Endocrinology: Puberty Flashcards
What three things determine male phenotype?
- SRY
- Testosterone (promotes Wolffian ducts)
- Mullerian inhibiting substance (MIS) - secreted by Sertoli cells
What is the chronological male development according to tanner stages:
- Testes enlarge
- Scrotum enlarge
- Penis enlarge
- Pubic hair develops
What is the chronological female development according to tanner stages:
- Increased growth velocity
- Breast (thelarche)
- Pubic hair (adrenarche)
- Axillary hair
- Menarche
What determines breast development?
Ovarian oestrogen
What hormone determines pubic hair development?
Same hormone - secreted from two different places
adrenal and ovarian androgens
What is the average age of menarche in African girls?
12.3 yrs
What is the average age of menarche in Western Caucasians?
12.8 yrs
Which two hormones are responsible for growth spurt in puberty?
- GH
- IGF
Which hormone is important for epihpyseal fusion?
Oestrogen
How many years later do growth spurts occur in males comapred to females?
2 years
What age is the peak of bone mineralisation peak in males?
17.5 years old
What age is the peak of bone mineralisation peak in females?
14-16 years old
What age is the peak of bone mineralisation peak in females?
What is the effect of increased GnRH pulse frequency on LH:FSH ratio during puberty?
Increased LH:FSH ratio
Also charachteristic of midcycle dynamics
What is the effect of continuous GnRH secretion on gonadotrophins?
Suppression