{"id":1672,"date":"2020-08-14T11:44:05","date_gmt":"2020-08-14T11:44:05","guid":{"rendered":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/abdomen-and-pelvis\/organs-and-systems\/female-reproductive-system\/uterus-and-uterine-tubes\/"},"modified":"2021-01-21T22:35:38","modified_gmt":"2021-01-21T21:35:38","slug":"uterus-and-uterine-tubes","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/abdomen-and-pelvis\/organs-and-systems\/female-reproductive-system\/uterus-and-uterine-tubes\/","title":{"rendered":"Uterus and uterine tubes"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><div class=\"intro\">The uterus is a thick-walled, pear-shaped, hollow muscular organ situated in the pelvic cavity. The uterine tubes are membranous tubes extending from the uterus.<\/div><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<figure class=\"wp-block-image\" id=\"attachment_18379\"><a href=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/female-internal-reproductive-organs.png\" target=\"_blank\" title=\"Uterus and uterine tubes\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/female-internal-reproductive-organs-422x600.png\" alt=\"\" class=\"wp-image-18379\"\/><\/a><figcaption><strong>Internal female reproductive organs<\/strong>&nbsp;(Credit: OpenStax,&nbsp;<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA 4.0<\/a>)<\/figcaption><\/figure>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Uterus<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Description<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<p class=\"wp-block-paragraph\">Being covered by the broad ligament (of the uterus), the uterus is said to be infraperitoneal; its size varies depending on the hormonal conditions of the female (and obviously, pregnancy).<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Functions<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<p class=\"wp-block-paragraph\">The uterus is the site of implantation and growth of the fetus.<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Location<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<p class=\"wp-block-paragraph\">The non-pregnant uterus is located in the lesser pelvis lying on the bladder, with its cervix situated between the bladder and the rectum.<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_5\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Peritoneal relations<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_5\">\n\n\n<p class=\"wp-block-paragraph\">The peritoneum reflects from the urinary bladder as it covers its superior surface t0 form the&nbsp;<strong>vesicouterine pouch&nbsp;<\/strong>between the urinary bladder and the anterior aspect of the uterus;&nbsp;the&nbsp;<strong>rectouterine<\/strong>&nbsp;(or&nbsp;<strong>Douglas<\/strong>)&nbsp;<strong>pouch&nbsp;<\/strong>forms posteriorly between the posterior aspect of the cervix and the portion of the vagina overlying the posterior fornix as the peritoneum continues all above and around the uterus and cervix.<\/p>\n\n\n\n<figure class=\"wp-block-image\" id=\"attachment_23194\"><a href=\"https:\/\/meddists.com\/wp-content\/uploads\/2020\/01\/peritoneum.png\" target=\"_blank\" title=\"Uterus and uterine tubes\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2020\/01\/peritoneum-600x445.png\" alt=\"\" class=\"wp-image-23194\"\/><\/a><figcaption><strong>The peritoneal relations of the female pelvis (in blue)<\/strong>&nbsp;(Credit: BruceBlaus,&nbsp;<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA 4.0<\/a>)<\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_6\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Parts<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_6\">\n\n\n<p class=\"wp-block-paragraph\">The uterus can be divided into 3 parts:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Fundus<\/strong><ul><li>The superior part, where the uterine horns attach on its sides<\/li><\/ul><\/li><li><strong>Body<\/strong><ul><li>Tilted anteriorly towards the bladder (anteflexed)<\/li><\/ul><\/li><li><strong>Cervix<\/strong><ul><li>The inferior part that is continuous with the vagina<\/li><\/ul><\/li><\/ol>\n\n\n\n<figure class=\"wp-block-image\" id=\"attachment_18391\"><a href=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/uterus-anatomy.png\" target=\"_blank\" title=\"Uterus and uterine tubes\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/uterus-anatomy-600x529.png\" alt=\"\" class=\"wp-image-18391\"\/><\/a><figcaption><strong>The anatomy of the uterus<\/strong><\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_7\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Uterine cavity<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_7\">\n\n\n<p class=\"wp-block-paragraph\">The inside of the uterus; triangular in shape with its base pointed at the fundus. In a non-pregnant uterus, the cavity contains tiny amounts of glycogen-rich mucous.<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_8\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Cervix<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_8\">\n\n\n<p class=\"wp-block-paragraph\">The cervix connects between the body of the uterus and the vagina, having an external os which protrudes into the vagina, and an internal os protruding into the uterus. The&nbsp;<strong>cervical canal&nbsp;<\/strong>is formed between the two oses, histologically important, as this is the site of transition from the uterine to the vaginal epithelium.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the pregnant uterus, the cervix is filled with mucus which serves as a barrier against microbes.<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_9\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title2\">Ligaments<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_9\">\n\n\n<ul class=\"wp-block-list\"><li>The uterus is covered by a double fold of peritoneum known as the&nbsp;<strong>broad ligament of the uterus<\/strong>&nbsp;or the&nbsp;<strong>mesometrium<\/strong><\/li><li>The round ligament of the uterus links it to the labia majora as it passes through the inguinal canal<\/li><li>Three additional ligaments help keep the uterus in place \u2013 the&nbsp;<strong>cardinal ligament<\/strong>&nbsp;extending between the cervix and the pelvis, the much stronger&nbsp;<strong>uterosacral ligaments<\/strong>&nbsp;passing from the sacrum, and the vesicocervical ligament linking the uterus to the urinary bladder<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\" id=\"attachment_18375\"><a href=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/uterus-ligaments.png\" target=\"_blank\" title=\"Uterus and uterine tubes\"><img decoding=\"async\" src=\"https:\/\/meddists.com\/wp-content\/uploads\/2018\/08\/uterus-ligaments-600x392.png\" alt=\"\" class=\"wp-image-18375\"\/><\/a><figcaption><strong>Cross-section showing the uterine ligaments and spaces<\/strong><\/figcaption><\/figure>\n\n\n<\/span><span class=\"block-heading\" id=\"header_10\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Uterine tubes<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_10\">\n\n\n<p class=\"wp-block-paragraph\">The uterine tubes are also known as fallopian tubes, are 10cm long, membranous tubes. They extend from the sides of the fundus of the uterus, just lateral and superior to the ovaries.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The uterine tubes transfer the ovum from the ovaries in order to allow fertilization; to achieve this function, they are completely open to the peritoneal cavity at their distal end.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The uterine tubes are covered by peritoneum \u2014 the mesosalpinx \u2013 part of the broad ligament of the uterus.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The uterine tubes consist of 4 parts (from proximal to distal):<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Uterine part<\/li><li>Isthmus<\/li><li>Ampulla \u2013 longest, and the most frequent site of fertilization<\/li><li>Infundibulum<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">At the distal end, the uterine tubes contain&nbsp;<strong>fimbriae<\/strong>&nbsp;\u2013 finger-like projections, for the sweeping of the oocyte.<\/p>\n\n\n<\/span><span class=\"block-heading\" id=\"header_11\">\n<h3 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Neurovasculature<\/h3>\n<\/span><span class=\"block-content\" id=\"contents_11\">\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"pure-table\"><tbody><tr><td><strong>Blood supply<\/strong><\/td><td>The uterine artery gives off several branches to supply the uterus and cervix. <br>The tubal and ovarian branches anastomose to form a continuous blood supply, from the uterine (internal iliac) and gonadal (abdominal aorta), respectively.<\/td><\/tr><tr><td><strong>Venous drainage<\/strong><\/td><td>The female pampiniform plexus forms around the ovaries and the uterine tubes, together with the uterine venous plexus draining mainly to the gonadal veins.<br>On the right side: it drains directly to the IVC<br>On the left side: it drains to the left renal vein and the internal iliac veins.<\/td><\/tr><tr><td><strong>Innervation<\/strong><\/td><td>Aorticorenal, superior hypogastric and inferior hypogastric nerve plexuses.<\/td><\/tr><tr><td><strong>Lymphatic drainage<\/strong><\/td><td>Internal and external iliac lymph nodes, and lumbar lymph nodes.<\/td><\/tr><\/tbody><\/table><figcaption><strong>Table 1. Neurovasculature of the uterus and uterine tubes<\/strong><\/figcaption><\/figure>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Uterus<\/h3><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Description<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Functions<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Location<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Peritoneal relations<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Parts<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Uterine cavity<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Cervix<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Ligaments<\/h4><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Uterine tubes<\/h3><h3 class=\"wp-block-heading\" class=\"wp-block-heading\">Neurovasculature<\/h3><\/div>","protected":false},"excerpt":{"rendered":"<p>Uterus Description Being covered by the broad ligament (of the uterus), the uterus is said to be infraperitoneal; its size varies depending on the hormonal conditions of the female (and obviously, pregnancy). Functions The uterus is the site of implantation and growth of the fetus. Location The non-pregnant uterus is located in the lesser pelvis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1656,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1672","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Uterus and uterine tubes &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/pre-clinical\/anatomy\/abdomen-and-pelvis\/organs-and-systems\/female-reproductive-system\/uterus-and-uterine-tubes\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/abdomen-and-pelvis\\\/organs-and-systems\\\/female-reproductive-system\\\/uterus-and-uterine-tubes\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/pre-clinical\\\/anatomy\\\/abdomen-and-pelvis\\\/organs-and-systems\\\/female-reproductive-system\\\/uterus-and-uterine-tubes\\\/\",\"name\":\"Uterus and uterine tubes &#8211; 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