Puberty Flashcards
Define thelarche
The development of breasts
Define puberache
Development of axillary and pubic hair
Define menarche
The first menstrual period
Define adrenarche
The onset of an increase in secretion of androgens
What is puberty?
The stage of human development when sexual maturation and growth are completed. and result in an ability to reproduce
When are primary sexual characeristics established?
Before birth
When is the reproductive system inactive until?
Puberty
What is the onset age of puberty?
Variable
How does the age of puberty differ between boys and girls
Girls begin and end puberty before boys
Is the order of events in puberty consistent or variable?
Consistent, they happen in a recognised pattern
What does puberty consist of?
- Accelerated somatic growth
- Maturation of primary sexual characteristics
- Apperance of secondary sexual characteristics
- Menstruation and spermatogenesis behin
What does the accelerated growth phase in puberty follow?
The linear growth phase before puberty
What primary sexual characteristics develop in puberty?
Gonads and genitals
What secondary sexual characteristics appear at puberty?
- Pubic and axillary hair
- Female breast development
- Male voice changes
When does the menstruation and spermatogenesis begin?
At the end of puberty
What is puberty initated by?
The brain
What is the onset of puberty associated with?
Steady rise in FSH and LH secretion, due to a rise in GnRH secretion
Can the parts of the reproductive system work before the normal age of puberty?
Most can, but don’t because hormone levels are too low
In which sex does the growth spurt occur?
Both
How does the growth spurt differ between males and females?
Happens earlier, and results in shorter in females
Why are men taller?
Because the growth spurt is longer and slightly faster, and the linear phase is longer, so taller when start to spurt
What does the growth spurt depend on?
Growth hormones and steriods
How is the growth spurt ended?
In epiphyseal fusion
What closes epiphyseal growth plates in girls?
Oestrogen
What can be observed by the fusing of the growth plates?
The measureable end of puberty
How has the timing of puberty changed?
In Western countries, puberty is now much earlier.
The average age of menarche was 17 in 1800, now <13 years
What is the change in the age of onset of puberty due to?
Changes in nutrition and weight
What is the critical weight for the onset of puberty in females?
47kg
What is happening to the average age of body weight at onset of menarche?
It is staying the same
What happens in a female if there is significant weight loss?
The reproductive cycle ceases
In what situations may primary amenorrhea due to low body weight occur?
- Malnutrition
- Lean female athletes
In whom is the ‘body fat’ set point very noticable?
In girls with fluctating body weight due to anorexia nervosa
What may be involved in puberty signalling?
Leptins