Ultrasound examination of the ovaries was performed monthly in the follicular phase of 139 healthy adolescents for one years. In 17 girls (12,2%) ovarian cysts spontaneously disappeared within 3 months of first observation. In 6 subjects, treatment with the combined estrogen/progestogen pill was given. The treatment was effective in 4 girls after 2–6 months while 2 subjects required surgical intervention for a cystic teratoma and a simple follicular cyst respectively. A spell of serial sonographic observation of ovarian cysts would seem appropriate in adolescents.
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Bowie JD (1980) Ultrasound in gynecology. In: Sabbafha RE (ed) Diagnostic ultrasound applied to obstetrics and gynecology. Harper and Row, pp 259
Cailloutte Jc, Koeheler Al (1987) Phasic contraceptive pills and functional ovarian cysts. Am J Obstet Gynecol 156:1538–1542
Elstein M, Killick Sr (1985) Ovarian follicular development in patients taking the combined oral contraceptive pill. Arch Gynecol 237 (Suppl):331
Killich S, Eyong E, Elstein M (1987) Ovarian follicular development in oral contraceptive cycles. Fertil Steril 48:409–413
Merril JA (1961) The morphology of the prepubertal ovary. South Med J 56:225
Molloys KS, Coulson KA, Lere JM, Watterns JK (1985) Missed pill conception: fact or fiction? Br Med J 290:1474
Peters H (1979) The human ovary in childhood and early maturity. Eur J Obstet Gynaecol Reprod Biol 9: 137
Peters H, Biskov AG, Himelstein-Braw R, Faber M (1975) Follicular growth: the basic event in the mouse and human ovary. J Reprod Fertil 45: 559–566
Spanos WS (1973) Preparative hormonal therapy of cystic adnexal masses. Am J Obstet Gynecol 551–555
Tayob Y, Adams J, Jacobs HS, Guilleband D (1985) Ultrasound demonstration of increased frequency of functional ovarian cysts in women using progestogen only oral contraception. Br J Obstet Gynecol 92: 1003–1009
Thompson JP, Dockerty MB, Symmonds RE, Hayles AB (1967) Ovarian and paraovarian tumors in infants and children. Am J Obstet Gynecol 97: 1059–1065
Van der Vange N, Coelingh-Bemmink HJT, Tennokes H, Haspels AA (1985) Is overian activity inhibited during low dose oral contraceptive use? Arch Gynecol 237 (Suppl): 331
Venturoli S, Porcu E, Fabbri R, Paradisi R, Bernabè S, Flamigni C (1983) Ovarian volume and aspects in adolescent menstrual cycles. Acta Endocrinol (Copenh) (Suppl) 256: 261
Venturoli S, Porcu E, Fabbri R, Paradisi R, Orsini LF, Flamigni C (1984) Ovaries and menstrual cycles in adolescence. Gynecol Obstet Invest 17: 219–222
Venturoli S, Porcu E, Fabbri R, et al. (1986) Ovarian multifollicularity, high LH and androgen plasma levels, and anovulation are frequent and strongly linked in adolescent irregular cycles. Acta Endocrinol 11: 368–372
Venturoli S, Porcu E, Fabbri R, et al. (1987) Postmenarchal evolution of endocrine pattern and ovarian aspects in adolescents with menstrual irregularities. Fertil Steril 48: 78–85
Vessey M, Doll R, Peto R, Johnson B, Wiggins P (1976) A long term follow-up study of women using different methods of contraception. An interim report. J Biosoc Sci: 373–427
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Porcu, E., Venturoli, S., Prato, L.D. et al. Frequency and treatment of ovarian cysts in adolescence. Arch Gynecol Obstet 255, 69–72 (1994). https://doi.org/10.1007/BF02391800