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What should I do if I have delayed puberty at 17 with no facial hair, thin voice, and low body hair?
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Pediatric Medicine
Question #30134
58 days ago
165

What should I do if I have delayed puberty at 17 with no facial hair, thin voice, and low body hair?

Client_7e2b2e

“I am 17 years old. I have no facial hair, thin voice, low body hair, and no height growth. I think my puberty is delayed. What should I do?

When did you first notice signs of delayed puberty?:

- Around age 15

Have you experienced any other symptoms besides the ones mentioned?:

- No, just the physical changes

How would you describe your overall health?:

- Good — minor health issues

Have you discussed your concerns with a parent or guardian?:

- No, I haven't told them

Do you have any family history of delayed puberty or hormonal issues?:

- No, no known history

Are you currently taking any medications or supplements?:

- No, I take nothing

How is your diet and nutrition?:

- Unbalanced with lots of junk food
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Doctors' responses

At 17, experiencing delayed puberty with symptoms like no facial hair, thin voice, low body hair, and lack of height growth definitely warrants further investigation. The first step is to schedule a comprehensive evaluation with a healthcare provider, ideally an endocrinologist, who specializes in hormones and developmental issues. It’s essential to look into the potential underlying causes such as constitutional delay of growth and puberty, or hormonal imbalances involving the testosterone or hypothalamic-pituitary axis. Your doctor is likely to start with a detailed personal and family medical history, followed by a physical examination to assess growth parameters compared to standard developmental charts. Blood tests to measure hormone levels, including testosterone, LH, FSH, and DHEA might be requested to get a clearer picture. Imaging studies like a bone age X-ray could be helpful in determining the biological maturity of your bones compared to your chronological age. If the delayed puberty is due to a hormonal deficiency, hormone therapy might be recommended to initiate puberty. This usually involves testosterone replacement treatment. It’s done carefully and tailored to your specific needs, assessing potential risks and benefits. However, it’s crucial not to self-prescribe or buy over-the-counter supplements without talking to a healthcare provider, as inappropriate use can cause significant harm. In the meantime, maintaining a balanced diet, regular exercise, and adequate sleep will support your overall health. Immediate attention is crucial because untreated hormone deficiencies could affect bone density, reproductive ability, and psychological well-being. If you’re having trouble accessing healthcare services or insurance, many clinics and community hospitals include sliding scales or financial assistance programs, making it more affordable. Prompt action will guide you towards the most appropriate line of treatment, so don’t delay consulting a healthcare professional.

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