Delayed Puberty
Delayed puberty refers to a lack of pubertal development by an age when most children show signs. Most cases are 'constitutional delay' (just running late) but other causes need evaluation.
Table of Contents
When to Evaluate
- Girls — no breast development by age 13, or no period by 15
- Boys — no testicular enlargement by age 14
Causes
- Constitutional delay (familial; most common)
- Hypothalamic/pituitary problems
- Turner syndrome (girls), Klinefelter syndrome (boys)
- Chronic illness or malnutrition
- Eating disorders
- Excessive exercise (especially in girls)
- Hypothyroidism
Treatment
Cause-specific. Reassurance for constitutional delay; hormone therapy for permanent deficiencies. Refer to pediatric endocrinology.
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- Pediatric Endocrine Society. Puberty Resources.