Board review Flashcards
Broad Ligament
lateral aspect of the uterus to pelvic sidewall
Mesovarium ligament
posterior fold of the broad ligament: encloses the fallopian tube.
Mesosalpinx ligament
upper fold of the broad ligament: encloses the fallopian tube.
Round ligament
fundus to anterior pelvic sidewalls: holds uterus forward
Cardinal Ligament
extends across the pelvic floor laterally : supports the cervix
Uterosacral ligament
extends from uterine isthmus downward, alongside the rectum to the sacrum: supports the cervix
Sespensory ligament
extends from lateral aspect of the ovary to the pelvic side wall
Ovarian ligament
extends medially from the ovary to the uterine cornua
Uterus position
posterior to the vesicouterine pouch and the superior surface of the bladder.
anterior to the rectouterine pouch (of Douglas) , the ilium and the colon
Uterine size Premenarcheal
1-3cm x .5-1cm
Uterine size Menarcheal
6-8cm x 3-5cm
Uterine size Multiparity
7-9cm x 5-7cm
Uterine size Postmenopausal
3.5-5.5cm x 2-3cm
Menstration
days 1-14
Proliferative Phase
days 5-14 "3 line sign" coresponds to follicular phase thin endo estrogen increases , causes endo to thicken 4-8mm Ovulation at day 14
Secretory Phase
days 15-28 coresponds to luteal phase ruptured follicle becomes corpus luteum corpus luteum secrets progesterone endo thickens 7-14mm
gonadotropins
FSH-follicle stimulating
LH-luteinizing
FSH
released by the anterior pituitary gland
causes ovarian follicles to develop (follicular phase)
As ovarian follicles grow they secreate
estrogen
Once estrogen reaches a certain limit
FSH stops and LH starts
24-36 hours later ovulation occures
Luteal phase
starts at ovulation
14 days long
corpus luteum secretes
progesterone
if no pregnancy then degenerates 9-11 after ovulation
If pregnancy then hCG produced by zygote causes the corpus luteum to persist and continue to secrete progesterone for 3 months.
dysmenorrhea
painful periods
menorrahgia
heavy periods
