Doctor insights on:
Anorexia Delayed Puberty
If you develop anorexia before puberty (causing delayed puberty), after recovery, will your breasts ever reach their full potential size?
Puberty is the normal condition in which a humans physically change from child to a teenage pre-adult who is able to reproduce (become fertile, able to have children). Pubertal development is divided into 5 stages by appearance (Tanner stages). Adolescence is time when puberty occurs, and includes ...Read more
Had anorexia ages 17-24. Had A-cup breasts until mid 30's. Now 41 with C-cup. Same weight for 15 years. Delayed puberty completion? Don't understand..
I was anorexic for a few years and it seems to have delayed puberty for me. I'm now 16 and got my first period a year ago but haven't seen breast dev.
Breast development: Breast development also is dependent on estrogen and progesterone. Typically one sees breast budding as the first sign of puberty, and the period as the last sign. Breasts will continue to develop. But not all women develop large breasts. Some women have little or no development. If you are concerned please see your gynecologist. ...Read more
Many reasons: Delayed pubertal development can be caused by many things. A child can merely be a late bloomer, he or she can have an underlying chronic illness that delays pubertal development, there can be a defect in production of pubertal hormones or a resistance to these hormones or there can be an underlying genetic disorder that is associated with pubertal delay. This is not a comprehensive list however. ...Read more
Different causes: The most common is normal variation of puberty. There is usually a family history of late blooming in this case. Other causes of delayed puberty include radiation, chemotherapy, problems with the pituitary gland development or structural problems in the brain part that controls the pituitary gland or in the pituitary gland itself. The best thing is to see a pediatric endocrinologist. ...Read more
Rx delayed puberty: If a girl hasn't started breast development by 12-13 yo, a full endocrine work up is necessary first. Generally, estrogen would be started if necessary to induce puberty. Boys after age 14 yo may be eligible for testosterone induction of puberty following a full endocrine evaluation for a boy who is still prepubertal by age 14. ...Read more
Healthy: In adolescents gradual increases in resistance weight is encouraged. Do more reps than a lot of weight. If you're in puberty take it easy, limit straining and stay away from supplements. The dangers from weight training are accidents with equipment and use of inappropriate supplements. The training itself is beneficial. See http://pediatrics.Aappublications. Org/content/121/4/835.Full. ...Read more
Delayed puberty: Most cases are because kids can be "late bloomers." no breast development by 12-13 in girls or no testicular enlargement by 14 in boys is diagnostic. Other conditions can cause this, but are less common. Many patients in this situation might be referred to a pediatric endocrinologist. ...Read more
It depends: Girls 13 + or boys 14+ who do not yet have breast or testicular enlargement have delayed puberty. Most often these kids are just late bloomers. Treatment depends on factors like, underlying illness, underweight, family history, psychosocial issues for the child given the delay. If we need to jump start the process, girls receive small doses of estrogen and boys get tesosterone for a limited time. ...Read more
Needs evaluation: The underlying cause (s) should be sought first, e.g. Chromosome abnormality. ...Read more
Depends on age: If you have no signs of puberty by the age of 13 (for girls) or 14 (for boys), you might have delayed puberty and would want to see a physician to discuss. Otherwise, people start developing at different times, and though that can be frustrating, it's completely normal. If you are having specific symptoms or can let us know your age/gender, it would help be able to answer more specifically. ...Read more
Possibly: The only way to figure that out would be to know if you've completed genital development. And, we often get an x-ray of the left hand to confirm where a patient is with respect to biological development. Hopefully you're just blessed with youthful genes! If so, you'll appreciate it some day when you're much older. ...Read more
Multiple causes: Delayed puberty results from disruption of the hormones regulating periods. Often delayed puberty is familial, with a family history of later periods. Weight loss, low weight or intense exercise causing low body weight can disrupt hormonal balance. Occasionally it can be a genetic issue like turner's syndrome. If the delay is significantly past 12 to 13 y old, then a workup is in order. ...Read more
No: There is no association between the two. ...Read more
Sometimes: If the growing plates of your long bones are still open. ...Read more
Yes: Gymnast due to the strenous excersice do have delayed sexual maturation because your body postpones functions that are not necesary for life sustenance. The same thing happens in women marathon runners. In men this does not apply. ...Read more
Hi, I think I have issue with delayed puberty, or we can say low testoterone so can you please suggest me solution for this. Thanks?
I am 19 on androgel but not working for me due cost, convenience, spreading ect. Are there other effective trt for treating delayed puberty?
Complicated answer: The first thing is to make sure you have a correct diagnosis. You need to know why you have delayed puberty to know the correct treatment. Typically, we use testosterone replacement for a short time to induce puberty. The longer you remain on it, the less likely your own system will work normally. Testosterone can be given by injection instead of gel, but this can be worse if not done correctly. ...Read more
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