Differences in Anthropometric and Ultrasonographic Parameters between Adolescent Girls with Regular and Irregular Menstrual Cycles: A Case-Study of 835 Cases

Radivojevic, Ubavka; Lazovic, Gordana; Kravić-Stevović, Tamara; Puzigaća, Z; Canovic, F.; Nikolic, R; Milicević, Srboljub

doi:10.1016/j.jpag.2013.11.007

Cited by 17 publications

(16 citation statements)

References 19 publications

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“…Follicle number and size are also noted to increase with puberty, with a higher number of small follicles during adolescence and young adulthood and a decrease thereafter [84] . Isolated studies have also suggested the use of MRI or Doppler examination for the diagnosis of PCOM [85][86][87][88] . Dewailly et al [79] concluded that, when using transabdominal ultrasonography, an ovarian volume >10 cm 3 should be used because follicle counts become unreliable with this methodology.…”

Section: What Are the Criteria For Pcom In Adolescents?mentioning

confidence: 99%

The Diagnosis of Polycystic Ovary Syndrome during Adolescence

et al. 2015

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dress a series of questions regarding the diagnosis of PCOS during adolescence including the following: clinical and biochemical evidence of hyperandrogenism, criteria for oligoanovulation and polycystic ovary morphology, diagnostic criteria to exclude other causes of hyperandrogenism and amenorrhea, role of insulin resistance, and intervention. Results and Conclusion: Features of PCOS overlap normal pubertal development. Hence, caution should be taken before diagnosing PCOS without longitudinal evaluation. However, treatment may be indicated even in the absence of a definitive diagnosis. While obesity, insulin resistance, and hyperinsulinemia are common findings in adolescents with hyperandrogenism, these features should not be used to diagnose PCOS among adolescent girls. © 2015 S. Karger AG, Basel Key WordsHyperandrogenism · Ovarian hyperandrogenism · Ovary · Polycystic ovary syndrome · Puberty Abstract Background/Aims: The diagnostic criteria for polycystic ovary syndrome (PCOS) in adolescence are controversial, primarily because the diagnostic pathological features used in adult women may be normal pubertal physiological events. Hence, international pediatric and adolescent specialty societies have defined criteria that have sufficient evidence to be used for the diagnosis of PCOS in adolescents. Methods: The literature has been reviewed and evidence graded to ad-

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Section: What Are the Criteria For Pcom In Adolescents?mentioning

confidence: 99%

The Diagnosis of Polycystic Ovary Syndrome during Adolescence

et al. 2015

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“…Thus, according to a number of scientists, the prevalence of various obstetric-gynecological pathologies varies depending on the somatotype, increasing or decreasing from asthenic somatotype to hypersthenic [4,10,11]. Among girls and women who suffer from menstrual and reproductive disorders, roughly the same percentage of cases is found in asthenic and picnic somatotype [23].…”

Section: Discussionmentioning

confidence: 99%

Differences of correlations of echometric dimensions of the uterus in different phases of the menstrual cycle with constitutional parameters of the body in practically healthy young women of ecto- and mesomorphic somatotypes

Cherkasova

2018

Biomed. and Biosoc. Anthrop.

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The success of the solution to the problem of treatment and prevention of obstetricgynecological pathology largely depends on the extent to which the relationship between the sonographic sizes' of the uterus and the ovaries with the constitutional parameters of the body will be fully and systematically studied. The purpose of the work is to establish differences in correlations of ultrasonic sizes of the uterus in different phases of the menstrual cycle (MC) with anthropo-somatotypological parameters of the body of practically healthy young women of ecto-and mesomorphic somatotypes. Primary indices of sonographic sizes of the uterus, as well as anthropometric and somatotypological parameters in 78 healthy urban young women of Podillia with duration of MC 28 days were obtained from the data bank of the research center of the National Pirogov Memorial Medical University, Vinnytsya. In a sonographic study in different phases of the MC, the length and width of the body, the length of the neck and the anterior-posterior size (thickness) of the uterus were measured for its largest size, as well as the thickness of the endometrium and myometrium. According to Bunak V. V. scheme anthropometric survey was conducted. The evaluation of the somatotype was carried out using the Carter-Heath mathematical scheme. According to the formulas of J. Matiegka fat, bone and muscle mass components are determined, and according to the American Institute of Nutrition, the muscular component of the body mass. The analysis of the correlations of the obtained results was carried out in the licensed package "Statistica 6.1" with the use of nonparametric statistics of Spearman. In young women with mesomorphic somatotype, regardless of the phase of MC, in most cases, there are numerous, mostly direct, reliable and unreliable mean strength correlations between the linear size of the uterus, the length of the cervix and the thickness of the myometrium, and most of the total and longitudinal dimensions of the body, as well as between the length of the body of cervix and the width of the distal epiphyses of the upper limb, the majority of the lower limbs girth, the thickness of the skin-fat folds on the lower extremity, and practically all the components of the body weight by Matiegka. In young women with ectomorphic somatotype, regardless of the phase of the MC, numerous, mostly direct, reliable average forces and strong and unreliable mean strength connections between all echometric dimensions of the uterus and all total, most of the longitudinal dimensions of the body (with the exception of the thickness of the endometrium), the width of the distal epiphysis forearm, most of the girth dimensions, shoulder width and muscle mass components of the body using the Matiegka method and the American Institute of Nutrition are set. Attention is drawn to the average strength, mostly reliable, feedback correlations regardless of the MC phase, between all echometric dimensions of the uterus and the ectomorphic component of the somatotype. So, between young...

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“…52,64,66–68 Furthermore, several studies indicate that ovarian volume during adolescence is larger than that of the normal adult: for example, the median for the normal upper limit of mean ovarian volume during adolescence according to studies to date approximates 12 cc (Table 5). 52,56,66–70,72,73 Thus, application of adult criteria for PCOM to adolescents seems very problematic.…”

Section: Discussionmentioning

confidence: 99%

The Polycystic Ovary Morphology-Polycystic Ovary Syndrome Spectrum

Rosenfield

2015

Journal of Pediatric and Adolescent Gynecology

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Background Polycystic ovary syndrome (PCOS) is the most common cause of chronic hyperandrogenic anovulation. Two-thirds of PCOS patients have functionally typical PCOS, with typical functional ovarian hyperandrogenism manifest as 17-hydroxyprogesterone hyper-responsiveness to gonadotropin stimulation. Most, but not all, of the remainder have atypical functional ovarian hyperandrogenism. Many asymptomatic volunteers with polycystic ovary morphology (PCOM) have similar abnormalities. Objective The objective of this paper is to review the relationship of biochemical ovarian function to the clinical spectrum observed in PCOS and in normal volunteers with PCOM. Findings Adolescents and adults with PCOS are similar clinically and biochemically. Ninety-five percent of functionally typical PCOS have classic PCOS, ie, hyperandrogenic anovulation with PCOM. In addition to having more severe hyperandrogenism and a greater prevalence of PCOM than other PCOS, they have a significantly greater prevalence of glucose intolerance although insulin resistance is similarly reduced. Half of normal-variant PCOM have PCOS-related steroidogenic dysfunction, which suggests a PCOS carrier state. Conclusions There is a spectrum of ovarian androgenic dysfunction that ranges from subclinical hyperandrogenemia in some normal-variant PCOM to severe ovarian hyperandrogenism in most classic PCOS. A minority of mild PCOS cases do not fall on this spectrum of ovarian androgenic dysfunction, but rather seem to have obesity as the basis of their hyperandrogenism, or, less often, isolated adrenal androgenic dysfunction. Half of normal-variant PCOM also do not fall on the PCOS spectrum, and some of these seem to have excessive folliculogenesis as a variant that may confer mild prolongation of the reproductive lifespan. Improved understanding of PCOM in young women is needed.

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Differences in Anthropometric and Ultrasonographic Parameters between Adolescent Girls with Regular and Irregular Menstrual Cycles: A Case-Study of 835 Cases

Cited by 17 publications

References 19 publications

The Diagnosis of Polycystic Ovary Syndrome during Adolescence

The Diagnosis of Polycystic Ovary Syndrome during Adolescence

Differences of correlations of echometric dimensions of the uterus in different phases of the menstrual cycle with constitutional parameters of the body in practically healthy young women of ecto- and mesomorphic somatotypes

The Polycystic Ovary Morphology-Polycystic Ovary Syndrome Spectrum

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