Puberty is delayed when girls show no breast development by age 13, boys show no testicular growth by age 14, or a girl has not had her first period by age 15. Delayed puberty causes short stature, poor bone density, and emotional distress.
The most common cause is constitutional delay (a normal family pattern), but serious conditions — hypogonadism, Turner syndrome, Klinefelter syndrome, thyroid disorders, and pituitary problems — must be excluded.
Dr. Manoj Choudhary evaluates adolescents with a bone age X-ray, chromosomal analysis, and full hormonal panel. When needed, low-dose sex hormone therapy safely induces puberty in a natural, gradual way.
Common Causes
Constitutional delay (most common)
Hypogonadotropic hypogonadism
Turner syndrome (girls — 45,X)
Klinefelter syndrome (boys — XXY)
Hypothyroidism
Malnutrition or excessive exercise
⚠️ When to Seek Help: If your daughter has no periods by age 15, or your son shows no pubic hair or testicular growth by age 14 — consult immediately. Early treatment protects bone health and future fertility.
