Treatment for Pubertal and Sexual Development Disorders

Puberty is already a time of huge emotional and physical change for children who have no underlying health issues. Abnormalities in sexual development can take a psychological toll on children and their parents. At Health City Cayman Islands, we are committed to diagnosing and treating underlying disease, as well as providing supportive services to families when there is no clinical reason for what appears to be an abnormal pubertal pattern.

Puberty and Sexual Development Disorders

Precocious Puberty
When puberty starts before age 8 in girls and age 9 in boys, it is considered early puberty. The start of puberty is usually triggered by the GPR54 gene, which sends signals to the brain, starting a chain reaction and release of hormones in the body.

In girls, there is usually no underlying medical condition, whereas in boys, early puberty is more likely to be associated with an underlying medical problems. Symptoms include breast development, enlargement of the testes, and pubic hair growth.
Delayed Puberty
The delayed onset of puberty can be inherited or caused by a long-term, chronic illness such as cystic fibrosis, diabetes, and kidney disease; an eating disorder; over-exercising (more common in professional athletes); tumours or damage to the glands; hormonal conditions such as an underactive thyroid gland; and genetic conditions that affect sexual development.

In girls, late puberty is the term used if there are no signs of breast development by age 13, four years have passed since the start of puberty and the breasts have not fully developed, or first menstruation has not occurred by age 14½. In boys, late puberty is designated when there are no signs of testicular development by age 14, or 3 to 4 years have passed since the beginning of puberty and the penis and testicles have not fully developed.
Disorder of Sex Differentiation (DSD)
The first stage of sex differentiation happens right at conception; an embryo with an XX combination usually becomes a girl, and an embryo with an XY combination usually becomes a boy. DSDs affect about one in every 1,500 births, but there are several types and the effect on external and internal reproductive organs varies greatly. Congenital adrenal hyperplasia (CAH) is the most common cause in which excessive amounts of androgens cause abnormal sexual development in females, resulting in external genitalia that can have male characteristics.

Have us contact you today.
Fill out my online form.

Please call us at 1 (345) 640-4040, or fill out our simple contact form to find out more about the paediatric endocrinology services we offer for a wide spectrum of conditions and disorders.