endometrium

Endometrium




The endometrium is a mucosa of uterus which is continuously remodeled during the menstrual cycle. Its primary function is to create the optimum environment for implantation of the blastocyst after fertilization. It is sensitive to hormones (estrogen and progesterone). Before puberty the correct thickness is from 0.3 to 0.5 mm. It is important that the uterus does not have a submucosa tissue - muscle membrane connects to the mucous membrane directly.


Structure



a) monolayer cylindrical epithelium (also includes uterine glands);

b) stroma (or lamina properthat includes connective tissue and vessels).


Division of the stromal layer



a) functional (dense, spongy - peels off in the final luteal phase);

b) basal (regenerating - a building block to reproduce functional layer).

The variability of the endometrium according to menstrual cycle phase - during the follicular phase, estrogen concentration constantly increases, which stimulates the development of ducts glands, accumulation of glycogen and angiogenesis (the formation of spiral arteries). Endometrium is thickening, epithelium and glands are recreated. At the end, of the follicular phase corpus luteum secretes progesterone (the entrance to the luteal phase). Glands are still expanding and extending, also receive a rich vascularization from the spiral arteries. During this phase, stromal cells receive more glycogen, enzymes, lipids.

There is a variety of layers (compacted - decidual cells of the epithelium, spongy - ductus glands). After fertilization, progesterone concentration increases - it prepares the endometrium for implantation of the embryo. When there is no fertilization, corpus luteum dies and progesterone concentration decreases. It makes sudden ischemia, and later vasodilatation, which burst and pour blood on the outside. This leads to scaling of functional layer of the mucosa (menstrual period).


Pathology


The endometrium affects many types of diseases, the most popular are:

a) cancer of the uterus (closely associated with hormonal balance),

b) hyperplasia of the endometrium (endometrial hyperplasia with atypia or without atypia);

c) endometriosis (the presence of endometrial lesions outside the uterine cavity).

Adenocarcinoma adenoma anatomy bleeding cancer colon colonoscopy duodenum echocardiography emr endoscopy ent images esophagus for dental students for dentists gastroscopy Histopathology hysterectomy laparoscopy polyp polypectomy rectum robotic surgery stomach surgical education surgical technique surgical video case TUMOR ulcer varices

Excision of Leiomyomas

Mounir El-Hao

Specialty:  Gynecology
views: 27277 comments: 0
5

This video shows stages of procedure of myomectomy.

Hysteroscopic Excision of Polyps

Paul P.G

Specialty:  Gynecology
views: 26125 comments: 0
N/A

Removal of endometrial polyp is performed by hysteroscopy.

Surgery of Endometriosis - Laparoscopic Method

views: 19762 comments: 0
5

Laparoscopic view on endometriosis followed by surgery.

8.6 x 7 cm Fundal Wall Highly Vascular Fibroid...

views: 16571 comments: 4
5

DIGNOSIS:-8.6 x 7 cm Fundal Wall highly vascular fibroid With Disturbing Cavity. TREATMENT (PLAN OF SURGERY): - lap.myomectomy + hystroscopy DLS done under general anaesthesia given by dr amit and...

Excision of Leiomyomas - Separation From Endometrium

Mounir El-Hao

Specialty:  Gynecology
views: 15763 comments: 0
3.5

This video presents a procedure of myomectomy. tumor has been removed after a separation from endometrium.

Hysteroscopic biopsy and endometrial vaporization

Marcos Lyra

Specialty:  Gynecology
views: 14436 comments: 0
N/A

The video presents hysteroscopy of endometrial biopsy and posterior vaporization with the use of electrode Spring Versapoint. The procedure is recommended for abnormal endometrial bleeding in uterus smaller...

Adenomyosis

views: 13163 comments: 0
3

This video describes the causes and treatment of adenomyosis.

Endometriosis - Histopathology of ovary

views: 13116 comments: 0
N/A

In this video the author presents endometriosis in histopathological image of ovary.

Hysteroscopic endometrial ablation and partial...

Marcos Lyra

Specialty:  Gynecology
views: 11727 comments: 0
N/A

The video presents endometrial ablation and partial removal of myometrium in patient with adenomyosis.

Excision of Rectovaginal Endometriotic Nodule...

views: 11402 comments: 0
4

Excision of rectovaginal endometriotic nodule is shown in this video. It includes the complications associated with this kind of surgery.