Female Pelvis Anatomy: Detailed Diagram, Bone Structure, Muscle Function, and Ligaments
Jill Seladi-Schulman
Medical Expert & Scientific Writer #Sexual Wellness
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Female Pelvis Anatomy: Detailed Diagram, Bone Structure, Muscle Function, and Ligaments

Explore the unique structure of the female pelvis, its anatomical components, and their vital roles. Learn about the bones, muscles, ligaments, and organs within the female pelvis, common conditions affecting this area, symptoms to watch for, and practical tips to maintain optimal pelvic health.

Understanding the Female Pelvis

The pelvis forms the lower segment of the torso, positioned between the abdomen and legs. It serves as a sturdy support for the intestines while housing critical organs like the bladder and reproductive system.

Distinct from the male pelvis, the female pelvis is adapted to accommodate childbirth, resulting in a wider and more spacious structure to allow for fetal development and passage through the birth canal.

Below, delve into the comprehensive anatomy of the female pelvis, including its bones, muscles, organs, and ligaments.

Anatomy and Roles of the Female Pelvis

Key Bones of the Female Pelvis

Hip Bones

The pelvis features two hip bones, symmetrically located on the left and right sides, which together create the pelvic girdle.

These hip bones connect to the spine at the sacrum and each is composed of three fused bones that mature during adolescence:

  • Ilium: The largest, fan-shaped portion of the hip bone, palpable as the curved edges on your hips.
  • Pubis: The front section where both hip bones meet at the pubic symphysis joint.
  • Ischium: The lower part that bears weight when sitting, commonly referred to as the sit bones.

The ilium, pubis, and ischium converge to form the acetabulum, the socket for the thigh bone (femur) head.

Sacrum

The sacrum is a robust, triangular bone at the base of the spine, formed by the fusion of five vertebrae. It plays a crucial role in supporting body weight and connecting the spine to the pelvis.

Coccyx

Known as the tailbone, the coccyx is a small triangular bone made of four fused vertebrae, attached to the sacrum by ligaments, providing support and stability.

Muscles of the Female Pelvis

Levator Ani Muscle Group

As the largest muscle group in the pelvic floor, the levator ani muscles are essential for supporting pelvic organs and maintaining continence.

This group consists of three muscles:

  • Puborectalis: Controls retention of urine and feces, relaxing during urination and bowel movements.
  • Pubococcygeus: The main component, stretching from the pubis to the coccyx.
  • Iliococcygeus: Composed of thinner fibers, it lifts the pelvic floor and anal canal.

Coccygeus Muscle

A smaller muscle originating at the ischium and attaching to the sacrum and coccyx, contributing to pelvic floor support.

Organs Within the Female Pelvis

Uterus

A hollow, muscular organ where fetal development occurs during pregnancy. Its lining sheds monthly during menstruation if pregnancy does not occur.

Ovaries

Two almond-shaped glands on either side of the uterus responsible for producing eggs and hormones like estrogen and progesterone.

Fallopian Tubes

These tubes connect the ovaries to the uterus, using cilia to guide eggs toward the uterus.

Cervix

The cervix links the uterus to the vagina, widening to allow sperm entry and producing mucus that protects against infections.

Vagina

The canal connecting the cervix to the external genitalia, serving as the birth canal during delivery.

Rectum

The final section of the large intestine where feces are stored before elimination.

Bladder

A muscular sac that stores urine before release, receiving urine from the kidneys via ureters.

Urethra

The short tube through which urine exits the body from the bladder.

Ligaments Supporting the Female Pelvis

Broad Ligament

This ligament extends across the pelvic wall, stabilizing the uterus, fallopian tubes, and ovaries. It is subdivided into:

  • Mesometrium: Supports the uterus.
  • Mesovarium: Supports the ovaries.
  • Mesosalpinx: Supports the fallopian tubes.

Uterine Ligaments

These ligaments provide additional uterine support, including the round, cardinal, pubocervical, and uterosacral ligaments.

Ovarian Ligaments

Two primary ligaments stabilize the ovaries: the ovarian ligament and the suspensory ligament.

Common Conditions Affecting the Female Pelvis

Due to the complexity of the pelvic region, various conditions can impact its bones, muscles, organs, or ligaments.

Notable pelvic conditions include:

  • Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs often caused by sexually transmitted infections, which, if untreated, can lead to infertility or ectopic pregnancy.
  • Pelvic Organ Prolapse: Occurs when pelvic muscles weaken, causing organs like the bladder, uterus, or rectum to descend and press against the vaginal wall.
  • Endometriosis: A condition where uterine lining tissue grows outside the uterus, affecting ovaries, fallopian tubes, and other pelvic tissues, potentially causing pain, infertility, or increased cancer risk.

Symptoms Indicating Pelvic Issues

Watch for these signs that may signal pelvic health problems:

  • Lower abdominal or pelvic pain
  • A sensation of pressure or fullness in the pelvic area
  • Unusual or foul-smelling vaginal discharge
  • Pain during sexual intercourse
  • Bleeding between menstrual periods
  • Painful cramps before or during menstruation
  • Discomfort during urination or bowel movements
  • Burning sensation when urinating

Maintaining a Healthy Female Pelvis

The female pelvis is integral to overall health and reproductive function. Follow these guidelines to promote pelvic well-being:

Regular Gynecological Care

Schedule annual visits with a gynecologist for pelvic exams and Pap smears to detect any early signs of pelvic disorders or infections.

Community clinics like Planned Parenthood often offer affordable or free pelvic health services.

Safe Sexual Practices

Use protective barriers such as condoms or dental dams, especially with new partners, to reduce the risk of infections that can cause pelvic inflammatory disease.

Pelvic Floor Exercises

Strengthening pelvic muscles through targeted exercises can help prevent urinary incontinence and organ prolapse. Begin with simple routines designed to engage the levator ani muscles.

Prompt Medical Attention for Symptoms

Do not ignore unusual pelvic symptoms. Early diagnosis and treatment are crucial to prevent long-term health complications and preserve fertility.

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