Changes in ultrasound appearance of the internal female genital organs during treatment for eating disorders

European Journal of Obstetrics, Gynecology, and Reproductive Biology
E AndolfP Aspenberg

Abstract

To confirm that changes of the internal female genital organs in patients with eating disorders can be detected with ultrasound and that successive normalization can be followed during treatment. Thirty-five women with the diagnoses of eating disorders were examined with ultrasound while undergoing psychiatric treatment. The endometrial thickness and ovarian volume were measured. The sonographic picture of the ovaries was classified in four classes. Bulimics had changes of their ovaries in spite being of normal weight. After psychiatric treatment and a normal diet, the ovaries and the bleeding pattern normalized without a change in body weight. In anorectics, undetectable ovaries or ovaries without follicles were associated with low body mass index (BMI), but multifollicular ovaries or presence of a dominant follicle and ovarian volume had no clear relation to BMI. The endometrial thickness correlated with BMI. Ovarian morphology appeared more important than ovarian size. Changes of the ovaries appeared more related to eating patterns than to BMI. Eating disorders should be considered in women with bleeding disorders. Ultrasound examination can contribute to the differential diagnosis.

References

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Citations

Feb 12, 1998·Proceedings of the National Academy of Sciences of the United States of America·B WimmerC Gietl
Mar 23, 2005·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Barbara E Wolfe
Aug 3, 2013·American Journal of Human Biology : the Official Journal of the Human Biology Council·Elizabeth J RoweL Christie Rockwell
Nov 6, 2009·American Journal of Physical Anthropology·Kathryn B H Clancy

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