PUBERTY

Puberty is the process of biologic & physical development through which sexual reproduction first becomes possible. various physical changes occur during puberty

They are

· Accelerated growth

· Breast development & growth

· Pubic & axillary hair growth

· Menarche -i.e. appearance of 1^st menses

(ovulation usually occurs 1-3years after menarche)

· Most girls get their 1^st menses between 9yrs to 16yrs. mean age is 12.8yrs

If a young girl

1. Does not have menses by age of 14yrs and also secondary sexual characteristics

Or

2. No menses by age of 16yrs despite secondary sex characteristics

Then she would need further investigation. One should then see a gynecologist .