Concerned about Early or Delayed Puberty in your Child?
Board-Certified Pediatric Endocrinologist
Former Professor at Baylor College of Medicine & Texas Children’s Hospital
20+ Years Named Top Doctor (H-Texas Magazine)
Castle Connolly Top Doctor
Recognized as Exceptional Woman in Medicine
Clear answers for early or delayed puberty, without long wait times. Appointments often available within days.
When Puberty Timing Feels Off
Puberty does not follow a single timetable. Some children develop earlier than peers. Others appear delayed.
When timing seems significantly out of step, it is appropriate to seek medical evaluation.
You may consider scheduling an appointment if your child is:
- Developing breast tissue before age 8?
- Showing testicular enlargement before age 9?
- Not starting puberty by age 13–14?
- Growing more rapidly, or more slowly, than expected
- Experiencing physical or emotional changes that seem significantly out of step with peers.
If something feels unusual, a structured evaluation can determine whether development is normal or needs guidance.
What a Puberty Evaluation Involves
Evaluations are led personally by Dr. Lefkothea Karaviti, drawing on decades of academic and clinical leadership in pediatric endocrinology to provide careful, individualized guidance for each child.
- Detailed review of growth patterns
- Familial history & pubertal timing
- Focused physical examination
- Targeted laboratory evaluation
- Bone age imaging when indicated
The goal is not to rush into treatment, but to understand the underlying biology and determine the right next steps. Many children fall within normal variation; when intervention is needed, care is thoughtful and individualized.
Why Families Choose Blue Sky
Expert Puberty Care in Denver
Families choose Blue Sky because we combine academic expertise with direct access and thoughtful care.
- Direct physician care — every visit
- Consistent, personalized evaluations
- Appointments within 1–2 weeks
- Shorter wait times than large systems
- In-person in Denver & telemedicine statewide
You will communicate directly with us, not through layers of bureaucracy.
Insurance & Access
We structure care in a way that works for families. We welcome most commercial insurance plans and offer clear, transparent self-pay options. Visits are billed after care is provided, with flexible arrangements available when needed.
You Do Not Need to Wait Months for Answers
When puberty timing feels uncertain, early evaluation provides clarity and direction.
Schedule a Puberty Evaluation
Call 720-445-8118
