Pubertal Delay was found in Select 5-Minute Pediatrics Topics which helps you diagnose, treat, and follow up on over 900 medical conditions seen in everyday practice.
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Description
- Pubertal delay is the absence of secondary sexual characteristics by an age >2–2.5 standard deviations (SD) of the population mean. In the US, this is considered to be ~13 years of age for girls and 14 years of age for boys.
- Pubertal delay may also occur if progression through puberty stalls or takes longer than 2.5 SD from the mean time of the population.
- ~2.5% of healthy teens will meet criteria for pubertal delay.
- Most cases of pubertal delay can be ascribed to constitutional delay of growth and maturity (CDGM); however, missing the presentation of an underlying disease should be avoided.
- CDGM:
- Likely an extreme normal variant of pubertal development
- Children usually grow at or near the 5% for most of childhood, enter puberty late, and usually reach normal adult height.
- More common in boys than in girls
- Strong familial component
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