Delayed puberty
What is delayed puberty ?
What are the causes of the delayed
puberty ?
Puberty is a coordination between
hormonal factors which lead to start of the phase of the puberty .
This may be :
1-
Low gonadrophin hormones
(F.S.H and L.H. ) and low steroids . This occurs in the cases of Kallman
syndrome , CNS radiation or lesion in the hypothalamus and pituitary gland .
2-
In other cases the
gonodatrophin hormone may be normal ( in females it is F.S.H and L.H. ) but the
steroids like estrogen and progesterone in females is low and this occurs in Turner syndrome or
Klinefelter syndrome .
Constitutional delay of growth and puberty , may
be the delay is generalized not only the sexua development , here the delay in
the sexual development is a part of a constitutional delay .
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