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An Approach to the Patient With Delayed Puberty
Jennifer Harrington1,2, Mark R Palmert3,4
1Division of Endocrinology, Women's and Children's Health Network, North Adelaide, 5006, Australia.
The Journal of Clinical Endocrinology and Metabolism
|January 31, 2022
Summary
This review offers a practical guide for evaluating and managing delayed puberty in children and adolescents. It addresses common scenarios, diagnostic challenges, and management strategies for optimal growth and pubertal development.
Area of Science:
- Pediatric Endocrinology
- Adolescent Medicine
Background:
- Delayed puberty is a common concern in pediatric endocrinology, often presenting in males with concerns about stature.
- Family history of delayed puberty is frequently observed in affected individuals.
Observation:
- Evaluation typically involves assessing growth, pubertal status, and considering familial patterns.
- Specific challenges arise in differentiating diagnoses in females, at later pubertal ages, and in younger adolescents.
Findings:
- The review synthesizes current literature to provide evidence-based approaches to diagnosis and management.
- It highlights the need to reconsider diagnostic criteria and age cutoffs in light of evolving pubertal timing.
Implications:
- Provides clinicians with a framework for managing delayed puberty, optimizing patient outcomes.
- Suggests potential adjustments to diagnostic guidelines for delayed puberty to better reflect current population trends.
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