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Outcomes and experiences of adults with congenital hypogonadism can inform improvements in the management of delayed puberty

Lookup NU author(s): Dr Richard Quinton

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Abstract

© 2023 Walter de Gruyter GmbH, Berlin/Boston 2023.Patients with congenital hypogonadism will encounter many health care professionals during their lives managing their health needs; from antenatal and infantile periods, through childhood and adolescence, into adult life and then old age. The pubertal transition from childhood to adult life raises particular challenges for diagnosis, therapy and psychological support, and patients encounter many pitfalls. Many patients with congenital hypogonadism and delayed or absent puberty are only diagnosed and treated after long diagnostic journeys, and their management across different centres and countries is not well standardised. Here we reconsider the management of pubertal delay, whilst addressing problematic diagnostic issues and highlighting the limitations of historic pubertal induction protocols - from the perspective of both an adult and a paediatric endocrinologist, dealing in our everyday work with the long-term adverse consequences to our hypogonadal patients of an incorrect and/or late diagnosis and treatment in childhood.

Publication metadata

Author(s): Howard SR, Quinton R

Publication type: Review

Publication status: Published

Journal: Journal of Pediatric Endocrinology and Metabolism

Year: 2024

Volume: 37

Issue: 1

Pages: 1-7

Print publication date: 01/01/2024

Online publication date: 24/11/2023

Acceptance date: 02/04/2018

ISSN (print): 0334-018X

ISSN (electronic): 2191-0251

Publisher: Walter de Gruyter GmbH

URL: https://doi.org/10.1515/jpem-2023-0407

DOI: 10.1515/jpem-2023-0407

PubMed id: 37997801

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