Symptoms of sexual retardation in boys

summary

Puberty retardation in children, also known as puberty delay, is an abnormality of puberty development, which shows that the characteristics of puberty are significantly delayed than those of children of the same age. Adolescent growth retardation occurs when girls are 14 years old or boys are 15 years old or girls are 18 years old without menarche. I would like to share with you my views on the symptoms of sexual retardation in boys.

Symptoms of sexual retardation in boys

Children in the age range of puberty without secondary sexual characteristics, or although secondary sexual characteristics appear, but the progress is very slow, are all manifestations of puberty retardation. The height and weight should be measured accurately, and the body development should be observed. The severity of the disease was judged according to the development of external reproductive organs and secondary sexual characteristics.

The age of puberty of the parents of the children; There was no history of asphyxia at birth; History of growth and development; History of central nervous system inflammation, trauma, radiation exposure and tumor; History of other systemic diseases; Whether they have taken immunosuppressants, antineoplastic drugs, dosage and course of treatment.

Endocrine hormone test mainly measured gonadotropin (FSH, LH) and sex hormone (estradiol, testosterone). In normal puberty, the secretion of nocturnal LH increases, so the measurement of nocturnal LH has more diagnostic value. GnRH stimulation test has important value in differentiating constitutional and pathological puberty delay, pituitary or hypothalamic lesions. Under normal circumstances, after intravenous injection of GnRH, the subjects showed age-appropriate plasma LH and FSH reactions. In patients with primary sexual dysfunction, such as Turner's syndrome, the response is increased, while the response of hypothalamus and pituitary is decreased. In patients with physical puberty, the response is adapted to bone age.

matters needing attention

Physical retardation, good prognosis, waiting for natural development, because it is difficult to predict the age of maturity, can be treated with estrogen and progesterone, promote the development of the second sex and internal and external genitalia, at the same time can prevent psychological changes caused by low estrogen. Pathological growth retardation should be treated for primary disease. If it does not affect the treatment of primary disease, estrogen and progesterone can be used at the same time.