Radivojevic Ubavka D, Lazovic Gordana B, Kravic-Stevovic Tamara K, Puzigaca Zarko D, Canovic Fadil M, Nikolic Rajko R, Milicevic Srboljub M
Department of Human Reproduction, Mother and Child Healthcare Institute "Dr Vukan Cupic," Belgrade, Serbia.
Institute of Gynecology and Obstetrics, Clinical Centre of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia.
J Pediatr Adolesc Gynecol. 2014 Aug;27(4):227-31. doi: 10.1016/j.jpag.2013.11.007. Epub 2014 Mar 19.
Exploring the relation between the age, time since menarche, anthropometric parameters and the growth of the uterus and ovaries in postmenarcheal girls.
Cross sectional.
Department of Human reproduction at a tertiary pediatric referral center.
Eight hundred thirty-five adolescent girls.
Postmenarcheal girls were classified according to the regularity of their menstrual cycles in 2 groups (regular and irregular cycles) and compared. Anthropometric measurements and ultrasonographic examination of the pelvis was conducted with all participants.
Anthropometric and ultrasonographic parameters were evaluated.
Results of our study showed that girls with regular and irregular cycles differed in height, weight, body mass index, percentage of body fat and ovarian volumes. The size of the ovaries decreases in the group of girls with regular cycles (r = 0.14; P < .005), while it increases in girls with irregular cycles (r = 0.15; P < .001) with advancing age. Uterine volume in all patients increases gradually with age reaching consistent values at 16 years (r = 0.5; P < .001). Age at menarche, the time elapsed since menarche, the height, weight, body mass index and percentage of body fat in patients correlated with uterine volume. Ovarian volume correlated with patients' weight, BMI and percentage of fat.
Uterus continues to grow in postmenarcheal years, with increasing height and weight of girls, regardless of the regularity of cycles. Postmenarcheal girls with irregular cycles were found to have heavier figures and larger ovaries.
探讨月经初潮后女孩的年龄、月经初潮以来的时间、人体测量参数与子宫和卵巢生长之间的关系。
横断面研究。
一家三级儿科转诊中心的人类生殖科。
835名青春期女孩。
月经初潮后女孩根据月经周期的规律性分为两组（规律周期组和不规律周期组）并进行比较。对所有参与者进行人体测量和骨盆超声检查。
评估人体测量和超声参数。
我们的研究结果表明，月经周期规律和不规律的女孩在身高、体重、体重指数、体脂百分比和卵巢体积方面存在差异。规律周期组女孩的卵巢大小随年龄增长而减小（r = 0.14；P <.005），而不规律周期组女孩的卵巢大小随年龄增长而增大（r = 0.15；P <.001）。所有患者的子宫体积随年龄逐渐增加，在16岁时达到稳定值（r = 0.5；P <.001）。月经初潮年龄、月经初潮以来的时间、患者的身高、体重、体重指数和体脂百分比与子宫体积相关。卵巢体积与患者的体重、体重指数和脂肪百分比相关。
月经初潮后的几年里，子宫持续生长，与女孩身高和体重的增加有关，与月经周期是否规律无关。月经周期不规律的月经初潮后女孩体型更重，卵巢更大。
