What should you know about female delayed puberty?

Puberty involves breast development, growth, body hair, changes in body shape, and eventually periods. Timing varies, but absent or very limited development deserves attention when it differs markedly from peers or stops progressing. Family timing, inadequate nutrition, intense exercise, long-term illness, thyroid or other hormone problems, and conditions affecting the ovaries or chromosomes can all be considered. Turner syndrome is one possible cause, but delayed puberty does not by itself establish that diagnosis.

Arrange an appointment with a GP, paediatrician, or gynaecologist. Bring a timeline of growth, breast development, any vaginal bleeding, exercise, eating patterns, medicines, and relevant family history. Assessment may include a physical examination, hormone tests, and sometimes imaging or chromosome testing. Treatment depends on the cause and may involve improving nutrition, treating an underlying illness, or carefully prescribed hormone support.

Book a routine assessment for absent periods or little pubertal progression. Seek prompt medical advice if there is severe weight loss, fainting, persistent vomiting, severe headache, vision change, unusual thirst, or symptoms of significant illness. A delayed period with severe pelvic pain or unexpected heavy bleeding also needs timely assessment.

Ask which developmental findings prompt testing, whether growth or nutrition could be contributing, what tests are appropriate, and when hormone treatment might be considered. Ask how follow-up will monitor bone health, development, and emotional wellbeing.