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Development of internal genitalia and parametres of physical sexual maturation in girls from Bratislava region


Authors: M. Gerová;  Z. Nižňanská;  M. Korbeľ;  M. Redecha
Authors‘ workplace: I. gynekologicko-pôrodnícka klinika LF UK a FNsP Bratislava
Published in: Prakt Gyn 2008; 12(3): 140-145

Overview

Objectives:
The objective of the study was to establish the correlation between the development of the internal genital organs assessed by ultrasound and the parameters of physical development during sexual maturation.

Subjects and methods:
103 girls from the region of Bratislava aged between 7 and 17 years, without endocrine or morphologic pathology of the internal genital organs, were examined by the status quo method. Measurements of their height and weight were taken and their BMI was calculated. Breast and pubic hair development was assessed using Tanner classification. The age of onset of menarche was established using a questionnaire. Abdominal ultrasound examinations were performed with a full bladder after increased oral ingestion of fluids.

Outcome:
Based on the results of the measurements, tables and graphs for the size of the internal genital organs could be drawn (the length, anterior-posterior diameter and volume of the uterus, the length of corpus to length of cervix ratio and the average ovarian volume) in girls aged between 7 and 16 for the different age categories and phases of sexual maturation.

Conclusion:
The length of the uterus and the volume of the ovaries correlate with age. Uterine volume is more dependent on sexual maturation. After the onset of menarche, the size of the uterus does not correlate with any of the factors studied.

Key words:
internal genitalia – ultrasound – sexual maturation


Sources

1. Salardi S, Orsini LF, Cacciari E et al. Pelvic ultrasonography in premenarcheal girls: relation to puberty and sex hormone concentrations. Arch Dis Child 1985; 60 (2): 120–125.

2. Hořejší J. Klinická anatomie v dětské gynekologii. In: Hořejší J et al. Dětská gynekologie. Praha: Avicenum 1990: 26–35.

3. Nižňanská Z. Ultrazvukové vyšetrenie v gynekológii detí a dospievajúcich. Gynekol Prax 2005; 3 (4): 211–215.

4. Griffin IJ, Cole TJ, Duncan KA et al. Pelvic ultrasound measurements in normal girls. Acta Paediatr 1995; 84 (5): 536–543.

5. Fedele L, Dorta M. Diagnostic imaging. In: Sanfillipo JS, Muram D, Lee PA et al. Pediatric and adolescent gynecology. 1. ed. Philadelphia: W. B. Saunders 1994: 441–466.

6. Garel L, Dubois J, Grignon A et al. US of the pediatric female pelvis: a clinical perspective. Radiographics 2001; 21 (6): 1393–1407.

7. Orsini LF, Salardi S, Pilu G et al. Pelvic organs in premenarcheal girls: real-time ultrasonography. Radiology 1984; 153 (1): 113–116.

8. Bridges NA, Cooke A, Healy MJ et al. Growth of the uterus. Arch Dis Child 1996; 75 (4): 330–331.

9. Smetanová D. Ultrazvukové vyšetření v gynekologii dětí a dospívajících. Mod Gynek Porod 2001; 10 (4): 463–468.

10. Herter LD, Golendziner E, Flores JA et al. Ovarian and uterine sonography in healthy girls between 1 and 13 years old: correlation of findings with age and pubertal status. Am J Roentgenol 2002; 178 (6): 1531–1536.

11. Seth A, Aggarwal A, Sandesh K et al. Pelvic ultrasonography in pubertal girls. Indian J Pediatr 2002; 69 (10): 869–872.

12. Porcu E, Venturoli S, Fabbri R et al. Uterine development and endocrine relationships after menarche. Am J Obstet Gynecol 1989; 161 (1) : 174-177.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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