Pubertal development and problem behaviours in Indian adolescents

Kanwar, Palak

doi:10.1080/02673843.2020.1739089

Cited by 5 publications

(2 citation statements)

References 67 publications

(68 reference statements)

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“…Delayed puberty (DP) is observed in 5% of adolescents and can impair health and psychosocial outcomes [1][2][3]. One review quoted that approximately 3% of children may have variations in normal puberty [4].…”

Section: Introductionmentioning

confidence: 99%

Clinical Spectrum and Causes of Delayed Puberty Among Patients Presenting to the Endocrine Clinic at Jinnah Postgraduate Medical Centre

Fatima¹,

Ahsan²,

Rehman³

et al. 2022

Cureus

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Introduction: It has been observed that 5% of adolescents are affected by pubertal timing disorders. However, there is limited data about this in Pakistan. This cross-sectional study aimed to observe the patterns and causes of delayed puberty (DP) among patients presenting at the endocrine clinic of a tertiary care hospital in Karachi.Methods: This observational study was conducted at the endocrine clinic of Jinnah Postgraduate Medical Centre (JPMC) Unit II from 2007 to 2015. A detailed history was obtained from patients presenting with DP. We noted the available demographic data, main complaints, and family history of DP. Physical examinations were performed and the data recorded. Tanner staging was used to assess pubertal development. Relevant laboratory and imaging investigations were performed; data analysis was performed using SPSS 17 (IBM Corp., Armonk, NY).Results: A total of 2670 patients were registered in the endocrine clinic during the study period, of which 171 presented with DP; 119 were males and 52 were females. There was a wide variation in age at presentation ranging from 10 to 32 years. The majority of patients presented with short stature -69 (57.98%) males and 19 (36.53%) females. Small testes were present in 28 patients (23.52%); 19 (15.96%) males presented with absent secondary sexual characteristics and infertility was present in three (2.54%) males, primary amenorrhea was observed in 25 (48.07%), both primary amenorrhea and short stature were the presenting symptoms of five (9.61%), and failure of breast development was seen in three (5.76%) females. Constitutional delayed growth and puberty (CDGP) was diagnosed in 42 patients (24.6%). The definitive diagnosis of idiopathic hypogonadotropic hypogonadism (IHH) was made in 18 (10.5%) patients. In another 18 (10.5%) patients, we could not differentiate between CDGP and IHH. Functional hypogonadotropic hypogonadism (FHH) due to non-endocrine illness was present in 16 patients (9.4%). The cause of DP was hypogonadotropic hypogonadism in 33 (19.3%) patients whereas 44 patients presenting with DP could not be classified due to incomplete data.Conclusion: This study showed that CDGP was the most common cause of DP in our patients with the most common presentation being short stature in males and amenorrhea in females. It is essential to differentiate CDGP in children from a small fraction of the pathological and treatable causes of DP.

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Section: Introductionmentioning

confidence: 99%

Clinical Spectrum and Causes of Delayed Puberty Among Patients Presenting to the Endocrine Clinic at Jinnah Postgraduate Medical Centre

Fatima¹,

Ahsan²,

Rehman³

et al. 2022

Cureus

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“…Adolescents who go through puberty will experience many physical and psychological changes very quickly [1]. The physical changes of puberty have an important meaning for the psychological and social functioning of adolescents and between factors are interrelated [2]. The interrelatedness of several aspects of adolescence makes adolescence also have the risk of various disorders that can carry a high burden of disease throughout life.…”

Section: Introductionmentioning

confidence: 99%

Informational and instrumental support related to menstruation: adolescents’ perspective

Kurniawati

Rahmawati

Safitri

et al. 2022

IJPHS

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<div align="center">Adolescent girls can experience puberty and menstruation in their school environment, especially when they decide to study in a boarding school for girls. The study aimed to describe the adolescent perception of informational and instrumental support related to menstruation. The descriptive study was conducted at a single institution-boarding school for girls in East Java, Indonesia. There were 236 students in junior high school were asked to fill out a questionnaire. Absenteeism due to menstruation was experienced by 35 students with 1-2 days of absence. In terms of informational support, more than 50% of students received information related to menstruation from their teachers. The school did not provide materials on menstrual hygiene on the toilet walls. In terms of instrumental support, most adolescents reported that clean water was available but soap for washing hands was not always available. Closed trash cans and access to a sanitary pad are available. According to most of the adolescents, the latrines in their school were easy to clean, but there were still around 10% who stated that the latrines were difficult to clean. Schools need to evaluate and improve support for students who are menstruating at school. Teachers' knowledge of reproductive health is a major concern.</div>

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Adolescent Health and Well-Being: Issues, Challenges, and Current Status in India

Babu

Fatima

2022

Handbook of Health and Well-Being

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Pubertal development and problem behaviours in Indian adolescents

Cited by 5 publications

References 67 publications

Clinical Spectrum and Causes of Delayed Puberty Among Patients Presenting to the Endocrine Clinic at Jinnah Postgraduate Medical Centre

Clinical Spectrum and Causes of Delayed Puberty Among Patients Presenting to the Endocrine Clinic at Jinnah Postgraduate Medical Centre

Informational and instrumental support related to menstruation: adolescents’ perspective

Adolescent Health and Well-Being: Issues, Challenges, and Current Status in India

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