Late Puberty





   What is late puberty?

   Late puberty is when a child’s body hasn't started to show any signs of changing to become an adult by a certain age. It is considered "late" if it starts after age 12 in girls and age 14 in boys.


   Should I be worried if it is late?

  Late puberty doesn’t necessarily indicate that your child has a medical problem. Those are some other possibilities:
  • The child may be growing more slowly than others. This may be normal.
  • Late puberty runs in that child's family. One of the parents may have had late puberty. This is especially the case for boys.
  • Some children may start puberty late because of a medical problem. Therefore, we recommend you to have your child checked by a pediatrician if she/he has late puberty.


   What could be the medical problems that cause     late puberty?

   Some children may start puberty late because of a medical problem. The possibilities are:
  • A problem in the brain, ovaries, or testicles.
  •  A long-term illness of other organs or systems.
  • To eat less than enough and being too thin, or to exercise more than normal. This is especially the case for girls.
  • Genetic conditions that babies can be born with.


   How is late puberty treated?  Or "should it be treated"?

   Treatment depends on the cause of the late puberty and the child’s age. If it is related to a medical condition that has treatment, it will be treated. Those treatments might include medicines or surgery. 
    If your child exercises too much or he/she is underweight, your doctor's advice about how to get to a healthy weight and a lifestyle change will be helpful.


   How can I do my best to help my child?

   Some children who go through puberty at an older age can have a hard time fitting in because of comparing their bodies with other children their age. They may even have some physchological problems because they look younger or shorter than others. You can point out your child’s strengths (such as school performance, voice, or success in football, etc.) instead of focusing on his/her body changes. This would help her/him feel good about herself/himself in this difficult process.