Spiral artery

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Uterine arterial vasculature.svg

Spiral artery

Spiral arteries are a type of artery found in the uterus. They play a crucial role in the reproductive system of females, particularly during pregnancy. These arteries are named for their spiral shape, which allows them to stretch and accommodate the growing needs of the endometrium and the developing fetus.

Structure[edit | edit source]

Spiral arteries originate from the radial arteries of the uterus. They penetrate the endometrium and extend into the decidua during the menstrual cycle. Their unique spiral shape is essential for their function, as it allows them to expand and contract, providing a steady blood flow to the endometrial lining.

Function[edit | edit source]

The primary function of spiral arteries is to supply blood to the endometrium. During the menstrual cycle, these arteries undergo significant changes. In the proliferative phase, they elongate and coil, increasing blood flow to support the thickening of the endometrial lining. In the secretory phase, they become more tortuous, ensuring adequate blood supply for potential implantation of a fertilized egg.

During pregnancy, spiral arteries undergo a process called remodeling. This involves the transformation of the arteries to accommodate the increased blood flow required by the developing placenta and fetus. The remodeling process is critical for a successful pregnancy, as it ensures that the placenta receives sufficient blood supply to support fetal growth and development.

Clinical Significance[edit | edit source]

Abnormalities in the remodeling of spiral arteries can lead to various pregnancy complications. For instance, inadequate remodeling is associated with conditions such as preeclampsia, intrauterine growth restriction (IUGR), and miscarriage. These conditions can have significant impacts on both maternal and fetal health.

Research and Studies[edit | edit source]

Ongoing research is focused on understanding the mechanisms behind spiral artery remodeling and its implications for pregnancy outcomes. Studies aim to identify potential therapeutic targets to improve maternal-fetal health and prevent complications associated with abnormal spiral artery function.

See Also[edit | edit source]

References[edit | edit source]



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Contributors: Prab R. Tumpati, MD