Etiology of delayed puberty

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Etiology of delayed puberty:
  • Commonly, it is familial or idiopathic (60%).
  • Hypothalamic and pituitary inadequacy. CT, MRI of sella turcica, FSH, LH level confirm the diagnosis.
  • Ovarian causes—Turner’s syndrome, Swyer syndrome, resistant ovary, autoimmune disease, testicular feminizing syndrome, high FSH. Polycystic ovarian disease.
  • Development of secondary sexual characters, but no menstruation—absent uterus or cryptomenorrhoea, abstruction in the lower genital tract.
  • Malnutrition, anorexia nervosa, childhood illness and vigorous exercise.
  • Hypothyroidism.
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