Adrenarche: Onset & progress of pubic & axillary hair development
Menarche: 1st episode of vaginal bleeding
IMAGING
General Features
Ultrasonographic Findings
MR Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
Selected References
Calle-Toro JS et al: Incidental findings during ultrasound of thyroid, breast, testis, uterus and ovary in healthy term neonates. J Ultrasound. 22(3):395-400, 2019
Dao KA et al: Pediatric ovarian volumes measured at ultrasound after contralateral unilateral oophorectomy. Pediatr Radiol. 49(5):632-7, 2019
Kaplan SL et al: Size of testes, ovaries, uterus and breast buds by ultrasound in healthy full-term neonates ages 0-3 days. Pediatr Radiol. 46(13):1837-47, 2016
Bhagwat NM et al: Asymmetrical ovarian enlargement: caught timely before the cut! J Pediatr Adolesc Gynecol. 28(3):e83-5, 2015
Bumbuliene Z et al: Uterine size and ovarian size in adolescents with functional hypothalamic amenorrhoea. Arch Dis Child. 100(10):948-51, 2015
Otero HJ et al: Ovary and testicle and everything in between: lesions and imaging in the newborn. Semin Ultrasound CT MR. 36(2):178-92, 2015
Asăvoaie C et al: Ovarian and uterine ultrasonography in pediatric patients. Pictorial essay. Med Ultrason. 16(2):160-7, 2014
Heo SH et al: Review of ovarian tumors in children and adolescents: radiologic-pathologic correlation. Radiographics. 34(7):2039-55, 2014
Nayak S et al: Vaginal foreign body: a delayed diagnosis. J Pediatr Adolesc Gynecol. 27(6):e127-9, 2014
Tinggaard J et al: Ovarian morphology and function during growth hormone therapy of short girls born small for gestational age. Fertil Steril. 102(6):1733-41, 2014
Eksioglu AS et al: Value of pelvic sonography in the diagnosis of various forms of precocious puberty in girls. J Clin Ultrasound. 41(2):84-93, 2013
Pienkowski C et al: Ovarian cysts in prepubertal girls. Endocr Dev. 22:101-11, 2012
Cleemann L et al: Uterus and ovaries in girls and young women with Turner syndrome evaluated by ultrasound and magnetic resonance imaging. Clin Endocrinol (Oxf). 74(6):756-61, 2011
Razzaghy-Azar M et al: Sonographic measurement of uterus and ovaries in premenarcheal healthy girls between 6 and 13 years old: correlation with age and pubertal status. J Clin Ultrasound. 39(2):64-73, 2011
Sathasivam A et al: Pelvic ultrasonography in the evaluation of central precocious puberty: comparison with leuprolide stimulation test. J Pediatr. 159(3):490-5, 2011
Garel L et al: US of the pediatric female pelvis: a clinical perspective. Radiographics. 21(6):1393-407, 2001
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
TERMINOLOGY
Definitions
Varied appearance of uterus & ovaries with age
Prominence in newborns due to maternal hormones
Small, quiescent stage in ages 1-8 years
Growth with hormonal surge during puberty
Thelarche: Onset & progress of breast development
Adrenarche: Onset & progress of pubic & axillary hair development
Menarche: 1st episode of vaginal bleeding
IMAGING
General Features
Ultrasonographic Findings
MR Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
Selected References
Calle-Toro JS et al: Incidental findings during ultrasound of thyroid, breast, testis, uterus and ovary in healthy term neonates. J Ultrasound. 22(3):395-400, 2019
Dao KA et al: Pediatric ovarian volumes measured at ultrasound after contralateral unilateral oophorectomy. Pediatr Radiol. 49(5):632-7, 2019
Kaplan SL et al: Size of testes, ovaries, uterus and breast buds by ultrasound in healthy full-term neonates ages 0-3 days. Pediatr Radiol. 46(13):1837-47, 2016
Bhagwat NM et al: Asymmetrical ovarian enlargement: caught timely before the cut! J Pediatr Adolesc Gynecol. 28(3):e83-5, 2015
Bumbuliene Z et al: Uterine size and ovarian size in adolescents with functional hypothalamic amenorrhoea. Arch Dis Child. 100(10):948-51, 2015
Otero HJ et al: Ovary and testicle and everything in between: lesions and imaging in the newborn. Semin Ultrasound CT MR. 36(2):178-92, 2015
Asăvoaie C et al: Ovarian and uterine ultrasonography in pediatric patients. Pictorial essay. Med Ultrason. 16(2):160-7, 2014
Heo SH et al: Review of ovarian tumors in children and adolescents: radiologic-pathologic correlation. Radiographics. 34(7):2039-55, 2014
Nayak S et al: Vaginal foreign body: a delayed diagnosis. J Pediatr Adolesc Gynecol. 27(6):e127-9, 2014
Tinggaard J et al: Ovarian morphology and function during growth hormone therapy of short girls born small for gestational age. Fertil Steril. 102(6):1733-41, 2014
Eksioglu AS et al: Value of pelvic sonography in the diagnosis of various forms of precocious puberty in girls. J Clin Ultrasound. 41(2):84-93, 2013
Pienkowski C et al: Ovarian cysts in prepubertal girls. Endocr Dev. 22:101-11, 2012
Cleemann L et al: Uterus and ovaries in girls and young women with Turner syndrome evaluated by ultrasound and magnetic resonance imaging. Clin Endocrinol (Oxf). 74(6):756-61, 2011
Razzaghy-Azar M et al: Sonographic measurement of uterus and ovaries in premenarcheal healthy girls between 6 and 13 years old: correlation with age and pubertal status. J Clin Ultrasound. 39(2):64-73, 2011
Sathasivam A et al: Pelvic ultrasonography in the evaluation of central precocious puberty: comparison with leuprolide stimulation test. J Pediatr. 159(3):490-5, 2011
Garel L et al: US of the pediatric female pelvis: a clinical perspective. Radiographics. 21(6):1393-407, 2001
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