Character of Reproductive Organs of Female Children and Their Differences from Adults

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According to gynecologic endocrinology, childhood period is defined as a period extending to the age of 8 which is shaped with hormonal environment that affects the reproductive system. Subsequently, peripubertal and pubertal period comes forward until menstruation. Childhood period is a silent, static period according to endocrinology. Gonadotropic cells which provide control over hypothalamohypophysiary system are 10 to 15 times more sensitive to negative feedback effect of estrogen when compared with adult period. Clitoris is small; vagina is approximately 5 cm long; its mucosa is pink and atrophic and there are some rugae present. In this period, estrogen level is low; thus the resistance of genital organs to trauma and infections is low. Vagina is neutral or it may have mild alkaline secretion and mixed bacterial flora. Uterus/cervix ratio is 1/1. While there are 7 million follicles in the ovaries in the 16th-20th pregnancy weeks, this number is reduced to 1-2 millions at birth as a result of natural damaging process and down to 300-400.000 at the first menarche. In a point of view, menopause process actually begins in the mother’s womb. Ovaries are abdominal in childhood ages. Actually, FSH levels are high in 6-12th months of newborn period and there is a response of follicles to high FSH-LH levels. Because of the fact that ovaries are abdominal, the most common abdominal mass in female children until the age of 1 is simple ovarian cyst and it usually do not require surgical intervention. Along with beginning of pubertal process, ovaries widen in volumes and go down to small pelvis.