Delayed puberty most often has no known cause. In some cases, it may run in families. In other cases, it may be caused by any of these:
A child is at risk for delayed puberty if he or she has any of these:
The symptoms are a lack of secondary sexual characteristics.
Common signs in girls can include:
Common signs in boys can include:
The signs of delayed puberty can be like other health conditions. Make sure your child sees his or her healthcare provider for a diagnosis.
In addition to a complete health history and physical exam, diagnosis of delayed puberty may include:
Your child's healthcare provider will consider his or her age, overall health, and other factors when advising treatment.
Treatment for delayed puberty depends on the cause of the problem. In many cases, when the cause is treated, puberty proceeds normally. If the delayed puberty is inherited, no treatment is usually needed. In some cases, treatment may be done with hormone therapy. This helps to cause secondary sexual characteristics to occur. In other cases, surgery may be done to correct a physical problem.