PT  - JOURNAL ARTICLE
AU  - K Y Lai
AU  - R de Bruyn
AU  - B Lask
AU  - R Bryant-Waugh
AU  - M Hankins
TI  - Use of pelvic ultrasound to monitor ovarian and uterine maturity in childhood onset anorexia nervosa.
AID  - 10.1136/adc.71.3.228
DP  - 1994 Sep 01
TA  - Archives of Disease in Childhood
PG  - 228--231
VI  - 71
IP  - 3
4099  - http://adc.bmj.com/content/71/3/228.short
4100  - http://adc.bmj.com/content/71/3/228.full
SO  - Arch Dis Child1994 Sep 01; 71
AB  - This study reports the use of pelvic ultrasound scanning in childhood onset anorexia nervosa. The aim was to determine the weight and weight for height ratio (wt/ht) that would correspond with ovarian and uterine maturity and therefore offer the optimal opportunity for the start or resumption of menstruation. On initial assessment, all children had mean weight, wt/ht, ovarian and uterine volumes significantly below expected. At follow up, half the children had started or resumed menstruation. When compared with those who had persisting amenorrhoea, the recovered children had a significantly higher mean weight (48.4 kg v 43.8 kg), mean wt/ht (96.5% v 87.5%), mean ovarian volume (6.2 ml v 4.9 ml), and mean uterine volume (14.6 ml v 10.8 ml). The study indicates that conventional target weight and wt/ht in anorexia nervosa may be too low to ensure ovarian and uterine maturity, and that pelvic ultrasound, which is well tolerated by this group of children, is a useful addition to their management.