Cervical opening

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Cervical Opening

The cervical opening, also known as the cervical os, is a vital part of the female reproductive system. It is located at the lower part of the uterus, connecting the uterine cavity to the vagina. The cervical opening plays a crucial role in various physiological processes, including menstruation, conception, and childbirth.

Anatomy[edit | edit source]

The cervix is cylindrical in shape and is approximately 2 to 3 cm long. It consists of two main parts: the ectocervix, which is the part of the cervix that projects into the vagina, and the endocervix, the canal that runs through the cervix. The junction between these two parts is called the squamocolumnar junction. The cervical opening at the lower end of the endocervix that opens into the vagina is known as the external os, while the opening at the upper end that opens into the uterus is known as the internal os.

Function[edit | edit source]

The primary function of the cervical opening is to allow the flow of menstrual blood from the uterus into the vagina. During ovulation, it facilitates the entry of sperm into the uterus for fertilization. The cervical mucus changes in consistency throughout the menstrual cycle, becoming more fluid at ovulation to aid sperm movement.

During pregnancy, the cervical opening undergoes significant changes. The external os becomes tightly closed and is sealed by a mucus plug to protect the developing fetus from infections. During childbirth, the cervical opening dilates to allow the passage of the baby from the uterus into the vagina.

Clinical Significance[edit | edit source]

The condition of the cervical opening is an important aspect of gynecological health. Abnormalities such as cervical stenosis, where the cervical opening is unusually narrow, can lead to menstrual abnormalities and fertility issues. Conversely, an incompetent cervix may prematurely widen during pregnancy, leading to miscarriage or preterm birth.

Regular gynecological exams, including Pap smear tests, are crucial for monitoring the health of the cervix and the cervical opening. These exams can detect abnormalities, including precancerous changes and infections like Human Papillomavirus (HPV) that can lead to cervical cancer.

See Also[edit | edit source]


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Contributors: Prab R. Tumpati, MD