open access

Vol 90, No 11 (2019)
REVIEW PAPERS Gynecology
Published online: 2019-11-28
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Application of auxological methods, including dental age estimation, in the assessment of delayed puberty in girls in gynecological practice

Magdalena Durda-Masny, Grazyna Jarzabek-Bielecka, Justyna Opydo-Szymaczek, Agnieszka Przystanska, Malgorzata Mizgier, Witold Kedzia
DOI: 10.5603/GP.2019.0113
·
Pubmed: 31802468
·
Ginekol Pol 2019;90(11):662-666.

open access

Vol 90, No 11 (2019)
REVIEW PAPERS Gynecology
Published online: 2019-11-28

Abstract

Developmental gynecology uses methods practiced in auxology — the science of human ontogenetic development. An important and jointly used concept in gynecology and auxology is the concept of developmental age, which, unlike calendar age, is a measure of the biological maturity of the organism, indicating the stage of advancement in the development of certain features or body systems. Developmental age assessment methods include: a) morphological (somatic) age — body height and weight, b) secondary sex characteristics — breast in girls, genitalia (penis and testes) in boys, and pubic hair in both sexes, c) bone age — hand and wrist x-ray, and d) dental age. An important marker of developmental age is also age at menarche, treated as a late indicator of puberty in girls. All of these methods are useful in the context of assessing regularity and disorders of puberty, such as delayed puberty. The paper discusses developmental age assessment methods that can be used to diagnose delayed puberty as well as the causes of delayed puberty in girls. It should be emphasized that in assessing the process of physical development of a given individual, the cooperation of specialists in the field of developmental gynecology, pediatrics, auxology, dentistry, endocrinology, and dietetics would be the most desirable.

Abstract

Developmental gynecology uses methods practiced in auxology — the science of human ontogenetic development. An important and jointly used concept in gynecology and auxology is the concept of developmental age, which, unlike calendar age, is a measure of the biological maturity of the organism, indicating the stage of advancement in the development of certain features or body systems. Developmental age assessment methods include: a) morphological (somatic) age — body height and weight, b) secondary sex characteristics — breast in girls, genitalia (penis and testes) in boys, and pubic hair in both sexes, c) bone age — hand and wrist x-ray, and d) dental age. An important marker of developmental age is also age at menarche, treated as a late indicator of puberty in girls. All of these methods are useful in the context of assessing regularity and disorders of puberty, such as delayed puberty. The paper discusses developmental age assessment methods that can be used to diagnose delayed puberty as well as the causes of delayed puberty in girls. It should be emphasized that in assessing the process of physical development of a given individual, the cooperation of specialists in the field of developmental gynecology, pediatrics, auxology, dentistry, endocrinology, and dietetics would be the most desirable.

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Keywords

developmental age; delayed puberty; girls

About this article
Title

Application of auxological methods, including dental age estimation, in the assessment of delayed puberty in girls in gynecological practice

Journal

Ginekologia Polska

Issue

Vol 90, No 11 (2019)

Pages

662-666

Published online

2019-11-28

DOI

10.5603/GP.2019.0113

Pubmed

31802468

Bibliographic record

Ginekol Pol 2019;90(11):662-666.

Keywords

developmental age
delayed puberty
girls

Authors

Magdalena Durda-Masny
Grazyna Jarzabek-Bielecka
Justyna Opydo-Szymaczek
Agnieszka Przystanska
Malgorzata Mizgier
Witold Kedzia

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