The wall of the human female uterus has three layers: the endometrium (inner
wall), the myometrium (middle wall), and the perimetrium (outer wall). The question asks
for the role of the inner and middle walls:
Endometrium (Inner Wall):
The endometrium is the innermost, glandular layer lining the uterine cavity. It is highly
vascular and undergoes cyclical changes during the menstrual cycle under the influence of
ovarian hormones (estrogen and progesterone). Role in menstruation: If fertilization does not
occur, the functional layer of the endometrium (stratum functionalis) is shed during menstruation, resulting in bleeding. Role in implantation: If fertilization occurs, the
blastocyst implants into the endometrium, establishing a connection with the maternal blood
supply and initiating pregnancy. The endometrium provides nourishment and support to the
developing embryo. Role in placenta formation: The endometrium contributes to the
formation of the placenta, which is essential for the exchange of nutrients, gases, and waste
between the mother and the fetus throughout pregnancy. Myometrium (Middle Wall):
The myometrium is the thick, middle layer of the uterine wall, composed primarily of
smooth muscle tissue. It is highly elastic and capable of significant expansion during
pregnancy. Role in uterine contractions: The myometrium plays a crucial role in uterine
contractions during labor and childbirth, helping to expel the fetus. These contractions are
stimulated by hormones like oxytocin. Role in preventing excessive bleeding: After
childbirth, the myometrium contracts to compress blood vessels, helping to prevent excessive
postpartum hemorrhage. Role in sperm transport: Uterine contractions can also play a minor
role in the transport of sperm towards the fallopian tubes after intercourse.
Correct Answer : The endometrium (inner wall) is involved in menstruation,
implantation, and placenta formation. The myometrium (middle wall) is responsible for
uterine contractions during labor and helps prevent postpartum bleeding.