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Questions and Answers
What is the primary function of the round ligament of the uterus?
What is the primary function of the round ligament of the uterus?
It helps to support the uterus by anchoring it to the lateral pelvic walls.
Describe the position of the uterus when the bladder is empty.
Describe the position of the uterus when the bladder is empty.
The uterus is in an anteverted and anteflexed position.
What role does the levator ani play in pelvic support?
What role does the levator ani play in pelvic support?
The levator ani, specifically the pubovaginalis and puborectalis, supports the pelvic organs and maintains continence.
Identify one primary and one secondary ligament that contributes to uterine support.
Identify one primary and one secondary ligament that contributes to uterine support.
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What are the three layers of the uterus wall?
What are the three layers of the uterus wall?
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What is the significance of blood supply from the uterine and ovarian arteries?
What is the significance of blood supply from the uterine and ovarian arteries?
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Explain the term 'prolapse of the uterus.'
Explain the term 'prolapse of the uterus.'
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What is the condition characterized by the presence of endometrial-like tissue outside the uterus?
What is the condition characterized by the presence of endometrial-like tissue outside the uterus?
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What are the main components of the female external genitalia?
What are the main components of the female external genitalia?
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Describe the average measurements of the uterus.
Describe the average measurements of the uterus.
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What is the anatomical position of the uterus in relation to surrounding structures?
What is the anatomical position of the uterus in relation to surrounding structures?
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What is the significance of the two surfaces of the uterus?
What is the significance of the two surfaces of the uterus?
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What does the term 'fornices of the vagina' refer to?
What does the term 'fornices of the vagina' refer to?
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Explain the importance of the normal axis of the uterus.
Explain the importance of the normal axis of the uterus.
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What are the lateral borders of the uterus and their relevance?
What are the lateral borders of the uterus and their relevance?
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What role do the greater vestibular glands play in the female reproductive system?
What role do the greater vestibular glands play in the female reproductive system?
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Study Notes
External Genitalia
- The external genitalia, also known as the vulva or pudendum, includes the mons pubis, labia majora, labia minora, clitoris, vestibule of the vagina, greater vestibular glands (Bartholin's glands).
Uterus
- The uterus is a pear-shaped, hollow, muscular organ.
- Average measurements:
- 7.5 cm in length
- 5 cm in breadth
- 2.5 cm thickness
- Located in the pelvic cavity, between the urinary bladder and rectum.
- The normal site of implantation for a fertilized egg.
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Parts:
- Isthmus: The narrowest part of the uterus, connecting the body to the cervix.
- Cervix: The lower, cylindrical part of the uterus, connecting the uterus to the vagina.
- Uterine Cavity: The space within the uterus.
- Internal Ostium (Os): The opening between the uterine cavity and the cervical canal.
- Cervical Canal (Fusiform in Shape): The canal within the cervix.
- External Ostium (Os): The opening between the cervical canal and the vagina.
Uterine Relations
- Anterior Surface (Vesical): Faces towards the urinary bladder.
- Posterior Surface (Intestinal): Faces towards the rectum.
- Lateral Borders: Rounded and convex.
Uterine Ligaments
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Broad Ligament: A peritoneal fold that supports the uterus.
- Round Ligament of Uterus: Extends from the uterus to the inguinal canal.
- Ligament of Ovary: Attaches the ovary to the broad ligament.
- Uterine Artery: Ascends between the two layers of the broad ligament.
- Uterosacral Ligament: Connects the uterus to the sacrum.
- Pubocervical Ligament: Connects the cervix to the pubic bone.
- Mackenrodt's Ligament: Connects the cervix to the sidewalls of the pelvis.
- Uterovesical Fold: A peritoneal fold between the uterus and bladder.
- Rectovaginal Fold: A peritoneal fold between the uterus and rectum.
Uterine Supports
- The uterus is a highly mobile organ, and its position can change based on bladder distension.
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Active Supports:
- Pelvic Diaphragm: A muscular floor that supports the pelvic organs.
- Perineal Body: A fibrous structure that helps to support the pelvic floor.
- Urogenital Diaphragm: A muscular structure that supports the pelvic organs.
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Mechanical/Passive Supports:
- Uterine Axis: The position of the uterus in the pelvis.
- Pubocervical Ligament: Connects the cervix to the pubic bone.
- Transverse Ligament: Connects the uterus to the sidewalls of the pelvis.
- Uterosacral Ligament: Connects the uterus to the sacrum.
- Round Ligament: Extends from the uterus to the inguinal canal.
Uterine Wall
- Perimetrium (Peritoneum): The outer layer of the uterus.
- Myometrium: The muscular middle layer of the uterus.
- Endometrium: The inner lining of the uterus, composed of epithelial cells.
Uterine Blood Supply
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Arterial Supply:
- Uterine Artery: Supplies the uterus and cervix.
- Ovarian Artery: Supplies the ovaries and fallopian tubes.
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Venous Drainage:
- Uterine Vein: Drains blood from the uterus and cervix.
- Ovarian Vein: Drains blood from the ovaries and fallopian tubes.
Common Uterine Disorders
- Prolapse of Uterus: Occurs when the uterus descends into the vagina.
- Caesarean (C-section) Delivery: A surgical procedure to deliver a baby through an incision in the abdomen.
- Hysterectomy: Surgical removal of the uterus.
- Endometriosis: The presence of endometrial-like tissue outside the endometrial cavity of the uterus.
Vagina
- The vagina is a fibromuscular tube that connects the uterus to the external genitalia.
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Fornices of Vagina: Recesses formed by the vagina around the cervix.
- Anterior Fornix: Located in front of the cervix.
- Posterior Fornix: Located behind the cervix.
- Lateral Fornices: Located on either side of the cervix.
Normal Axis of the Uterus
- The uterus is typically anteverted (tilted forward) and anteflexed (bent forward).
- The angulation is important for several reasons, including supporting the uterus and facilitating the passage of menstrual flow.
Levator Ani
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Levator Ani: A muscle that forms the pelvic floor.
- Pubovaginalis: A part of the levator ani muscle that supports the vagina.
- Puborectalis: A part of the levator ani muscle that supports the rectum.
- Perineal Body: A fibrous structure that supports the pelvic floor and is essential for maintaining continence.
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Description
Explore the anatomy of the external genitalia and uterus in this quiz. Understand the different parts and their functions, including the vulva and uterus components. This quiz will help reinforce your knowledge of reproductive anatomy.