Lauritzen C
Fortschr Med. 1979 May 10;97(18):863-8.
The growth curves of the endocrine glands in female puberty are described. Adrenarche with an elevated production of adrenal dehydroepiandrosterone marks the beginning of prepuberty. By decrease of hypothalamic sensitivity to sexual steroids begins the deviation of FSH and LH levels. Significant increases of gonadotrophins and prolactin occur during sleep. There is a good correlation between bone age, Tanner-stages of breast and pubic hair development and steroid hormone levels. Criteria of maturity for young girls including menarche and ovulation are given.
描述了女性青春期内分泌腺的生长曲线。肾上腺皮质功能初现,伴随着肾上腺脱氢表雄酮分泌增加,标志着青春期前的开始。随着下丘脑对性类固醇敏感性降低,促卵泡生成素(FSH)和促黄体生成素(LH)水平开始出现偏差。睡眠期间促性腺激素和催乳素显著增加。骨龄、乳房和阴毛发育的坦纳分期与类固醇激素水平之间存在良好的相关性。给出了年轻女孩成熟的标准,包括月经初潮和排卵。