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When a child's gender is not clear at birth, the child has atypical genitalia ambiguous genitalia. This means that the genitals don't seem to be clearly male or female. You have 46 chromosomes in each cell of your body. These are grouped into 23 pairs. The 23rd pair determines your gender. Females have two X chromosomes, and males have one X and one Y chromosome.
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Delayed puberty in girls: MedlinePlus Medical Encyclopedia

NCBI Bookshelf. Endotext [Internet]. Mamie McLean , M. Puberty is the period of growth that bridges childhood to adulthood and results in physical and sexual maturity as well as the capacity for reproduction.
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Delayed puberty in girls

Delayed puberty is defined as absence of the start of sexual maturation at the expected time. Sometimes, delayed puberty is caused by chronic medical problems, hormonal disorders, radiation therapy or chemotherapy, disordered eating or excessive exercise, genetic disorders, tumors, and certain infections. Typical symptoms include a lack of testicular enlargement in boys and a lack of breasts and menstrual periods in girls. The diagnosis is based on the results of a physical examination, various laboratory tests, a bone age x-ray, and, if needed, genetic testing and magnetic resonance imaging.
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Q: I am 20 and my body has not yet developed into that of a woman. I consider my body to be around stage two or three on the Tanner scale, which measures the stages of puberty. Why has my body not developed? A: Puberty is a process leading to physical and sexual maturation, along with the development of secondary sexual characteristics. In girls, puberty involves breast and pubic hair development, changes in body composition and psychosocial maturation.
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