Interactive anatomy · schematic

The pelvis, gently explained.

Explore the organs and tissues most often discussed with endometriosis. Rotate the schematic, switch to a flat diagram, or read everything as text.

Schematic educational illustration. Shapes are simplified, positions are approximate and nothing is to scale. It is not based on medical imaging, has not yet been clinically reviewed, and cannot show where endometriosis is in any person. About this model

Schematic front view of pelvic organs A simplified, not-to-scale diagram numbered 1 to 6 to match the list: uterus in the centre, ovaries either side, fallopian tubes curving from the upper uterus towards each ovary, the pelvic peritoneum as an outline around the organs, the bladder low and in front, and the bowel behind, rising on the person’s left. 4 6 3 2 1 5 Person’s right Person’s left

Front view. The bladder (dashed) sits in front of the lower uterus; the bowel sits behind. Select a number in the list for details.

Structures

Choose a structure to read about it. Every structure is also described in full in the text-only view.

1 · Uterus

Also called the womb

What it does

A hollow, pear-shaped organ in the pelvis where a pregnancy develops. Its inner lining, the endometrium, builds up and sheds during menstruation.

Endometriosis and this area

Endometriosis is defined by tissue similar to this lining growing outside the uterus. The NHS illustrates small patches on the outside of the womb, as well as on nearby organs.

Sources

2 · Ovaries

A pair, one on each side of the uterus

What they do

Glands where eggs form and where the hormones oestrogen and progesterone are made. They sit against the side walls of the pelvis, one either side of the uterus.

Endometriosis and this area

The NHS lists the ovaries among the places endometriosis is most often found. It can form cysts on an ovary, called endometriomas; NICE notes that a transvaginal ultrasound can help identify them.

Sources

3 · Fallopian tubes

Two slender tubes

What they do

They connect the ovaries to the uterus, and eggs pass along them towards the uterus. The funnel-shaped outer end, fringed with finger-like fimbriae, lies close to the ovary.

Endometriosis and this area

The NHS lists the fallopian tubes among the places around the womb where endometriosis is often found.

Sources

4 · Pelvic peritoneum

The lining of the pelvis

What it does

The peritoneum is the tissue that lines the abdominal wall and covers most of the organs in the abdomen. In the pelvis it forms what the NHS calls the lining of the pelvis. In the 3D view it is drawn as a translucent sheet over the organs.

Endometriosis and this area

The lining of the pelvis is one of the places endometriosis is most often found. NICE refers to “peritoneal endometriosis”, which may be treated during a laparoscopy.

Sources

5 · Bladder

Urinary bladder

What it does

A temporary store for urine. It sits low in the pelvis, behind the pubic bone and beneath the peritoneum.

Endometriosis and this area

Endometriosis sometimes affects the bladder. NICE lists period-related or cyclical urinary symptoms, such as blood in the urine or pain passing urine, among the symptoms that should prompt healthcare professionals to consider endometriosis.

Sources

6 · Bowel

Sigmoid colon and rectum

What it does

The sigmoid colon is the S-shaped section of the colon that connects to the rectum. The rectum follows the curve of the sacrum at the back of the pelvis. The large intestine absorbs water and passes stool.

Endometriosis and this area

Endometriosis sometimes affects the bowel. NICE lists period-related or cyclical bowel symptoms, especially painful bowel movements, among the symptoms to consider, and describes specialist referral for deep endometriosis involving the bowel.

Sources

An important limit

Where it hurts is not a map.

Recording where you feel pain is genuinely useful: it helps you describe your experience. But symptoms alone cannot show where endometriosis is, or how much there is.

NICE describes examination, ultrasound or MRI, and sometimes laparoscopy to look for endometriosis, and advises that normal results do not always rule it out. It also recommends that treatment follows a person’s symptoms, preferences and priorities rather than the stage of endometriosis. The WHO notes that endometriosis is most common in the pelvis but can occur elsewhere, including the abdomen and chest.

So EndoAI’s body map records your experience. It never tells you what is happening inside your body.

Sources: NICE NG73 recs. 1.3.5, 1.5.2–1.5.11 and 1.6.1; WHO fact sheet.

About this model

  • Built by EndoAI from simple geometric shapes (ellipsoids, tubes, a lathe profile and a draped surface) to show the general arrangement described in the sources on this page.
  • Not derived from medical imaging or a licensed anatomical model. Not to scale.
  • Simplified: many structures are omitted, including blood vessels, nerves, ligaments, the ureters and the vagina.
  • Awaiting review by a qualified clinician before public release. Corrections are welcome at hello@endoaiapp.co.uk.