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Puberty symptoms Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Puberty symptoms. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. What age did you first notice changes of puberty?

    Why: to establish if age of onset of puberty is normal, early or delayed. Precocious puberty indicates that sexual maturation has occurred before the age of 9. Most (90%) cases of precocious puberty are constitutional in origin but ovarian and adrenal hormone secreting tumors must be excluded. Delayed puberty occurs in approximately 2% of the adolescent population and is defined as the absence of any signs of pubertal development by the age of 13 years in girls and 13.5 years in boys or the failure of development progression over a 2 year period.

  2. What symptoms of puberty do you have?

    Why: The events of puberty, that is the time when one becomes able to conceive children, follow a predictable sequence, although the time of onset, velocity of change and age of completion are extremely variable. Changes in the female include the development of pubic hair (which progressively becomes darker, coarser and curlier), the development of breast buds (which progressively become enlarged and elevated), increase in height and the commencement of menstrual periods. Changes in the male include the development of pubic hair (which progressively becomes darker, coarser and curlier), the enlargement and lengthening of the penis, the enlargement of the testicles and the increase in height.

  3. What age did the parents enter puberty?

    Why: If early, may suggest constitutional precocious puberty which is the most common cause of early puberty. Constitutional delay in puberty is the most common cause of delay in puberty and accounts for 90% of cases.

  4. Usage of birth control pills in female or anabolic steroids in males

    Why: i.e. to increase their body mass - may be associated with precocious puberty due to estrogen or androgen effects.

  5. Past medical history?

    Why: Any chronic illness or poor nutrition in children can cause delayed puberty such as cystic fibrosis, thallasaemia and juvenile chronic arthritis. Hormonal causes of delayed puberty include hypopituitarism , Kallmann syndrome, hypothyroidism and hyperprolactinemia. Causes of precocious puberty include brain tumors, hydrocephalus, encephalitis, meningitis, McCune-Albright syndrome, craniopharyngioma, tuberous sclerosis, hepatoblastoma, choriocarcinoma and hypothyroidism.

  6. Medications?

    Why: e.g. corticosteroids may cause a Cushing's syndrome which may be associated with early puberty.

  7. Family history?

    Why: e.g. parental precocious puberty, parental delay of puberty.

  8. Symptoms of early puberty in male?

    Why: e.g. puberty starting before age 9 in boys such as enlargement of the scrotum, testicles and penis; pubic hair growth and deepening of voice.

  9. Symptoms of early puberty in female?

    Why: e.g. breast budding occurring before age 8 or first menstrual period before age 9.

  10. Musculinisation in female with precocious puberty

    Why: e.g. deepening of voice, acne, loss of menstrual periods, hairiness, enlargement of clitoris, breasts shrink, muscle mass increases - may suggest arrhenoblastoma (a rare ovarian tumor).

  11. Acne?

    Why: Acne is virtually universal in adolescence. Prevalence peaks between the ages of 14-16 years in females, and 16-19 years in males.

  12. Psychological changes?

    Why: The experience of a changing body in puberty often causes the adolescent to feel out of control. Feelings of persecution and helplessness are common and may not cease until about one year after the growth spurt has ended. The typical aggressiveness, sexual arousal and unpredictability of the early adolescent are largely due to hormonal changes. Adolescents have a heightened awareness of bodily change; they are normally narcissistic and thus are preoccupied with issues of adequacy. Young adolescents are often concerned that their growth and development are not progressing normally. For boys, in particular, the psychological effects of being slow to develop, too short or too thin in comparison with one's peers can be profound, while excessive tallness may provide particular difficulties for girls.

  13. Headaches?

    Why: may suggest a brain tumor e.g. pinealoma which may be associated with early puberty.

  14. Symptoms of Cushing's syndrome?

    Why: e.g. weight gain especially central abdominal, change of appearance, moon-like face, thin skin, easy bruising, excessive facial hair growth, acne, muscle weakness, lack of or rare menstrual periods, poor libido, depression, psychosis, insomnia, frequent urination, excessive thirst, growth arrest and early puberty in children.

  15. Symptoms of McCune-Albright syndrome?

    Why: e.g. isolated dark-brown to light brown patches which tend to remain on one side of the midline especially on the back, buttocks or scalp. May also be associated with early puberty.

Conditions listing medical symptoms: Puberty symptoms:

The following list of conditions have 'Puberty symptoms' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Puberty symptoms or choose View All.

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Conditions listing medical complications: Puberty symptoms:

The following list of medical conditions have 'Puberty symptoms' or similar listed as a medical complication in our database.

 

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