from Section 1 - Physiology of Reproduction
Published online by Cambridge University Press: 05 March 2021
Puberty is a process in which a child’s body matures into an adult body capable of sexual reproduction and involves physiologic, somatic, and constitutional changes associated with further development of the internal and external genitalia and secondary sex characteristics. On average, girls begin the process at the age of 10–11 and end puberty at around 15–17, while boys begin at around the ages of 11–12 and end at around 16–17. Puberty which starts earlier than average is known as precocious puberty and puberty which starts later than usual is known as delayed puberty. The onset of puberty is the consequence of a complex sequence of maturation in the central nervous system (CNS) that is not fully understood. A critical body mass is required before the CNS begins to activate puberty [1]. Two autonomous but associated processes, controlled by different mechanisms, but strictly linked temporally, are involved in the amplified secretion of sex steroids in the peripubertal and pubertal period.
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