Razieh Shahnazari^1,2, Farahnaz Farzaneh³ and Yasaman Sharifi⁴*

¹ Department of Radiology, Firoozabadi Hospital, Iran University of Medical Sciences, Tehran, Iran
²Firoozabadi Clinical Research Development Unit (FCRDU), Iran University of Medical Sciences, Tehran, Iran
³Department of Obstetrics and Gynecology. School of Medicine, Iran University of Medical Sciences, Tehran, Iran
⁴Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

*Corresponding Author: Yasaman Sharifi, Department of Radiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Received: March 26, 2025; Published: May 29, 2025

Abstract

Objectives: The significance of polycystic ovarian morphology (PCOM) in adolescence remains uncertain. This study aimed to de termine the prevalence of PCOM in adolescent girls and to explore the relationship between PCOM and Hyperandrogenism, using clinical diagnostic criteria and testosterone levels as laboratory diagnostic markers in this population.

Methods: One hundred adolescent girls, aged 9 to 19 years, were referred for ultrasonography in this study. Transabdominal ultra sound and blood samples were collected during the follicular phase.

Results: PCOM was observed in 86% of the subjects. Subjects with PCOM showed a higher prevalence of hirsutism with 62.8% versus 14.3% (P-Value = 0.01). Girls with PCOM had a higher prevalence of abnormal total testosterone levels than girls without PCOM (24% versus 4%; P = 0.04). Subjects with PCOM also revealed higher ovarian volume (Right ovary: 14.43 ± 5.8 versus 8.57 ± 1.98 P-Value = 0.01 Left Ovary: 14.66 ± 5.8 versus 8.14 ± 2.26 P-Value = 0.006) and follicle numbers per ovary (Right ovary: 15.6 ± 4.2 versus 9.14 ± 2.85 P-Value = 0.001 Left Ovary: 16.02 ± 4.27 versus 10.86 ± 3.97 P-Value = 0.004) as expected.

Conclusions: The prevalence of polycystic ovary morphology (PCOM) among Iranian adolescent girls is reported to be 86%. Those with PCOM exhibit increased ovarian volumes and higher follicle counts per ovary. Additionally, there is a higher occurrence of hirsut ism and elevated total testosterone levels in participants with PCOM.

Keywords: Polycystic Ovarian Morphology; Adolescent Girls; Hyperandrogenism; Ovarian Volume; Follicle Number

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Citation

Citation: Yasaman Sharifi.,et al. “The Prevalence of Polycystic Ovarian Morphology in Sonographic Evaluations of Iranian Adolescent Girls".Acta Scientific Paediatrics 8.6 (2025): 26-34.

Copyright

Copyright: © 2025 Yasaman Sharifi.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.