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Your uterus (or womb) is normally held in place inside your pelvis with various muscles, tissue, and ligaments. Because of childbirth or difficult labor and delivery, in some women these muscles weaken.
The wall of the uterus is thick and has 3 layers: 1  endometrium â The inner layer that lines the uterus. 2  myometrium â The middle layer, which is made up mostly of smooth muscle. 3  perimetrium â The outer serous layer that covers the body of the uterus and part of the cervix.