What are the causes of delayed puberty?
These can be divided into general causes and specific causes. Constitutional delay of growth and puberty, chronic childhood diseases and under nutrition are the general causes. The specific causes are related to under production of sex hormones. 3. What the problems related to sex hormone production? The under production of sex hormones could be either because of problem in the pituitary gland or in the testes. If the problem lies in the pituitary gland then it is called hypogonadotrophic hypogonadism. If the problem is in the testes then it is called hypergonadotrophic hypogonadism. 4. What are the causes for the hypogonadotrophic hypogonadism? They are: • Kallaman’s syndrome: Sense of smell is also affected • Tumors or radiation in the region of pituitary • Genetic problem 5. Why does hypergonadotrophic hypogonadism happen? It is because of • Klinefelter’s syndrome • Destruction of testes because of local radiotherapy, chemotherapy, testicular torsion, infection. 6. What are the feat