Case Presentation: Delayed Puberty
Journal Title: Open Access Journal of Reproductive System and Sexual Disorders - Year 2018, Vol 1, Issue 5
Abstract
Delayed puberty is extremely common condition in both boys and girls. Delayed puberty is defined clinically as the absence of the first signs of physical and hormonal signs of pubertal development beyond the normal range for the population. In the developed world, this means the absence of breast development by age 12 years in girls, or absence of testicular enlargement by age 14 years in boys. However, there are racial and ethnic variations in the timing of puberty, such as earlier onset of puberty in African American girls compared with Caucasian counterparts (Table 1). Puberty may be delayed for several years and still occurs normally, in which case it is considered constitutional delay, a variation of healthy physical development. Delay of puberty may also occur due to undernutrition, chronic illness or systemic disease, or to defects of the reproductive system (hypogonadism) or the body’s responsiveness to sex hormones. Any girl of 13 or boy of 14 years of age without signs of pubertal development falls more than 2.5 SD above the mean and is considered to have delayed puberty. The normal variation in the age at which adolescent changes occur is so wide that puberty cannot be considered to be pathologically delayed until the menarche has failed to occur by the age of 18 or testicular development by the age of 20. A 20 years old student (Afghani; born in UAE), had been referred from RAK (May 2008) to Endocrine Clinic (Diabetes & Endocrine Centre, FGH) for delayed puberty and features of underdevelopment of external genitalia, and diabetes.
Authors and Affiliations
Saadi JS AlJadir
Keywords
Related Articles
- EP ID EP639704
- DOI 10.32474/OAJRSD.2018.01.000121
- Views 87
- Downloads 0
Rupture of Unsacred Uterus in a Primipara (A Case Report)
A 31 years old lady gravid 2 para zero plus one with 39 weeks plus 5 days gestation came to labor and delivery room complaining of lower abdominal pain. She reported that her menstrual cycles were regular bef...
Breast Cancer Awareness
As an Ob & Gyn, member of National Breast Cancer Foundation and a woman I find it very important to raise awareness about the importance of early detection of Breast Cancer. Make a difference! Spread the word about mammo...
(Dis)ordered Spaces? Managing the Competing Rights of Children in the Gendered Space of the School Toilet
Rights are often perceived as unproblematic and normative, perhaps particularly in childhood where rights are primarily positioned as protective and participatory. However, in a landscape where t...
Role of Carbon Mono-Oxide (CO) Signaling During Trophoblast Invasion in Humans
Trophoblast cells originating from the outer tropho ectodermal layer of the blastocyst forms the placenta, a transient organ that is instrumental in supporting pregnancy. The process begins with the interaction between t...
Nonmosaic Klinefelter Syndrome Successful Conception after TESE/ICSI: A case report
Klinefelter syndrome patients are mostly clinically azoospermic, and before the era of TESE, were unable to father genetically their own offspring. Nonmosaic Klinefelter [NMK] patients have chances of fatherhood once spe...