- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- 13.1 Principles of hormone action
- 13.2 Pituitary disorders
- 13.3 Thyroid disorders
- 13.4 Parathyroid disorders and diseases altering calcium metabolism
- 13.5 Adrenal disorders
- 13.6 Reproductive disorders
- 13.7 Disorders of growth and development
- 13.7.1 Normal growth and its disorders
- 13.7.2 Normal puberty and its disorders
- 13.7.3 Normal and abnormal sexual differentiation
- 13.8 Pancreatic endocrine disorders and multiple endocrine neoplasia
- 13.9 Diabetes and hypoglycaemia
- 13.10 Hormonal manifestations of nonendocrine disease
- 13.11 The pineal gland and melatonin
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
Normal puberty and its disorders
- Chapter:
- Normal puberty and its disorders
- Author(s):
Fiona Ryan
, and Sejal Patel
- DOI:
- 10.1093/med/9780198746690.003.0256
Puberty is the physiological sequence of events when secondary sexual characteristics develop, reproductive capacity is achieved, and final adult stature reached. The outward signs usually develop over 3 to 5 years, with significant variation both in the age that puberty starts and the pace at which development proceeds. The events that lead to the triggering of puberty remain uncertain, but clinical presentations may arise because the process is abnormally early (precocious puberty) or abnormally late (delayed or absent puberty). Several variants of the normal processes may also present for clinical assessment, for example, premature isolated thelarche (breast development) or adrenarche (pubic and axillary hair development), which do not require treatment.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- 13.1 Principles of hormone action
- 13.2 Pituitary disorders
- 13.3 Thyroid disorders
- 13.4 Parathyroid disorders and diseases altering calcium metabolism
- 13.5 Adrenal disorders
- 13.6 Reproductive disorders
- 13.7 Disorders of growth and development
- 13.7.1 Normal growth and its disorders
- 13.7.2 Normal puberty and its disorders
- 13.7.3 Normal and abnormal sexual differentiation
- 13.8 Pancreatic endocrine disorders and multiple endocrine neoplasia
- 13.9 Diabetes and hypoglycaemia
- 13.10 Hormonal manifestations of nonendocrine disease
- 13.11 The pineal gland and melatonin
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine