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(Netter Basic Science) Frank H. Netter - Atlas of Human Anatomy-Elsevier (2018)

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Innervation of Female Reproductive Organs: Schema

6

Sympathetic trunk

and ganglion

T5

Gray ramus communicans

T6

Celiac ganglia and plexus

White ramus communicans

Greater thoracic

splanchnic nerve

Lesser thoracic

splanchnic nerve

Aorticorenal ganglia

Superior mesenteric

ganglion

Least thoracic

splanchnic nerve

Sympathetic trunk

T11

T12

L1

T11

L1

Intermesenteric

(abdominal aortic)

plexus

Lumbar splanchnic nerves

L3 spinal nerve

(anterior ramus)

Inferior mesenteric

ganglion

Ovarian artery and plexus

L4

L4

Superior hypogastric

plexus

Uterine (fallopian) tube

Uterus

Hypogastric nerves

Note: Pain from

intraperitoneal pelvic

viscera (e.g., uterus) goes

via uterovaginal and pelvic

plexuses, hypogastric

nerves, superior

hypogastric plexus, lower

aortic plexus, lower

lumbar splanchnic nerves,

sympathetic trunk from

L4 to L5 to spinal nerves

T11, 12. Pain from

subperitoneal pelvic

viscera (e.g., cervix and

upper vagina) goes via

pelvic splanchnic nerves

to S2, 3, 4. Afferent fibers

from lower vagina and

perineum go via pudendal

nerves to S2, 3, 4.

Ovary

S1

S2

S3

S4

S5

Cervix

Vagina

S1

S2

S3

S4

S5

Inferior extent

of peritoneum

Uterovaginal and inferior

hypogastric (pelvic) plexuses

Pudendal nerve

Pelvic splanchnic nerves

Sacral plexus

Sympathetic

fibers

Preganglionic

Postganglionic

Parasympathetic

fibers

Preganglionic

Postganglionic

Afferent fibers

Innervation Plate 397

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