Delayed sexual development

Delayed sexual development

Delayed sexual development

Delayed sexual development

 

 

The delay in sexual development is the absence of puberty at the expected time. Delayed sexual development may be constitutional, which often occurs in adolescents with a family history of late sexual development. The growth rate before puberty is normal, but the maturation of the skeleton and the adolescent growth jump are delayed; puberty comes late, but passes normally. Other causes include Turner's syndrome in girls, Kleinfelterau's syndrome in boys, CNS pathology, certain chronic diseases and excessive physical activity, especially in girls.

 

In boys, a delay in sexual development is diagnosed if by the age of 14 years there is no increase in testicles if by the age of 14 years pubic hair does not appear or more than 5 years pass from the moment of genital organ growth until its termination. In girls, sexual developmental delay is diagnosed,if by the age of 13 years there are no signs of the development of the mammary glands, if by the age of 14 there is no pubic hair, if more than 5 years elapse from the onset of the development of the mammary glands until menarche or if menstruation is not noted at the age of 16 Low growth may indicate a delay in sexual development in both boys and girls. Despite the fact that it seems as if puberty begins in many children even earlier than in previous years, there is no indication to change the diagnostic criteria for delayed sexual development.

 

The constitutional delay in sexual development is more common in boys. Girls with a serious delay in puberty should be examined to rule out primary amenorrhea. If boys do not show any signs of puberty or bone age less than 11–12 years old at the age of 15 years, these patients can be prescribed a 4–8-month course of testosterone epantate 50 mg intramuscularly 1 time per month. These low doses cause puberty with some degree of virilization and do not endanger the growth potential.



Related News


Osteogenesis imperfecta
Topiary with cones
How to choose a kitchen for the apartment and cottage - useful tips
Some secrets of repair
How to clean the microwave from heavy pollution