Puberty Conference (except tanner stages) Flashcards Preview

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Flashcards in Puberty Conference (except tanner stages) Deck (14):
1

When does puberty begin for girls? boys?

girls: 8-10

boys: 10 or 11

2

Thelarche vs. adrenarche vs. menarche

And normal ages

Thelarche: appearance of breast buds (first detectable increase in E2; occurs before 13 y/o)

Adrenarche: appearance of pubic hair

Menarche: first menses (11-14 y/o and with 2.5 years after thelarche)

3

First sign of puberty for males.

What comes next?

enlargement of testes (coincides with increased FSH)

Next comes increase in LH, reappearance of Leydig and increased testosterone.

4

What happens to a boy around 13?

spermatogenesis occurs and other secondary sex characteristics become more developed (scrotal darkening, penis enlargement, hair growth, etc.)

5

Growth spurts in girls vs. boys

GIRLS: between 10-13

BOYS: 12.5 - 15, thru early 20's

6

Precocious puberty

sexual development before 6 and 9 for girls and boys respectively.

7

No puberty by what age, warrants investigation?

13 y/o for both sexes

8

Menorrhagia

normal intervals; increased flow

9

Metrorrhagia

irregular intervals; normal flow

10

Menometrorrhagia

irregular intervals; increased flow

11

Polymenorrhea

cycle length less than 21 days

12

oligomenorrhea

cycle length greater than 35 days

13

primary vs. secondary amenorrhea

primary: no mense by 16 y/o or 2.5 years after thelarche

secondary: stoppage for 6 months after 3 consecutive cycles

14

A tanner stage difference greater than ___ is abnormal.

2