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medical contents search April 11, 2005
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Constitutional delayed puberty

more about Constitutional delayed puberty


Constitutional growth delay, physiologic delay of puberty



  • 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.

  • Expressed as a lack of common signs of puberty
  • More than half of all cases have other family members with the same tendency.

  • 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

  • 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

  • History of drug use (steroids)
  • 90% of cases are just a variation of normal.

  • Most patients with this condition do not require medication.
  • Sometimes, hormone therapy is used.

  • 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.

  • 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.

  • 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.




more about Constitutional delayed puberty


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