Early or delayed puberty (2024)

Puberty is when a child's body begins to develop and change as they become an adult.

Signs of pubertyinclude girls developing breasts andstarting periods, and boys developing a larger penis and testicl*s, a deeper voice and a more muscular appearance.

The average age for girls to start puberty is 11, while for boys the average age is 12.

But it's perfectly normal for puberty to begin at any point between the ages of 8 and 13 in girls and 9 and 14 in boys.

There's not usually any need to worry ifpuberty does not startaround the average age, but it's a good idea tospeakto your GP for advice if it starts before 8 or has not started by around 14.

In some cases,early pubertyordelayed puberty could be a sign of an underlying condition that may need to be treated.

Earlypuberty

Early puberty,also called precocious puberty,is when:

  • girls havesigns of puberty before8 years of age
  • boys have signs of puberty before9 years of age

Some girls and boys may develop certain signs of puberty at a young age, but not others.

For example, girls may start periods before the age of 8 but have no breast development.

See your GP if this happens to your child.

Causes of early puberty

It'snot always clear what causes early puberty. It may just be a tendency that runs in your family.

Occasionally it can be caused by:

Early puberty mostlyaffects girls and often has no obvious cause. It's less common in boys andmay bemore likely to be associated with an underlying problem.

Tests and treatmentsfor early puberty

Your GPmay refer you to a specialist if they think there could bean underlying cause that needs to be investigated.

Tests that may be carried out include:

Early puberty can be treated by:

  • treatingany underlying cause
  • usingmedication toreduce hormone levels and pause sexual development for a few years

Treatment with medication is usually only recommended if it's thought early puberty will cause emotional or physical problems, such as short height in adulthood or early periods in girls, which may cause significant distress.

Delayedpuberty

Delayed puberty is when:

  • boys have no signs oftesticular development by 14 years of age
  • girls have not started to develop breasts by 13 years of age, or they have developed breasts but their periods have not startedby 15

Causes of delayed puberty

It's not always clear what causes delayed puberty. It may just be a tendency that runs in your family. Delayed puberty is generally more common in boys.

Occasionally it can be caused by:

Tests and treatments for delayed puberty

Your GPmay refer you to a specialist if they think there could be an underlying cause of delayed puberty that needs to be investigated.

Tests that may be carried out include a blood test to check hormone levels, a hand X-ray to help determine likely adult height, and an ultrasound or MRI scan to check for problems with glands or organs.

Delayedpuberty can be treated by:

  • treatingany underlying cause
  • usingmedication for a few months to increase hormone levels and trigger the start of puberty

Treatment with medication is usually only recommended if the lack of development is causing problems, such as significant distress.

Page last reviewed: 06 September 2022
Next review due: 06 September 2025

Early or delayed puberty (2024)

FAQs

Early or delayed puberty? ›

The onset of puberty, the time in life when a person becomes sexually mature, typically occurs between ages 8 and 13 for girls and ages 9 and 14 for boys. Precocious puberty

Precocious puberty
In medicine, precocious puberty is puberty occurring at an unusually early age. In most cases, the process is normal in every aspect except the unusually early age and simply represents a variation of normal development. There is early development of secondary sex characters and gametogenesis also starts earlier.
https://en.wikipedia.org › wiki › Precocious_puberty
is puberty that begins abnormally early, and delayed puberty is puberty that begins abnormally late.

What is considered early puberty? ›

Male puberty usually begins at about age 12. Female puberty is at about age 10. Sometimes, though, puberty can start earlier and before signs show. When male puberty starts before age 9 and female puberty before age 8, it is called precocious (pre KOH shuss) or early puberty.

What is considered delayed puberty? ›

What is delayed puberty? Puberty that happens late is called delayed puberty. This means a child's physical signs of sexual maturity don't appear by age 12 in girls or age 14 in boys. This includes breast or testicl* growth, pubic hair, and voice changes.

Is it better to go through puberty early or late? ›

Results indicated that, overall, earlier pubertal timing (i.e., maturational timing and peer-relative timing) put both girls and boys at risk during adolescence, while later timing was protective.

What causes early puberty in females? ›

Most commonly, especially in girls, precocious puberty is due to the brain sending signals earlier than it should. There is no other underlying medical problem or trigger. This also can often run in families. Less often, precocious puberty stems from a more serious problem, such as a tumor or trauma.

Is it normal for a 10 year old to have pubic hair? ›

In girls, the first change of puberty is usually the start of breast development (breast budding). Shortly afterward, pubic and underarm hair begin to grow. In girls, puberty usually begins between the ages of 8 years and 13 years (see Puberty in Girls).

Is it normal for a 8 year old to have pubic hair? ›

Hormonal basis

It is normal for production of these hormones to increase (something we call adrenarche) and for pubic hair to appear after age 8 in girls or 9 in boys. The reason why this increase occurs earlier in some children is not known.

When do late bloomers start puberty? ›

Children reach puberty at different ages. Delayed puberty is when boys have little to no genital growth by age 14, or girls have no breast development by age 13, or no periods by age 16. You may also hear this called being a “late bloomer”. Delayed puberty may happen in children who have chronic medical conditions.

Why is my 14 year old not hitting puberty? ›

Most often, it's simply a pattern of growth and development in a family. A guy or girl may find that his or her parent, uncle, aunt, brothers, sisters, or cousins developed later than usual, too. This is called constitutional delay (or being a late bloomer), and it usually doesn't need treatment.

Do late bloomers grow taller? ›

Key takeaways: The term “late bloomer” refers to a child who goes through puberty later than their peers. Constitutional growth delay, the medical term for this condition, runs in families. Late bloomers will catch up on their growth and have standard adult height, although it may take a little extra time and patience.

Why are kids hitting puberty earlier? ›

It's unclear why it's happening more, although possible causes include diet, obesity, genetics, socioeconomic status and potential exposure to certain chemicals. Kids entering puberty earlier than the average can be mistakenly treated as older and inappropriately sexualized by society.

Do late bloomers still hit puberty? ›

Most kids with delayed puberty are just developing a bit later than average and will catch up. For some late bloomers, doctors may offer hormone treatment: Boys might get a short course of treatment with testosterone (usually a monthly injection for 4–6 months) to get the changes of puberty started.

Can you trigger puberty? ›

If your doctor makes a diagnosis of delayed puberty, they may recommend treatment. Your doctor can give you a prescription for hormone medications that will trigger the start of puberty.

How late can a girl start puberty? ›

The average age for girls to start puberty is 11, while for boys the average age is 12. But it's perfectly normal for puberty to begin at any point between the ages of 8 and 13 in girls and 9 and 14 in boys.

How long after pubic hair does period start? ›

First Period Symptoms

Growing pubic hair: Just after your breasts start to form, you'll probably start growing pubic hair. It will be soft and thin at first, but it'll get coarser over time. Your period usually arrives around one to two years after.

At what age do girls grow pubic hair? ›

Between the ages of 8 and 13, girls typically experience: Their breasts begin to bud, and their areolas (pigmented area around the nipple) enlarge. Scant pubic hair appears. Height increases by about 2¾ inches per year.

What are the 5 stages of puberty? ›

Clinical Significance
  • Stage 1: No hair.
  • Stage 2: Downy hair.
  • Stage 3: Scant terminal hair.
  • Stage 4: Terminal hair that fills the entire triangle overlying the pubic region.
  • Stage 5: Terminal hair that extends beyond the inguinal crease onto the thigh.

How do I know if my child has early puberty? ›

The signs and symptoms of precocious puberty in both sexes include acne, body odor and a growth spurt. Precocious puberty also causes sexual characteristics to develop early. In girls and children AFAB, these include: Breast development.

Is it normal for a 4 year old to have pubic hair? ›

Premature pubarche, or the development of pubic hair before the age of 8 in girls or 9 in boys, is most commonly caused by premature adrenarche. Adrenarche is the maturation of the adrenal zona reticularis in both boys and girls, resulting in the development of pubic hair, axillary hair, and adult apocrine body odor.

Am I still in puberty at 13? ›

Most girls start their sexual development between the ages of 8 and 13 (the average age is 12), and have a growth spurt between the ages of 10 and 14. Most boys start developing sexually between the ages of 10 and 13, and continue to grow until they're around 16.

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