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Development of the Uterus, Uterine Tubes, and Vagina

Development of the Uterus, Uterine Tubes, and Vagina

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The female reproductive tract
Includes the uterine tubes, uterus, and vagina
Paramesonephric ducts (aka, Mullerian Ducts)
  • Emerged as a groove in the intermediate mesoderm, parallel to the mesonephric ducts, during week 6.
  • The following genetic signals aid in their cranial to caudal growth:
    • Wnt4 is necessary for early growth of the paramesonephric ducts
    • Wnt9b ensures growth in the caudal direction
    • Wnt7a is thought to be essential for their normal development
  • Ducts grow towards, and make contact with, the urogenital sinus (an endoderm-derived structure).
  • ~Week 10, paramesonepheric ducts begin to fuse
    • Uterine septum temporarily lies in midline, where the edges of the two paramesonephric ducts meet.
    • Cranial ends remain open
    • Where caudal ends meet urogenital sinus, the vaginal plate forms
  • Mesonephros degnerates
Mature Form
  • Uterine tubes derive from cranial portions of the paramesonephric ducts
  • Uterine cavity and upper vagina derive from caudal portions of paramesonephric ducts
    • Uterine ligaments = broad ligament extending laterally and round ligament attaching to labia majora
    • Fornices of vagina extend outward, over cervix of uterus
  • Lower vagina (possibly) derives from urogenital sinus
    • Hymen = membranous covering of vagina
  • Ovaries lie between uterus and distal ends of uterine tubes
  • Descend from abdominal cavity, guided and stabilized by genital ligaments
    • Ovarian ligaments = suspensory ligament of the ovary and ovarian ligament