When Is Puberty Too Early—or Too Late?
If your child’s development seems earlier or later than expected, you may be wondering whether it is simply a normal variation—or whether an evaluation would be helpful.
At Blue Sky Pediatric Endocrinology, we evaluate children and adolescents with concerns about early puberty, delayed puberty, growth, and adolescent development.
✓ New patient appointments often available within 1–2 weeks
✓ Telemedicine available throughout Colorado
✓ Board-certified pediatric endocrinology care
Common Reasons Families Contact Us
✓ My daughter started developing earlier than her friends
✓ My son is 14 and hasn’t started puberty
✓ My teenager has not started menstruation
✓ We are wondering whether our child’s development is normal
✓ We were told puberty may be affecting adult height
✓ We would like a second opinion about puberty or growth
What Happens During a Puberty Evaluation?
Most visits begin with a conversation about your child’s growth, development, and medical history. We review growth patterns, discuss family history, and perform a focused examination when appropriate.
Depending on the situation, additional testing may include:
✓ Review of growth charts and development
✓ Family pubertal history
✓ Focused physical examination
✓ Targeted laboratory testing when needed
✓ Bone age X-ray when indicated
Many children do not require extensive testing. Our goal is to determine whether development is within the normal range or whether further evaluation may be helpful.
Why Families Choose Blue Sky
Care led by Dr. Lefkothea Karaviti, a board-certified pediatric endocrinologist with over 30 years of experience in growth and puberty care.
✓ Appointments often available within 1–2 weeks
✓ Telemedicine available throughout Colorado
✓ Direct physician involvement at every visit
✓ Board-certified pediatric endocrinology care
✓ More than 35 years of experience caring for children and adolescents
✓ Former Baylor College of Medicine and Texas Children’s Hospital faculty
✓ Clear communication with families and referring physicians
“Dr. Karaviti explained everything clearly and helped us understand our child’s development. We felt reassured and supported.”
Schedule an Evaluation
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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 ]
Frequently Asked Questions
What age is considered early puberty?
Girls who begin breast development before age 8 and boys who begin puberty before age 9 may benefit from evaluation.
What age is considered delayed puberty?
Girls with no breast development by age 13 or boys with no signs of puberty by age 14 may benefit from evaluation.
Will my child need blood tests?
Not always. Testing is guided by your child’s history, growth pattern, and examination findings.
Can puberty affect adult height?
Yes. In some situations, early or delayed puberty can influence growth and final adult height.
Can appointments be done by telemedicine?
Many consultations can begin through telemedicine, with in-person evaluation arranged when needed.
Looking for Answers About Your Child's Development?
Whether puberty seems too early, too late, or simply different from expected, we are here to help.
Appointments are often available within 1–2 weeks.
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.