Summary Anatomy OBGYN

Recurrent Bartholin’s Abscess/Cyst = Adenocarcinoma

The Vestibule of the Vagina is between the Labia Minoras

The female Clitoris = Male Penis (Both are derived from the Genital Tubercle)
Tubercle = Prominence/Nodule/Outgrowth (The Penis/Clitoris are Prominences)

Bartholins Gland
Also Greater Vestibular Gland
Produces Bartholin’s mucus
Homologous to the Bulbo-Urethral gland in males

Skene’s Gland
Also Lesser Vestibular Gland or Para-Urethral gland (As name implies – around the urethral)
Homologous to the Prostate in males

Vulva Supply
Vulva Super Nods his Ex Into a Puddle with I-G before Perils Post
Super Nod: Superficial Lymphatic Nodes drain the Vulva
Ex Into a Puddle: External and Internal Pudendal artery supplies the Vulva
I-G: Ilioinguinal Nerve and Genitofemoral nerve supply anterior vulva
Perils Post: Perineal nerve and Posterior Cutaneous nerve of thigh supplies posterior vulva

Vaginal has a HI-MUTE PH (Character and Supply)
HI-MUTE PH = Literally, Highly Mutes Organisms, therefore Acidic. Acidic pH doesn’t favour growth of bacteria. Say the Vaginal Acidic pH mutes (kills) bacteria.
H = Hypogastric Anastomosis supply
I = Inferior Vaginal Artery supply
M = Middle Rectal Artery
UTE = Uterine Artery
P = Pelvic Nerve
H = Hypogastric plexus

Every Structure attached to the Uterus gets a Uterine Artery
Example: Cervix, Fallopian tubes, Vagina

Hypogastric Plexus: Sympathetic Innervation of the Vagina
Hypogastric is Housemaid to Vagina

Pelvic nerve: Parasympathetic Innervation of the Vagina
Pelvic nerve makes the Vagina a Pussy

Components of the Cervix: Cervical EX PIE
E = Ectocervix
X = Xternal Cervical Os
P = Portio Vaginalis
I = Internal Os
E = Endocervical Canal

Squamo-Columnar Junction of the cervix (SCJ)
The point of the Cervix where the Squamous cells that line the ectocervix meet with Columnar cells that line the Endocervix.

Transformation Zone of the Cervix (Tz)
The area of the Cervix where Columnar cells are presently being transformed into Squamous cells.
(Early in the female’s life, the Squamous cells line a part of the ectocervix. As she ages, the columnar cells transform into Squamous cells and the squamous cells are found to line most of the ectocervix. hence the squamous cells “move” into the cervix as the the female ages = ¯¯¯ risk of cervix cancer in elderly females)

The Myometrium LOL
L = Longitudinal External Muscles of the Myometrium (Uterine muscles)
O = Oblique Internal Muscles of the Myometrium
L = Longitudinal Internal Muscles of the Myometrium

Uterine (Womb) Supply = Uterine I-SCOUT
I = Inferior Hypogastric (Iiac) Plexus
S = Superior Hypogastric (Iliac) Plexus
C = Common Iliac Plexus
O = Ovarian Arteries
UT = Uterine Arteries

Salpinx (Uterine Tube) Supply
The Uterine Tubes OP OUT or POOUT (Pout)
O = Ovarian Plexus
P = Pelvic Nerve
O = Ovarian Artery
UT = Uterine Artery

The Ligaments of the female pelvis
BRUMS hold the female pelvis together
B = Broad ligament
R = Round ligament
U = UteroSacral ligament
M = Mackenrodt (Cardinal/Cervical) ligament
S = Suspensory ligament of the Ovaries

Contents of Broad ligaments (Structures that cross or lie within the broad ligament)
Broad FOR 3 of U (3 of U = U, U, U)
F = Fallopian tubes
O = Ovarian vessels
R = Round Ligament
U = Ureters
U = Uterine vessels
U =

Round ligament is a remnant of the Gubernaculum
Say “GubeROUNDculum”

Cardinal ligament = Cervical Ligament
Also called Mackenrodt ligament
Attaches to the Cervix + Upper part of the Vagina
It is a Cardinal (Really important) ligament of the Uterus as the uterine vessels run within this ligament.

Mackenrodt ( Also Cardinal ) ligament
Say/Write “MackenrUT”
UT = Uterine vessels run within the MackenrUT ligament

Every ligament of the female pelvis attaches to the the Pelvic wall except the UteroSacral ligament
The UteroSacral ligament attaches to the Sacrum (As name implies).

Which ligaments attach to the Vagina?
The CUS ligament.
C = Cardinal ligament
US = UteroSacral ligament

Muscles of the Pelvis
You need the Muscles of the Pelvis to PUP (poop)
P = Pelvic Diaphragm
U = Urogenital Diaphragm
P = Perineal muscles

Muscles of the Pelvic Diaphragm
The Pelvic PLC
P = Pelvic diaphragm fascia – Superior and Inferior fascia
L = Levator ani complex (Elevates the anus)
C = Coccygeus muscle (around the Coccyx)

Muscles of the Urogenital diaphragm
DICE or (Urogenital DICE)
D = Deep Transverse muscle (If there is a deep, there should be a Superficial)
I = Internal fascia
C = Constrictor of the Urethra
E = External fascia

Muscles of the Perineal body (Also Central Tendon/Perineum)
Perineal Extra Super Muscular Bums
Extra = External Anal Sphincter
Super = Superficial Transverse Muscle
Muscular = Median Raphe of Levator ani complex
Bums = Bulbocarvenous muscle

The Pudendal nerve and Artery (Internal Pudendal) supplies the Muscles of the Pelvis (PUP)
Say/Write “PELdendal nerve Supplies PELvis” muscle

The Internal Pudendal nerve gives rise to
Internal = Inferior Rectal Artery
Pudendal = Posterior Labial Artery   

The 5acrum has 5 bones
The S1-S5 Sacrum

The 5acral Promontory is the landmark for Pelvimetry
The first Sacral bone is associated with the First (Number One) Sacral bone
Say “PromONEtory” : Number ONE Sacral bone

A defect in the Pelvic Diaphragm may lead to Pelvic organ prolapse (Example: Uterine Organ Prolapse)

Shapes of the Pelvis in Pregnancy
Babies come through the GAAP in the Pelvis
G = Gynecoid
A = Android
A = Anthropoid
P = Platypelloid

Ischial Spines determines the Station of the Baby
Spine = Station