Effects of Childhood Leukemia and Chemotherapy on Puberty and Reproductive Function in Girls

Abstract
Longer survival in childhood leukemia prompted this study of pubertal development and reproductive function in 35 girls and women. Twenty-eight patients (80 per cent) had normal pubertal progression during a median of 74 months after diagnosis of leukemia and 49 months of chemotherapy. Seven patients were abnormal: four exhibited hypothalamic-pituitary dysfunction with suppression of circulating serum gonadotropins (20 mIU per milliliter).

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