Peculiarities of ecgographic indicators of reproductive organs in girls with hyperandrogenism in the period of sexual development

Abstract

The aim of the study was to research the features of echographic indicators of reproductive organs in girls with hyperandrogenism during sexual development.
Material and methods. 82 girls with a syndrome of hyperandrogenism in the pubertal period were examined.
In all the girls, an ultrasound examination of the uterus, ovaries, adrenal glands and thyroid gland was performed on a Valuson S8 ultrasound device manufactured by the Republic of Korea. The obtained data were compared with the physiological parameters of the uterus and ovaries by V. N. Demidov.
During the period of sexual development, a statistically significant decrease in the length of the uterus, the width of the right and left ovaries (P <0.05) was observed in girls with hyperandrogenism. Simultaneously, an increase (P <0.05) in the anterior-posterior size of the uterus, the length and thickness of the right ovary, the length, thickness and volume of the left ovary (P <0.05).
In the ultrasound studies, 10 girls with hyperandrogenism (12.2%) defined the formations with different sizes: thin-walled, single-chambered, anechogenic, mobile, with clear contours, oval.
The average size of the follicular cysts was 6.1 ± 0.34 cm (3-14). After the appointment of combined oral contraceptives within 3-6 months, regression of follicular cysts was detected.
Polycystic ovary syndrome (n =20, 24,39%) revealed an increase in the size of both ovaries, the absence of dominant follicles in the predovulatory period, the presence of a multitude of antral follicles around the ovaries.
After complex pathogenetic treatment, a decrease in the number of antral follicles and a restored ovulatory cycle was noted.