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Determination of Reproductive Competence by Confirming Pubertal Onset and Performing a Fertility Assay in Mice and Rats
Published on: October 13, 2018
Puberty after prenatal growth restraint
1University of Barcelona, Spain. libanez@hsjdbcn.org
Insights
Children born small for gestational age (SGA) experience altered pubertal development. Boys may have hormonal imbalances and smaller testes, while girls show earlier puberty and reduced ovulation, potentially treatable with insulin sensitization.
Area of Science:
- Pediatric Endocrinology
- Reproductive Health
- Developmental Biology
Background:
- Prenatal growth significantly influences pubertal development.
- Children born small for gestational age (SGA) may face long-term health consequences.
- Understanding pubertal trajectories in SGA populations is crucial for timely interventions.
Purpose of the Study:
- To review pubertal characteristics in children born small for gestational age (SGA).
- To explore potential mechanisms linking SGA to altered pubertal timing.
- To discuss therapeutic approaches for managing pubertal deviations in SGA individuals.
Main Methods:
- Review of existing literature on pubertal development in SGA populations.
- Analysis of hormonal profiles (FSH, inhibin B) in adolescent SGA boys.
- Assessment of pubertal onset, menarche timing, and ovulation rates in SGA girls.
Main Results:
- SGA boys exhibit elevated FSH, low inhibin B, and reduced testicular volume during adolescence.
- SGA girls experience advanced pubertal onset and menarche (5-10 months earlier).
- Reduced ovulation rates in SGA girls were improved with insulin-sensitizing therapy.
Conclusions:
- Prenatal growth restriction impacts pubertal development in both sexes.
- Insulin resistance is implicated as a mechanism for early menarche in SGA girls.
- Insulin sensitization offers a potential strategy to prevent early menarche and growth arrest in SGA girls.
Abstract:
There is increasing evidence for a link between prenatal growth and pubertal development. Here we highlight a selection of pubertal characteristics in children who were born small for gestational age (SGA). Boys born SGA are at risk of high levels of follicle-stimulating hormone (FSH) and low levels of inhibin B and a small testicular volume during adolescence. In girls born SGA, the age at pubertal onset and the age at menarche are advanced by about 5-10 months; prenatal growth restraint may also be associated with higher FSH levels and smaller internal genitalia in adolescence. The ovulation rate was found to be reduced in adolescent girls born SGA, and an insulin-sensitizing therapy was capable of raising this low ovulation rate. Menarche is definitely advanced in girls born SGA with precocious pubarche and in those with an early-normal onset of puberty. Current evidence suggests that insulin resistance is a key mechanism linking a post-SGA state to early menarche; hence, insulin sensitization may become a valid approach to prevent early menarche and early growth arrest in girls born SGA.
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