Delayed Puberty Home A-Z Health Information Health Library A-Z Delayed Puberty Overview Delayed puberty is a condition arising when a child fails to show signs of puberty by the expected age, typically around 13 years in girls and 14 years in boys. Causes Genetic factors, chronic illnesses, nutritional deficiencies, or hormonal imbalances. Delayed puberty can affect physical development and may lead to emotional and social issues. Diagnosis Evaluating growth patterns, hormone levels, and family history. In some cases, a bone age assessment and imaging studies are needed. Treatment Depends on causative factors, and can include hormone therapy to stimulate the onset of puberty. Support and counselling can help children cope with the emotional impact of delayed development.Delayed puberty in most teenagers simply means that they are developing later than usual and will eventually catch up. However, if your child is showing signs of delayed puberty, it is advisable to consult a paediatric endocrinology specialist, a doctor who focuses on treating children and teenagers with growth concerns, to rule out underlying medical conditions and receive appropriate treatment. Disclaimer: The information in this Health Library is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional with any questions about a medical condition or before starting any treatment. Use of this site and its content does not establish a doctor–patient relationship. In case of a medical emergency, call your local emergency number or visit the nearest emergency facility immediately.