Puberty – Early vs Delayed

  • When it is a Precocious / Early puberty
    • Girls- if pubertal signs (breast development) are seen before 8 years of age.
    • Boys- if pubertal signs (increase in testicular volume) are seen before 9 years of age
  • When it is a  Delayed / Late puberty – 
    • Girls – the absence of breast development by the age of 13 years, or primary amenorrhea with normal breast development by the age of 15.
    • Boys – the absence of testicular development (or a testicular volume lower than 4 ml) by age 14 years

TIME LINE- PUBERTAL CHANGES

TANNER SMR STAGES GIRLS

TANNER SMR STAGES BOYS

BRIEF TALK ON PRECOCIOUS PUBERY by Dr Swati Kanodia- Recorded August 2020

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