Puberty, Delayed

Alternate Name:

Test:

S.testosterone (both sexes), S.oestrogen (fe-male), S.LH, S.FSH, S.chorionic gonadotrophin (female), chromosomal analysis, X-ray wrists (bone age study), CT hypothalamus, ultrasound pelvis (female). See Pathology for interpretation

Sign:

Failure of menstruation or development of sec-ondary sexual characteristics

Dd:

Hypogonadism, hypothyroidism, Klinefelter'ssyn., Turner's syn., Noonan's syn., orchitis, drug abuse, Prader-Willi syn. (see also Symptoms)

Phys:

May be due to familial factors, malnourishment, chronic illness and vigorous physical activity (girls only). Careful physical examination essential