Early or delayed puberty

Some young children who receive radiation to the brain do not experience puberty at the appropriate age. A very small percentage of children enter precocious puberty, which means that puberty begins several years earlier than normal. This is most common in children who also have impaired growth. Conversely, puberty in some children is significantly delayed. Teenage girls who do not show signs of puberty— pubic and underarm hair, breast development—should be evaluated by a pediatric endocrinologist. Similarly, teenage boys who show no signs of puberty—growth of body hair, deepening voice—should also consult a endocrinologist.

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