The uterus of the female gynecological reproductive system is responsible for the task of pregnancy and has a heavy responsibility. There are too many types of lesions and malformations that may occur in the uterus, but if you can grasp the shape of a healthy and normal uterus, you will naturally know what is abnormal. What should a healthy normal uterus look like for women?
1. Cervical canal:
It is round or oval tube-shaped, with light red or bright red mucosa, and many wrinkled walls vertically and horizontally.
2. Uterine cavity:
The fundus of the uterus is slightly arc-shaped, protruding into the uterine cavity, with two deep corners. The color, thickness and mucosal wrinkles of the endometrium are It varies slightly with the menstrual cycle.
① Repair period endometrium: On the 5th to 6th day of menstruation, it is new epithelium. The endometrium is smooth, yellow-red, with very few vascular patterns, scattered bleeding spots, and unobvious openings of glandular ducts.
② The endometrium in the early and middle stages of hyperplasia: purple-red, the endometrium is thickened and wrinkled, some become polypoid, and the openings of the glandular ducts are clear.
③ Endometrium in the late proliferative and early secretory stages: Within 2-3 days before and after ovulation, the endometrium presents polyp-like protrusions and undulations, and the depression of the glandular duct opening is particularly obvious.
④ Endometrium in the secretory phase: hemispheric or polyp-like protrusions, the opening of the glandular ducts is difficult to identify, the endometrium is edematous and appears translucent yellow-red, and the capillary network is visible.
⑤ Premenstrual endometrium: interstitial edema subsides, endometrium surface wrinkles increase, scattered small subintimal hematomas can be seen, and the endometrium is fragile and prone to bleeding.
⑥ Endometrium during menstruation: endometrial peeling, accompanied by punctate bleeding spots and pale moss-like peeling surface, with rough blood vessels and gland stumps visible.
3. Uterine horn and fallopian tube orifice:
The uterine horn is funnel-shaped, and the fallopian tube orifice can be seen at its top. The fallopian tube orifice is mostly round or oval, and sometimes its contraction can be seen to form a gap. shape.
4. Other scenes in the uterine cavity:
① Blood clots and bleeding: Blood clots can adhere to the surface of the endometrium or float in the uterine cavity, and their color varies with the length of bleeding. Active bleeding from small blood vessels in the uterine cavity can be seen as the blood slowly flows out from the bleeding focus. If it is bleeding from large blood vessels, it often merges with the uterine distension fluid into a red patch, making the field of vision blurred.
② Endometrial fragments: usually partially attached to the uterine wall, partially floating in the uterine cavity, pale or reddish in color, and can float with the uterine expansion fluid.
③Mucus and bubbles: Mucus is white and flocculent, floating and deforming with the uterine distension fluid. Bubbles enter the uterine cavity with the undischarged gas, and often accumulate on the front wall or fundus of the uterus.
Hope it helps!