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Constitutional delayed puberty
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Constitutional growth
delay,
physiologic delay of puberty
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- The change in the physical appearance of the child is delayed, as he or she becomes a teenager and then an adult. The development of breasts, muscles, and the development of body hair and sex organs may be delayed.
- The normal body changes occur several years later than normal.
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- Expressed as a lack of common signs of puberty
- More than half of all cases have other family members with the same tendency.
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- This can just be a variation of normal. Not every person matures in physical appearance at the identical age as his or her classmates.
- Persistence of low level gonadotropin
of childhood
- Genetic factors, or the condition may be a family tendency
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- Low level of gonadotropin
- Measurement of the amount of growth hormone or other hormones, in the blood.
- Evaluation of chromosomes of the individual
- Physical examination of the individual, including examining the genitals and breasts
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- History of drug use (steroids)
- 90% of cases are just a variation of normal.
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- Most patients with this condition do not require medication.
- Sometimes, hormone therapy is used.
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- The complications usually are psychological, namely, emotional upset.
- There may be impaired social interaction with peers and others, since the patient may look different than peers.
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- Consultation with your physician is needed. In unusual cases, a physician might refer the patient to a specialist (endocrinologist) who, in certain circumstances, more detailed knowledge about body hormones.
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- Thyroid disease
- Chronic disease (longstanding disease) of any sort can delay puberty
- Severely underweight people can have delayed puberty, especially if the person never achieves a weight greater than 90 pounds.
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