Flashcards in Female Reproductive Anatomy Deck (21)
Where is the round ligament of the uterus attached to?
Inferior pole of the ovary and the labia majora. It travels through the inguinal canal
What are the anterior and posterior relations of the uterus?
What is the clinical relevance of the posterior relation?
A: uterovesical pouch
P: rectouterine pouch - it is accessible by the posterior fornix of the vagina. Fluid in the pouch of Douglas can be drained through the posterior fornix by culdocentesis
What structures can be found within the suspensory ligament?
Ovarian artery and ovarian vein
Which two ligaments provide support for the pelvic viscera?
Transverse cervical ligament
Describe the position of the uterus
Ante-flexed with respect to the cervix
Ante-vertex with respect to the vagina
What is the arterial supply and venous drainage of the ovaries?
Ovarian arteries directly off the abdominal aorta
Right ovarian vein drains in to ivc, left ovarian vein drains into the left renal vein
Where does the uterine artery come from?
Internal iliac artery
Where does the internal pudendal artery come from?
Internal iliac artery
What is the innervation of the inferior 1/5 of the vagina?
Somatic innervation from the pudendal nerve
What is the course of the pudendal nerve?
Exits the pelvis via the greater sciatic foramen
Enters peritoneum via the lesser sciatic foramen
Travels through the pudendal canal
What is the innervation to the superior 4/5 of the vagina and uterus?
What is the innervation of the perineum?
Pudendal nerve and ilioinguinal nerve
What is the lymphatic drainage of the ovary?
What is the lymphatic drainage of the fundus of the uterus?
Aortic nodes and inguinal
What is the lymphatic drainage of the body of the uterus?
External iliac nodes
What is the lymphatic drainage of the cervix?
Internal and external iliac nodes
A ruptured ectopic pregnancy in the Fallopian tubes may cause a dangerous haemorrhage. What is their blood supply?
Anastomosis of the ovarian and uterine arteries
How can the broad ligament be subdivided?
The mesentery of the uterus is also called the mesometrium
The mesentery of the Fallopian tubes is the mesosalphinx
The mesovarium is part of the broad ligament that suspends the ovaries
What is the blood supply to the uterus?
They branch to form arcuate arteries that are located in the myometrium.
The arcuate arteries branch to form straight arteries that supply the stratum basalis and coiled arteries which supply the stratum functionalis (deep spongy and compact layers)
What are the different types of epithelia in the female reproductive tract?
Fallopian tubes - line with peg cells and cilia
Cervix - simple columnar, change to non-keratinised stratified squamous at the external Os (squamocolumnar junction)
Vagina: non-keratinised stratified squamous