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Thelarche
Thelarche, also known as breast budding, is the onset of secondary breast development, often representing the beginning of pubertal development. It is the stage at which male and female breasts differentiate due to variance in hormone levels; however, some males have a condition in which they develop breasts, termed gynecomastia. Thelarche typically occurs between the ages of 8 and 13 years with significant variation between individuals. However, the initial growth of breast tissue occurs during fetal development. It is usually the first sign of puberty in females (less commonly, it can be the second sign, after pubarche). Usually, females experience menarche about two years after thelarche has begun, with complete breast development from thelarche to adult breasts, taking between 2 and 4 years but can last up to age 18. Moreover, puberty is considered delayed if breast development does not start at age 13 or if a female has not had her first period (menarche) within three years of ...
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Premature Thelarche
Premature thelarche (PT) is a medical condition, characterised by isolated breast development in female infants. It occurs in females younger than 8 years, with the highest occurrence before the age of 2. PT is rare, occurring in 2.2-4.7% of females aged 0 to 2 years old. The exact cause of the condition is still unknown, but it has been linked to a variety of genetic, dietary and physiological factors. PT is a form of Incomplete Precocious Puberty (IPP). IPP is the presence of a secondary sex characteristic in an infant, without a change in their sex hormone levels. Central Precocious Puberty (CPP) is a more severe condition than IPP. CPP is the presentation of secondary sex characteristics, with a change in sex hormones due to alteration of the hypothalamic-pituitary-gonadal (HPG) axis. CPP is an aggressive endocrine disorder with harmful developmental consequences for the patient. At the presentation of PT, diagnostics are used to ensure it is not early stage CPP. CPP can be ...
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Gonadarche
Gonadarche () refers to the earliest gonadal (reproductive gland) changes of puberty. In response to pituitary gonadotropins, the ovaries in females and the testes in males begin to grow and increase the production of the sex steroids, especially estradiol and testosterone. The ovary and testis have receptors, follicle cells and leydig cells, respectively, where gonadotropins bind to stimulate the maturation of the gonads and secretion of estrogen and testosterone. Certain disorders can result in changes to timing or nature of these processes. * In males, gonadarche is responsible for testicular enlargement and virilization. * In females, gonadarche is responsible for thelarche and menarche (first menstruation). Gonadarche should be contrasted with adrenarche. Gonadarche indicates that true central puberty has begun, while adrenarche is an independent maturational process only loosely associated with complete puberty. Physiology Puberty is influenced by a multitude of factors ...
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Spermarche
Spermarche, also known as semenarche, is the time at which a male experiences his first ejaculation. It is considered to be the counterpart of menarche in females. Depending on upbringing, cultural differences, and prior sexual knowledge, males may have different reactions to spermarche, ranging from fear to excitement.''Adolescence and Emerging Adulthood: A Cultural Approach'', Jeffrey Jensen Arnett, N.J.: Prentice-Hall, 3rd edition, 2006. Spermarche is one of the first events in the life of a male leading to sexual maturity. It occurs at the time when the secondary sex characteristics are just beginning to develop. Researchers have had difficulty determining the onset of spermarche because it is reliant on self-reporting. Other methods to determine it have included the examination of urine samples to determine the presence of spermatozoa. The presence of sperm in urine is referred to as spermaturia. Age of occurrence Research on the subject has varied for the reasons stated a ...
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Vaginal Discharge
Vaginal discharge is a mixture of liquid, cells, and bacteria that lubricate and protect the vagina. This mixture is constantly produced by the cells of the vagina and cervix, and it exits the body through the vaginal opening. The composition, quality, and amount of discharge varies between individuals, and can vary throughout the menstrual cycle and throughout the stages of sexual and reproductive development. Normal vaginal discharge may have a thin, watery consistency or a thick, sticky consistency, and it may be clear or white in color. Normal vaginal discharge may be large in volume but typically does not have a strong odor, nor is it typically associated with itching or pain. While most discharge is considered physiologic (represents normal functioning of the body), some changes in discharge can reflect infection or other pathological processes. Infections that may cause changes in vaginal discharge include vaginal yeast infections, bacterial vaginosis, and sexually trans ...
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Adrenarche
Adrenarche is an early stage in sexual maturation that happens in some higher primates (including humans), typically peaks at around 20 years of age, and is involved in the development of pubic hair, body odor, skin oiliness#Oily skin, skin oiliness, axillary hair, sexual attraction/sexual desire/increased libido and mild acne. During adrenarche the adrenal glands secrete increased levels of weak adrenal androgens, including dehydroepiandrosterone (DHEA), dehydroepiandrosterone sulfate (DHEA-S), and androstenedione (A4), but without increased cortisol levels. Adrenarche is the result of the development of a new zone of the adrenal cortex, the zona reticularis. Adrenarche is a process related to puberty, but distinct from hypothalamic–pituitary–gonadal axis (HPG axis) maturation and function. Occurrence Adrenarche occurs starting at the age of 6 years. After the first year of life, the adrenal glands secrete very low levels of adrenal androgens. Adrenarche begins on avera ...
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Pubarche
Pubarche () refers to the first appearance of pubic hair at puberty. It is one of the earliest physical changes of puberty and can occur independently of complete puberty. It is usually the second sign of puberty, after thelarche in females and gonadarche in males (though in females, it can also happen before thelarche, but this is less common). The early stage of sexual maturation, also known as adrenarche, is marked by characteristics including the development of pubic hair, Underarm hair, axillary hair, Body odor, adult apocrine body odor, acne, and increased oiliness of hair and skin. The Encyclopedia of Child and Adolescent Health corresponds SMR2 (sexual maturity rating) with pubarche, defining it as the development of pubic hair that occurs at a mean age of 11.6 years in females (range 9.3–13.9 years) and 12.6 years in males (range 10.7–14.5 years). It further describes that pubarche's physical manifestation is Vellus hair, vellus hair over the labia or the base of the pe ...
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Menarche
Menarche ( ; ) is the first menstrual cycle, or first menstruation, menstrual bleeding, in female humans. From both social and medical perspectives, it is often considered the central event of female puberty, as it signals the possibility of fertility. Girls experience menarche at different ages, but the most common age is 12. Having menarche occur between the ages of 9–14 in the West is considered normal.US National Health Statistics Report
September 2020
The timing of menarche is influenced by female biology, as well as Genetics, genetic, environmental factors, and nutritional factors. The mean age of menarche has declined over the last century, but the magnitude of the decline and the factors responsible remain subjects of contention. The worldwide average age of menarche is very difficult to estimate ...
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Tanner Scale
The Tanner scale (also known as the Tanner stages or sexual maturity rating (SMR)) is a scale of physical development as pre-pubescent children transition into adolescence, and then adulthood. The scale defines physical measurements of development based on external primary and secondary sex characteristics, such as the size of the breasts, length of the penis, volume of the testes, and growth of pubic hair. This scale was first quantified in 1969 by James Tanner, a British pediatrician, after a two-decade-long study following the physical changes in girls undergoing puberty. Due to natural variation, individuals pass through the Tanner stages at different rates, depending in particular on the timing of puberty. Among researchers who study puberty, the Tanner scale is commonly considered the "gold standard" for assessing pubertal status when it is conducted by a trained medical examiner. In HIV treatment, the Tanner scale is used to determine which regimen to fol ...
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Adrenarche
Adrenarche is an early stage in sexual maturation that happens in some higher primates (including humans), typically peaks at around 20 years of age, and is involved in the development of pubic hair, body odor, skin oiliness#Oily skin, skin oiliness, axillary hair, sexual attraction/sexual desire/increased libido and mild acne. During adrenarche the adrenal glands secrete increased levels of weak adrenal androgens, including dehydroepiandrosterone (DHEA), dehydroepiandrosterone sulfate (DHEA-S), and androstenedione (A4), but without increased cortisol levels. Adrenarche is the result of the development of a new zone of the adrenal cortex, the zona reticularis. Adrenarche is a process related to puberty, but distinct from hypothalamic–pituitary–gonadal axis (HPG axis) maturation and function. Occurrence Adrenarche occurs starting at the age of 6 years. After the first year of life, the adrenal glands secrete very low levels of adrenal androgens. Adrenarche begins on avera ...
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Menarche
Menarche ( ; ) is the first menstrual cycle, or first menstruation, menstrual bleeding, in female humans. From both social and medical perspectives, it is often considered the central event of female puberty, as it signals the possibility of fertility. Girls experience menarche at different ages, but the most common age is 12. Having menarche occur between the ages of 9–14 in the West is considered normal.US National Health Statistics Report
September 2020
The timing of menarche is influenced by female biology, as well as Genetics, genetic, environmental factors, and nutritional factors. The mean age of menarche has declined over the last century, but the magnitude of the decline and the factors responsible remain subjects of contention. The worldwide average age of menarche is very difficult to estimate ...
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Pubarche
Pubarche () refers to the first appearance of pubic hair at puberty. It is one of the earliest physical changes of puberty and can occur independently of complete puberty. It is usually the second sign of puberty, after thelarche in females and gonadarche in males (though in females, it can also happen before thelarche, but this is less common). The early stage of sexual maturation, also known as adrenarche, is marked by characteristics including the development of pubic hair, Underarm hair, axillary hair, Body odor, adult apocrine body odor, acne, and increased oiliness of hair and skin. The Encyclopedia of Child and Adolescent Health corresponds SMR2 (sexual maturity rating) with pubarche, defining it as the development of pubic hair that occurs at a mean age of 11.6 years in females (range 9.3–13.9 years) and 12.6 years in males (range 10.7–14.5 years). It further describes that pubarche's physical manifestation is Vellus hair, vellus hair over the labia or the base of the pe ...
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