Every kid is different and some just start sexual development later than others. But in some cases, there is a medical cause for the delay that requires treatment. In girls, we think about delayed puberty if there is no breast development by age 13, no menstrual periods by age 15 or if periods do not start within 3 years of starting after breast development. In boys, we think about delayed puberty if there is no growth of the testicles by age 14, though usually pubic hair develops around the same time.
Testicular growth tends to be best recognized by a PCP, and so regular checkups are important. Boys may also fail to have the expected growth spurt or voice change. Puberty is usually a question of when , not if. Most cases of delayed puberty are not an actual health problem. Puberty will eventually happen in these children and overall development is normal.
No special treatment is needed, other than monitoring. This triggers many changes, physical and emotional, that a child goes through during puberty.
In some cases, the body does not produce these pubertal hormones, which spur growth. In such situations, treatment to restore the balance of hormones in the body may be recommended. Your endocrinologist or primary care physician may recommend injections of male testosterone to kick start puberty in boys.
However, this should only be done after proper investigations and physical examination of the boy. In the case of girls, pelvis ultrasound to see the uterus, ovary etc. Do not be in a hurry to start hormonal treatment.
There is no treatment for constitutional delay of puberty. Unless and until there is a pathological condition, it is best to wait for natural onset of puberty. The only way to deal with the issue is to accept the fact and focus on maintaining optimal health to hit puberty soon. Have patience and let the body grow at its own pace. Most of the teens panic as all their friends begin having the symptoms of puberty. When the child does not hit the puberty for the more than 18 to 20 months after he reaches the designated age, he needs to visit a pediatric endocrinologist.
Here a few tips to go through puberty fast, and naturally. For your child to hit puberty around the same time as his friends, he has to eat healthy and nutritious food. Give him protein and healthy fats. Let him not consume anything in excess — maintain a balanced diet. Give him vegetables, lean meats, fruits, dairy, and legumes. Sports has a very important role to play in physical and mental development of the child. Late puberty may discourage children from actively participating in sports.
But if your child wants to hit puberty, let him know that one of the best ways to stay healthy and fit is to have an active physical life.
Encourage your child to participate in sports without any apprehensions. The more active they are, the fitter their bodies become and the sooner they can hit puberty. Delayed puberty is normal in some children.
In fact, getting worked up about late puberty will only affect his health, leading to loss of appetite and further delay in reaching the next stage. So try to focus on the bright side — he will have an extended childhood.
He will have the rest of his life to be an adult, but his childhood is lost forever once he attains puberty.
If your child has difficulty sleeping at night, it could be the reason for delayed puberty. A natural way to increase secretion of growth hormone and hit puberty fast is to sleep.
Research has proved that proper sleep increases secretion of growth hormones in young adults 3. Reviewed by: Tal Grunwald, MD. Larger text size Large text size Regular text size. What Is Delayed Puberty? What Are the Signs of Puberty? If you're a girl, you'll notice that: your breasts develop your pubic hair grows you have a growth spurt you get your period menstruation your body gets curvier with wider hips If you're a guy, you'll notice that: you start growing pubic and facial hair you have a growth spurt your testicles and penis get larger your body shape changes — your shoulders will widen and your body will become more muscular These changes are caused by the sex hormones — testosterone in guys and estrogen in girls — that your body is making in much larger amounts than before.
What Happens in Delayed Puberty? Signs of delayed puberty in guys include: the penis and testicles not starting to grow larger by age 14 genital growth that takes longer than 5 years short stature compared with their peers, who now are growing faster In girls, signs include: no breast development by age 14 not starting to menstruate within 5 years of when breasts start to grow or by age 16 What Causes Delayed Puberty?
Puberty can be delayed for several reasons. Family History Most often, it's simply a pattern of growth and development in a family. Medical Problems Medical problems also can cause delays in puberty.
Some people with chronic illnesses like diabetes , cystic fibrosis , kidney disease , or even asthma may go through puberty at an older age. That's because their illnesses can make it harder for their bodies to grow and develop.
Proper treatment and better control of these conditions can help make delayed puberty less likely. A person who's malnourished — without enough food to eat or without good nutrients — may also develop later than peers who eat a healthy, balanced diet. For example, teens with the eating disorder anorexia nervosa often lose so much weight that their bodies can't develop properly.
Girls who are extremely active in sports may be late developers because their level of exercise keeps them so lean. Girls' bodies need enough fat before they can go through puberty or get their periods. Delayed puberty can also happen because of problems in the pituitary or thyroid glands. These glands make hormones important for body growth and development.
For example: Turner syndrome happens when one of a female's two X chromosomes is abnormal or missing. This causes problems with how a girl grows and with the development of her ovaries and production of sex hormones. Women who have untreated Turner syndrome are shorter than normal, may not go through puberty in the usual way, and may have other medical problems.
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