The medicinal leech has a cylindrical, dorsoventrally flattened body divided into thirty-three or thirty-four segments. The dorsal side is dark brown to black, bearing six longitudinal, reddish or brown stripes, and the ventral surface is speckled. All members bear a posterior and anterior disk-shaped sucker. The anterior sucker surrounds the oral opening where the teeth for incison are located. In addition, the medicinal leech has five pairs of eyes located on its front end. H. medicinalis has several pairs of testes and one pair of ovaries as well as a thickening of the body ring, known as a clitellum, which is visible during the breeding season