Concerned about Early or Delayed Puberty in your Child?

Board-certified pediatric endocrinologist specializing in growth and puberty

Former Professor at Baylor College of Medicine & Texas Children’s Hospital
Castle Connolly Top Doctor
Recognized as Exceptional Woman in Medicine

Physician-led care. Appointments available within 1–2 weeks.

Signs to Watch For

Puberty does not follow a single timetable. When timing seems out of step, an evaluation can provide clarity.

Consider scheduling if your child is:

  • Breast development before age 8
  • Testicular growth before age 9
  • No signs of puberty by age 13–14
  • Growing much faster or slower than expected
  • Physical or emotional changes far earlier or later than peers

If something feels unusual, a structured evaluation can determine if this is normal variation or needs guidance

Young girls practicing ballet

What to Expect

Your visit is led personally by Dr. Karaviti

Evaluation may include:

  • Growth pattern review
  • Family pubertal history
  • Focused exam
  • Targeted labs
  • Bone age imaging when indicated

The goal is understanding, not automatic treatment.
Many children fall within normal variation. When treatment is needed, care is thoughtful and individualized.

Why Families Choose Blue Sky

Lefkothea Karaviti at Rocky Mountain Children's

Care led by Dr. Lefkothea Karaviti, a board-certified pediatric endocrinologist with over 30 years of experience in growth and puberty care.

  • Direct physician care — every visit
  • Individualized, evidence-based evaluations
  • Clear explanations & next steps
  • Thoughtful evaluation, not automatic treatment
  • In-person care in Denver & telemedicine statewide
  • Most families seen within 1-2 weeks

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“Dr. Karaviti explained everything clearly and helped us understand our child’s development. We felt reassured and supported.”

[ Schedule an Evaluation ]

You Do Not Need to Wait Months for Answers

Early clarity reduces anxiety and prevents unnecessary delays.

Appointments available within 1–2 weeks.

Schedule a Puberty Evaluation 

Call
720-445-8118

You Do Not Need to Wait Months for Answers

  • Early clarity reduces anxiety and prevents unnecessary delays.
  • Appointments available within 1–2 weeks.
  • Schedule a Puberty Evaluation.

Insurance & Access

We welcome most commercial insurance plans.
Transparent self-pay options are available.
Visits are billed after care is provided, with flexible arrangements when needed.

Care should feel accessible — not complicated.