Pelvic structures, relationship

In severe endometriosis, infertility likely results from distortion of the pelvic structure secondary to endometrial lesions, inflammation, and adhesions. In milder disease, the cause-effect relationship is more controversial. Decreased oocyte viability and/or production resulting from the altered uterine environment may be a contributing factor. ... 

FIG. 59-1 Relationship of pelvic structures on static examination, patient standing. 

FIG. 59-5 Relationship of anterior superior iliac spines to other pelvic structures. 

Modern imaging techniques are used for the diagnosis of pelvic floor or sphincter disorders. Furthermore, they are employed to determine the extent of pelvic diseases and the staging of pelvic tumors. In order to be able to recognize the structures seen on CT and MRI as well as on dynamic MRI, a detailed knowledge of the relationship of the anatomical entities within the pelvic anatomy is required. 

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