Early or Delayed Puberty
Supporting Healthy & Timely Development in Growing Children
Puberty marks a major milestone in your child’s growth—but when it happens too early or is significantly delayed, it could signal an underlying health concern. At Dr. Hegde Children’s Clinic, we offer expert evaluation and care for early (precocious) or delayed puberty, ensuring your child’s development stays on a healthy track.
Whether it’s an early growth spurt or absence of puberty signs, our goal is to help you understand what’s normal, what’s not, and what action to take.
What Is Considered Early or Delayed Puberty?
- Early Puberty (Precocious Puberty):
Before age 8 in girls
Before age 9 in boys
Delayed Puberty:
No breast development by age 13 in girls
No testicular enlargement by age 14 in boys
Common Signs to Watch For
Early Puberty Signs:
Breast development or pubic hair before age 8
Rapid height growth
Early menstruation
Mood swings or acne
Delayed Puberty Signs:
No physical changes by expected age
Slowed growth rate
Concern over being shorter/smaller than peers
Lack of menstruation or voice deepening
Our Services Include:
✔️ Detailed physical examination and growth tracking
✔️ Bone age X-rays
✔️ Hormonal blood tests (LH, FSH, estrogen, testosterone)
✔️ Pelvic/testicular ultrasound (if needed)
✔️ Pediatric endocrinology referrals for advanced care
✔️ Guidance on lifestyle, nutrition, and emotional support
Why Early Evaluation Matters
Detects hormonal or genetic causes early
Prevents emotional distress related to appearance
Offers treatment options like hormone therapy, if needed
Promotes better long-term health outcomes
Concerned About Your Child’s Puberty Timeline?
FAQ
Frequently Asked Questions (FAQs)
Puberty is a confusing time for both children and parents—especially when it happens earlier or later than expected. This FAQ section addresses common concerns to help you recognize signs, understand potential causes, and know when to consult a doctor.
In some cases, yes. Early puberty can lead to short adult height, emotional challenges, and underlying hormonal issues. A timely medical evaluation helps determine the cause and need for treatment.
It may be due to family history (constitutional delay), nutritional deficiencies, chronic illness, or hormonal imbalances. Some cases require further tests or pediatric endocrinology support.
Yes. If necessary, medications such as GnRH analogs can safely pause puberty progression and allow the child to grow at a more appropriate pace.
Yes. Girls typically begin puberty earlier than boys. However, significant delays in either gender beyond the expected age should be assessed by a doctor.
Open communication, reassurance, and age-appropriate education about their changing body are essential. At our clinic, we also provide emotional support and counseling when needed.
