What is the usual protocol for late puberty in boys?

Question

Just curious, as a friend's son has this problem, and she wants to know what to expect.

Answer 1

To Diagnose:
Late puberty is defined as the lack of pubertal development at two standard deviations above the mean age for the general population of the geographical area. In practical terms, this is a chronological age of 14 years for males (testicular volume <4 ml) . The goal of the assessment is to determine whether the delay or lack of development is due to a lag in normal pubertal maturation or represents an abnormality that must be investigated. Etiologies of pubertal delay and pubertal failure include: a) Constitutional delay of puberty (healthy patients with a clinical history of delayed growth and development; b) Hypogonadotropic states (congenital abnormalities, tumours, endocrinopathies); c) Hypergonadotropic states (chromosomal alterations, syndromes, genetic disorders, radiotherapy/chemotherapy); d) Secondary to chronic illness (organic abnormalities, oncological diseases, malnutrition, eating disorders and endocrinopathies). Diagnostic evaluation must include: a detailed physical examination, including auxological parameters (height and bone maturation), personal and familial antecedents, measurements of general hematological and biochemical parameters, gonadotropins, prolactin, thyroid hormones, sex steroids, growth hormone and growth factors. When necessary, an MRI must be performed. A karyotype is indicated in girls with delayed puberty and short stature and in boys who have small testes and hypergonadotropism.

To treat? Usually with hormones. Treatment and side effects vary for each patient. He will be followed closely by his doctor.
Does your friend's son have klienfelter's syndrome by any chance?

Answer 2

Your son is relating to the top of an problem-free 13 year previous now. problem-free top for 15 is 5'7". based on your heights, he would desire to be problem-free top. If puberty has not yet all started by 15, some medical intervention may be talked approximately as for. a series of testosterone injections spaced some weeks aside is particularly the potential to "bounce initiate" puberty. If puberty has all started, yet top remains way under known predicted top, your son would desire to have an essay achieved to confirm why he's not turning out to be. sometimes there's a strengthen hormone deficiency, which is often taken care of. i'm hoping that helps.

Answer 3

Generally, most people are maturing sexually at an abnormally young age due to the many hormone mimics in our food and environment. Therefore if someone is healthy and relatively protected from the insults of the age they will be maturing slightly late. (that is a good thing). In extreme cases, some intervention would be appropriate.

Answer 4

I wouldnt sweat it just relax shaving is a pain, the over whelming urge to hump something aint fun either, the whole hair around the genitals thing over rated. just let the boy know he aint the first wont be the last and its just as bad for those who go through it early

Answer 5

to wait.