A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
The general shape of the mature ovary is oval. The average measurements
are--long axis, 3 to 5 centimeters; breadth, 2 to 3 centimeters;
thickness, 12 millimeters; weight, 100 grains. These measurements are
subject to great variations. Henning’s table of measurements shows that
the ovary of the multipara is no larger than that of the virgin.
After the menopause the ovaries shrink a great deal in size, sharing in
the general atrophy of all the reproductive organs. The ovary of an old
woman may weigh but 15 grains.
The healthy ovary is of a pinkish pearly color. On its surface are
seen small bluish areas that mark the position of unruptured or of
recently ruptured ovarian follicles. The ripening follicles project
somewhat from the surface of the ovary, and the old ruptured follicles
are marked by scars which in time cover and render irregular the whole
surface of the ovary (Fig. 159).
The surface of the ovary becomes more irregular and wrinkled after the
menopause. The follicles disappear, until finally nothing is left but a
mass of fibrous tissue and a few blood-vessels.
The ovary lies in the posterior layer of the broad ligament. It is
attached by this connection with the broad ligament and by the ovarian
and infundibulo-pelvic ligaments.
[Illustration: FIG. 159.--Ovary (natural size), with the Fallopian tube
in relative position (Sutton).]
The ovarian ligament extends from the inner end of the ovary to the
angle of the uterus immediately below the origin of the Fallopian tube.
This ligament varies in length from 3 to 5 centimeters. It is shortest
in the virgin, and longest in the multiparous woman. The ligament
consists of a fold of peritoneum containing unstriped muscular fiber
from the uterus.
The infundibulo-pelvic ligament is that part of the upper margin of
the broad ligament lying between the distal end of the Fallopian tube
and the pelvic wall. It is about 2 centimeters in length. The length is
greatest in the multiparous woman.
The position of the ovary is maintained by its attachments and by its
own specific gravity. The considerations that have been discussed in
regard to the position of the uterus also apply here.
The blood-vessels are the utero-ovarian arteries and the ovarian
arteries and veins. The ovarian artery is homologous to the spermatic
artery in the male. The course of the ovarian veins has an important
influence upon some pathological conditions of the ovaries.
[Illustration: FIG. 160.--View of the posterior surface of the uterus,
Fallopian tubes, ovaries, and broad ligaments. The infundibulo-pelvic
ligament is shown on the left (Dickinson).]
The right ovarian vein enters the inferior vena cava at an acute angle,
and at the junction of the two there is a very perfect valve.
The left ovarian vein enters the left renal vein at a right angle:
there is no valve on this side. This anatomical difference affords a
probable explanation of the greater tendency to congestion and prolapse
of the left ovary.
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