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Ovary and Its Appendages

Ovarium, epoöphoron et paroöphoron

For medical students2 min readUpdated 2026-10-10

The ovary (ovarium) is a vital paired female reproductive gland whose primary function is the production and maturation of oocytes. Located in close proximity to the organ are its appendages, which are specific vestigial structures.

Main functionProduction and maturation of female gametes (oocytes).
AppearanceThe organ has a flattened oval shape and a characteristic grayish-white color.
CapsuleCovered externally by surface epithelium and a dense tunica albuginea.
AppendagesVestigial remnants of embryonic mesonephric tubules.

Topography and External Structure of the Ovary

Anatomically, the ovary is located directly on the lateral wall of the lesser pelvis. Upon visual inspection, this organ is easily identified by its specific flattened oval shape and characteristic grayish-white hue.

For descriptive purposes, the ovary is divided into several key landmarks. First, the organ has two clearly defined surfaces:

Second, there are two borders that form the contour of the gland:

Finally, the ovary has two poles (extremities) indicating its anatomical connections with neighboring structures: the tubal extremity (extremitas tubaria) and the uterine extremity (extremitas uterina).

Capsules and Internal Substance

The surface of the gland is protected by several layers. The outermost layer is represented by the surface epithelium. Directly beneath it lies the tough tunica albuginea of ovary (tunica albuginea ovarii), which gives the organ its color and shape.

On cross-section, the internal content of the organ is clearly divided into two functionally and morphologically distinct zones:

  1. Cortex (cortex ovarii) — located peripherally and contains follicles at various stages of development.
  2. Medulla (medulla ovarii) — occupies the central part of the organ and is characterized by a rich content of blood vessels and nerve fibers that provide nutrition and innervation to the gland.

Follicular Apparatus and Corpus Luteum

During the reproductive cycle, follicles located in the cortex undergo a series of sequential developmental stages. A fully matured follicle ready for ovulation is called a vesicular ovarian follicle (folliculus ovaricus vesiculosus).

Following ovulation (the release of the oocyte), a new temporary structure forms at the site of the ruptured follicle — the corpus luteum (corpus luteum). Depending on whether fertilization occurs, it develops along one of two pathways:

Appendages of the Ovary

In addition to the reproductive gland itself, specific vestigial structures closely related to the ovary anatomically and embryologically can be found within the broad ligament of the uterus. These include:

From the standpoint of embryonic development, these appendages have no active function in the adult organism, as they represent merely remnants of the mesonephric tubules preserved during the formation of the reproductive system.

Mnemonic

To easily remember the poles (extremities) of the ovary, use the neighbor rule: the upper end points toward the uterine tube (tubal extremity — extremitas tubaria), while the lower end extends toward the uterus itself (uterine extremity — extremitas uterina).

Frequently asked questions

Which vessels supply blood to the ovary and where do they originate?

Blood supply to the ovary is provided by two main arteries that form an anastomosis with each other.

  • Ovarian artery (a. ovarica) — branches from the abdominal aorta at the L1 level (less frequently from the renal artery).
  • Ovarian branches (rr. ovarici) — branch from the uterine artery (a. uterina).

Venous drainage occurs via the pampiniform plexus into the ovarian vein (v. ovarica), which on the right drains into the inferior vena cava and on the left into the left renal vein.

Which lymphatic system provides lymphatic drainage from the ovaries?

Lymphatic drainage from the ovaries is carried out via efferent lymphatic vessels that accompany the ovarian artery. Lymph flows to regional lymph nodes located along the lower abdominal aorta and inferior vena cava. Prominent connections (anastomoses) exist between the lymphatic plexuses of the pelvic organs.

Which ligaments fix the ovary in the pelvic cavity?

The ovary is fixed in the pelvic cavity by the mesovarium and two ligaments.

  • Mesovarium (mesovarium); fixes the organ to the posterior surface of the broad ligament of the uterus.
  • Proper ligament of ovary (lig. ovarii proprium) — connects the uterine pole of the ovary to the uterine body.
  • Suspensory ligament of ovary (lig. suspensorium ovarii) — fixes the tubal pole ofკო the ovary to the peritoneum of the lateral pelvic wall.
What is the innervation of the ovary?

Innervation of the ovary is provided by the ovarian plexus and plexuses located at the base of the broad ligament of the uterus.

  • Ovarian plexus (plexus ovaricus) — formed by branches of the abdominal aortic and renal plexuses.

Nerve fibers of the ovarian plexus accompany the respective vessels to the ovary.

Where exactly is the ovary located?

The ovary is localized on the lateral wall of the lesser pelvis.

In which part of the ovary are blood vessels and nerves located?

Vessels and nerves are concentrated in large numbers in the central part of the organ — the medulla (medulla ovarii).

What covers the ovary externally?

The organ is covered by surface epithelium, beneath which lies a dense tunica albuginea (tunica albuginea ovarii).

What forms at the site of the follicle after ovulation?

After ovulation, a corpus luteum forms at the site of the mature follicle, which can be either a menstrual corpus luteum or a corpus luteum of pregnancy.

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