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Article
January 16, 1943

MANAGEMENT OF MALE PUBESCENCE

Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES

From the Columbia-Presbyterian Medical Center and the Morrisania City Hospital, New York.

JAMA. 1943;121(3):177-182. doi:10.1001/jama.1943.02840030015004
Abstract

The period of pubescence and adolescence in a boy is frequently associated with physical and psychologic problems. Their solution frequently determines the effectiveness and happiness of the adult. It is the obligation of the general practitioner and pediatrician in cooperation with the school authorities, training centers for boys and the family to help solve these problems.1 This requires an understanding of the mechanisms of pubescence and the ability to recognize and manage adequately their normal and abnormal variations.

MECHANISM OF PUBESCENCE  The development of a person includes a prolonged period of latency in genital growth called prepubescence (fig. 1 A to B).2 During this time the testes do not grow but are maintained in this state of latency through the action of subthreshold amounts of hypophysial gonadotropic hormones.3 During the second decade of life the anterior hypophysis through increased secretion in the quantity of gonadotropic hormones stimulates

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