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The decidua is the modified mucosal lining of the uterus (that is, modified endometrium) that forms every month, in preparation for pregnancy. It is shed off each month when there is no fertilized egg to support. [1] The decidua is under the influence of progesterone. Endometrial cells become highly characteristic.
The endometrium is central, echogenic (detectable using ultrasound scanners), and has an average thickness of 6.7 mm. During pregnancy, the glands and blood vessels in the endometrium further increase in size and number.
Decidualization is a process that results in significant changes to cells of the endometrium in preparation for, and during, pregnancy. This includes morphological and functional changes (the decidual reaction) to endometrial stromal cells (ESCs), the presence of decidual white blood cells (leukocytes), and vascular changes to maternal arteries.
During this transformation, special cells within the perichondrium switch gears. Instead of becoming cartilage cells (chondrocytes), they mature into bone-building osteoblasts. [5] This newly formed bone can be called "periosteal bone" as it originates from the transformed periosteum.
The apical surface of the uterine epithelial cells is covered with microvilli that are under hormonal control and vary in length and number with the oestrous cycle and during pregnancy. A hormonally dependent glycocalyx is found outside the microvilli [ 2 ] while the center of the microvilli consists of an actin filament core which is embedded ...
The uterus or womb is the major female reproductive organ. The uterus provides mechanical protection, nutritional support, and waste removal for the developing embryo (weeks 1 to 8) and fetus (from week 9 until the delivery). In addition, contractions in the muscular wall of the uterus are important in pushing out the fetus at the time of birth.
Known as uterus didelphys, this is “part of a spectrum of disorders that are referred to as Müllerian abnormalities,” says Erin Higgins, an ob-gyn doctor at the Cleveland Clinic, which has a ...
Women's endometrium contains relaxin, which is an essential component that helps prepare the body for early pregnancy. [21] The endometrium is transformed into decidua during the early pregnancy maintenance procedure. [21] The process known as decidualization occurs when the endometrium changes both physiologically and morphologically in order ...