Puberty Disorders

Overview

Puberty is the phase when children attain sexual maturity. Disorders of puberty — either too early or too late — can affect final height, emotional wellbeing, and long-term health.

Conditions Treated

• Precocious (Early) Puberty
• Delayed Puberty
• Isolated Premature Thelarche (early breast development)
• Isolated Premature Pubarche (early pubic hair)

Our Approach to Treatment

1. 1Physical examination and pubertal staging (Tanner scale)
2. 2Bone age X-ray
3. 3LH, FSH, estradiol or testosterone levels
4. 4GnRH stimulation test for central precocious puberty
5. 5GnRH analogue injections to halt early puberty
6. 6Testosterone or estrogen therapy for delayed puberty