The structures of the internal genitalia/ mrs reproductive device is supported by the pelvic floor musculature, pelvic fascia, and ligaments top top both sides of the uterus. These ligaments divided into, uterine ligaments that room soft and also lax, having a minimal role in sustaining the uterus and internal genitalia, unlike the cervical ligaments which are tough, non-extensible, and condensed thickening of pelvic tissue.

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Uterine Ligaments

Broad Ligament

Description: The wide ligament is a dual flat peritoneum sheet. That upper outer border type a ligament wherein ovarian ship pass. It includes the ring ligament, the fallopian tube, arteries, veins, lymphatics, nerve fibers, loose connective tissue, and remnants the Wolffian duct.

Attachments: that extends indigenous the uterus and also fans the end to the lateral pelvic wall.

Function: The large has three subdivisions, all three subdivisions assist to preserve the uterus in its ar in the pelvis, however it is not the key support.

Mesometrium: the largest part of the ligaments surround the uterus.

Clinical Relevance: Gartner"s cyst, it creates in an answer to the dilatation the Wolffian duct, stubborn in the anterolateral wall surface of the vagina. Need surgical intervention only in patients with severe symptoms or if it causes obstetrical complications<2><3>.

Assessment: for investigation, urinary street ultrasound or magnetic resonance picture MRI. Because that confirmation, quality diagnostic ultrasound will be one.

Round Ligament


Description: A fibromuscular tape of connective tissue, runs forward and also downward in between the two sheets that the broad ligament. That runs under deep in the inguinal canal to enter the labia majora <4>. It is around 10-12 cm in length.

Attachment: that attaches proximally in ~ the superior and lateral side of the uterus at the cornu, that fiber blend with that that the labia majora and also mons pubis and inserts in ~ mons pubis below the skin.

Function: It traction the uterus forward, help to keep the uterus anteverted.

Clinical Relevance:

Round ligament pain, during the second trimester of pregnancy, because of the physiological changes the round ligament is stretched and may cause pain, and also cramping this pain generally disappears ~ a duration of rest. After ~ postpartum recovery, the may cause pain again

Assessment: Magnetic resonance image is the choice for the diagnosis of the round ligament.

Ovarian Ligament

Description: that is a brief fibromuscular framework that lies with the wide ligament,

Attachment: it attaches the ovary come the posterolateral element of the uterus

Function: the connects the ovary through the uterus at the cornu.

Cervical Ligaments

Ligaments that the cervix, attach the lateral next of the cervix and also vagina come the lat pelvic wall and provide support come the uterus and also vagina.

Cardinal Ligaments/ Mackenrodt’s Ligaments

Description: It is among the most essential ligaments in sustaining the pelvic organs, that is explained as transverse cervical ligament.


Attachment: that attaches from the lateral side of the cervix and also vagina come the lateral pelvic wall.

Function: This ligament with uterosacral ligament and other pelvic musculature collaborate to support the pelvic organs and prevent prolapse.

Clinical Relevance

During hysterectomy as result of cervical cancer, the cardinal ligaments space involved and also they might be eliminated as they space a typical site because that cancerous cells to for sure the disease is free.

Uterosacral Ligaments

Description: well-known as Sacro-cervical ligaments or recto-uterine ligaments

Attachment: They expand from the posterior element of the cervix and also vagina and directed behind to surround the rectum and also insert in the basic of the third sacral vertebrae.

Function: support the uterus and also pelvic organs.

Clinical Relevance: Uterosacral ligaments are significant sites that emerged endometriosis.

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Pubocervical Ligaments

Attachment: prolong from the anterior the the cervix and vagina and directed front to surround the urethra below the bladder and also insert in the posterior aspect of the symphysis pubis.