The round ligament of the uterus is a cord-like structure that passes from the uterus to the deep inguinal ring where it enters the inguinal canal (Fig. 4.47B). It passes down the inguinal canal and exits through the superficial inguinal ring. At this point, it has changed from a cord-like structure to a few strands of tissue, which attach to the connective tissue associated with the labia majora. As it traverses the inguinal canal, it acquires the same coverings as the spermatic cord in men. As the round ligament exits the superficial inguinal ring, the coverings are indistinguishable from the tissue strands of the ligament itself.