Having understood the classification of these syndromes, it becomes apparent that most of the conditions are rare and constitutional delay without doubt is the most common diagnosis. However, as the rest of the diagnoses have serious implications this diagnosis of constitutional delay should only be made when all other syndromes have been excluded. It is important to record a full history and examination including most importantly the development of secondary sexual characteristics and height. Secondary sexual characteristics should be classified according to the staging system of Tanner. Individuals can then be classified according to their secondary sexual characteristics.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.