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Original Articles

Delayed female sexual maturation

How to approach differential diagnosis

Pages 239-260 | Published online: 16 May 2016
 

Preview

Delayed sexual maturation in adolescent girls can be a complex and confusing diagnostic problem unless the physician has a precise plan for separating patients into identifiable groups and then using a specific sequence of tests to establish a definitive diagnosis. This article presents such a plan and details the steps in arriving at a diagnosis. Although the complexity of the subject has been reduced insofar as possible, the interested reader will find the diagnostic flowcharts helpful in following the text.

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