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	INTRODUCTION
	NORMAL PUBERTY FOR GIRLS A BASIS FOR THE DEFINITION OF ABNORMAL PUBERTY
	Onset of Normal Pubertal Landmarks
	Determinants of Normal Pubertal Growth
	Hormonal Determinants of Growth
	Definition of Abnormal Puberty
	PRECOCIOUS PUBERTY
	Overview
	Central Precocious Puberty
	Contemporary Issues for Management of CPP
	Incomplete, Isosexual, or Gonadotropic Independent Preococious Puberty (GIPP)
	Iatrogenic sexual precocity
	Premature Thelarche
	Premature Menarche
	Contrasexual precocity
	Virilizing precocious puberty in girls and isolated precocious adrenarche
	DELAYED PUBERTY
	An Overview of Delays within the H-P-O Circuit
	Numerical and physical clues to the disorders presenting with delays in pubertal development: organizing the approach to the patient
	DISORDERS IDENTIFIED IN PATIENTS WITH EITHER DELAYED PUBERTY OR MENARCHE
	Hypogonadism
	Hypergonadotropic Hypogonadism
	Turner syndrome
	Normal Chromosomes
	Molecular Findings
	Contemporary Issues for Management
	Hypogonadotropic Hypogonadism
	Constitutional delay
	Acquired Abnormalities
	Congenital Abnormalities
	Molecular Findings
	Contemporary Issues for Management
	Eugonadism
	Anatomic abnormalities
	Molecular Findings
	Contemporary Issues for Management
	Chronic anovulation
	Intersex Disorders
	Molecular Findings
	Contemporary Issues for Management