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Genetic potential: Constitutionally delayed puberty is a variation of normal occurring more in boys than girls. Although expected to reach genetic potential, final height may still be compromised to a small degree within that range because there seems to be a faster transition to pubertal growth spurt once puberty starts, curtailing the duration of pubertal spine growth. ...Read moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
Needs evaluation: The underlying cause (s) should be sought first, e.g. Chromosome abnormality. ...Read more
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