Case Presentation: Delayed Puberty by Saadi JS AlJadir in Open Access Journal of Reproductive System and Sexual Disorders (OAJRSD) in Lupine Publishers
Delayed puberty is extremely common condition in both boys and girls.
Delayed puberty is defined clinically as the absence of
the first signs of physical and hormonal signs of pubertal development
beyond the normal range for the population. In the developed
world, this means the absence of breast development by age 12 years in
girls, or absence of testicular enlargement by age 14
years in boys. However, there are racial and ethnic variations in the
timing of puberty, such as earlier onset of puberty in African
American girls compared with Caucasian counterparts (Table 1). Puberty
may be delayed for several years and still occurs normally,
in which case it is considered constitutional delay, a variation of
healthy physical development. Delay of puberty may also occur
due to undernutrition, chronic illness or systemic disease, or to
defects of the reproductive system (hypogonadism) or the body’s
responsiveness to sex hormones. Any girl of 13 or boy of 14 years of age
without signs of pubertal development falls more than 2.5
SD above the mean and is considered to have delayed puberty.
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