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Delayed Puberty In Boys

Puberty is the time of life when a child’s body matures into an adult’s body .
What is Delayed Puberty?
Delayed puberty is when a teen goes through these body 
changes later than the usual age range. 
For boys, it means no enlargement of the testicles by age 14 .



26yr - male without Secondary Sexual characters like mustache or male body habitus

 due to Pituitary Dysgenesis 
What causes Delayed Puberty?
Some teens are “late bloomers”  ( Constitutional Delay in Growth & Puberty  )
who just happen to start puberty  later than most children their age.
Being a late bloomer is the  most common cause of delayed puberty. It’s not caused by 
a medical problem and usually doesn’t need treatment. Late 
bloomers will eventually start puberty on their own and catch up 
to their friends.
Other Causes  of Delayed Puberty
Genetic problems such as Klinefelter syndrome in boys.
Problems with the testicles, which make sex  hormones.
Malnutrition (not getting proper nourishment) due to an 
               eating disorder such as Anorexia .
Problems with the pituitary or thyroid glands, which make 
             hormones that help children grow and develop.
Evaluation of Delayed Puberty
Initial evaluation involves detailed history,physical examination with thorough assessment of external and internal genitalia.
Since bone maturation is a good indicator of overall physical maturation, an x-ray of the hand to assess bone age usually reveals whether the child has reached a stage of physical maturation at which puberty should be occurring. 
The most valuable blood tests are the Gonadotropins, because elevation confirms immediately a defect of the gonads or deficiency of the Sex Steroids. In many instances, screening tests such as a complete blood count, general chemistry screens, Thyroid tests, and urinalysis may be worthwhile.
More expensive and complicated tests, such as a Karyotype or Magnetic Resonance Imaging of the head, are usually obtained  when specific evidence suggests they may be useful.
Use of gonadotropin releasing hormone can be of value. 




AED is the first Endocrine research and treatment center in Kukatpally, Hyderabad.
Run by a fully qualified endocrinologist available round the clock, AED provides both
inpatient and outpatient services at a reasonable cost..

• Drug and Dosage Standardization Done for Insulin,Diabetic Drugs, Thyroxine, HRT, HTN, Cholesterol.
• 24 hr Blood glucose monitoring with CGMS and Insulin Delivery with insulin pump.
• Specialty Care- PCOD, Obesity, Hypertension, Gynecomastia, Thyroid/Adrenal and Pitutary Tumors.
• Lab Back-Up for all Hormone assays recognised by NABL and CAP.
• All Varieties of Diabetic and Hormonal Medicines available


Ground Floor,

Challa Estate,

H.No. 301, Adjacent to Vignesh Temple,

Rd. No. 3, KPHB Colony Phase 1,

Hyderabad 500072.

Ph: 04040101539




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