Clinical challenge: When is delayed puberty more than a “late bloomer”?

Delayed puberty is a common reason for adolescents seeking consultation; most have constitutional delay of puberty (CDP) and will initiate puberty spontaneously although later than their peers. However, some individuals will not initiate or progress through puberty (i.e., congenital hypogonadotropic...

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Bibliographic Details
Published in:Journal of pediatric nursing 2024-01, Vol.74, p.135-137
Main Author: Dwyer, Andrew A.
Format: Article
Language:English
Subjects:
Humans
Puberty
Puberty, Delayed - diagnosis
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Summary:Delayed puberty is a common reason for adolescents seeking consultation; most have constitutional delay of puberty (CDP) and will initiate puberty spontaneously although later than their peers. However, some individuals will not initiate or progress through puberty (i.e., congenital hypogonadotropic hypogonadism [CHH]). Differentiating CDP from CHH is diagnostically challenging. This article provides a high-level overview of this clinical challenge, underscores the importance of clinical ‘red flags’ facilitating diagnosis, and highlights a holistic, comprehensive approach to care.
ISSN:0882-5963
1532-8449
1532-8449
DOI:10.1016/j.pedn.2023.12.005