Delayed puberty is when a child’s physical development is delayed beyond the typical age. Puberty should begin by 13 years in girls and 14 years in boys. When puberty hasn’t started by these ages, it’s considered delayed puberty, and further evaluation is necessary.
Common Causes
Delayed puberty can result from various conditions, including:
Constitutional Delay: Sometimes, puberty starts later due to family history, with no underlying medical issue.
Chronic Health Conditions: Conditions like celiac disease, inflammatory bowel disease, or malnutrition can delay puberty.
Hypergonadotropic Hypogonadism: Gonadal failure due to genetic conditions like Turner's syndrome (girls) or Klinefelter’s syndrome (boys), or acquired causes such as chemotherapy or infections.
Gonadotrophin Deficiency: A deficiency in hormones like gonadotropins (LH, FSH) may occur due to Kallmann syndrome or damage to the hypothalamus or pituitary gland from tumors, radiation, or injury.
Signs and Symptoms
The primary sign of delayed puberty is the lack of the typical physical changes associated with puberty. In girls, this may include the absence of breast development or menstruation, while boys may not experience testicular enlargement or voice deepening.
How Is Delayed Puberty Diagnosed?
Diagnosis is done through a thorough evaluation, which may include:
Hormonal Testing: Measuring levels of LH, FSH, estrogen, testosterone, and other hormones.
Karyotyping: A genetic test to look for chromosomal conditions.
Imaging: Ultrasound or MRI to check for issues such as undescended testes in boys or pelvic abnormalities in girls.
Treatment for Delayed Puberty
Treatment varies based on the cause and age of the individual. In many cases, hormone therapy is used to trigger the physical changes of puberty.
In Boys: Testosterone therapy (injections) is commonly used to stimulate puberty, including penis enlargement, voice deepening, and muscle growth.
In Girls: Estrogen therapy begins at a low dose and is gradually increased to encourage breast development and the growth of adult body features. Progesterone is often added when menstruation begins to regulate the cycle.
E-Consultation Form
What We Do at TOTALL for Delayed Puberty
At TOTALL , we specialize in diagnosing and managing delayed puberty. Our experienced team , led by Dr. Sunil M Jain, provides comprehensive care to your needs. From advanced diagnostic testing to treatment plans, we’re here to support your journey toward healthy puberty development.
Our services include:
Detailed diagnostic evaluation
Hormonal therapy management
Ongoing monitoring and support
If you or your child is experiencing signs of delayed puberty, schedule a consultation with us today.
The entire staff here is very good, they treat you well, Doctor sir understands very well and talks frankly. It felt very good here, all the doubts related to diabetes were cleared, Thank you so much everyone.
Earlier I was undergoing some treatment, there was no difference in my condition, when I got total then my sugar got benefited, I am satisfied, thank you total.
Excellent Diabetes Care!I had a great experience at Totall. The doctors and staff were highly knowledgeable, compassionate, and attentive to my needs. They provided a well-structured diabetes management plan, including diet, exercise, and medication guidance.
My experience in totally hospital is very satisfy. doctor is also very knowledgeable and cooperative,&staff of this hospital is very helpful & genuine.thank you totally team.
Under the guidance of Dr. Sunil m Jain I experienced a high standard of care and attention to detail making him an exceptional endocrinology in Indore.
