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The mean ovarian volume in girls less than 6 years of age is less than or equal to 1 cm3. The increase in ovarian volume begins after 6 years of age (Table). In prepubertal girls (6â10 years old), ovarian volumes range from 1.2 to 2.3 cm3. In premenarchal girls (11â12 years old), ovarian volumes range from 2 to 4 cm3. In postmenarchal girls, the ovarian volume averages 8 cm3 (range, 2.5â20 cm3).
In the first trimester, gestational sac mean diameter and crown-rump length measurements have become the primary means of evaluating gestational age. 15, 16, 17, 18, 19 In the second and third trimesters, fetal head, body, and extremity measurements have been commonly used to assess gestational age. Physical examination also tends to be inaccurate, especially with advancing gestational age. 10 Bimanual examination in the first trimester may be accurate within Â±2 weeks; however, fundal height measurement, which is more commonly used to assess gestational age, is only accurate within Â±4 to 6 weeks.