Human Anatomy Codexery

Uterus

Organ for embryonic and fetal development in female mammals.

Uterus

The uterus (from Latin uterus, pl.: uteri or uteruses) 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 fertilized eggs until birth. It is a hormone-responsive sex organ that contains glands in its lining that secrete uterine milk for embryonic nourishment. The term uterus is also applied to analogous structures in some non-mammalian animals.

location
Pelvic region, behind and overlying the bladder, in front of the sigmoid colon
size
About 7.6 cm long, 4.5 cm broad, 3.0 cm thick
weight
About 60 grams in a typical adult
layers
Endometrium, myometrium, perimetrium
position
Anteverted in 50% of women, retroverted in 25%, midposed in 25%
blood supply
Uterine artery and ovarian artery

Lore & Background

In humans, the uterus is located within the pelvic region immediately behind and almost overlying the bladder, and in front of the sigmoid colon. It is pear-shaped and about 7.6 cm long, 4.5 cm broad, and 3.0 cm thick, weighing about 60 grams. Anatomically, it can be divided into four regions: the fundus, body, cervix, and cervical canal. The cervix protrudes into the vagina. The uterus is held in position by ligaments, including the pubocervical, cardinal, and uterosacral ligaments, and is covered by the broad ligament of peritoneum.

Reader's Guide

The uterus has three layers: the endometrium, myometrium, and perimetrium. The endometrium is the inner epithelial layer with a basal and functional layer; the functional layer thickens and is shed during the menstrual or estrous cycle. During pregnancy, uterine glands and blood vessels increase in size and form the decidua, and vascular spaces fuse to form the placenta. The myometrium consists mostly of smooth muscle, and the perimetrium is a serous layer of visceral peritoneum. The uterus is primarily supported by the pelvic diaphragm, perineal body, and urogenital diaphragm, and secondarily by ligaments. Its primary reproductive function is to prepare for implantation of a zygote and maintain pregnancy; in the absence of pregnancy, menstruation occurs. The uterus develops from the paramesonephric ducts, which fuse into a simplex uterus in humans, though other animals may have a duplex uterus. Clinical significance includes assessment of fetal growth by measuring fundal height, and pathological states such as retroversion, prolapse, and accumulation of fluids.

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