Parametrium
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Parametrium
The parametrium is the fibrous and fatty connective tissue that surrounds the uterus. This tissue separates the supravaginal portion of the cervix from the bladder. The parametrium lies in front of the cervix and extends laterally between the layers of the broad ligaments. It connects the uterus to other tissues in the pelvis. It is different from the perimetrium, which is the outermost layer of the uterus. The uterine artery and ovarian ligament are located in the parametrium. An associated form of pelvic inflammatory disease is inflammation of the parametrium known as parametritis Parametritis (also known as pelvic cellulitis) is an infection of the parametrium (connective tissue adjacent to the uterus The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female .... References * External links Mammal female reproductive system {{genitourinary-stub ...
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Uterus
The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The uterus is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment. In the human, the lower end of the uterus, is a narrow part known as the isthmus that connects to the cervix, leading to the vagina. The upper end, the body of the uterus, is connected to the fallopian tubes, at the uterine horns, and the rounded part above the openings to the fallopian tubes is the fundus. The connection of the uterine cavity with a fallopian tube is called the uterotubal junction. The fertilized egg is carried to the uterus along the fallopian tube. It will have divided on its journey to form a blastocyst that will implant itself into the lining of the uterus – the endometrium, where it will ...
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Cervix
The cervix or cervix uteri (Latin, 'neck of the uterus') is the lower part of the uterus (womb) in the human female reproductive system. The cervix is usually 2 to 3 cm long (~1 inch) and roughly cylindrical in shape, which changes during pregnancy. The narrow, central cervical canal runs along its entire length, connecting the uterine cavity and the lumen of the vagina. The opening into the uterus is called the internal os, and the opening into the vagina is called the external os. The lower part of the cervix, known as the vaginal portion of the cervix (or ectocervix), bulges into the top of the vagina. The cervix has been documented anatomically since at least the time of Hippocrates, over 2,000 years ago. The cervical canal is a passage through which sperm must travel to fertilize an egg cell after sexual intercourse. Several methods of contraception, including cervical caps and cervical diaphragms, aim to block or prevent the passage of sperm through the cervical ...
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Broad Ligaments
The broad ligament of the uterus is the wide fold of peritoneum that connects the sides of the uterus to the walls and floor of the pelvis. Structure Subdivisions Contents The contents of the broad ligament include the following: * Reproductive ** uterine tubes (or Fallopian tube) ** ovary (some sources consider the ovary to be on the broad ligament, but not in it.) * vessels ** ovarian artery (in the suspensory ligament) ** uterine artery (in reality, travels in the cardinal ligament) * ligaments ** ovarian ligament ** round ligament of uterus ** suspensory ligament of the ovary (Some sources consider it a part of the broad ligament, while other sources just consider it a "termination" of the ligament.) Relations The peritoneum surrounds the uterus like a flat sheet that folds over its fundus, covering it anteriorly and posteriorly; on the sides of the uterus, this sheet of peritoneum comes in direct contact with itself, forming the double layer of peritoneum known as ...
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Uterine Artery
The uterine artery is an artery that supplies blood to the uterus in females. Structure The uterine artery usually arises from the anterior division of the internal iliac artery. It travels to the uterus, crossing the ureter anteriorly, to the uterus by traveling in the cardinal ligament. It travels through the parametrium of the inferior broad ligament of the uterus. It commonly anastomoses (connects with) the ovarian artery. The uterine artery is the major blood supply to the uterus and enlarges significantly during pregnancy. Branches and organs supplied * round ligament of the uterus * ovary ("ovarian branches") * uterus ( arcuate vessels) * vagina (Vaginal branches of uterine artery) * uterine tube ("tubal branch") Anatomical variants Uterine artery can arise from the first branch of inferior gluteal artery. It can can also arise as the 2nd or 3rd branch from the inferior gluteal artery. On the other hand, uterine artery can be first branch from internal iliac artery befor ...
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Ovarian Ligament
The ovarian ligament (also called the utero-ovarian ligament or proper ovarian ligament) is a fibrous ligament that connects the ovary to the lateral surface of the uterus. Structure The ovarian ligament is composed of muscular and fibrous tissue; it extends from the uterine extremity of the ovary to the lateral aspect of the uterus, just below the point where the uterine tube and uterus meet. The ligament runs in the broad ligament of the uterus, which is a fold of peritoneum rather than a fibrous ligament. Specifically, it is located in the parametrium. Development Embryologically, each ovary (which forms from the gonadal ridge) is connected to a band of mesoderm, the gubernaculum. This strip of mesoderm remains in connection with the ovary throughout its development, and eventually spans this distance by attachment within the labia majora. During the latter parts of urogenital development, the gubernaculum forms a long fibrous band of connective tissue stretching from the ovar ...
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Parametritis
Parametritis (also known as pelvic cellulitis) is an infection of the parametrium (connective tissue adjacent to the uterus The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The uter ...). It is considered a form of pelvic inflammatory disease. References External links {{Diseases of the pelvis, genitals and breasts Inflammatory diseases of female pelvic organs ...
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Connective Tissue
Connective tissue is one of the four primary types of animal tissue, along with epithelial tissue, muscle tissue, and nervous tissue. It develops from the mesenchyme derived from the mesoderm the middle embryonic germ layer. Connective tissue is found in between other tissues everywhere in the body, including the nervous system. The three meninges, membranes that envelop the brain and spinal cord are composed of connective tissue. Most types of connective tissue consists of three main components: elastic and collagen fibers, ground substance, and cells. Blood, and lymph are classed as specialized fluid connective tissues that do not contain fiber. All are immersed in the body water. The cells of connective tissue include fibroblasts, adipocytes, macrophages, mast cells and leucocytes. The term "connective tissue" (in German, ''Bindegewebe'') was introduced in 1830 by Johannes Peter Müller. The tissue was already recognized as a distinct class in the 18th century. ...
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Urinary Bladder
The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters the bladder via the ureters and exits via the urethra. The typical adult human bladder will hold between 300 and (10.14 and ) before the urge to empty occurs, but can hold considerably more. The Latin phrase for "urinary bladder" is ''vesica urinaria'', and the term ''vesical'' or prefix ''vesico -'' appear in connection with associated structures such as vesical veins. The modern Latin word for "bladder" – ''cystis'' – appears in associated terms such as cystitis (inflammation of the bladder). Structure In humans, the bladder is a hollow muscular organ situated at the base of the pelvis. In gross anatomy, the bladder can be divided into a broad , a body, an apex, and a neck. The apex (also called the vertex) is directed forward ...
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Pelvis
The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor, below the pelvic cavity, and the perineum, below the pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs (sex organs) and the rectum, while the pelvic f ...
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Perimetrium
The perimetrium (or serous coat of uterus) is the outer serosal layer of the uterus, derived from the peritoneum overlying the uterine fundus, and can be considered a visceral peritoneum. It consists of a superficial layer of mesothelium, and a thin layer of loose connective tissue beneath it. Anteriorly, the perimetrium covers the fundus and upper body of the uterus until it meets the superoposterior surface of the adjacent urinary bladder, resulting in a concave fold of peritoneum called the '' vesicouterine pouch''. Posteriorly, the perimetrium covers the entire surface of the uterus deep down to the cervix, where it then folds back onto the adjacent rectum to form the ''rectouterine pouch'', the lowest gutter of the peritoneal cavity. Laterally, the perimetrium blends into the serosae of the broad ligament The broad ligament of the uterus is the wide fold of peritoneum that connects the sides of the uterus to the walls and floor of the pelvis. Structure Subdivisions C ...
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Pelvic Inflammatory Disease
Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Often, there may be no symptoms. Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer. The disease is caused by bacteria that spread from the vagina and cervix. Infections by ''Neisseria gonorrhoeae'' or ''Chlamydia trachomatis'' are present in 75 to 90 percent of cases. Often, multiple different bacteria are involved. Without treatment, about 10 percent of those with a chlamydial infection and 40 percent of those with a gonorrhea infection will develop PID. Risk factors are generally similar to those of sexua ...
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