Abstract
Puberty is a series of biological events that lead to sexual maturity. The first event is the initiation of pulsatile GnRH secretion from the hypothalamus. Physiological variability and multiple factors influence onset of puberty: ethnic, genetic, nutritional and environmental factors. We observe a secular trends of puberty in industrialized countries, but menarche is stabilized at 12 ½ years in these countries since 30 to 40 years
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Cartault, A., Edouard, T., Pienkowski, C. (2016). Current Findings in Epidemiology. In: Bouvattier, C., Pienkowski, C. (eds) Early Puberty. Springer, Paris. https://doi.org/10.1007/978-2-8178-0543-6_1
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DOI: https://doi.org/10.1007/978-2-8178-0543-6_1
Publisher Name: Springer, Paris
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