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Urology  (Expert Forum)
 | 
Delayed Puberty!
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Delayed Puberty!

by IneedHelpRightNow, Jan 20, 2007 12:00AM
Well im 19 years old now and still have not gone through puberty yet. I was always told that I would grow and it was just a matter of time, but now I feel I have to do something. I am about 5'11 200 pounds and I look like I am 16 years old. My penis and testicles really dont show any signs of enlargement. They have stayed the same size for as long as I can remember.I have hair on my face that stops around the lip area not really having visible beard hair. I dont have much body hair at all, my legs have hair but are not very visible, my arms are the same, and my underarms really dont reseamble anything that a regular male would have. I am a little overweight for my height and my chest looks more like a girls chest then a mans.



I have put this off for way to long and have to do something right away because this problem has lead me to be very shy around people and I tend to avoid conversation as much as possible. This has really put my love life on hold due to everytime I get serious with a girl I end up cutting it off do to my problem. I am in college now and think about dropping out just so I dont have to deal with the shock of people finding out how old I am and the stares I get when I walk into a room of people my age that look like there 19.



I am willing to do anything to fix this problem. But, my question is were do I go? How do I start? What do I have? What doctor should I be looking for? Is there any hope for getting my life back togeather? If I start now can I ever catch up to at least looking like people my age?

by Kevin Pho, MD, Jan 20, 2007 12:00AM
A referral to an endocrinologist can be considered.  



Tests for the LH, testosterone, prolactin, and thyroid levels can be considered.  Imaging studies can include a head MRI to evaluate for pituitary tumors, and a testicular ultrasound to look for any masses.  



Delayed puberty can be treated appropriately with testosterone therapy once diagnosed.



These initial tests should be discussed with your personal physician, and I would recommend an endocrinology referral.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_
Member Comments (1)

by IneedHelpRightNow, Jan 20, 2007 12:00AM
To: Urology - General
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