Puberty Conference (except tanner stages)

Question 1

When does puberty begin for girls? boys?

Answer 1

girls: 8-10
boys: 10 or 11

Question 2

Thelarche vs. adrenarche vs. menarche

And normal ages

Answer 2

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)

Question 3

First sign of puberty for males.

What comes next?

Answer 3

enlargement of testes (coincides with increased FSH)

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

Question 4

What happens to a boy around 13?

Answer 4

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

Question 5

Growth spurts in girls vs. boys

Answer 5

GIRLS: between 10-13

BOYS: 12.5 - 15, thru early 20’s

Question 6

Precocious puberty

Answer 6

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

Question 7

No puberty by what age, warrants investigation?

Answer 7

13 y/o for both sexes

Question 8

Menorrhagia

Answer 8

normal intervals; increased flow

Question 9

Metrorrhagia

Answer 9

irregular intervals; normal flow

Question 10

Menometrorrhagia

Answer 10

irregular intervals; increased flow

Question 11

Polymenorrhea

Answer 11

cycle length less than 21 days

Question 12

oligomenorrhea

Answer 12

cycle length greater than 35 days

Question 13

primary vs. secondary amenorrhea

Answer 13

primary: no mense by 16 y/o or 2.5 years after thelarche
secondary: stoppage for 6 months after 3 consecutive cycles

Question 14

A tanner stage difference greater than ___ is abnormal.

Answer 14

2