MHS 223 Uterus

Uterus

The uterus is a hollow organ in which the fetus develops. This cross-section is from the body of an uterus.

The uterine wall is composed of three layers:

• Endometrium - specialized mucosa that undergoes marked changes during the menstrual cycle.
  • Functional Layer (or stratum functionalis) - the upper two thirds of the mucosa that develops glands and is lost during menstruation.
    • Simple Columnar Epithelium - ciliated columnar and non-ciliated secretory cells.
    • Endometrial Stroma - the underlying lamina propria is highly cellular (stellate cells, macrophages and lymphocytes).
    • Uterine Glands - during the menstrual cycle the surface epithelium invaginates into the stroma to form simple tubular glands lined with mostly non-ciliated secretory cells.
  • Basal Layer (or stratum basalis) - lower third of the mucosa that is retained during menstruation and regenerates the functional layer.

This specimen is from the early secretory phase of the menstrual cycle because the uterine glands are mostly straight and only slightly dilated.

Glycogen stored in the base of the epithelial cells is characteristic of early secretory glands. (They appear empty because glycogen was extracted during sample preparation.)

• Myometrium - composed of three indistinct layers of smooth muscle.
  • Inner and Outer Layers - mostly longitudinal bundles of smooth muscle.
  • Middle Layer (or stratum vasculare) - thickest layer of mostly circular or spiral bundles of smooth muscle with numerous blood vessels.
• Perimetrium - covered by an outer serous layer or visceral peritoneum that is continuous with the broad ligament (#1,#2).

The endometrium contains a unique system of blood vessels that undergo marked changes during the menstrual cycle.

• Arcuate Arteries (#1,#2,#3) - 6 to 10 branches of the uterine artery that encircle the uterus in the myometrium.
• Radial Arteries (#1,#2) - branches of arcuate arteries that ascend into the endometrium and give rise to:
  • Straight Arteries (#1,#2,#3) - supply the basal layer.
  • Spiral (or Coiled) Arteries (#1,#2,#3) - pass through the basal layer and supply the functional layer.
    • Terminal Capillaries (#1,#2,#3) - dilated (or ectatic) capillaries that arise from spiral arteries.

Because the two layers of the endometrium have separate blood supplies, the basal layer is unaffected by the loss of blood to the functional layer during menstruation.