Norton Children’s Gynecology, affiliated with the UofL School of Medicine, is the only practice in Louisville, Southern Indiana and Kentucky dedicated to pediatric gynecological care. Our board-certified physicians treat delayed puberty with the sensitivity that children, teens and parents need.
Puberty is considered delayed when physical signs do not appear by age 13 for girls and age 14 for boys.
Delayed puberty can be hereditary, meaning the late onset of puberty may run in families. Other potential causes include:
- Chromosomal abnormalities
- Genetic disorders
- Chronic illnesses
- Pituitary gland or hypothalamus tumors
In girls, symptoms of delayed puberty include:
- Lack of breast development by age 13
- More than four years between initial breast growth and first period
- Failure to menstruate by age 14
Delayed Puberty Diagnosis and Treatment
In addition to a medical history and physical exam, diagnosis of delayed puberty may include blood tests to measure hormone levels and other possible abnormalities, and X-rays to determine bone maturity.
Treatment of delayed puberty depends on the cause. If the delayed puberty is hereditary, treatment may not be necessary. If there’s an underlying cause that can be treated, puberty often proceeds normally. In some cases, treatment may involve hormone therapy.
When Hannah R. Fischer, M.D., neonatologist with Norton Children’s Neonatology, affiliated with the UofL School of Medicine, was doing her pediatric residency, it was in the neonatal intensive care unit (NICU) where she found her […]Read Full Story
Warm temperatures in Louisville and Southern Indiana bring severe weather and a jump in allergens like pollen. For some, that may mean a risk of “thunderstorm asthma.” Thunderstorm asthma occurs when strong winds and rain […]Read Full Story
Kentucky’s child abuse rate outranks rest of country for third year in row; Indiana leads nation in deaths
For the third year in a row, Kentucky has the highest child abuse rate in the country. The U.S. Department of Health & Human Services Children’s Bureau “Child Maltreatment 2019” report — released this year […]Read Full Story