Ovarian artery

Last revised by Craig Hacking on 9 Dec 2021

The ovarian artery is a paired structure and is the main gonadal artery in females.

The ovarian artery arises anterolaterally from the aorta just inferior to the renal arteries and superior to the inferior mesenteric artery (between L2 and L3).

Descends caudally in the retroperitoneum on psoas major with the gonadal vein and ureter. Passes into the pelvis anterior to the iliac vessels. In the pelvis, it takes a medial path through the suspensory ligament towards the uterus. Anastomoses with the ovarian branch of the uterine artery at the uterus.

In 20%, they arise from the renal arteries. Uncommonly may arise from adrenal, lumbar or internal iliac arteries.

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