Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation

In females, absence of at least three consecutive menstrual cycles when otherwise expected to occur or cessation of pubescence (primary and secondary amenorrhea) are the symptoms of anorexia nervosa, secondary to hypogonadotropic hypogonadism. Disturbances in sexual organs are seen in inappropriate...

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Main Authors: Gabriela Jagielska, Celina Tomaszewicz-Libudzic, Michał Brzewski, Zofia Majkowska
Format: Article
Language:English
Published: Medical Communications Sp. z o.o. 2010-12-01
Series:Psychiatria i Psychologia Kliniczna
Subjects:
Online Access:http://www.psychiatria.com.pl/index.php/wydawnictwa/2010-vol-10-no-4/ovarian-and-uterine-maturity-assessed-by-pelvic-ultrasound-scanning-in-adolescent-girls-with-anorexia-nervosa-at-the-start-of-treatment-correlation-with-the-history-of-menstruation?aid=457
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spelling doaj-d0e72f316da14172bf377906362aa4302020-11-24T22:40:56ZengMedical Communications Sp. z o.o.Psychiatria i Psychologia Kliniczna1644-63132451-06452010-12-01104267274Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruationGabriela Jagielska0Celina Tomaszewicz-Libudzic1Michał Brzewski2Zofia Majkowska3Klinika Psychiatrii Wieku Rozwojowego Warszawskiego Uniwersytetu Medycznego. Kierownik Kliniki: prof. dr hab. n. med. Tomasz WolańczykKlinika Psychiatrii Wieku Rozwojowego Warszawskiego Uniwersytetu Medycznego. Kierownik Kliniki: prof. dr hab. n. med. Tomasz WolańczykZakład Radiologii Pediatrycznej Warszawskiego Uniwersytetu Medycznego. Kierownik Zakładu, p.o.: dr n. med. Michał BrzewskiZakład Radiologii Pediatrycznej Warszawskiego Uniwersytetu Medycznego. Kierownik Zakładu, p.o.: dr n. med. Michał BrzewskiIn females, absence of at least three consecutive menstrual cycles when otherwise expected to occur or cessation of pubescence (primary and secondary amenorrhea) are the symptoms of anorexia nervosa, secondary to hypogonadotropic hypogonadism. Disturbances in sexual organs are seen in inappropriate for age pelvic ultrasound scanning. The aim of the study was to determine the ovarian and uterine maturity at the onset of anorexia nervosa (AN) in adolescence, using pelvic ultrasound scanning, and their relations to clinical factors describing the course of AN. Material and method: The group consisted of 38 adolescent girls with anorexia nervosa diagnosed acc. to ICD-10 criteria – mean age 14.3±2.1 years, mean age at the beginning of AN symptoms 13±2.3 years, mean BMI 14±1.6 kg/m2. On initial assessment, all girls underwent physical examination, clinical interview concerning AN symptoms and pelvic ultrasound scanning. Results: Sixteen patients (42%) had primary amenorrhea. In 32% of patients cessation of menses occurred before a significant decrease in weight. Ovarian and uterine volumes significantly below the expected were found in 11 and 15 patients with secondary amenorrhea, respectively. The varian and uterine maturity was related to shorter duration of amenorrhea and longer duration of adequate menstruation before the onset of AN. There were no BMI differences between the groups with more and less mature ultrasound picture.http://www.psychiatria.com.pl/index.php/wydawnictwa/2010-vol-10-no-4/ovarian-and-uterine-maturity-assessed-by-pelvic-ultrasound-scanning-in-adolescent-girls-with-anorexia-nervosa-at-the-start-of-treatment-correlation-with-the-history-of-menstruation?aid=457anorexia nervosaamenorrheaovarian and uterine maturityresumption of mensespelvic ultrasound scanningadolescents
collection DOAJ
language English
format Article
sources DOAJ
author Gabriela Jagielska
Celina Tomaszewicz-Libudzic
Michał Brzewski
Zofia Majkowska
spellingShingle Gabriela Jagielska
Celina Tomaszewicz-Libudzic
Michał Brzewski
Zofia Majkowska
Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
Psychiatria i Psychologia Kliniczna
anorexia nervosa
amenorrhea
ovarian and uterine maturity
resumption of menses
pelvic ultrasound scanning
adolescents
author_facet Gabriela Jagielska
Celina Tomaszewicz-Libudzic
Michał Brzewski
Zofia Majkowska
author_sort Gabriela Jagielska
title Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
title_short Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
title_full Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
title_fullStr Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
title_full_unstemmed Ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
title_sort ovarian and uterine maturity assessed by pelvic ultrasound scanning in adolescent girls with anorexia nervosa at the start of treatment – correlation with the history of menstruation
publisher Medical Communications Sp. z o.o.
series Psychiatria i Psychologia Kliniczna
issn 1644-6313
2451-0645
publishDate 2010-12-01
description In females, absence of at least three consecutive menstrual cycles when otherwise expected to occur or cessation of pubescence (primary and secondary amenorrhea) are the symptoms of anorexia nervosa, secondary to hypogonadotropic hypogonadism. Disturbances in sexual organs are seen in inappropriate for age pelvic ultrasound scanning. The aim of the study was to determine the ovarian and uterine maturity at the onset of anorexia nervosa (AN) in adolescence, using pelvic ultrasound scanning, and their relations to clinical factors describing the course of AN. Material and method: The group consisted of 38 adolescent girls with anorexia nervosa diagnosed acc. to ICD-10 criteria – mean age 14.3±2.1 years, mean age at the beginning of AN symptoms 13±2.3 years, mean BMI 14±1.6 kg/m2. On initial assessment, all girls underwent physical examination, clinical interview concerning AN symptoms and pelvic ultrasound scanning. Results: Sixteen patients (42%) had primary amenorrhea. In 32% of patients cessation of menses occurred before a significant decrease in weight. Ovarian and uterine volumes significantly below the expected were found in 11 and 15 patients with secondary amenorrhea, respectively. The varian and uterine maturity was related to shorter duration of amenorrhea and longer duration of adequate menstruation before the onset of AN. There were no BMI differences between the groups with more and less mature ultrasound picture.
topic anorexia nervosa
amenorrhea
ovarian and uterine maturity
resumption of menses
pelvic ultrasound scanning
adolescents
url http://www.psychiatria.com.pl/index.php/wydawnictwa/2010-vol-10-no-4/ovarian-and-uterine-maturity-assessed-by-pelvic-ultrasound-scanning-in-adolescent-girls-with-anorexia-nervosa-at-the-start-of-treatment-correlation-with-the-history-of-menstruation?aid=457
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