Delayed puberty diagnostic criteria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

There is no established criteria for the diagnosis of delayed puberty. Diagnosis is based on delayed breast development (thelarche) or testis enlargement.

Diagnostic Criteria

• The hallmark of delayed puberty is lack of testicular enlargement in boys or breast development in girls in a specific stage of life. The age, in which secondary sexual characteristics are checked, is 2-2.5 SD more than the standard population average age of puberty onset; the age is 14 for boys and 13 for girls, on average. A positive family history of delayed puberty is strongly associated with delayed puberty. The most common contributing symptom of delayed puberty is anosmia or hyposmia.