The image does go with the rest of the page, to me it describes a complete water flow system from spring to gulf.
For me, this piece is the Persian Gulf, and the tube is a river, just as the Euphrates and Tigris are represented as tubes above it. I take the blob on the foot as a mnemonic for the placement of Quatar, which here appears to be under water as well, or perhaps just hidden in plain site by being the same colour as the seawater. Note that in comparison with reality this placement would fit very well if the northern part of the gulf were missing and replaced with river. This top area is represented in stages above this drawing. This is why i think this is not only a map of the area but possibly a story of its changes over time.
I think it says that the area now covered by water was once a river that rose slowly. In other places in the vms there are tubes that are vertical which i take to show flash flooding. This one does seem to double as a log, so i could support that idea, perhaps it is indicative of attempts to build dams, but which ultimately were also covered over.
This falls in line with our current understanding of the Persian Gulf. However this would have occurred many millenia ago, some think at the end of the ice age, perhaps at the same time as the Black Sea Flood, there are various theories. One theory states there was a localized flood 5000 years ago which matched Holocene levels.
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As well, in older Persian area maps, it sometimes appears as though there is no Persian gulf, as though the rivers go directly into the greater ocean. This may be because the opposing side was not as well known, but by following the eastern shore it was known one would end up at the Indus river and thus that entire shore was that of the ocean or sea and was not considered a gulf per se.
10th century Ibn Hawqal map, translated to English
The cental bit is the two rivers becoming one and going upwards into the ocean, rather than a gulf. To the right from there is the pointy Red Sea, to the left is the Indus river. Above all that is Africa.
Various other maps from about the same time period offer alternative views, so it could be an interpolation from going through some of these maps and taking differences as changes over time, which, depending on the original timing of the information, could indeed be so, or just coincidentally so.
The Ptolemy style maps also put Qatar in a similar place and the top part of the goulf isn't drawn to reality, so that could be part of it as well, the vms matches better with reality than those do.
As to why the nymph is male, the other males in the quire i see as being related to alternative routes, ie by sea or by river. As we turn the page, i think we go on to Gujurat India then across to the Red Sea. It may be that this is the alternate route indicated, since it is not clear here on this page alone that the gulf is connected to the Arabian Sea/Indian Ocean, nor even the Strait of Hormuz or Gulf of Oman, although the text may clarify. However, these might be referred to on the next page on the way to the Red Sea from India. So in that way it works, you can indeed get to the Persian Gulf both by river and by sea, thus if this is indeed what male nymphs stand for, then he should be male.
The river tube may simply mean the water runs through this waterbody and onwards, as indicated by the bit of green paint off to the right that seems to come from the tube. It also somewhat matches with modern shipping traffic lines.
As to the Christian imagery, i don't see it, he appears to be lounging of his own accord, without distress. Nor does it fit with the area i see as being described, therefore i can't support that idea.