Anatomical Relations of the Ovary

• Attached to posterior surface of broad ligament
• lie with distal ends of fallopian tubes in recto-uterine pouch (of Douglas)
• can often be palpated through posterior wall of vagina
• suspensory ligament (fold of peritoneum) descends from posterior abdominal wall across pelvic brim to ovary
• suspensory ligament carries ovarian artery and vein (forming pampiniform plexus)
• ligament of ovary runs medially toward uterotubal junction (posterior)
• round ligament of uterus  continues ligament of ovary in front of uterotubal junction, passes forward through pelvis, across pelvic brim to deep inguinal ring, through inguinal canal to labium majus