ENDOCRINE CHANGES BEFORE AND AFTER THE MENARCHE

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Abstract
In an endocrine survey of healthy girls aged 8 to 20 years before and after the menarche the serum TSH was measured by radioimmunoassay along with some parameters of thyroid function which are described separately. The subjects were grouped according to the skeletal age (SA) until the menarche and after this in the post-menarcheal age (PMA) expressed in years. The TSH value was highest in the youngest age group and from then on decreased. However, within 0.5 years after the menarche another significantly elevated TSH peak occurred. There was no significant difference between the means for TSH before (5.4 μU/ml) and after the menarche (5.7 μU/ml). Both values, however, as well as the means for almost all the individual age groups, were significantly higher than the mean for 13 boys aged 12 to 16 years (3.9 μU/ml) and that for normal adults (3.6 μU/ml). When the girls were grouped according to the stage of puberty, the TSH peak at the time of menarche disappeared. When they were grouped according to SA, a gradual declining trend was seen from age 8 to 16 years. It is concluded that the maturation process in girls in some way involves a significant elevation of serum TSH and an increase in the total and free T4 level which is not dependent on binding proteins.

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