PUBERTY BY DR. (MRS.) NGOZI ORAZULIKE SENIOR REGISTRAR DEPT. OF OBSTETRICS & GYNAECOLOGY U.P.T.H. PORT HARCOURT
PUBERTY DEFINTION; The period of time during which 2nd sexual characteristics develop, menstruation begins and the psychological outlook of the girl changes as she develops a more adult aspect to herself.
FACTORS THAT INFLUENCE PUBERTY General Health Nutrition Race Exercise Genetic Influences Socioeconomic Condition Leptin
PUBERTAL DEVELOPMENT Breast Development Pubic Hair Growth Axillary Hair Growth Growth Spurt Menarche
ABNORMAL PUBERTY Disorders of Onset; Precocious Puberty; Gonadotrophin Dependent1. Idiopathic 2. Intracranial Lesions 3. Gonadotrophin Secreting Tumors Gonadotrophin Independent1. Congenital Adrenal Hyperplasia 2. Sex Steroid Secreting Tumors 3. Exogenous Estrogen Injection
ABNORMAL PUBERTY Contd. Delayed Puberty; 1. Constitutional Delay 2. Malabsorption 3.Underweight 4. Chronic Diseases Gonadal Failure; 1. Turner’s Syndrome Gonadotrophin Deficiency Congenial Hypogonadotrophic Hypogonadism
COMMON ADOLESCENT PROBLEMS
Sexual Health Pregnancy Gynaecological Complaints Disorders of Sexual Development