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Table 2 Diagnostic values of basal LH, Estradiol, Testosterone, stimulated LH and the ratio of LH/FSH for Puberty

From: A single sample GnRHa stimulation test in the diagnosis of precocious puberty

Predictors of puberty

Sensitivity

Specificity

PPV

NPV

Basal LH > 0.1 mIU/ml (M)

100%

100%

100%

100%

Basal LH > 0.1 mIU/ml (F)

67%

100%

100%

63%

Basal Estradiol ≥ 1.5 ng/dL

50%

94%

94%

52%

Basal Testosterone ≥ 10 ng/dL

100%

100%

100%

100%

LH at 1 h ≥ 5 mIU/ml

73%

100%

100%

80%

LH at 3 h ≥ 5 mIU/ml

83%

97%

98%

74%

LH at 3 h ≥ 3 mIU/ml

92%

75%

88%

82%

LH at 3 h ≥ 7 mIU/ml

80%

100%

100%

71%

Basal LH/FSH >1 (M)

100%

100%

100%

100%

Basal LH/FSH >1 (F)

10%

100%

100%

39%

LH/FSH at 1 h >1(M)

100%

100%

100%

100%

LH/FSH at 1 h >1(F)

50%

100%

100%

53%

LH/FSH at 3 h >1(M)

100%

100%

100%

100%

LH/FSH at 3 h >1(F)

45%

100%

100%

51%

LH at 1 h ≥ 5 mIU/ml and basal LH/FSH >1

61%

100%

100%

56%

LH at 3 h ≥ 5 mIU/ml and basal LH/FSH >1

16%

100%

100%

38%

LH at 3 h ≥ 5 mIU/ml and LH/FSH at 1 h >1

59%

100%

100%

56%

  1. M – Male, F- Female; PPV – Positive predictive value; NPV – Negative predictive value.