The sonographic features of the peripubertal ovaries

H. T. Winer-Muram, D. E. Emerson, D. Muram, Thomas Boulden

Research output: Contribution to journalArticle

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Abstract

Sonograms of 75 peripubertal girls who had no ovarian pathology were reviewed. The examinations were performed for various indications including the evaluation of idiopathic precocious puberty (n = 25) or abdominal pain (n = 15). A progressive increase in uterine length was correlated with an increase in the age of the patients, from a mean uterine length of 3.28 ± 1.3 cm in girls aged 7-8 to 6.98 ± 1.0 cm in girls aged 15-16. The corpus to cervix ratio also increased from 1.1 ± 0.4: 1 to 1.33 ± 0.2:1. Ovarian size increased as a function of age from 1.91 ± 0.7cm3 (age 7-8) to 3.52 ± 0.4 cm3 (age 15-16). When the right and left ovaries were compared in size, they were similar, suggesting bilateral even growth. Unilateral ovarian enlargement may indicate adnexal pathology and the need for further evaluation. There was a close correlation between uterine length and ovarian volume, for each individual studied (correlation coefficient 0.833). Ovarian enlargement without a corresponding increase in uterine length may represent neoplastic ovarian growth indicating the need for further evaluation. In 59 patients, multiple ovarian cysts varying in size from 3 to 10 mm were noted, and 41 patients had nine or more separate cysts which did not significantly affect ovarian volume. Physicians should be familiar with the normal appearance of the peripubertal ovaries and should exercise caution before recommending surgical intervention in these patients.

Original languageEnglish (US)
Pages (from-to)160-163
Number of pages4
JournalAdolescent and Pediatric Gynecology
Volume2
Issue number3
DOIs
StatePublished - Jan 1 1989

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Ovary
Pathology
Precocious Puberty
Ovarian Cysts
Growth
Cervix Uteri
Abdominal Pain
Cysts
Exercise
Physicians

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

The sonographic features of the peripubertal ovaries. / Winer-Muram, H. T.; Emerson, D. E.; Muram, D.; Boulden, Thomas.

In: Adolescent and Pediatric Gynecology, Vol. 2, No. 3, 01.01.1989, p. 160-163.

Research output: Contribution to journalArticle

Winer-Muram, H. T. ; Emerson, D. E. ; Muram, D. ; Boulden, Thomas. / The sonographic features of the peripubertal ovaries. In: Adolescent and Pediatric Gynecology. 1989 ; Vol. 2, No. 3. pp. 160-163.
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