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Paris-Saclay University, Paris, France
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failure and infertility. Mini-puberty is a period of neonatal life which corresponds to an early and transient activation of the gonadotropic axis. Several studies have shown that this period is crucial for the early proliferation of Leydig and Sertoli
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this, many patients with DSD are not diagnosed during the narrow time interval of minipuberty previously studied ( 1 ). Moreover, while minipuberty is a period of pituitary–gonadal activation, reproductive hormones are still quantifiable, particularly
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had a 45,X karyotype was in the streak gonad ( 13 ). The emphasis here will be on fertility and how one might predict that at various epochs within an individual’s lifespan: fetal, ‘mini’-puberty, childhood, puberty, adulthood, and aging (summarized
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Endocrine Research Group, Institute of Genetic Medicine, University of Newcastle-upon-Tyne, Newcastle upon Tyne, UK
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identifiable at baseline evaluation due to the presence of one or more red flags (e.g. congenital non-reproductive defects, particularly anosmia; history of testicular maldescent or neonatal micropenis, indicating likely absent minipuberty) ( 3 ), with the
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postnatal life in healthy subjects; high activity is observed in minipuberty ( 4 ), followed by a quiescent period during childhood until pubertal onset following which marked changes in serum concentrations of reproductive hormones are observed until the
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levels during early childhood are unremarkable, with preservation of minipuberty ( 13 ) but inhibin B levels wane from 10 years onwards ( 7 , 8 , 9 ). Testosterone levels are low during and after puberty, and basal FSH is elevated in some but not all
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activated during mini-puberty ( 1 ) right after birth and until approximately 3–6 months of age. However, when puberty is about to start, the HPG-axis is reactivated by activation of the so-called KNDy neurons (Kiss, NKB and Dyn positive neurons) ( 2
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assessed during expected minipuberty/puberty or after hCG test if assessed during childhood) and AMH, a subcategory of DGD was attributed. Among this subgroup, there were (i) five patients with testicular regression syndrome (TRS), as despite lack of
Department of Pediatrics, Federal University of Uberlandia (UFU), Uberlandia, Minas Gerais, Brazil
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stimulation test in childhood (total testosterone higher than 1.5 ng/mL ( 15 , 21 )) or hormonal assessment done during mini-puberty (total testosterone higher than 1.5 ng/mL). The sample included 5 cases of PAIS, 4 cases of 5AR2D and 10 cases of idiopathic
Faculty of Medicine, Department of Physiology, University of Helsinki, Helsinki, Finland
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. Society for Endocrinology UK guidance on the evaluation of suspected disorders of sexual development: emphasising the opportunity to predict adolescent pubertal-failure through a neonatal diagnosis of absent mini-puberty. Clinical Endocrinology 2016