Female Internal Genetalia Flashcards
What is the shape of the uterus
Hollow, pear-shaped
What is the size of the uterus
8cm long
5cm wide
3cm thick
What are the parts of the uterus
Body
Fundus
Isthmus
Cervix (neck)
What is the shape and position of the cervix
Cylindrial
Projects into the superior vagina
Thick-walled canal
What are the layers of the uterine walls
Perimetrium - outer layer of peritoneum
Myometrium - middle thick layer of smooth muscle
Endometrium
- vasular inner mucosal layer
- Thickness of this layer varies with age and menstrual cycle
What are the positions of the uterus
1: anteflexion:
- Bends forwards between the cervix and body
- Most common
2: Antevertion
- Anterior inclination of the whole uterus on vagina
- i.e. bent beween vagina and cervix
- no problems but uncomfortable
3: Retrovertion
- Posterior inclination of whole uterus on vagina
- Disturbs sigmoid colon
What are the ligaments of the uterus
Broad ligament:
- Mesosalpinx
- Mesovarium
- suspensory ligament of the Ovary
Mesometrium
Lig. of uterus
Round Ligament of Uterus
Describe the Broad Ligament
Double layer of peritoneum
Extends
- from sides of uterus
- to lateral pelvic walls
Describe the mesovarium
Suspends the ovary from the posterior lamina of the broad ligament
Describe the mesosalpinx
- Part of broad ligament
- Above level of ovary and mesovarium
- Sweeps over the uterine tubes
Describe the mesometrium
- ligament below mesovarium
- encloses blood vessels and nerves
Describe the lig. of ovary
- Attaches ovary to uterus
- Remnant of proximal part of embryonic gubernaculums
Describe the Round Ligament of the Uterus
- Extends from lateral wall of uterus to the pelvic wall
- Enters deep inguinal ring
- Passes through inguinal canal to Labium Majus
- Remnant of Embryonic Gubernaculums
Describe the suspensory ligament of the Ovary
- Extension of the broad ligament superiorly on the posterolateral pelvic wall
- Covers the ovarian vessels, associated nerves and lymphatics
What are the relations of the uterus
Anterior:
- Vesicouterine pouch
- Superior surface of bladder
Posterior
- Rectouterine pounc
- Anterior surface of recum
- Loops of intestine in pouch
- Uterosacral Ligament
Lateral:
- Broad ligament
- Transverse cervical (cardinal) ligament
- Ureters
- Uterine artery
What is the arterial supply of the uterus
Uterine arteries (from Internal iliac A) Vaginal Arteries Ovarian Artery