Pubertal Disorder
While young people typically reach puberty between the ages of 9-14, remember that everyone develops at their own rate. However, if you’re concerned that your child has started puberty too early or has delayed development, Michael Wood, MD, and our team at MI PEDS in Livonia, Michigan, can help. Dr. Wood is a double board-certified pediatric endocrinologist with over 25 years of experience in helping young people with hormonal abnormalities.
Puberty Disorder Q & A
What are puberty disorders?
Puberty disorders cause either premature or delayed puberty. Puberty is the time of a young person’s life when their hypothalamus — a part of the brain — and the pituitary gland begin to produce hormones that stimulate the development of the ovaries and testes, which increases the production of the sex hormones estrogen and testosterone.
Precocious puberty is a common puberty disorder. It occurs when girls start to develop breasts before the age of 8, and boys begin testicular enlargement before the age of 9. Only 1-2% of American children have precocious puberty.
Delayed puberty occurs when a girl doesn’t start to show signs of puberty by the age of 13 and doesn’t start her menstrual cycles by the age of 16. In boys, delayed puberty means they don’t have testicular enlargement by the age of 14. Children with delayed puberty might also grow taller at a slower rate or have a growth spurt at a later age than their peers.
Premature adrenache occurs when boys or girls develop pubic hair, underarm hair, acne, and adult body odor earlier than expected. Premature adrenarche is most likely due to the adrenal glands releasing extra male hormones.
When should I talk to a doctor about my child’s puberty?
The puberty age ranges from 8-13 for girls and 9-14 for boys. However, there are always a few children who start puberty early or late. Most of the time, delayed or precocious puberty doesn’t require treatment. However, if your child is distressed about their body or you have concerns about your child’s health, call MI PEDS to schedule a consultation.
How are puberty disorders diagnosed?
Dr. Wood diagnoses puberty disorders with a physical exam and uses blood and urine tests to evaluate your child’s hormone levels. He has over 25 years of experience in diagnosing and treating endocrine disorders in children and has a compassionate bedside manner that helps young people feel comfortable while under his care. He helps young people understand their bodies and the changes that occur with puberty.
How are puberty disorders treated?
While puberty disorders don’t necessarily need treatment, it’s always best to consult with an experienced physician to make sure. When necessary, Dr. Wood can prescribe medication to delay precocious puberty.