient pronunciation of Latin has been reconstructed; among the data used for reconstruction are explicit statements about pronunciation by ancient authors, misspellings, puns, ancient etymologies, the spelling of Latin loanwords in other languages, and the historical development of Romance languages.


title: Latin

text: In Old and Classical Latin, the Latin alphabet had no distinction between uppercase and lowercase, and the letters did not exist. In place of , were used, respectively; represented both vowels and consonants. Most of the letterforms were similar to modern uppercase, as can be seen in the inscription from the Colosseum shown at the top of the article.


title: Latin

text: The spelling systems used in Latin dictionaries and modern editions of Latin texts, however, normally use in place of Classical-era . Some systems use for the consonant sounds except in the combinations for which is never used.


title: Latin

text: In Classical Latin, as in modern Italian, double consonant letters were pronounced as long consonant sounds distinct from short versions of the same consonants. Thus the "nn" in Classical Latin "year" (and in Italian ) is pronounced as a doubled as in English "unnamed". (In English, distinctive consonant length or doubling occurs only at the boundary between two words or morphemes, as in that example.)


title: Latin

text: In Classical Latin, did not exist as a letter distinct from V; the written form was used to represent both a vowel and a consonant. was adopted to represent upsilon in loanwords from Greek, but it was pronounced like and by some speakers. It was also used in native Latin words by confusion with Greek words of similar meaning, such as and .


title: Latin

text: Classical Latin distinguished between long and short vowels. Then, long vowels, except for , were frequently marked using the apex, which was sometimes similar to an acute accent . Long was written using a taller version of , called "long I": . In modern texts, long vowels are often indicated by a macron , and short vowels are usually unmarked except when it is necessary to distinguish between words, when they are marked with a breve . However, they would also signify a long vowel by writing the vowel larger than other letters in a word or by repeating the vowel twice in a row. The acute accent, when it is used in modern Latin texts, indicates stress, as in Spanish, rather than length.


title: Latin

text: Long vowels in Classical Latin are, technically, pronounced as entirely different from short vowels. The difference is described in the table below:


title: Latin

text: This difference in quality is posited by W. Sidney Allen in his book "Vox Latina". However, Andrea Calabrese has disputed that short vowels differed in quality from long vowels during the classical period, based in part upon the observation that in Sardinian and some Lucanian dialects, each long and short vowel pair was merged. This is distinguished from the typical Italo-Western romance vowel system in which short /i/ and /u/ merge with long /eː/ and /oː/. Thus, Latin 'siccus' becomes 'secco' in Italian and 'siccu' in Sardinian.


title: Latin

text: A vowel letter followed by at the end of a word, or a vowel letter followed by before or , represented a short nasal vowel, as in .


title: Latin

text: Classical Latin had several diphthongs. The two most common were . was fairly rare, and were very rare, at least in native Latin words. There has also been debate over whether is truly a diphthong in Classical Latin, due to its rarity, absence in works of Roman grammarians, and the roots of Classical Latin words (i.e. to , to , etc.) not matching or being similar to the pronunciation of classical words if were to be considered a diphthong.


title: Latin

text: The sequences sometimes did not represent diphthongs. and also represented a sequence of two vowels in different syllables in "of bronze" and "began", and represented sequences of two vowels or of a vowel and one of the semivowels , in "beware!", "whose", "I warned", "I released", "I destroyed", "his", and "new".


title: Latin

text: Old Latin had more diphthongs, but most of them changed into long vowels in Classical Latin. The Old Latin diphthong and the sequence became Classical . Old Latin and changed to Classical , except in a few words whose became Classical . These two developments sometimes occurred in different words from the same root: for instance, Classical "punishment" and "to punish". Early Old Latin usually changed to Classical .


title: Latin

text: In Vulgar Latin and the Romance languages, merged with . During the Classical Latin period this form of speaking was deliberately avoided by well-educated speakers.


title: Latin

text: Syllables in Latin are signified by the presence of diphthongs and vowels. The number of syllables is the same as the number of vowel sounds.


title: Latin

text: Further, if a consonant separates two vowels, it will go into the syllable of the second vowel. When there are two consonants between vowels, the last consonant will go with the second vowel. An exception occurs when a phonetic stop and liquid come together. In this situation, they are thought to be a single consonant, and as such, they will go into the syllable of the second vowel.


title: Latin

text: Syllables in Latin are considered either long or short. Within a word, a syllable may either be long by nature or long by position. A syllable is long by nature if it has a diphthong or a long vowel. On the other hand, a syllable is long by position if the vowel is followed by more than one consonant.


title: Latin

text: Latin was written in the Latin alphabet, derived from the Etruscan alphabet, which was in turn drawn from the Greek alphabet and ultimately the Phoenician alphabet. This alphabet has continued to be used over the centuries as the script for the Romance, Celtic, Germanic, Baltic, Finnic and many Slavic languages (Polish, Slovak, Slovene, Croatian, Bosnian and Czech); and it has been adopted by many languages around the world, including Vietnamese, the Austronesian languages, many Turkic languages, and most languages in sub-Saharan Africa, the Americas and Oceania, making it by far the world's single most widely used writing system.


title: Latin

text: The number of letters in the Latin alphabet has varied. When it was first derived from the Etruscan alphabet, it contained only 21 letters. Later, "G" was added to represent , which had previously been spelled "C", and "Z" ceased to be included in the alphabet, as the language then had no voiced alveolar fricative. The letters "Y" and "Z" were later added to represent Greek letters, upsilon and zeta respectively, in Greek loanwords.


title: Latin

text: "W" was created in the 11th century from "VV". It represented in Germanic languages, not Latin, which still uses "V" for the purpose. "J" was distinguished from the original "I" only during the late Middle Ages, as was the letter "U" from "V". Although some Latin dictionaries use "J", it is rarely used for Latin text, as it was not used in classical times, but many other languages use it.


title: Latin

text: Classical Latin did not contain sentence punctuation, letter case, or interword spacing, but apices were sometimes used to distinguish length in vowels and the interpunct was used at times to separate words. The first line of Catullus 3, originally written as


title: Latin

text: The Roman cursive script is commonly found on the many wax tablets excavated at sites such as forts, an especially extensive set having been discovered at Vindolanda on Hadrian's Wall in Britain. Most notable is the fact that while most of the Vindolanda tablets show spaces between words, spaces were avoided in monumental inscriptions from that era.


title: Latin

text: Latin is a synthetic, fusional language in the terminology of linguistic typology. In more traditional terminology, it is an inflected language, but typologists are apt to say "inflecting". Words include an objective semantic element and markers specifying the grammatical use of the word. The fusion of root meaning and markers produces very compact sentence elements: , "I love," is produced from a semantic element, , "love," to which , a first person singular marker, is suffixed.


title: Latin

text: The grammatical function can be changed by changing the markers: the word is "inflected" to express different grammatical functions, but the semantic element usually does not change. (Inflection uses affixing and infixing. Affixing is prefixing and suffixing. Latin inflections are never prefixed.)


title: Latin

text: For example, , "he (or she or it) will love", is formed from the same stem, , to which a future tense marker, , is suffixed, and a third person singular marker, , is suffixed. There is an inherent ambiguity: may denote more than one grammatical category: masculine, feminine, or neuter gender. A major task in understanding Latin phrases and clauses is to clarify such ambiguities by an analysis of context. All natural languages contain ambiguities of one sort or another.


title: Latin

text: The inflections express gender, number, and case in adjectives, nouns, and pronouns, a process called "declension". Markers are also attached to fixed stems of verbs, to denote person, number, tense, voice, mood, and aspect, a process called "conjugation". Some words are uninflected and undergo neither process, such as adverbs, prepositions, and interjections.


title: Latin

text: A regular Latin noun belongs to one of five main declensions, a group of nouns with similar inflected forms. The declensions are identified by the genitive singular form of the noun.


title: Latin

text: There are seven Latin noun cases, which also apply to adjectives and pronouns and mark a noun's syntactic role in the sentence by means of inflections. Thus, word order is not as important in Latin as it is in English, which is less inflected. The general structure and word order of a Latin sentence can therefore vary. The cases are as follows:


title: Latin

text: Latin lacks both definite and indefinite articles so can mean either "the boy is running" or "a boy is running".


title: Latin

text: There are two types of regular Latin adjectives: first- and second-declension and third-declension. They are so-called because their forms are similar or identical to first- and second-declension and third-declension nouns, respectively. Latin adjectives also have comparative and superlative forms. There are also a number of Latin participles.


title: Latin

text: First- and second-declension adjectives are declined like first-declension nouns for the feminine forms and like second-declension nouns for the masculine and neuter forms. For example, for (dead), is declined like a regular first-declension noun (such as (girl)), is declined like a regular second-declension masculine noun (such as (lord, master)), and is declined like a regular second-declension neuter noun (such as (help)).


title: Latin

text: Third-declension adjectives are mostly declined like normal third-declension nouns, with a few exceptions. In the plural nominative neuter, for example, the ending is "-ia" ( (all, everything)), and for third-declension nouns, the plural nominative neuter ending is "-a" or "-ia" ( (heads), (animals)) They can have one, two or three forms for the masculine, feminine, and neuter nominative singular.


title: Latin

text: Latin participles, like English participles, are formed from a verb. There are a few main types of participles: Present Active Participles, Perfect Passive Participles, Future Active Participles, and Future Passive Participles.


title: Latin

text: Latin sometimes uses prepositions, depending on the type of prepositional phrase being used. Most prepositions are followed by a noun in either the accusative or ablative case: "apud puerum" (with the boy), with "puerum" being the accusative form of "puer", boy, and "sine puero" (without the boy), "puero" being the ablative form of "puer". A few adpositions, however, govern a noun in the genitive (such as "gratia" and "tenus").


title: Latin

text: A regular verb in Latin belongs to one of four main conjugations. A conjugation is "a class of verbs with similar inflected forms." The conjugations are identified by the last letter of the verb's present stem. The present stem can be found by omitting the -"re" (-"rī" in deponent verbs) ending from the present infinitive form. The infinitive of the first conjugation ends in "-ā-re" or "-ā-ri" (active and passive respectively): , "to love," , "to exhort"; of the second conjugation by "-ē-re" or "-ē-rī": , "to warn", , "to fear;" of the third conjugation by "-ere", "-ī": , "to lead," , "to use"; of the fourth by "-ī-re", "-ī-rī": , "to hear," , "to attempt". The stem categories descend from Indo-European and can therefore be compared to similar conjugations in other Indo-European languages.


title: Latin

text: Irregular verbs are verbs that do not follow the regular conjugations in the formation of the inflected form. Irregular verbs in Latin are "esse", "to be"; "velle", "to want"; "ferre", "to carry"; "edere", "to eat"; "dare", "to give"; "ire", "to go"; "posse", "to be able"; "fieri", "to happen"; and their compounds.


title: Latin

text: There are six general tenses in Latin (present, imperfect, future, perfect, pluperfect and future perfect), three moods (indicative, imperative and subjunctive, in addition to the infinitive, participle, gerund, gerundive and supine), three persons (first, second and third), two numbers (singular and plural), two voices (active and passive) and two aspects (perfective and imperfective). Verbs are described by four principal parts:


title: Latin

text: The six tenses of Latin are divided into two tense systems: the present system, which is made up of the present, imperfect and future tenses, and the perfect system, which is made up of the perfect, pluperfect and future perfect tenses. Each tense has a set of endings corresponding to the person, number, and voice of the subject. Subject (nominative) pronouns are generally omitted for the first ("I, we") and second ("you") persons except for emphasis.


title: Latin

text: The table below displays the common inflected endings for the indicative mood in the active voice in all six tenses. For the future tense, the first listed endings are for the first and second conjugations, and the second listed endings are for the third and fourth conjugations:


title: Latin

text: Some Latin verbs are deponent, causing their forms to be in the passive voice but retain an active meaning: "hortor, hortārī, hortātus sum" (to urge).


title: Latin

text: As Latin is an Italic language, most of its vocabulary is likewise Italic, ultimately from the ancestral Proto-Indo-European language. However, because of close cultural interaction, the Romans not only adapted the Etruscan alphabet to form the Latin alphabet but also borrowed some Etruscan words into their language, including "mask" and "actor". Latin also included vocabulary borrowed from Oscan, another Italic language.


title: Latin

text: After the Fall of Tarentum (272 BC), the Romans began Hellenising, or adopting features of Greek culture, including the borrowing of Greek words, such as (vaulted roof), (symbol), and (bath). This Hellenisation led to the addition of "Y" and "Z" to the alphabet to represent Greek sounds. Subsequently, the Romans transplanted Greek art, medicine, science and philosophy to Italy, paying almost any price to entice Greek skilled and educated persons to Rome and sending their youth to be educated in Greece. Thus, many Latin scientific and philosophical words were Greek loanwords or had their meanings expanded by association with Greek words, as (craft) and τέχνη (art).


title: Latin

text: Because of the Roman Empire's expansion and subsequent trade with outlying European tribes, the Romans borrowed some northern and central European words, such as (beaver), of Germanic origin, and (breeches), of Celtic origin. The specific dialects of Latin across Latin-speaking regions of the former Roman Empire after its fall were influenced by languages specific to the regions. The dialects of Latin evolved into different Romance languages.


title: Latin

text: During and after the adoption of Christianity into Roman society, Christian vocabulary became a part of the language, either from Greek or Hebrew borrowings or as Latin neologisms. Continuing into the Middle Ages, Latin incorporated many more words from surrounding languages, including Old English and other Germanic languages.


title: Latin

text: Over the ages, Latin-speaking populations produced new adjectives, nouns, and verbs by affixing or compounding meaningful segments. For example, the compound adjective, , "all-powerful," was produced from the adjectives , "all", and , "powerful", by dropping the final "s" of and concatenating. Often, the concatenation changed the part of speech, and nouns were produced from verb segments or verbs from nouns and adjectives.


title: Latin

text: The phrases are mentioned with accents to show where stress is placed. In Latin, words are normally stressed either on the second-to-last (penultimate) syllable, called in Latin or , or on the third-to-last syllable, called in Latin or . In the following notation, accented short vowels have an acute diacritic, accented long vowels have a circumflex diacritic (representing long falling pitch), and unaccented long vowels are marked simply with a macron. This reflects the tone of the voice with which, ideally, the stress is phonetically realized; but this may not always be clearly articulated on every word in a sentence. Regardless of length, a vowel at the end of a word may be significantly shortened or even altogether deleted if the next word begins with a vowel also (a process called elision), unless a very short pause is inserted. As an exception, the following words: "est" (English "is"), "es" ("[you (sg.)] are") lose their own vowel "e" instead.


title: Latin

text: In ancient times, numbers in Latin were written only with letters. Today, the numbers can be written with the Arabic numbers as well as with Roman numerals. The numbers 1, 2 and 3 and every whole hundred from 200 to 900 are declined as nouns and adjectives, with some differences.


title: Latin

text: The numbers from 4 to 100 do not change their endings. As in modern descendants such as Spanish, the gender for naming a number in isolation is masculine, so that "1, 2, 3" is counted as .


title: Latin

text: The same text may be marked for all long vowels (before any possible elisions at word boundary) with apices over vowel letters, including customarily before "nf" and "ns" where a long vowel is automatically produced:


title: Tham Luang cave rescue

text: In June and July 2018, a junior association football team and their assistant coach were rescued from the Tham Luang Nang Non cave in Chiang Rai Province in northern Thailand. Twelve members of the team, aged 11 to 16, and their 25-year-old assistant coach entered the cave on 23 June after a football practice session. Shortly thereafter, heavy rainfall partially flooded the cave system, blocking their way out, and trapping them deep within.


title: Tham Luang cave rescue

text: Efforts to locate the group were hampered by rising water levels and strong currents; and no contact was made for more than a week. The cave rescue effort expanded into a massive operation amid intense worldwide public interest and involving international rescue teams. On 2 July, after advancing through narrow passages and muddy waters, British divers John Volanthen and Rick Stanton found the group alive on an elevated rock about from the cave mouth. Rescue organisers discussed various options for extracting the group, including whether to teach them basic underwater diving skills to enable their early rescue, to wait until a new entrance to the cave was found or drilled, or to wait for the floodwaters to subside by the end of the monsoon season several months later. After days of pumping water from the cave system and a respite from rain, the rescue teams hastened to get the group out of the cave before the next monsoon rain, which was expected to bring additional downpours and was predicted to start around 11 July.


title: Tham Luang cave rescue

text: Between 8 and 10 July, all 12 boys and their coach were rescued from the cave by an international team.


title: Tham Luang cave rescue

text: The rescue effort involved as many as 10,000 people, including more than 100 divers, scores of rescue workers, representatives from about 100 governmental agencies, 900 police officers, and 2,000 soldiers. Ten police helicopters, seven ambulances, more than 700 diving cylinders, and pumping of more than one billion litres of water from the caves were required.


title: Tham Luang cave rescue

text: Saman Kunan, a 37-year-old former Royal Thai Navy SEAL, died of asphyxiation during an attempted rescue on 6 July while returning to a staging base in the cave after delivering diving cylinders to the trapped group. The following year, in December 2019, rescue diver and Thai Navy SEAL Beirut Pakbara died of a blood infection contracted during the operation.


title: Tham Luang cave rescue

text: Tham Luang Nang Non is a karstic cave complex beneath Doi Nang Non, a mountain range on the border between Thailand and Myanmar. The system is long and has many deep recesses, narrow passages and tunnels winding under hundreds of metres of limestone strata. Since part of the cave system is seasonally flooded, a sign advising against entering the caves during the rainy season (July–November) is posted at the entrance.


title: Tham Luang cave rescue

text: On Saturday 23 June 2018, a group of twelve boys aged between 11 and 16 from a local junior football team named the "Wild Boars" and their 25-year-old assistant coach, Ekkaphon Chanthawong, went missing after setting out to explore the cave. According to early news reports, they planned to have a birthday party in the cave after the football practice, and spent a significant sum of money on food, but they denied this in a news conference after the rescue. The team was stranded in the tunnels by sudden and continuous rainfall after they had entered the cave. They had to leave some food supplies behind when fleeing the rising water.


title: Tham Luang cave rescue

text: Around 7 p.m., head coach Nopparat Kanthawong () checked his phone, finding about twenty missed calls from parents worried that their children had not come home. Nopparat dialed assistant coach Chanthawong and a number of the boys in quick succession, without success. Eventually, he reached Songpon Kanthawong, a 13-year-old member of the team who mentioned he was picked up after practice, and that the rest of the boys had gone exploring in the Tham Luang caves. The coach raced up to the caves, finding abandoned bicycles and bags near the entrance, with water seeping out of the muddy pathway. He alerted authorities to the missing group after seeing their unclaimed belongings.


title: Tham Luang cave rescue

text: The assistant coach and three of the boys had no nationality. Nopparat Khanthavong, the founder of the "Wild Boars" team, explained that they are from tribes in an area that extends across Thailand, Myanmar, Laos, and China. This region has no clear borders and people are not assigned passports. Their statelessness deprived them of basic benefits and rights, including the possibility to leave the Chiang Rai province. "To get nationality is the biggest hope for the boys", Khanthavong said. "In the past, these boys have problems travelling to play matches outside of Chiang Rai because of their nationless status." Following the team's rescue, Thai officials promised to provide the three boys and the coach with legal assistance in obtaining Thai citizenship, a process which they said could take up to six months. On 26 September, the boys and the coach were granted Thai citizenship.


title: Tham Luang cave rescue

text: British caver Vern Unsworth, who lives in Chiang Rai and has detailed knowledge of the cave complex, was scheduled to make a solo venture into the cave on 24 June when he received a call about the missing boys. Unsworth advised the Thai government to request assistance from the British Cave Rescue Council (BCRC). On 25 June, Thai Navy SEALs divers arrived and began searching the cave. A Thai Navy SEAL said the water was so murky that even with lights they could not see where they were going underwater. After continuous rain, which further flooded the entrance, the search had to be temporarily interrupted. On 27 June, three BCRC cave divers arrived with specialist equipment including HeyPhone radios, followed by separate teams of open water divers. On 28 June, a United States Air Force team from the 320th Special Tactics Squadron, the 31st Rescue Squadron, and the 353rd Special Operations Group joined them. By 29 June, an Australian Federal Police team of Specialist Response Group divers had arrived and on Sunday a Chinese team of divers from the Beijing Peaceland Foundation.


title: Tham Luang cave rescue

text: Meanwhile, policemen with sniffer dogs searched the surface above for shaft openings that could provide alternative entrances to the cave system below. Drones and robots were also used in the search, but no technology existed to scan for people deep underground.


title: Tham Luang cave rescue

text: BCRC divers Richard Stanton and John Volanthen advanced through the cave complex placing diving guidelines, supported by Thailand-based Belgian cave diver Ben Reymenants and French diver Maksym Polejaka. The search had to be suspended due to the weather, as rainfall increased the flow of water in the cave where the divers were battling strong currents and poor visibility. The search resumed on 2 July after the weather improved. The twelve boys and the coach were discovered at approximately 22:00 by Stanton and Volanthen, whose efforts were overseen from outside by BCRC diver Robert Harper. The boys and coach were on a narrow rock shelf about beyond the "Pattaya Beach" chamber, named after an above-ground beach in Thailand. Volanthen had been placing guide lines in the cave to assist others in navigation when he ran out of line. He then swam to the surface and soon found the missing group, smelling them before hearing or seeing them. The ledge where they were found is about from the cave mouth. A video of the encounter, showing the boys and their interactions with the divers, was posted on Facebook by the Thai Navy SEALs. Former Chiang Rai provincial governor , who was in charge of rescue work, said "We found them safe. But the operation isn't over." The Thai, US, Australian and Chinese diving teams supported by the BCRC divers began transporting diving bottles into the cave system and established an air supply storage area in Chamber 3.


title: Tham Luang cave rescue

text: On 3 July the trapped group were joined by three Thai Navy SEALs who supported them until the rescue. The SEALs included Thai Army doctor Lt. Col. Pak Loharachun of the 3rd Medical Battalion, who had completed the Navy SEALs course. Thai officials told reporters that rescuers were providing health checks and treatment and keeping the boys entertained, and that none of those trapped was in serious condition. "They have been fed with easy-to-digest, high-energy food with vitamins and minerals, under the supervision of a doctor", Rear Admiral Apagorn Youkonggaew, head of the Thai Navy's Special Forces, told reporters. A video made by the rescuers, and shared a few hours later by the Thai Navy SEALs, showed all twelve boys and their coach introducing themselves and stating their age. Wrapped in emergency blankets and appearing frail, they all said hello to the outside world. ""Sawatdi khrap"", each boy said with his palms together in "wai", the traditional Thai greeting. A second video shows a medic treating them. It was believed that some of the group could not swim, complicating what would already be a difficult rescue. The Army doctor discovered that they had attempted to dig their way out of the cave. The team members had used rock fragments to dig every day, creating a hole five metres deep.


title: Tham Luang cave rescue

text: BCRC diver Jason Mallinson offered the boys and coach an opportunity to send messages to relatives by using his wet notes pad. Many of the notes said they were safe, reassured family members that everything was fine, and included words of love, reassurance and encouragement.


title: Tham Luang cave rescue

text: A logistics camp was established at the cave entrance, which accommodated hundreds of volunteers and journalists in addition to the rescue workers. The site was divided into several zones: restricted areas for the Thai Navy SEALs, other military personnel, and civilian rescuers, an area for the relatives to give them privacy, and areas for the press and for the general public.


title: Tham Luang cave rescue

text: An estimated 10,000 people contributed to the rescue effort, including more than 100 divers, representatives from about 100 government agencies, 900 police officers, 2,000 soldiers and numerous volunteers. Equipment included ten police helicopters, seven police ambulances, and more than 700 diving cylinders, of which more than 500 were in the cave at any time while another 200 were in the queue to be refilled. More than a billion litres of water (the equivalent of 400 Olympic-size swimming pools) was removed.