Delayed Puberty Diagnosis in a 17-year-old Female

Study Notes

Delayed Puberty in a 17-year-old Female

Delayed puberty is characterized by Tanner V breast development and Tanner II pubic hair, with no menstruation.

Physical Examination Findings

Physical examination reveals Tanner V breast development and Tanner II pubic hair.

Laboratory Results

FSH levels are 3 mIU/mL, indicating low follicle-stimulating hormone.
LH levels are 1 mIU/mL, indicating low luteinizing hormone.
Estradiol levels are 40 pg/mL, indicating low estrogen levels.
Prolactin levels are 10 ng/mL, indicating normal prolactin levels.
TSH levels are 2 uIU/mL, indicating normal thyroid-stimulating hormone levels.
Free T4 levels are 1.2 ng/dL, indicating normal free thyroxine levels.
Cortisol levels are 15 ug/dL, indicating normal cortisol levels.
IGF-1 levels are 350 ng/mL, indicating normal insulin-like growth factor-1 levels.

Diagnosis and Treatment

The diagnosis is hypogonadotropic hypogonadism, a condition characterized by low levels of gonadotropins (FSH and LH) and sex hormones.
The treatment is oral contraceptive pills, which can help regulate hormone levels and stimulate puberty.

Description

Diagnosing delayed puberty in a 17-year-old female with no menstruation, Tanner V breast development, and Tanner II pubic hair. Analyzing physical examination findings and laboratory results to identify the underlying cause.