Camille Imbo, MD PGY6 and Susan Kaufman, MD discuss delayed puberty, the last in their series on puberty. The episode provides an in-depth exploration of delayed puberty, discussing key signs and the clinical evaluation process for young teens facing this challenge. It addresses common causes, the importance of physical exams, and appropriate treatments while offering reassurance and guidance for families.

Check out the video on YouTube.

Outline
• Defining delayed puberty by breast development and menstruation standards
• Importance of comprehensive medical and family history in evaluations
• Role of growth charts in monitoring physical development
• Value of physical exams in diagnosing anatomical issues
• Differentiating between hypogonadotropic and hypergonadotropic hypogonadism
• Exploring hormonal treatments and lifestyle changes
• Addressing oncofertility considerations for young patients
• Understanding eugonadotropic amenorrhea and its anatomical causes
• Concluding reassurance and guidance for families on managing delayed puberty

References:

• Essentials of Pediatric and Adolescent Gynecology: Chapter 6

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What is PAG?
Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists and pediatricians. It is a multi-disciplinary field involving work with pediatric endocrinology, dermatology, hematology, surgery, ect. Go to NASPAG.org for more PAG educational resources.

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