IRREGULAR CYCLES AND OVARIAN CYSTS
Vujovic Svetlana more
Abstract: Study objective: Functional ovarian lesions represent 45% of all pediatric adnexal abnormalities. Their surgical management, even if frequent, is not clear, especially in pediatric age. Materials and Methods: We retrospectively reviewed 22 pediatric patients surgically treated for functional ovarian lesions from 2000 to 2006. The following characteristics were analyzed: age, size of the lesion, US aspect and clinical presentation. Results: The average age was 16.1 years of age (range 6 months-18 years). Of the 22 functional lesions, 12 ( 55 % ) were follicular cysts and 10 ( 45 % ) corpus luteum ones. The average size was 6.7 cm (range 5.1 – 33 cm). Ultrasound scan showed simple lesions in 10 cases ( 45 % ) and complex ones in 12 cases ( 55 % ). In 16 girls ( 72.8 % ) the presenting symptom was abdominal pain while 2 patients ( 9 % ) presented abdominal distention. In the other 4 patients ( 16.2 % ) the lesion was found accidentally during US examination. Conclusion: In pediatric subjects, functional ovarian cysts rarely required surgical intervention, though no complications or disorder recurrence were reported. In order to preserve ovarian function, conservative surgery has to be performed whenever feasible.
Aims: To investigate changes in serum adiponectin during pregnancy and postpartum and assess relationship with insulin resistance as measured by the homeostatic model assessment (HOMA-IR).
Methods: Twenty two normal pregnant women were compared to 22 women diagnosed with gestational diabetes (GDM). Serum adiponectin levels were measured at the time of glucose challenge test as well as in the immediate postpartum period and correlation of adiponectin to HOMA-IR were performed. more