Puberty is considered to be delayed when the physical signs do not show  by the age of 13 years  for girls and 14 years for boys. This condition can be hereditary or it can be due to chromosomal abnormalities, chronic diseases or tumor that damages  the pituitary glands  or the hypothalamus which affects  maturation.

What are the symptoms of delayed puberty ?

Lacking signs of puberty is the main indicator. Symptoms may be common, however each child may experience it differently. Symptoms include the following :

• GIRLS
  • Lack of any breast development by age 13
  • Failure to menstruate by age 14
  • More than 4 years between initial breast growth and first menstrual period
• BOYS 
  • Lack of pubic hairs by age 15
  • Lack of testicular enlargement by age 14
  • More than 4 years  to complete adult genital development

The doctor will be able to diagnose delayed puberty through blood tests, X-rays, CAT scan and MRI.

What is the treatment for delayed puberty ?

Treatment option will be determined by your child’s doctor based on the following :

• Your child’s age, overall health and medical history .
• Extend of the condition .
• Your child’s tolerance of specific medications, procedure or therapies.
• Expectations for the course of the condition.
• Your opinion or preference

Treatment for delayed puberty depends on the problem. Treating the underlying condition usually results in puberty proceeding normally.  If it is due to hereditary, no treatment is required. Treatment, in some cases  may involve hormone therapy to stimulate the development of secondary sexual characteristics, or surgery to correct an anatomical problem.