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Sexual maturation in girls
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He is
currently increasing the number of
visits by adolescents due to earlier
maturation and early sexual activity and
increasing secondary to socio-cultural
changes of our time. The definition of
adolescence has been described as the
time between the "puberty and maturity,"
it is absolutely accepted. The start of
rules would open the possibility of
pregnancy, but not exactly mature, but
from here gynecological disorders are
more intimate relationship with states
like adult women. In the beginning
menstrual disorders are in the beginning
by altering hormone function unlike the
adult woman, but then remember that
tumor problems and pregnancy
complications are similar and can be
seen in girls under 16 years .
It is vital for a successful
collaboration examination of these
patients and an attitude of sympathy and
understanding of the problem posed to
gain their confidence and eliminate
their fears.
The indications to perform a
gynecological examination, these
patients are:
Genital abnormalities, developmental
disorders, genital infections, genital
bleeding, tumors, trauma (accidental,
legal) foreign body in vagina,
disorders, urological or anus rectal
Suspected pregnancy.
The following table shows the various
stages of sexual maturation in
adolescents. This table is for reference
only as they vary with changes
identified ethnicity, clinical and
genetic causes:
AGE IN YEARS SECONDARY SEXUAL CHARACTERS
8-9 Growth
of bony pelvis and nipples.
10-11 Growth of breasts and pubic hair.
11-12 Growth of internal and external
genitalia.
12 to 13 pigmentation of nipples and
breast augmentation.
13 to 14 hair under the arms, start of
menses (between 9 to 16 years).
15 to 16 Acne, change in tone of voice.
16 to 17 arrest of skeletal growth.
