Adolescence is a period of transition from childhood to adulthood. important physical and psychological changes occur in children in this process. Overall growth in the chest at the first sign of puberty in girls, while boys are starting to grow in the testicles. Later hair growth and other symptoms occur.

Adolescence begins with the effect of hormones secreted by the pituitary gland and sex hormones (estrogen in girls, testosterone in males) result of the increase in the level, it provides a generic physical properties emerge.

Adolescence height growth will accelerate in this period and the end stops for closing epiphyseal growth. Signs of puberty in girls 8-13 years of age (mean age 11-11.5), while males 9-14 years (mean age 11.5-12) between starts.

Signs of puberty in girls 8 years, while the boys are to appear before the 9-year-old “Early puberty” is called. This situation usually occurs due to become operational before the time of puberty hormones.

While in some cases there is a serious underlying problem that could cause it may be only a portion of the pituitary timing error. Whatever the cause of early puberty is a condition that affects children both the spiritual and physical development. Sometimes it is the normal age of puberty onset may be very rapid progress.

In both cases, the growth of bone age by moving quickly to stop early and lead to short stature. These children are the underlying cause of both below, and should be evaluated in terms of treatment without loss of time.

Prof. Dr. Abdullah Bereket