|Embryology - 18 Jul 2018 Expand to Translate|
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- 1 Introduction
- 2 Some Recent Findings
- 3 Puberty
- 4 Precocious Puberty
- 5 Delayed Puberty
- 6 Kisspeptin
- 7 Gonadotropin Releasing Hormone (GnRH)
- 8 Female Postnatal Ovary Growth
- 9 Male Postnatal Testis Growth
- 10 Animal Puberty
- 11 References
- 12 Reading
- 13 External Links
- 14 Glossary Links
These notes cover normal Postnatal Development during the puberty period which occurs mainly in the early teenage years. Triggers to puberty include neuroendocrine changes in hypothalamic expression of kisspeptin which is suggested in turn to change gonadotropin releasing hormone (GnRH) levels. (More? Kisspeptin | Gonadotropin Releasing Hormone | Endocrine Notes - Hypothalamus)
Male and female sexual differentiation giving the complete sexual phenotype involves two main phases.
- Primary, is the formation of an ovary or a testis from the bipotential gonad in the embryo.
- Secondary, is the development of the female and male phenotypes in response to hormones secreted by the ovaries and testes which occurs in the teen years during adolescence. This is initiated by the renewed expression of gonadotropin releasing hormone (GnRH) which is minimal in childhood.
Of general interest would be the timing differences between girls and boys when puberty commences (girls before boys). Early onset of puberty (precocious) occurs more frequently in girls than boys, in contrast late onset (delayed) occurs more frquently in boys than girls.
There are a number of clinical puberty indicators; for males testicular volume increase (>4cc) corresponding to onset of spermatogenesis, for females menstruation and secondary sex characteristics of breast development (measured by the Tanner stages).
Some Recent Findings
|More recent papers|
This table shows an automated computer PubMed search using the listed sub-heading term.
References listed on the rest of the content page and the associated discussion page (listed under the publication year sub-headings) do include some editorial selection based upon both relevance and availability.
Pedro L Mercado, Daniel H Liberto, Julia Udaquiola, Patricio Cieri, Roberto L Vagni, Pablo Lobos, Juan M Moldes Larribasa [Fetal ascites as clinical presentation of inferior vena cava agenesis]. [Ascitis fetal como forma de presentación de agenesia de la vena cava inferior.] Arch Argent Pediatr: 2018, 116(4);e621-e625 PubMed 30016044
Mirjana Kocova, Liljana Milenkova Old syndrome-new approach: Mauriac syndrome treated with continuous insulin delivery. SAGE Open Med Case Rep: 2018, 6;2050313X18785510 PubMed 30013788
Nima Pourhabibi Zarandi, Guillermo Galdon, Stanley Kogan, Anthony Atala, Hooman Sadri-Ardekani Cryostorage of immature and mature human testis tissue to preserve spermatogonial stem cells (SSCs): a systematic review of current experiences toward clinical applications. Stem Cells Cloning: 2018, 11;23-38 PubMed 30013372
Kento Morozumi, Keiko Ainoya, Jun Takemoto, Kiyohide Sakai Newly Identified t(2;17)(p15;q24.2) Chromosomal Translocation Is Associated with Dysgenetic Gonads and Multiple Somatic Anomalies. Tohoku J. Exp. Med.: 2018, 245(3);187-191 PubMed 30012910
Susanna Esposito, Marta Cofini, Donato Rigante, Alberto Leonardi, Laura Lucchetti, Clelia Cipolla, Lucia Lanciotti, Laura Penta Inhibin B in healthy and cryptorchid boys. Ital J Pediatr: 2018, 44(1);81 PubMed 30012176
Can occur over a broad range of time and differently for each sex: girls (age 7 to 13) boys (age 9 to 15).
The physical characteristics that can be generally measured are: genital stage, pubic hair, axillary hair, menarche, breast, voice change and facial hair.
The physiological process is initiated by the hypothalmus releasing gonadotropin releasing hormone (GnRH) which signals the pituitary to release luteinizing hormone (LH) and follicle-stimulating hormone (FSH) which in turn signals throughout the body sexual development.
(tanner scale) An anatomical staging system for measuring male/female sexual development at puberty. Stages were based upon genital and secondary sex characteristic development and named after James M. Tanner who, along with W.A. Marshall, published the stages for both girls (1969 ) and boys (1970 ). It is not a system for determining age.
|Tanner Stage||Genitals (male)||Breasts (female)||Pubic hair (male and female)|
|prepubertal (testis volume < 1.5 ml
small penis (3 cm or less)
(age 9 and younger)
|no glandular tissue
areola follows the skin contours of the chest (prepubertal)
(age 10 and younger)
|no pubic hair at all (prepubertal state)|
(age 10 and younger)
|testis volume 1.6 to 6 ml
skin on scrotum thins, reddens and enlarges
penis length unchanged
|breast bud forms
with small area of surrounding glandular tissue
areola begins to widen
|small amount of long, downy hair with slight pigmentation at the base of the penis and scrotum (males) or on the labia majora (females)|
|testis volume 6 to 12 ml
scrotum enlarges further
penis begins to lengthen to about 6 cm
|breast begins to become more elevated
and extends beyond the borders of the areola, which continues to widen but remains in contour with surrounding breast
|hair becomes more coarse and curly|
begins to extend laterally
|testis volume 12 to 20 ml
scrotum enlarges further and darkens
penis increases in length to 10 cm and circumference
|increased breast size and elevation
areola and papilla form a secondary mound projecting from the contour of the surrounding breast
|adult–like hair quality|
extending across pubis but sparing medial thighs
||testis volume > 20 ml
adult scrotum and penis of 15 cm in length
|breast reaches final adult size
areola returns to contour of the surrounding breast
with a projecting central papilla
|hair extends to medial surface of the thighs|
|Links: Puberty Development | Genital System Development | Female | Male|
|Note that while typical ages are shown in brackets within the table, this is not a system for determining age.|
|Based upon W.A. Marshall and J.M. Tanner, published stages for girls (1969 ) and boys (1970).|
- Links: Endocrinology - Puberty | Endocrinology - Endocrine changes in puberty | Endocrinology - Gonad | Clinical Methods - The Adolescent Patient | Clinical Methods - Staging Criteria for Secondary Sexual Development | NICHD - Puberty | UCSF - Male Development |
Premature development of the signs of puberty which can occur in both girls (before age 7 or 8) and in boys (before age 9).
- Links: Endocrinology - Precocious sexual development | NICHD - Precocious Puberty | Nemours Foundation - Precocious Puberty | MedlinePlus - Obesity May Trigger Earlier Puberty for Girls | Time Magazine - Teens Before Their Time |
Determined in boys by a lack of increase in testicular volume by the age of 14 years. In girls, no breast development by the age of 13.5 years and a lack of menstruation by the age of 16 years. There can also be a "pubertal arrest" where there is no progress in puberty over 2 year period.
- Links: Endocrinology - Delayed puberty | Endocrinology - Definitions and causes of delayed puberty | Nemours Foundation - Delayed Puberty
While the hypothalamic expression of gonadotropin releasing hormone (GnRH) is a known puberty trigger, it was not known what initiated the GnRH secretion. Recent research suggests that an earlier signal could come from increased neuronal and hypothalamic expression of a peptide family (kisspeptins) and their receptor (G protein-coupled receptor GPR54) in the hypothalamus. A single gene (Kiss1) encodes these 145 amino acid kisspeptins and it was originally identified as a human metastasis suppressor gene (suppresses melanomas and breast carcinomas without affecting tumorigenicity).
Two hypothalamic nuclei, the arcuate nucleus and anteroventral periventricular nucleus (AVPV), are thought to contain the kisspeptin secreting neurons.
The anteroventral periventricular nucleus differs in males and females (sexually dimorphic). The arcuate nucleus (and medial preoptic area, MPOA) is linked into the olfactory system, through the vomeronasal organ, perhaps in relation to the influence of pheromones on sexual behavior and neuroendocrine function (in mice).
The original discovery of the peptide was made by scientists located in Hershey, PA, USA and named the gene "Kiss1" after the "Hershey chocolate kiss".
Gonadotropin Releasing Hormone (GnRH)
Neurons in the hypothalamic arcuate nucleus (and other nuclei) synthesise this hormone along with gonadotrophin associated peptide (GAP), which are both released and transported by hypophyseal portal capillaries to the anterior pituitary and bound by a membrane receptor.
GnRH increases during early puberty, followed by an increased pituitary responsiveness, then increasing sex steroid levels and then increased nocternal Luteinizing hormone (LH) secretion.
- Links: Endocrinology - GnRH and the control of gonadotrophin synthesis and secretion | Endocrinology - Synthesis of GnRH and its actions on pituitary gonadotrophs |
Female Postnatal Ovary Growth
In females at puberty, surges in lutenizing hormone (LH) stimulate the resumption of meiosis in oocytes arrested in the first meiosis (prophase 1 diplotene stage) from fetal life through postnatal childhood. This and other changes results in overall ovarian growth.
Human ovary postnatal volume growth
Male Postnatal Testis Growth
Male puberty testicular volume graph
Testicular volume increase at puberty can be measured by: including orchidometry, rulers, calipers, and ultrasonography. There is also an earlier empirical formula developed by Lambert used to estimate testicular volume.
A recent publication has developed a technique using a centimeter ruler with results similar to ultrasound. Equivalent to the ellipsoid equations, to calculate testicular volumes with corrections of the width (W), length (L), and height (H) of the testis obtained in the scrotum to avoid the inclusion of the scrotal skin and epididymis.
- Ellipsoid equation W2 x L x π/6
|Phase||Rat||Dog (beagle)||Primate (monkey)|
|Neonatal||Birth to postnatal Day 7||Birth–3 weeks||Birth to 3–4 months|
|Infantile||Postnatal Days 8–21||3–5 weeks||Up to 29 months|
|Juvenile/prepubertal||Postnatal Days 22–37||5 weeks–6 months||Up to 43 months|
|Pubertal||Postnatal Days 37–38||6–8 months||27–30 months|
- Puberty timing associated with diabetes, cardiovascular disease and also diverse health outcomes in men and women: the UK Biobank study Scientific Reports 5, Article number: 11208 doi:10.1038/srep11208
- Sarah-Jayne Blakemore, Stephanie Burnett, Ronald E Dahl The role of puberty in the developing adolescent brain. Hum Brain Mapp: 2010, 31(6);926-33 PubMed 20496383
W A Marshall, J M Tanner Variations in pattern of pubertal changes in girls. Arch. Dis. Child.: 1969, 44(235);291-303 PubMed 5785179
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W A Marshall, J M Tanner Variations in the pattern of pubertal changes in boys. Arch. Dis. Child.: 1970, 45(239);13-23 PubMed 5440182
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- Stephanie B Seminara Mechanisms of Disease: the first kiss-a crucial role for kisspeptin-1 and its receptor, G-protein-coupled receptor 54, in puberty and reproduction. Nat Clin Pract Endocrinol Metab: 2006, 2(6);328-34 PubMed 16932310
- Heather M Dungan, Donald K Clifton, Robert A Steiner Minireview: kisspeptin neurons as central processors in the regulation of gonadotropin-releasing hormone secretion. Endocrinology: 2006, 147(3);1154-8 PubMed 16373418
- V V Khadilkar, A V Khadilkar, A S Kinare, H S Tapasvi, S S Deshpande, G B Maskati Ovarian and uterine ultrasonography in healthy girls between birth to 18 years. Indian Pediatr: 2006, 43(7);625-30 PubMed 16891683
- Juan F Sotos, Naomi J Tokar Testicular volumes revisited: A proposal for a simple clinical method that can closely match the volumes obtained by ultrasound and its clinical application. Int J Pediatr Endocrinol: 2012, 2012(1);17 PubMed 22682237 | Int J Pediatr Endocrinol.
- B LAMBERT The frequency of mumps and of mumps orchitis and the consequences for sexuality and fertility. Acta Genet Stat Med: 1951, 2(Suppl. 1);1-166 PubMed 15444009
- Juan F Sotos, Naomi J Tokar Testicular volumes revisited: A proposal for a simple clinical method that can closely match the volumes obtained by ultrasound and its clinical application. Int J Pediatr Endocrinol: 2012, 2012(1);17 PubMed 22682237
- David A Beckman, Maureen Feuston Landmarks in the development of the female reproductive system. Birth Defects Res. B Dev. Reprod. Toxicol.: 2003, 68(2);137-43 PubMed 12866705
Most embryology textbooks (by definition) do not cover postnatal developmenty in any detail. The links below are to useful scientific external online resources.
- PHYSICAL DEVELOPMENT, GROWTH, MATURATION, AND AGEING
- Patterns of Human Growth (PDF document)
- Causes and Mechanisms of Linear Growth Retardation
The links below are to general public external text resources (this listing is for information purposes only and is not intended as an endorsement of a commercial product).
- Ready, Set, Grow!: A What's Happening to My Body? Book for Younger Girls, by Lynda Madaras and Linda Davick
- What's Happening to My Body? Book for Boys: The New Growing-Up Guide for Parents and Sons, Third Edition by Lynda Madaras, Area Madaras, Dane Saavedra, and Simon Sullivan
- Sex, Puberty, and All That Stuff: A Guide to Growing Up, by Jacqui Bailey and Jan McCafferty
Andrew Muir Precocious puberty. Pediatr Rev: 2006, 27(10);373-81 PubMed 17012487
M R Palmert, P A Boepple Variation in the timing of puberty: clinical spectrum and genetic investigation. J. Clin. Endocrinol. Metab.: 2001, 86(6);2364-8 PubMed 11397824
Heather M Dungan, Donald K Clifton, Robert A Steiner Minireview: kisspeptin neurons as central processors in the regulation of gonadotropin-releasing hormone secretion. Endocrinology: 2006, 147(3);1154-8 PubMed 16373418
Indraneel Banerjee, Julie A Trueman, Catherine M Hall, David A Price, Leena Patel, Andrew J Whatmore, Joel N Hirschhorn, Andrew P Read, Mark R Palmert, Peter E Clayton Phenotypic variation in constitutional delay of growth and puberty: relationship to specific leptin and leptin receptor gene polymorphisms. Eur. J. Endocrinol.: 2006, 155(1);121-6 PubMed 16793957
- puberty development - All (9053) Review (1407) Free Full Text (1747)
- puberty - All (26880) Review (3582) Free Full Text (4312)
- early puberty - All (4190) Review (676) Free Full Text (821)
External Links Notice - The dynamic nature of the internet may mean that some of these listed links may no longer function. If the link no longer works search the web with the link text or name. Links to any external commercial sites are provided for information purposes only and should never be considered an endorsement. UNSW Embryology is provided as an educational resource with no clinical information or commercial affiliation.
- National Institute of Child Health and Human Development Puberty | Precocious Puberty
- American Academy of Family Physicians Puberty: What to Expect When Your Child Goes through Puberty
- Nemours Foundation Precocious Puberty | Delayed Puberty |
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Cite this page: Hill, M.A. (2018, July 18) Embryology Puberty Development. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Puberty_Development
- © Dr Mark Hill 2018, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G