Delayed Puberty: When to Consult a Urologist

Q: Delayed Puberty: When to Consult a Urologist

Hello： Regarding your question, I'm not sure what the main point you are asking is： whether it is about the underdevelopment of the genitalia or the lack of facial hair? In fact, each individual's development involves many factors, and the age of development can vary. <br>However

Development..?

I haven't developed yet even though I'm in the first year of high school.
Should I see a doctor? But some of my classmates haven't developed either...

Xiao He, 10~19 year old female. Ask Date: 2004/05/06

Dr. Xu Weikai reply Urology

Hello: Regarding your question, I'm not sure what the main point you are asking is: whether it is about the underdevelopment of the genitalia or the lack of facial hair? In fact, each individual's development involves many factors, and the age of development can vary.
However, as long as it falls within the normal range, there should be no issues.
If a proper assessment is needed, you will need to provide more information, such as whether the testes are underdeveloped, if there has been no increase in height, or if pubic hair/facial hair has not grown, etc.
Additionally, it is also possible that endocrine issues could lead to early or delayed development.
All of these require professional evaluation.
I suggest you provide more detailed personal information, and I can make a judgment based on that, or you may directly consult a specialist for a diagnosis.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health.

Reply Date: 2004/05/06

More Info

Delayed puberty is a condition where an individual does not show signs of sexual maturation by the expected age. For boys, this typically means not having any testicular enlargement by age 14, while for girls, it means not having breast development by age 13. If you are in high school and have not yet started developing, it is understandable to feel concerned, especially when comparing yourself to peers.

The first step in addressing concerns about delayed puberty is to consult a healthcare professional, such as a pediatrician or a urologist. A urologist specializes in male reproductive health and can provide a thorough evaluation. During the consultation, the doctor will likely perform a physical examination and may order blood tests to assess hormone levels, including testosterone, and check for any underlying medical conditions that could be affecting your development.

It's important to note that delayed puberty can be caused by various factors, including genetic conditions, hormonal imbalances, chronic illnesses, or nutritional deficiencies. In some cases, it may simply be a variation of normal development, particularly if there is a family history of late maturation. However, if there are any concerns about underlying health issues, early intervention can be crucial.

If you are experiencing any additional symptoms, such as fatigue, weight changes, or other health concerns, be sure to mention these during your appointment. The doctor may also ask about your growth patterns, family history, and any other relevant information to help determine the cause of the delayed puberty.

In some cases, treatment may not be necessary if the delay is determined to be a normal variation. However, if there is a hormonal deficiency or another medical issue, treatment options may include hormone therapy or addressing any underlying conditions. The goal of treatment is to promote normal development and alleviate any psychological distress associated with delayed puberty.

In summary, if you are concerned about not having developed by high school, it is advisable to consult a healthcare professional. They can provide a comprehensive evaluation and help determine if any intervention is needed. Remember, you are not alone in this experience, and many individuals go through similar situations. Seeking professional advice is a proactive step towards understanding your health and development.

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