Uterine development and endocrine relationships after menarche

Uterine volume and ovarian/uterine ratio during the first 6 postmenarchal years in 143 women were compared with an adult control group. Plasma gonadotropins and sex steroids were also correlated with uterine volume in adolescents. Uterine volume increased progressively and correlated positively with advancing postmenarchal ( r = 0.24; p < 0.05) and chronologic ( r = 0.23; p < 0.05) age. However, normal adult uterine volume was not yet reached by the highest postmenarchal (6 years) and chronologic (18 years) age. The ovarian/uterine ratio decreased gradually with increasing postmenarchal age but was always higher (0.22) than that of control subjects (0.12). Uterine volume correlated positively with plasma estradiol ( r = 0.25; p < 0.05) and dehydroepiandrosterone ( r = 0.22; p < 0.05) and its sulfate ( r = 0.22; p < 0.05) levels. This study indicates that the uterus continues to grow after menarche in conjunction with increasing hormone levels.