Borderline or Early and Slowly Progressing Puberty


Authors: M. Šnajderová 1;  D. Zemková 1;  M. Zounarová 2;  L. Teslík 3;  V. Lánská 4
Authors‘ workplace: II. dětská klinika 2. LF UK a FN Motol, Praha1 přednosta doc. MUDr. J. Vavřinec, DrSc. Ambulance pro gynekologii dětí a dospívajících, FP FN Motol, Praha2vedoucí lékař MUDr. P. Tláskal, CSc. Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha3před
Published in: Čes-slov Pediat 2003; (5): 278-282.
Category:

Overview

The aim of the study was to analyse growth and sexual development of untreated girls with puberty startingbetween 7 - 9 years.At the Endocrine Clinic of 2nd Department of Paediatrics, Faculty Hospital Motol-Prague, 19 girls werefollowed-up. Organic and/or other endocrine aetiology was excluded. Once a year, auxologial parameters, sexualdevelopment (Tanner stages), age at menarche, and menstrual cycle were evaluated.Initial bone age was advanced by 2.2 ± 1.3 yr (range 0 - 5). Nine girls with an initial height prediction (graphicmethod) 163.2 ± 4.6 cm and target height 164.6 ± 5.0 cm have had already achieved their final height 165.8 ± 6 cm(NS). Thirteen girls reached menarche at 11.5 ± 1.0 yr (9.6 - 13.6); i.e. 3.9 ± 1.2 yr (1.6 - 5.6) after the first signs ofpuberty. Menarche was earlier compared with their mothers (13.0 ± 1.1 yr) and with Czech standards (p < 0.05).The menstrual cycle was normal and regular in all girls with a postmenarchal period > 2 yr.Borderline and/or slowly progressing idiopathic early puberty should be considered a variant of normaldevelopment. Sexual development is normal and final height was not compromised. In such cases, therapy is notnecessary.

Key words:
borderline and early puberty, untreated girls, growth, sexual development, final height

Full text is not available online.
If interested in a scan of this journal, contact NTO ČLS JEP.

Labels
Neonatology Paediatrics General practitioner for children and adolescents

Article was published in

Czech-Slovak Pediatrics


2003 Issue 5

Most read in this issue
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account