By Charles Sultan, Andrea R. Genazzani
This quantity presents a complete, updated evaluate on pediatric and adolescent gynecological endocrinology. It covers a really wide selection of issues with a selected specialise in issues of intercourse differentiation, pubertal maturation, progress problems, fundamental and secondary amenorrhea, menstrual problems in youth and teenagers, sexuality, birth control, and being pregnant. The authors are foreign recognized specialists who rfile the most recent medical adventure during this consistently evolving box and supply functional counsel at the review and remedy of lady pubertal difficulties.
The ebook is released in the overseas Society of Gynecological Endocrinology (ISGE) sequence and relies at the 2015 foreign tuition of Gynecological and Reproductive Endocrinology (ISGRE) summer season direction. it will likely be a useful reference for gynecologists, endocrinologists, pediatricians, and specialists in women’s health.
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This quantity presents a entire, updated evaluation on pediatric and adolescent gynecological endocrinology. It covers a truly wide variety of themes with a selected specialise in problems of intercourse differentiation, pubertal maturation, progress issues, basic and secondary amenorrhea, menstrual problems in teens and teenagers, sexuality, birth control, and being pregnant.
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Additional resources for Frontiers in Gynecological Endocrinology: Volume 4: Pediatric and Adolescent Gynecological Endocrinology
However, basal serum LH concentration is much more sensitive than basal FSH concentration and is the key to diagnosis. Ultrasensitive assays should be used to determine serum LH concentration. 1 IU/L [27–29]. The response to GnRH stimulation is considered the gold standard for the diagnosis of central precocious puberty. Stimulation tests involving a single injection of LHRH analogs can also be used [30, 31]. The major problem is defining the decision threshold. In both sexes, a central cause of precocious puberty is demonstrated an increase in pituitary gonadotropin levels.
These symptoms are due to torsion of the ovary or more rarely tumor rupture. • An abdominal-pelvic mass that may be quite voluminous. This mass is frequently asymptomatic and it is discovered by the parents. It may also cause compression of the urinary tract (lumbar pain, colic nephritic, urinary infection) or the intestine (constipation, incomplete occlusion syndrome). • As a fortuitous discovery during surgical intervention for other reasons, such are inguinal hernia repair, or as calcifications or ossifications of abdominal X-rays.
Carel variable, but were calculated using predicted height, which is itself poorly reliable. Factors affecting height outcome include initial patient characteristics (lower height if bone age is markedly advanced and shorter predicted height at initiation of treatment) and, in some series, duration of treatment (higher height gains in patients starting treatment at a younger age and with longer durations of treatment). No height gain benefit has been shown in girls treated after the age of 9 years.