Which structure provides the primary support of the uterus against prolapse?

• A Round ligament of the uterus
• B Uterosacral ligament
• C Broad ligament
• D Transverse cervical (cardinal) ligament ✓

Explanation

The transverse cervical (Mackenrodt) ligament is a condensation of endopelvic fascia extending from the lateral cervix and vaginal vault to the lateral pelvic wall, carrying the uterine artery. It is the chief support preventing cervical descent. The uterosacral ligament is a secondary support pulling the cervix backward. Round and broad ligaments provide minimal support, and the broad ligament is merely a double fold of peritoneum.

Reference: Moore's Clinically Oriented Anatomy, 9th ed.

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Written and medically reviewed by the StethoPrep medical team.