Bouvattier Claire
Endocrinologie pédiatrique, hôpital Saint-Vincent de Paul, Université Paris-Descartes Paris-5, 75674 Paris Cedex 14, France.
Rev Prat. 2008 Jun 30;58(12):1326-30.
Puberty is the phenomenon that conducts to reproductive maturation. Delayed puberty is defined in girls by the absence of breast development beyond 13-years-old or primary amenorrhea beyond 15-years-old, and in boys by the absence of testicular development beyond 14-years-old. Most delayed puberties are functional. Congenital hypogonadotrophic hypogonadism are rare. Turner syndrome is the most frequent hypergonadotrophic hypogonadism in girls. The delayed puberty treatment is hormonal replacement. Delayed puberty clearly has a genetic component, and new advances in genetic research may provide tools to aid our understanding of the factors that regulate the timing of puberty.
青春期是导致生殖成熟的一种现象。青春期延迟在女孩中定义为13岁后乳房仍未发育或15岁后原发性闭经,在男孩中定义为14岁后睾丸仍未发育。大多数青春期延迟是功能性的。先天性低促性腺激素性性腺功能减退较为罕见。特纳综合征是女孩中最常见的高促性腺激素性性腺功能减退。青春期延迟的治疗方法是激素替代。青春期延迟显然有遗传因素,基因研究的新进展可能会提供工具,帮助我们理解调节青春期时间的因素。