-
uterine anomolies associated with
urinary anomolies
-
gonads
- first part of genital system to develop
- arise from gonadal ridges
- gonad ridges form primary sex cords
-
oogonium
- form primary oocyts
- cell produced at an early stage in the formation of ovum
-
oocyte
primative ovum before developed completely
-
paramesonephric ducts
- mullerian ducts
- form into female reproductive system (uterus and upper vagina)
- paired ducts that form adjacent to mesonephric ducts in embryo
- male of femaleness determined at 9wks gest.
- fully developed at 12 wks
-
newborn uterus
- pear shaped
- echogenic from maternal horomones
- 3.5 cm
- 1:2 fundus to cervix
-
prepubertal uterus >2months
- 2.5-3 cm
- 1:1 cervix/fundus ratio
-
post puberty uterus
- 5-7 cm
- 3:1 fundus to uterus ratio
-
sonohysterosalpigography
injection of contrast through catheter in vagina
-
vaginal atresia
- failure of vagina to open
- results in hydrocolops, hydrometrocolpos, hematometrocolops
-
hydrocolops
hydrometrocolops
hematometrocolops
- fluid filled vagina
- fluid filled vagina and uterus
- blood filled vagina and uterus
-
unicornuate uterus
- infertility and pregnancy loss
- cigar shaped- long slender
- one fallopian tube
- class II
-
Uterus didelphys
- complete duplication of uterus, cervix, vagina
- no fertility problems
-
bicornuate uterus
- duplication of uterus with common cervix
- low incidence of fertility problems
-
septate uterus
- high infertility
- two closely spaced cavities
- one fundus- maybe two cervix
-
DES uterus
- drug in 70s to treat habitual abortion
- estrogenic properties
- t-shaped uterine cavity
-
hermaphroditism
- ambiguous genitalia
- both ovarian and testicular tissue
-
precocious puberty/ pseudopuberty
- secondary sex characteristics and increase in size and activity of gonads
- pseudo-no gonad activity
adrendal gland tumors or cysts sythesize excess gonadal steroids
-
neonatal ovarian cysts
- most resolve spontaneously
- 3-7mm common
- can hemorrhage and cause salpingotorsion
-
ovarian torsion
- most occur in first two decades of life (mobile adnexa)
- rotation causing hemorrhagic infarction
- necrosis
-
ovarian teratoma
- uncommon in neonate and adolescent
- germ cell tumors are 60% under 20 yrs
most common is the benign germ cell teratoma or dermoid cyst, 5-15cm
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