Support of the uterus
Uterus is supported in pelvic cavity by surrounding organs, muscles of pelvic floor and ligaments that hold from walls of pelvis.
1. Primary supports
Uterus is primarily supported by pelvic diaphragm, perineal body and urogenital diaphragm.
2. Secondary support
Suppored by ligaments.
a. Two broad ligaments
Broad ligaments are double folds of peritoneum. One on each side of uterus.
b. Round ligaments
One on each side of uterus. It is fibromuscular flat bands between two layers of broad ligaments.
c. Two uterosacral ligaments
Originate from posterior walls of uper part of cervix and from vagina.
These ligaments connect uterus to sacrum.
d. Cardinal ligaments (two transverse lateral cervical ligaments)
These ligaments extend from sides of cervix and vagina to the side walls of the pelvis
e. Pubocervical ligaments
These ligaments extend from cervix to posterior surface of symphysis pubis.
f. Posterior ligaments
It attaches uterus to the rectum.
g. Anterior ligaments
It attaches uterus to the urinary bladder.
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