Lecture 18: Pelvic Viscera 2 Flashcards
When are the genitals formed?
Week 6
What drags the ovaries to their spot in the pelvis?
Gubernaculum/rudder
What does the gubernaculum become?
Round ligament
What is the normal position of the ovaries?
Lateral wall of pelvis in ovarian fossa between external and internal iliac vessels on obturator nerve
What is an imperfect descent of the ovaries?
Descent arrested or descend too far
What happens if the ovary is diseased?
Due to position on obturator nerve, pain in medial thigh above knee with no associated somatic disease
What holds ovaries in position?
Periotoneal folds- ligaments
How is ovary attached to broad ligament?
Mesovarium
How is ovary attached to side of uterus?
Ovarian ligament
How is ovary attached to lateral pelvic wall?
Suspensory ligament
What are the parts of the uterine tubes?
Itramural, isthmus, ampulla, infundibulum, fimbriae
Where does fertilisation occur?
Ampulla
How does the ovum move into the tubes?
Released from the ovary, guided by ciliary action into the fimbriae
What is the shape of the uterus?
Pear shaped
What are the size changes of the uterus in pregnancy?
During pregnancy size increases (especially endometrial layer) and is at suprapubic level at 3 months, iliac crests at 6 months and xiphisternum at 8 months – puts pressure on viscera, especially bladder
What is the most extreme position of the uterus?
Retroflexed, retroverted
What is the primary support of the uterus?
Levator ani below - takes additional support from ligaments
Where is the uterus best supported?
Cervix