Diagnosis of Delayed Puberty
The good news is that if there is a problem, doctors usually can help teens with delayed puberty to develop more normally. So if you are worried that you're not developing as you should, you should ask your parents to make an appointment with your doctor.

In addition to doing a physical examination, the doctor will take your medical history by asking you about any concerns and symptoms you have, your past health, your family's health, any medications you're taking, any allergies you may have, and other issues like growth patterns of your family members. He or she will chart your growth to see if your growth pattern points to a problem and also may order blood tests to check for thyroid, pituitary, chromosomal, or other problems. You may also have a "bone age" X-ray, which allows the doctor to see whether your bones are maturing normally.

In many cases, the doctor will be able to reassure you that there's no underlying physical problem; you're just a bit later than average in developing. If the doctor does find a problem, though, he or she might refer you to a pediatric endocrinologist, a doctor who specializes in treating kids and teens who have growth problems, or to another specialist for further tests or treatment.

Some teens who are late developers may have a difficult time waiting for the changes of puberty to finally get going - even after a doctor has reassured them that they are normal. In some cases, doctors may offer teens a short course (usually a few months) of treatment with hormone medications to get the changes of puberty started. Usually, when the treatment is stopped a few months later, the teen's own hormones will take over from there to complete the process of puberty.
Adjuvant Treatment


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