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Related Concept Videos

Uterine Tubes01:16

Uterine Tubes

539
The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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Histology of the Uterus01:19

Histology of the Uterus

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The uterine wall consists of three histological layers: the perimetrium, myometrium, and endometrium. The outermost perimetrium is a thin, serous membrane connected with the broad ligament on the sides, which helps anchor the uterus in the pelvic cavity. The thickest layer, myometrium, is mainly made up of smooth muscle tissue bundles. Its contractions are vital in facilitating the expulsion of the uterine lining, fetus, and placenta during menstruation and childbirth.
The endometrium is the...
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Uterus and Cervix01:18

Uterus and Cervix

969
The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
969
Ovaries01:26

Ovaries

703
The ovaries are roughly the size of almonds and measure approximately 2 to 3 centimeters in length. These paired structures are situated within the pelvic region and are anchored by the mesovarium—a peritoneal extension that also connects them to the wider structure of the broad ligament. The support system extends to the suspensory ligament, housing blood and lymphatic vessels. In addition, the ovarian ligament tethers the ovaries to the uterus.
On the ovarian surface, a layer of...
703
Disorders of the Female Reproductive System01:24

Disorders of the Female Reproductive System

332
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
332
Infertility in Females01:28

Infertility in Females

288
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
288

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[Uterine fibroids].

Jean-Luc Brun1, Clara Guinard1, Valérie Bernard1

  • 1Centre Aliénor d'Aquitaine, hôpital Pellegrin, Bordeaux, France.

La Revue Du Praticien
|October 23, 2024
PubMed
Summary
This summary is machine-generated.

Uterine fibroids, common in women, can cause bleeding, pain, and infertility. Diagnosis involves pelvic ultrasound and MRI, with management focusing on symptoms and fertility preservation.

Keywords:
Leiomyoma

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Area of Science:

  • Gynecology
  • Oncology

Context:

  • Uterine fibroids are the most prevalent tumors within the female reproductive system.
  • They can range from asymptomatic to causing significant symptoms such as abnormal uterine bleeding, pelvic pain, and compressive issues.

Purpose:

  • To outline the diagnostic approaches and management strategies for uterine fibroids.
  • To emphasize the importance of FIGO classification and fertility preservation in treatment decisions.

Summary:

  • Diagnosis primarily relies on pelvic ultrasound, with pelvic Magnetic Resonance Imaging (MRI) aiding in surgical or interventional planning.
  • Management is tailored to clinical presentation, fibroid mapping using the FIGO classification, and patient desire for uterine and fertility preservation.
  • First-line treatment is medical, with surgery or uterine artery embolization as alternatives for persistent symptoms or treatment failure.

Impact:

  • Provides a comprehensive overview for clinicians managing uterine fibroids.
  • Highlights the significance of accurate diagnosis and personalized treatment plans for improved patient outcomes.
  • Emphasizes conservative management options prioritizing uterine and fertility preservation.