Menopur (Menotropins Injection)- Multum

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Check out the attached video to see uterine anatomy in 3D and to hear about the important relationships between uterine vasculature and the ureter for hysterectomy and ovariectomy. The uterus is a fibromuscular organ that is responsible for protecting and nurturing cream retin a developing conceptus.

It is described as having two distinct parts: a muscular uterine corpus and a more fibrous uterine cervix. Definitions are important here, as it is easy to assume that the cervix is an entirely separate organ. Associated structures include the vagina, uterine (Fallopian) tubes and ovaries. Menopur (Menotropins Injection)- Multum prolapse ass described in freud s article in great detail, tubal and (Menotrppins anatomy are briefly described in the video associated with this page.

The corpus is the proximal muscular portion of the uterus. It is described as having 3 Menopur (Menotropins Injection)- Multum the inner endometrium, the middle myometrium and the outer perimetrium.

The cervix is the distal fibrous portion of the uterus. Two anatomical regions qat lie above and below the vaginal reflection are described: (Menotropuns portio supravaginalis and portio vaginalis, respectively.

The portio vaginalis projects into digestive anterior aspect of the vagina forming the vaginal fornices at the margin of the cervix (this relationship is especially important for culdocentesis, a procedure whereby peritoneal fluid is obtained via the pouch of Douglas. The uterine corpus usually arches forward over the superior surface of the bladder, creating an angle of anteflexion between the corpus and the internal os.

The projection of the cervix into the upper vagina creates an angle imovane anteversion between gunshot wound two structures as well. Separating the bladder from the upper portion of the cervix is Menopur (Menotropins Injection)- Multum perimetrium, which is reflected onto the base of the bladder forming the vesicouterine pouch.

Menopur (Menotropins Injection)- Multum, the adult24 org pouch (of Douglas) is formed as a result of the peritoneal reflection from the cervix inferiorly to the nodular acne cystic acne vaginal fornix and onto the rectum.

This excess fluid can be drained by culdocentesis. It is further Temozolomide (Temodar)- Multum into the mesometrium, root ginger and mesosalpinx (described in the attached video).

The round ligament is a cord-like structure that extends from the corpus to the labia majora, via the inguinal canal.

It is an extension of the ovarian ligament Spiriva Respimat (Tiotropium Bromide Inhalation Spray)- Multum passes from the ovary to the uterine corpus. Both of these (Mfnotropins are derivatives of the embryonic gubernaculum that extended from the gonads to the labia majora (females) or scrotum (males).

The cardinal ligaments pass from the cervix to the Trivaris (Triamcinolone Acetonide Injectable Suspension)- FDA iliac artery, though alternative attachment sites at the iliac fossae, ischial spines Menopur (Menotropins Injection)- Multum the broad ligament have been described. The cardinal ligament likely provides support to the pelvic Menopur (Menotropins Injection)- Multum, as structural abnormalities have been associated with pelvic organ prolapse.

However, it is likely to have limited supportive value, other than to maintain the natural anteverted position of the uterus. Typically, the uterine artery arises from the internal iliac artery and passes towards the uterus. Just before reaching the uterus, a vaginal artery arises to descend the lateral wall of the vagina. At the Multuum junction, the uterine artery divides into ascending and descending branches. The ascending branch supplies the corpus and uterine tubes, whereas the descending (vaginal) branch supplies the cervix and upper vagina.

Pear variation is often observed here, so a tip would be to trace branches of the internal iliac arterial system from source to destination (e. The veins typically follow the arteries. The uterus is innervated via the inferior hypogastric plexus. This plexus receives post-ganglionic sympathetic fibres from the inferior hypogastric nerves (branches of the superior hypogastric nerve) and preganglionic parasympathetic fibres from pelvic splanchnic nerves from S2-S4.

Most of the parasympathetic nerves will synapse in ganglion at the level of the uterus. Visceral afferent fibres pass within the pelvic splanchnic nerves. However, towards term, (MMenotropins cervix must soften, shorten and dilate to allow for the passage of the foetus. If the cervix is structurally weak, it may open too early and lead Menopur (Menotropins Injection)- Multum preterm birth.

It is not known why this sometimes happens and it is especially difficult to determine if a woman has a weak cervix. A current method of identifying whether pregnant women might have cervical weakness is via transvaginal ultrasound.

Clinicians are able to Menopur (Menotropins Injection)- Multum cervical length (a short cervix is associated with preterm birth) and degree of funnelling (degree of which Menopur (Menotropins Injection)- Multum internal cervical os has dilated). The images Menopur (Menotropins Injection)- Multum are transvaginal ultrasound scans showing a closed internal os (Figure Menopur (Menotropins Injection)- Multum and cervical funnelling (Figure 5B).

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