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February 27, 1967

Adolescent Gynecology

JAMA. 1967;199(9):677. doi:10.1001/jama.1967.03120090119042

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The reader who picks up this little book with the expectation of finding 11 well-written papers delivered at a symposium on adolescent girls and their problems will be well pleased. He will be disappointed, however, if he expects to find a comprehensive and practical approach to the diagnosis and treatment of gynecological disorders in adolescents.

The symposium began with three esoteric dissertations on the reproductive endocrinology of adolescence, the biochemistry of steroids and hormones, and the identification of the sex hormones. The conclusions that the adolescent attains the peak of her reproductive efficiency in a gradual manner, that it takes a decade to go from childhood to maturity, that there may be some kind of aberration in the hypothalamic regulation of the gonadotropins that secondarily produces polycystic ovaries, and that we may well distrust the figures provided by clinical endocrine laboratories, are supported by a mass of scientific evidence. This