Sexual Adjustments in Puberty HYPOTHALAMUS releases gonadotropin-releasing factor-stimulator (GnRf) ANTERIOR PITUITARY release: Follicle-stimulating

Hormone (FSH) Lutenizing Hormone (LH)

<FEMALES> ADRENAL CORTEX & OVARIES

<MALES> ADRENAL CORTEX & TESTES

Estrogen >Development of <MALES> uterus, fallopian tubes and vagina >typical fat distribution >hair patterns >breast development >end of growth

Testosterone >enlargement of the labia majora and clitoris >formation of pubic and axillary hair due

Testosterone >development of the testes, scrotum, penis, seminal vesicles, >appearance of axiallry, pubic, and facial hair >laryngeal development with voice change >maturation of spermatozoa >closure of growth in long bones

FEMALES -usual sequence of pubertal changes: 1. Growth spurt 2. Increase in transverse diameter of the pelvis 3. Breast Development 4. Growth of pubic hair 5. Onset of Menstruation 6. Growth of Axiallary hair 7. Vaginal secretions >Menarche -first menstrual period -occurs at average age of 12.5 years -as early as 9 to as late as age 17 -irregular on the first year of menses -do not become regular until ovulation occurs (usually after 1-2yrs)

Growth of testes 3. Tan . Increase in weight 2. Penile growth 6. RN.PNP Prepared by: Group 2 Lopez. axillary. Growth of face. Voice changes 5. Spermatogenesis >Spermatogenesis -continues from puberty throughout the male s lifespan Source: Maternal and Child Health Nursing 4th edition. Adele Pilliteri.PhD. Tagapulot. Soriano.>adrenarche -development of pubic and axillary hair >thelarche -beginning of breast development MALES -usual order of pubertal developments: 1. and pubic hair 4. Increase in height 7.

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