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By Lefke Karaviti, MD, PhD
Puberty is a normal and important part of development, but its timing and progression can vary widely from child to child. What matters most is not only when puberty begins, but how it unfolds over time.
Pediatric endocrinologists evaluate puberty by looking at physical changes, growth patterns, and hormone signaling within the context of a child’s age, development, and overall health. Puberty that starts very early, occurs much later than expected, or progresses unusually quickly or slowly may benefit from closer evaluation.
Many variations in pubertal timing are normal and do not require treatment. In other cases, understanding the underlying hormonal signals can help guide next steps—whether that means reassurance, monitoring, or medical intervention.
Puberty can be a sensitive time for children and families. Questions are common, and concerns are valid. A thoughtful evaluation can help clarify what is happening, what is normal, and how best to support a child’s physical and emotional well-being through this transition.
