Download Pediatric and Adolescent Obstetrics and Gynecology by Susan M. Coupey, Deborah S. Saunders (auth.), J. Patrick PDF

By Susan M. Coupey, Deborah S. Saunders (auth.), J. Patrick Lavery, Joseph S. Sanfilippo (eds.)

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Clin Endocrinol Metab 39:300-4, 1974. 18. Ross GT: Gonadotropins and preantral follicular maturation in women. Fertil Steril 25:522-43, 1974. 19. Potter G: The ovary in infancy and childhood. In Grady HG, Smith DE (eds): The Ovary. Baltimore, Williams & Wilkins, 1963, pp 11-23. 20. Chin KY: The endocrine glands of anencephalic foetuses: quantitative and morphologic study of 15 cases. Chin Med] 2(Suppl): 6390, 1938. 21. Winter ]DS, Faiman C: Pituitary-gonadal relations in female children and adolescents.

8 Anorexia nervosa often appears at the start of menarche. One prominent rationale in the 29 effort to lose weight is to prevent menstruation and the development of mature body form (see Chapter 12). Adolescent Turmoil-Is It Necessary? " Extreme mood swings were understood to be the "norm" for this time of life. This made it often almost impossible to define what was "normal" in adolescent development and what was psychopathologic. Many of the suppositions about normal behavior in this group had been drawn from studies of adolescents who were in treatment.

3 As these tasks are continuing, adolescence sometimes seems to just fade off into young adulthood. Female Adolescence-Special Considerations The onset of menarche is a definite landmark in the maturational process of the female adolescent. The timing of this phase appears very important in terms of how rough the road through adolescence will be. Those girls who begin menstruating either much earlier or much later than their peers are under extreme stress. As noted earlier, identification with the peer group is important, and girls who are out of step with the group show an increase in anxiety.

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