The uterus and cervix are dynamic, mechanically active organs that play central roles in reproductive function and disease. This chapter provides a comprehensive overview of the fundamental biomechanical principles and experimental methodologies used to characterize their material behavior across length scales, including compression, tension, indentation, and shear. A detailed synthesis of ex vivo mechanical properties measured for the human uterus and cervix in nonpregnant and pregnant states is presented, describing parameters of stiffness, strength, extensibility, and time dependence. This chapter further highlights notable obstetric and gynecologic disorders affecting the uterus and/or cervix in which mechanical factors are either characteristic features of the disease or implicated in its pathogenesis. This chapter concludes by outlining future research directions and underscoring the importance of biomechanical insights in guiding the design of biomaterials for therapeutic and investigative applications applied to reproductive health.

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Biomechanics of the Uterus and Cervix Across Pregnancy and Disease: Considerations for Biomaterial Design

  • Erin M. Louwagie,
  • Daniella M. Fodera

摘要

The uterus and cervix are dynamic, mechanically active organs that play central roles in reproductive function and disease. This chapter provides a comprehensive overview of the fundamental biomechanical principles and experimental methodologies used to characterize their material behavior across length scales, including compression, tension, indentation, and shear. A detailed synthesis of ex vivo mechanical properties measured for the human uterus and cervix in nonpregnant and pregnant states is presented, describing parameters of stiffness, strength, extensibility, and time dependence. This chapter further highlights notable obstetric and gynecologic disorders affecting the uterus and/or cervix in which mechanical factors are either characteristic features of the disease or implicated in its pathogenesis. This chapter concludes by outlining future research directions and underscoring the importance of biomechanical insights in guiding the design of biomaterials for therapeutic and investigative applications applied to reproductive health.