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Delayed puberty in males is absence of testicular enlargement by age 14; constitutional delay (most) vs hypogonadotropic hypogonadism; short stature; bone age; endocrine workup.
No testicular enlargement by 14; short stature; delayed bone age; family history; boys; evaluate pituitary/testes
Constitutional delay; hypogonadotropic hypogonadism (Kallmann); hypergonadotropic; chronic disease.
Observe if constitutional; low-dose testosterone if psychosocial; treat cause; endocrine/pediatrics
Endocrinology / pediatrics.
Warm reminder: Health education reference only; seek care at regular hospital.
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