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JILL E. Patient information : See related handout on early and delayed puberty. Disorders of puberty can profoundly impact physical and psychosocial well-being. Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome neurologic symptoms typically have a benign pattern of development and should be monitored in the appropriate clinical context. Among patients with true precocious puberty, or full activation of the hypothalamic-pituitary-gonadal axis, most girls have an idiopathic etiology, whereas it is commonly due to identifiable pathology on imaging in boys.
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Disorders of Puberty: An Approach to Diagnosis and Management

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Skip to main content Skip to table of contents. Advertisement Hide. This service is more advanced with JavaScript available. Puberty Physiology and Abnormalities.
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Current male-to-female MtF sex-reassignment-surgery techniques have not been fully successful to achieve the ideal objectives. The ordeal of multiple procedures, associated complications, and suboptimal results leads to high rate of dissatisfaction. Corrective SRS using rectosigmoid constituted cases and is not a part of this study. Maximum follow-up was 7 years average 34 months. Seventy-eight
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The vulva plural: vulvas or vulvae; derived from Latin for wrapper or covering consists of the external female sex organs. The vulva includes the mons pubis or mons veneris , labia majora , labia minora , clitoris , vestibular bulbs , vulval vestibule , urinary meatus , the vaginal opening , hymen , and Bartholin's and Skene's vestibular glands. The urinary meatus is also included as it opens into the vulval vestibule. Other features of the vulva include the pudendal cleft, sebaceous glands , the urogenital triangle anterior part of the perineum , and pubic hair.
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