Flashcards in Puberty Conference (except tanner stages) Deck (14):
When does puberty begin for girls? boys?
boys: 10 or 11
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)
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.
What happens to a boy around 13?
spermatogenesis occurs and other secondary sex characteristics become more developed (scrotal darkening, penis enlargement, hair growth, etc.)
Growth spurts in girls vs. boys
GIRLS: between 10-13
BOYS: 12.5 - 15, thru early 20's
sexual development before 6 and 9 for girls and boys respectively.
No puberty by what age, warrants investigation?
13 y/o for both sexes
normal intervals; increased flow
irregular intervals; normal flow
irregular intervals; increased flow
cycle length less than 21 days
cycle length greater than 35 days
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