Anatomy of the Female Reproductive System
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Questions and Answers

Which of the following describes the shape of the ovary?

  • Round
  • Almond-shaped (correct)
  • Cylindrical
  • Triangular
  • The posterior border of the ovary is attached to the broad ligament.

    False (B)

    What extends laterally from the tubal end of the ovary to the pelvis wall?

    Suspensory ligament of the ovary

    The ovarian artery descends on the __________, ureter, and external iliac vessels.

    <p>psoas major</p> Signup and view all the answers

    Match the following structures with their respective functions:

    <p>Suspensory ligament = Transmits ovarian vessels, nerves &amp; lymphatics Mesovarium = Extends from broad ligament to ovary Ligament of the ovary = Connects ovary to uterus Ovarian artery = Supplies blood to the ovary</p> Signup and view all the answers

    What is the size of the ovary?

    <p>3x2x1 cm (C)</p> Signup and view all the answers

    The right ovarian vein drains directly into the left renal vein.

    <p>False (B)</p> Signup and view all the answers

    Which anatomical structure is supplied by the uterine artery?

    <p>Medial ¾ of the Fallopian tube (C)</p> Signup and view all the answers

    The posterior fornix is the shallowest part of the vaginal fornices.

    <p>False (B)</p> Signup and view all the answers

    What is the direction of the vagina in relation to the uterus?

    <p>Up and backwards</p> Signup and view all the answers

    The veins draining the uterus form two venous plexuses along its lateral borders, which are drained by a pair of _______ veins.

    <p>uterine</p> Signup and view all the answers

    Match the parts of the uterus with their lymphatic drainage.

    <p>Fundus + upper part of body + uterine tube = para-aortic lymph nodes Lower part of body = external iliac lymph nodes Cornu of uterus = superficial inguinal lymph nodes Cervix = internal iliac lymph nodes</p> Signup and view all the answers

    What is the primary site of fertilization in the fallopian tube?

    <p>Ampulla (D)</p> Signup and view all the answers

    The fallopian tube is 15 cm long.

    <p>False (B)</p> Signup and view all the answers

    What is the shape of the uterus?

    <p>pear-shaped</p> Signup and view all the answers

    The ___________ is the part of the uterus that is completely covered by peritoneum.

    <p>fundus</p> Signup and view all the answers

    Match the following parts of the fallopian tube with their characteristics:

    <p>Intramural part = Shortest and narrowest part Isthmus = Rounded, narrow, and thick-walled, 2 cm in length Ampulla = Longest part, thin-walled and site of fertilization Infundibulum = Funnel-shaped and opens into peritoneal cavity</p> Signup and view all the answers

    What is the arterial supply to the medial two-thirds of the fallopian tube?

    <p>Uterine artery (B)</p> Signup and view all the answers

    The isthmus of the uterus is considered the widest part.

    <p>False (B)</p> Signup and view all the answers

    Where does the infundibulum of the fallopian tube open?

    <p>Into the peritoneal cavity near the ovary</p> Signup and view all the answers

    The cervix of the uterus is divided into the supravaginal and __________ parts.

    <p>vaginal</p> Signup and view all the answers

    Which ligament is located in front of the Fallopian tube?

    <p>Round ligament of uterus (D)</p> Signup and view all the answers

    The cervix is covered by peritoneum anteriorly and posteriorly.

    <p>False (B)</p> Signup and view all the answers

    What is the angle formed between the longitudinal axis of the body and the longitudinal axis of the cervix in an anteflexed uterus?

    <p>170 degrees</p> Signup and view all the answers

    The broad ligament is a ___________-layered fold of peritoneum extending from the uterus to the side wall of the pelvis.

    <p>double</p> Signup and view all the answers

    Match the following ligaments with their correct descriptions:

    <p>Round ligament of uterus = Passes through the inguinal canal to attach to labia majora Ovarian ligament = Connects the ovary to the uterus Pubocervical ligament = Supports the cervix anteriorly Uterosacral ligament = Supports the cervix posteriorly</p> Signup and view all the answers

    Which structure is NOT related to the cervix's supra-vaginal part?

    <p>Vagina (C)</p> Signup and view all the answers

    The pelvic diaphragm does not support the position of the uterus.

    <p>True (A)</p> Signup and view all the answers

    What is the space formed between the peritoneum reflected anteriorly from the uterus?

    <p>Utero-vesical pouch</p> Signup and view all the answers

    The _________ ligament is a fibromuscular cord connecting the uterine end of the ovary to the uterus.

    <p>ligament of ovary</p> Signup and view all the answers

    Which structure ascends along the lateral borders of the uterus?

    <p>Uterine artery (A)</p> Signup and view all the answers

    Which part of the broad ligament connects the ovary to the upper layer of the broad ligament?

    <p>Mesovarium (C)</p> Signup and view all the answers

    The upper border of the broad ligament is posteriorly attached to the pelvic floor.

    <p>False (B)</p> Signup and view all the answers

    What nerves are transmitted through the suspensory ligament of the ovary?

    <p>Ovarian nerves</p> Signup and view all the answers

    The broad ligament divides the cavity of the lesser pelvis into _____ and _____ compartments.

    <p>anterior, posterior</p> Signup and view all the answers

    Match the parts of the broad ligament with their descriptions:

    <p>Mesosalpinx = Between fallopian tube and mesovarium Mesometrium = Lower medial part of the broad ligament Suspensory ligament of the ovary = Extends from infundibulum of uterine tube Mesovarium = Connects ovary to broad ligament</p> Signup and view all the answers

    Which of the following is NOT a component of the broad ligament?

    <p>Round ligament of the ovary (B)</p> Signup and view all the answers

    The uterine artery runs along the lower border of the broad ligament.

    <p>True (A)</p> Signup and view all the answers

    What constitutes the anterior compartment of the broad ligament?

    <p>Urinary bladder</p> Signup and view all the answers

    The _____ surface of the broad ligament is related to the coils of the small intestine.

    <p>intestinal</p> Signup and view all the answers

    Which artery is located in the root of the broad ligament and runs along the medial border?

    <p>Uterine artery (A)</p> Signup and view all the answers

    Flashcards

    Where is the ovary located?

    The ovary is a paired organ located within the ovarian fossa on the side wall of the pelvis, completely covered by peritoneum.

    What is the size and shape of the ovary?

    The ovary is roughly 3 centimeters long, 2 centimeters wide, and 1 centimeter thick, resembling an almond in shape.

    Describe the connections of the ovary.

    The upper end of the ovary is connected to the Fallopian tube via the ovarian fimbria and the suspensory ligament. The lower end connects to the upper lateral angle of the uterus through the ligament of the ovary.

    Describe the surfaces of the ovary.

    The lateral surface of the ovary faces the parietal peritoneum of the pelvic wall, while the medial surface interacts with the fimbriated end of the Fallopian tube.

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    Describe the borders of the ovary.

    The posterior border of the ovary is free, while the anterior border attaches to the upper part of the broad ligament via the mesovarium.

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    What is the suspensory ligament of the ovary?

    The suspensory ligament extends from the upper end of the ovary to the pelvic wall. It carries the ovarian vessels, nerves, and lymphatics.

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    What is the mesovarium?

    The mesovarium is a peritoneal fold that connects the anterior border of the ovary to the broad ligament. It carries the ovarian vessels and nerves.

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    What is the Ampulla?

    The widest part of the fallopian tube and the site where fertilization typically occurs.

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    What is the Infundibulum?

    The funnel-shaped opening of the fallopian tube that captures the egg released from the ovary.

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    What is the Intramural part of the fallopian tube?

    The narrowest and shortest part of the fallopian tube.

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    What is the Isthmus of the fallopian tube?

    The portion of the fallopian tube that connects the ampulla to the uterus.

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    What is the Fundus of the uterus?

    The uppermost part of the uterus, above the entrance of the fallopian tubes, with no internal cavity.

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    What is the Body of the uterus?

    The central and largest part of the uterus, containing a triangular cavity, and is freely movable.

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    What is the Cervix of the uterus?

    The lowermost, narrowed portion of the uterus that connects to the vagina.

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    What is the Utero-vesical pouch?

    The space between the uterus and the bladder.

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    What is the Rectouterine pouch (Douglas pouch)?

    The space between the uterus and the rectum.

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    Cervix

    The part of the uterus that connects to the vagina. It is further divided into the supra-vaginal part and the vaginal part.

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    Body of the uterus

    The upper part of the uterus, located above the cervix. It has a uterine cavity and is responsible for hosting a developing fetus.

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    Round ligament of uterus

    A strong, fibrous cord that helps support the uterus in the pelvis. It connects to the upper part of the uterus and extends towards the inguinal canal, eventually attaching to the labia majora.

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    Broad ligament

    A thick, double-layered fold of peritoneum that extends from the sides of the uterus to the side wall of the pelvis. It houses the fallopian tubes, ovarian ligaments, and other structures.

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    Ovarian ligament

    A short, fibrous band connecting the ovary to the uterus. Located at the upper, lateral angle of the uterus.

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    Pubocervical ligament

    This ligament helps to support the cervix and is located at the anterior part, connecting to the pubic bone.

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    Utero-vesical pouch

    The anterior part of the isthmus of the uterus, where the peritoneum is reflected to create a pouch. This pouch is a space separating the bladder and the uterus.

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    Fallopian tube

    A small sac-like structure located at the upper end of the uterus. It is where the egg is released during ovulation and where fertilization takes place.

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    Uterosacral ligament

    A strong fibrous band that supports the cervix and helps to hold it in position. It attaches to the cervix and extends to the sacrum.

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    Anteverted & Anteflexed uterus

    This refers to the normal position of the uterus. It is tilted forward (anteverted) and slightly bent forward (anteflexed).

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    What is the uterosacral ligament?

    The uterosacral ligament is a strong ligament running from the back of the cervix to the front of the sacrum (S2 and S3), helping to support the uterus and keep it in place.

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    What is the arterial supply of the uterus?

    The uterine artery, a branch of the internal iliac artery, supplies blood to the uterus, the medial part of the fallopian tubes, and the vagina.

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    How is the uterus drained by blood?

    The venous drainage of the uterus occurs through uterine veins, which arise from venous plexuses on the sides of the uterus and drain into the internal iliac veins.

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    Where does the lymph from the uterus go?

    The lymphatic drainage of the uterus varies depending on the location. The fundus, upper body, and uterine tubes drain to the para-aortic lymph nodes, while the lower body drains to external iliac lymph nodes.

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    What is the vagina?

    The vagina is a fibromuscular tube connecting the cervix to the vestibule, extending upwards and backwards, forming a right angle with the uterus.

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    What are the compartments of the pelvic cavity created by the broad ligament?

    The broad ligament is a peritoneal fold that helps divide the pelvic cavity into two compartments: the anterior compartment containing the bladder and posterior compartment containing the sigmoid colon, rectum, and coils of ileum.

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    Describe the surfaces of the broad ligament.

    The broad ligament has two surfaces: the lower vesical surface facing towards the urinary bladder and the upper intestinal surface facing towards the small intestines.

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    What are the borders of the broad ligament?

    The broad ligament has four borders: the upper free border containing the fallopian tube, the lower posterior border attached to the pelvic floor, the medial border attached to the uterus, and the lateral border attached to the pelvic wall.

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    What are the contents of the broad ligament?

    The broad ligament includes several anatomical structures, including the fallopian tube, the ureter, the ligament of ovary, the round ligament of uterus, the uterine artery, the ovarian artery, the uterovaginal and ovarian nerve plexus, the epioophoron and paraoophoron, connective tissue, lymphatics, and lymph nodes.

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    What is the mesosalpinx?

    The mesosalpinx is the part of the broad ligament between the fallopian tube and the mesovarium.

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    What is the mesometrium?

    The mesometrium is the remaining lower medial part of the broad ligament on the sides of the uterus.

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    Describe the location of the uterine and ovarian arteries in the broad ligament.

    The uterine artery runs along the medial border of the broad ligament, then along the upper border, while the ovarian artery runs within the suspensory ligament of the ovary.

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    What are the ligaments of the cervix?

    The transverse cervical (Mackenrodt's) ligament connects the pelvic wall to the cervix and vagina, while the pubocervical ligament connects the cervix and vagina to the pubis.

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    Study Notes

    The Female Genital System

    • The lecture was presented by Dr. Samar M Abd El-Moneam, a lecturer of human anatomy.
    • The lecture was recorded.
    • Students should know the external and internal genitalia by the end of the lecture.

    External Genitalia

    • Mons pubis: An elevation of skin over the symphysis pubis, with a thick pad of fat.
    • Labia majora: Folds of skin with underlying fat pads, uniting anteriorly to form the mons pubis.
    • Labia minora: Thin folds of skin medial to the labia majora, enclosing the vestibule of the vagina and the urethral opening.
    • Clitoris: A small erectile structure located at the anterior margin of the vestibule of the vagina.

    Internal Genitalia

    • Ovaries: Produce oocytes, estrogen, and progesterone.
    • Uterine tubes: Carry fertilized oocytes to the uterine cavity.
    • Uterus: Houses the growing fetus.
    • Vagina: Involved in intercourse and fetal delivery.

    Ovary

    • Site: Paired structure in the side wall of the pelvis, within the ovarian fossa, completely covered with peritoneum.
    • Size: 3x2x1 cm.
    • Shape: Almond-shaped.
    • Ends: Upper (tubal) and lower (uterine).
    • Upper (tubal) end: Directed upwards and laterally, attached to the ovarian fimbria of the fallopian tube and suspensory (infundibulo-pelvic) ligament.
    • Lower (uterine) end: Directed downwards and medially, attached to the upper lateral angle of the uterus by the ligament of the ovary.
    • Surfaces: Lateral and medial.
    • Lateral surface: Related to the parietal peritoneum of the lateral pelvic wall and obturator nerve and vessels.
    • Medial surface: Related to the fimbriated end of the fallopian tube.
    • Borders: Posterior and anterior.
    • Anterior border: Attached to the upper lateral part of the broad ligament, where the mesovarium transmits the ovarian vessels and nerves.
    • Ovarian fossa: Inferior to the external iliac vessels; posterior to the ureter and internal iliac vessels.

    Broad Ligament

    • A double-layered fold of peritoneum extending from the side of the uterus to the side wall of the pelvis.
    • Divides the lesser pelvis into anterior (bladder) and posterior (rectum, coils of ileum) compartments.
    • It has two surfaces:
      • Lower (vesical) surface: downwards & forwards, related to the bladder
      • Upper (intestinal) surface: upwards & backwards, related to coils of small intestine.
    • It contains the mesovarium, which transmits ovarian nerve and vessels to the ovary.

    Fallopian Tubes

    • Site: Located in the medial 4/5 of the upper free border of the broad ligament, extending from the superior angle of the uterus to the ovary on the side wall of the pelvis
    • Length: 10 cm.
    • Course: Runs upwards laterally from the uterus to the side of the pelvis; Curves backwards, piercing the upper layer of the broad ligament: ends on the medial surface of the ovary at the infundibulum.

    Uterus

    • Shape: Pear-shaped, hollow, thick-walled muscular organ.
    • Size: 3 inches x 2 inches x 1 inch.
    • Divided into three parts: Fundus, body, cervix
    • Fundus: The top portion above the level of the uterine tubes, without a cavity.
    • Body: Part of uterus from the level of the uterine tube to the isthmus. The cavity of the uterus, triangular and freely movable between broad ligament layers.
    • Isthmus: Slight constriction between the body and the cervix.
    • Cervix: The part below the isthmus, cavity is fusiform; divided into supravaginal and vaginal parts.

    Uterine (Intra-mural) Part

    • The shortest, and narrowest part, passing through the wall of the superolateral of the uterus to open into the uterine cavity.
    • Isthmus: It is 2 cm, long, rounded, narrow, and thick-walled
    • Ampulla: The longest (5cm), thin-walled, tortuous, and widest part, the site of fertilization
    • The Infundibulum (fimbriated end): 2 cm funnel-shaped, opening into the peritoneal cavity near the ovary

    Vagina

    • Site: Fibromuscular tube between the cervix and vestibule.
    • Size: 2.5 cm diameter.
    • Direction: It is directed upwards and backwards, forming a right angle with the uterus.
    • Fornices: Four pouches formed by the upper part of the vagina around the vaginal part of the cervix (2 lateral, 1 anterior, and 1 posterior).

    Ureter

    • Located in pelvic wall, 2 cm lateral to the cervix.

    Ligaments of the Uterus

    • Supporting factors of the uterus include pelvic diaphragm, urogenital diaphragm, perineal body, ligaments of the body, ligaments of the cervix.
    • Ligaments of the body: Round ligament of uterus, ovarian ligament, broad ligament.
    • Ligaments of the cervix: Pubocervical ligament, uterosacral ligament, lateral cervical ligament.

    Vascular Supply

    • Arterial supply: The uterine artery, a branch of the internal iliac artery, is the major supplier. Uterine artery ascends through the broad ligament, and turns laterally. Branches of the ovarian artery anastomose with some branches of the uterine artery. Branches of the internal iliac artery (e.g. vaginal arteries) supply the vagina.
    • Venous drainage: Veins accompanying the arteries drain into the internal iliac vein, forming plexuses along the lateral borders of the uterus.
    • Lymphatic and nerve supply: For each region, the anatomical pathways and regions have been noted and summarized

    Additional Information

    • Embryological remnants: epioophoron, paraoophoron.
    • Connective tissue : parametrium.
    • Lymphatics and lymph nodes (L.Ns.)
    • The lecture also mentioned the relationships between the different parts and organs of the female pelvis region (internal and external structures)

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