Delayed puberty classification
|
Delayed puberty Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Delayed puberty classification On the Web |
|
American Roentgen Ray Society Images of Delayed puberty classification |
|
Risk calculators and risk factors for Delayed puberty classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Classification
Delayed puberty is almost always due to physiologic exaggerated prolongation of puberty timing in boys, a condition called "constitutional delay of growth and puberty (CDGP)". Delayed puberty may sometimes has another pathophysiologies, however, the CDGP is the most common cause of delayed puberty in both boys and girls. The main classification of delayed puberty is as following:
The differential diagnosis of CDGP can be divided into three main categories7: hypergonadotropic hypogonadism (characterized by elevated levels of luteinizing hormone and FSH owing to the lack of negative feedback from the gonads), permanent hypogonadotropic hypogonadism (characterized by low levels of luteinizing hormone and FSH owing to hypothalamic or pituitary disorders), and transient hypogonadotropic hypogonadism (functional hypogonadotropic hypogonadism), in which pubertal delay is caused by delayed maturation of the HPG axis secondary to an underlying condition