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 Dependent-
1. Idiopathic
2. Intracranial Lesions
3. Gonadotrophin Secreting Tumors
Gonadotrophin Independent-
1. 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