Delayed Puberty Diagnosis in a 17-year-old Female

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.

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.