Aorta

Branches of Ovarian Arteries

Anastomose with uterine Artery

Internal Iliac Arteries ( Hypogastric Artery)

Uterine Arteries ( Wall of the uterus)

Arcuate Arteries Radial Arteries Straight ( Basal) Arteries Spiral ( Coiled) Arteries - can
slough

Basal Layer

Functional Layer

Arterial Circulation of the uterus

Uterine artery runs medially off the Internal Iliac Artery towards the cervix where it then ascends lateral to uterus in the Broad Ligament to cornue. Then it courses laterally toward the ovary to where it anastamoses with the branch of Ovarian Artery.

Uterine Artery Branch of Internal Artery Along with Uterine Veins seen as hypoechoic linear structures near lateral border of cervix

Arcuate Artery Arranged in circular fashion in myometrium Appears as tortuous tubular anechoic structures in outer myometrium

Radial Artery Penetrate the myometrium

Straight ( Basal) Arterioles Supply continual nourishment to Basal layer of Endometrium Not effected by cyclical hormone changes and are therefore not sloughed off with menstruation

Spiral Arterioles Coiled vessels which penetrate and supply the functional layer of the endometrium

Change markedly during menstrual cycle Sloughed off during menstruationecomes the Uteroplacental arteries in decidua during Pregnancy.

Venous Circulation

Uterine Plexus Situated along sides and cornua of uterus Veins composing this plexus anastamose with each other and the Ovarian veins Are not tortuous like arteries

Common Iliac Veins Are formed by the union of Internal and External Iliac Veins. Ascend to join and form the Inferior Vena Cava Right Common Iliac Vein is shorter and more vertical than the left

Uterine Doppler High resistant flow in normal uterus Reduced resistance with pregnancy

High Resistance Uterine Artery with missed abortion

Ovarian Doppler Low resistance in pre-menopausal women Increased flow during ovulation

Higher resistance in post menopausal women

Doppler ultrasound of corpus luteum in the ovary