Amenorrhea. PrimaryAbsence of menses by age 16 with normal secondary sexual characteristicsAbsence of menses by age 14 without secondary sexual developmentSecondaryAbsence of menses for 6 months in a previously menstruating female. Events of Puberty. Thelarche (breast development)Requires estrogenPubarche/adrenarche (pubic hair development)Requires androgensMenarcheRequires:GnRH from the hypothalamusFSH and LH from the pituitaryEstrogen and progesterone from the ovariesNormal outf9459
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