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Test the hypotheses that (1) cardinal ligament (CL) straightening and lengthening occur with parity and prolapse, (2) CL straightening occurs before lengthening, and (3) CL length is correlated with level III measures. We performed a secondary analysis of MRIs from women in three groups (1) nulliparous with normal support, (2) parous with normal support, and (3) uterine prolapse (POP-Q point C - 4 and Ba 1cm). The 3D stress MRI images at rest and maximal Valsalva were analyzed. CLs were traced from their origin to c