Assessment of Sexual Maturation Among Girls With Special Needs in Tehran, Iran|
Mirzaee, Hosein Shabani; Mosallanejad, Asieh; Rabbani, Ali; Setoodeh, Aria; Abbasi, Farzaneh; Sayarifard, Fatemeh & Memari, Amir Hosein
Background: There is limited data on sexual maturation among girls with intellectual, sensory, or physical disabilities.
Objectives: The present cross-sectional study wasconducted to assess the sexual maturation of girls with these disabilities in special
Methods: In this cross-sectional study, we evaluated the onset and progression of sexual maturation in 642 six to 18-year-old girls
with intellectual, sensory, or physical disabilities from special schools in Tehran. The participants were selected by multi-stage random
sampling. Pubertal stages were assessed by visual inspection and palpation based on the rating scales of Tanner. Stage two
(breast budding and pubic hair growth) and stage five were considered the onset and end of puberty, respectively.
Results: The mean ages of onset of puberty indicated by breast budding (B2 stage) and by pubic hair growth (P2 stage) were 10.8 ±
1.48 and 10.79 ± 1.64 years, respectively. The process of puberty based on breast budding and pubic hair growth was completed at
15.58 ± 1.85 and 15.59 ± 1.8 years, respectively. The average height at the onset of puberty (stage B2) among participants was 128 ±
28.79 cm and the average weight was 8.31 ± 36.47 kg.
Conclusions: Among our patients, the mean ages of onset of puberty indicated by breast budding (B2 stage) and by pubic hair
growth (P2 stage) were 10.8 ± 1.48 and 10.79 ± 1.64 years, respectively. Compared to the data from healthy Iranian girls, our findings
indicate that the mean age of pubertal onset among schoolgirls with disabilities is slightly higher than that of their healthy
Sexual Maturation; Girls; Neurodevelopmental Disability; Iran