Delayed Puberty

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.

Signs and Symptoms

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.

Consultation Hours

Mon to Sat: 8:00 AM TO 8:00 PM

Appointment on call

07312443344 / 09302443344 / 7779866670

Appointment on Whatsapp

0930 244 33 44/07779866670

Our Reviews

Dr. Sunil M Jain’s TOTALL Diabetes Hormone Institute,

4.9

Based on 2620 reviews

review us on

rishabh chaturvedi

17:15 23 Apr 25

All in one centre for diabetics and trustworthy too. They consult with the patients so briefly and services are value for money. Everything is undergone through a system of chain and hierarchy. Dr. Sunil M.Jain is a very cool person.

Abhinav Jain

09:52 17 Apr 25

I got the Diabetes check-up for my Mom. Had an amazing experience. Good doctors and the support staff. Overall great experience and would highly recommend.

Urmila Lakhnot

10:13 15 Apr 25

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.

tips institute

07:18 11 Apr 25

Best hospital for diebities and diagnose process is excellent, specially Sunil m jain and mahesh Gupta sir is perfect.. they listen and understand issue and provide treatment as per issues..

Krishna Jain

09:24 02 Apr 25

Excellent treatment, me 15yr se Dr suni m jain se jude he

Kunal Gera

11:41 01 Apr 25

Doctor and staff is very cooperative, and knowledgeable he yaha sab

Ashu Baderiya

10:09 29 Mar 25

Worst Experience ....They are running a shopping Complex of Diabetes .They make paitents feel negative.and make the patients frightened....I will never recommend ....this hospital.Also They dont have the manners to talk to the patients.

pankaj tiwari

11:34 22 Mar 25

Satisfied with treatment staff behaviour is very cooperative specially dr. Swati patidar confirmed and explained nicely

Rakesh Gupta

07:17 08 Mar 25

Accha hospital he

Baba Sahab

06:44 08 Mar 25

Achcha he all

Reena Kumawat

06:26 08 Mar 25

Excellent

Rajendra Jachpure

05:51 08 Mar 25

Excellent, its arrangements are very good, I liked the facilities of your app, it is a good hospital.

Shubhash Patidar

03:50 08 Mar 25

I have been suffering from diabetes since 12 years, but there is no equivalent treatment anywhere. I came here and got benefit from the treatment.

Tejram Gehlot

08:40 07 Mar 25

It's totally a good treatment

jitendra sancheti

05:23 06 Mar 25

Nice

Madhuri Chaudhary

09:21 05 Mar 25

He gave me very bad treatment here in total.

Aantosh Kumar

11:54 03 Mar 25

The best he , 7stat dena chahenge

santosh kanas

10:01 03 Mar 25

Excellent

Narayan Demlanii

09:51 03 Mar 25

We are very happy to be here, Anna feels like he is here.

Jinendra Runwal

09:00 03 Mar 25

Excellent facility

Jinendra Runwal

09:00 03 Mar 25

Satisfied With service of staff and doctors.

manisha vyas

11:42 28 Feb 25

Excellent services,

Sadik Khan

10:47 28 Feb 25

Excellent facilities

Santosh Gupta

10:27 28 Feb 25

Very good he is here in the center

Ajay Gupta

10:25 28 Feb 25

1 no

Ranjeeta TR

09:24 28 Feb 25

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.

Dharmesh Shastri

11:13 27 Feb 25

Excellent 👌👍, with proper guidanceThank you totall

Kosar Fatima

09:15 27 Feb 25

The behavior of the staff or drs here is very good, everyone is very supportive.

Kamal kumar Sahu

08:46 27 Feb 25

I have benefited a lot from the treatment here, everyone likes it here,

Kamal Sahu

08:43 27 Feb 25

Satisfied with me, bad treatment by Dr Sunil M Jain sir.of

Farzana Shaikh

07:22 27 Feb 25

Nice treatment

Abrar Ahmad

07:51 26 Feb 25

Good hospital

Shashibala Sharma

11:03 25 Feb 25

I have been taking treatment from Dr Sunil M Jain since 10yrs, he has given good treatment, the staff is supportive,

Soniy Adwani

10:35 25 Feb 25

I have been living here since 11 years, I have received treatment here thank you totall

binisha Sahijwani

10:27 25 Feb 25

Very nice, I felt very good, I did not feel as if I had come to this center for the first time.

Vishal Kumar

10:15 25 Feb 25

Dr Sunil M Jain sir's treatment is good.

Saddam Khan

10:11 24 Feb 25

The treatment, doctors and staff here are all good. Everyone is cooperative here, thanks totally.

Ramesh Chandra Malviya

09:07 24 Feb 25

This is number 1 treatment

Juhi Goyal

08:41 24 Feb 25

Good staff.

अशोक जाट

08:13 24 Feb 25

Nice treatment

vikashkumar guptajj

11:01 22 Feb 25

Dr. Swati, he supported me very well, or his technique of understanding was very good, we got complete satisfaction.

Rahul Patel

07:51 22 Feb 25

We have been coming here since 2013, the treatment here is good.

Kanhaiya Sharma

08:14 20 Feb 25

Veey good

Sheetal Arya

09:56 19 Feb 25

Everything is good here, drs or staff is very cooperative.

sourabh mehta

07:08 19 Feb 25

I have come to see special Dr Sunil M Jain from Chandigarh, the treatment here has made a difference to me.

Kamal Sharma

06:05 19 Feb 25

I have been taking treatment from Dr Sunil M Jain since 7 years, his treatment is very good.

Dr. Deepak Agrawal

08:41 18 Feb 25

Excellent as always. Staff is very cooperative and supportive- thanks TOTALL

Rishi Rathore

06:55 18 Feb 25

Dr Sunil M jain is the best dr for the diabetes treatment

Ayan Patel

04:39 18 Feb 25

Very good diabetes center

Roshni Khan

09:16 15 Feb 25

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.

Aaliya Khan

08:26 15 Feb 25

Best he sab

jeevansingh jagirdar

11:11 14 Feb 25

Dr Sunil m Jain will be given pure points.

Aarav Antil

10:26 14 Feb 25

Dr Sunil m Jain or staff or now the doctor is helping me, he is providing treatment.

Dev Antil

10:23 14 Feb 25

Treatment or facility is very good

Gambhir Barman

10:15 14 Feb 25

Dr Sunil m Jain sir or his staff is very cooperative, treatment is good here.

Anamika Pandey

10:12 14 Feb 25

Good treatment by Dr Sunil m Jain sir

Ranjeet Jothe

10:18 13 Feb 25

Now he scolded all the Drs or staff.

DIVYANSH KUMRAWAT

10:01 13 Feb 25

Very bad facility or treatment or staff also.

Vinod Chaurasia

10:04 10 Feb 25

happy hu, no problem

Janardan Atulkar

09:24 07 Feb 25

Excellent

Anita Wagh

09:10 07 Feb 25

Satisfied with the treatment here

Rajesh Porwal

08:46 07 Feb 25

Very good he thank you totall

Umesh Nagar

07:50 07 Feb 25

The behavior of all the staff is very good, we are not at the first place to show that we have come for the first time.

Rajkumari Nagori

11:12 06 Feb 25

Staff and drs is very good

Usha swami

09:35 06 Feb 25

Everything is fine

k s panthi

09:35 06 Feb 25

Sab thk he

Parkash Kag

09:00 06 Feb 25

Technology is good, experience is good, Drs are looking at it from the side.

Mo tosif Khan

07:24 06 Feb 25

Very good hospital

Hardiik Khiwansara

07:48 05 Feb 25

Overall Treatment by totally hospital is excellent

Santaram Suryavanshi

11:19 04 Feb 25

I have been suffering a lot since the last 4 years, I have met God here, till now the treatment is going wrong, thank you all.

brajesh garg

10:46 04 Feb 25

Everything is good, good hospital

Ayushi Tripathi

10:39 04 Feb 25

Satisfied with the consultancy and staff.

Radhesyam6 Kumrawat

10:34 04 Feb 25

Everything he did, Dr's or treatment is ok he haha ka

Sourabh Shrivastava

10:19 04 Feb 25

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.

Madhur Patel

10:01 23 Jan 25

It was a knowlegable experience with willing support at every step. A frank conversation always makes a patient feel healthy.

Ashish Ramlani

08:26 22 Jan 25

Nice treatment of diabetes with wonderful facilities and treating doctor sunil M jain is very cooperative and line of treatment is very nice.

Sara Jain

10:17 21 Jan 25

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.

Dayal Prasad Tamoli

10:27 20 Jan 25

Visited today at Totall, on 20th January,2025 for Thyroid check up of wife.Satisfied with courteous and systematic quality services here.

Devendra Chouksey

08:18 20 Jan 25

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.

DELAYED PUBERTY IN MALES & FEMALES

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. 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.

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.

Delayed Puberty

Delayed Puberty

Signs and Symptoms

How Is Delayed Puberty Diagnosed?

Treatment for Delayed Puberty

Signs and Symptoms

How Is Delayed Puberty Diagnosed?

Treatment for Delayed Puberty

E-Consultation Form

What We Do at TOTALL for Delayed Puberty

Consultation Hours

Appointment on call

Appointment on Whatsapp

Our Reviews

DELAYED PUBERTY IN MALES & FEMALES

Contact Info

Quick Info

Working Time

TOTALL Touch App