DELAYED PUBERTY

Puberty is said to be delayed when the breast tissue and/or pubic hair have not appeared by 13–14 years or menarche appears as late as 16 years.

Causes of delayed puberty

• Constitutional delay
• Chemical farming -Insecticide,Pesticide,Rodenticide,Weedicide
• Environmental toxin
• Junk food
• Too much exercise
• Severe lack of eating (anorexia)
• Chronic illness
• Malnutrition
• Primary hypothyroidism
• Hypergonadotropic hypogonadism
• Gonadal dysgenesis, 45 xo
• Pure gonadal dysgenesis 46 xx, 46 xy
• Ovarian failure 46 xx
• Hypogonadotropic hypogonadism
• Isolated gonadotropin deficiency (kallmann’s syndrome)
• Intracranial lesions—tumors: craniopharyngioma, pituitary adenomas
• Eugonadism –müllerian agenesis
• Imperforate hymen
• Transverse vaginal septum
• Androgen insensitivity syndrome

DIAGNOSIS

• Blood –CBC,LIVER FUNCTION TEST,RENAL FUNCTION TEST
• HORMONE ANALYSIS-FSH,LH,TESTOSTERON ESTROGEN,PROLACTIN
• ULTRASOUND ABDOMEN
• MRI BRAIN

TREATMENT

HOMEOPATHY MEDICINE.