Puberty occurs when a part of the brain called the hypothalamus releases Gonadotropin-Releasing Hormone (GnRH). This hormone stimulates the pituitary gland (a small gland at the base of the brain situated between the two ears) to release two other hormones: Luteinising Hormone (LH) and Follicle-Stimulating Hormone (FSH). LH and FSH then stimulate the sex organs (gonads) to produce sex steroids (oestrogen in females and testosterone in males) that cause physical changes during puberty.
Every child goes through puberty at a different rate and stops growing in height towards the end of puberty.
Puberty starts between the ages of 8 and 13 years in girls and 9 and 15 years in boys. Children with pubertal disorders may have precocious (early) or delayed puberty.
Precocious (Early) Puberty
Early puberty is more common in girls compared to boys.
Early puberty can be categorised into Central Precocious Puberty (CPP) and Peripheral Precocious Puberty (PPP). CPP occurs when the hypothalamus releases GnRH which activates puberty earlier. PPP is caused by early production of sex steroids (oestrogen and testosterone) from other organs such as ovaries, testicles or adrenal glands
Children with early puberty mature and stop growing at an earlier age compared to their peers and can be shorter than expected as adults. Early puberty can cause emotional and social problems for children who are ahead of their peers.
Delayed Puberty
Delayed puberty is more common in boys than girls.
It is usually caused by the growth and development pattern in a family. However, medical problems can also cause a delay in the pubertal onset. Some people with chronic illnesses like diabetes, heart disease or kidney disease may go through puberty at an older age because their illnesses can make it harder for their bodies to mature. Proper treatment and better control of many of these illnesses may reduce the chances of delayed puberty.
Puberty can be delayed for several reasons. Most often, it is simply because your child is a late bloomer and it usually does not require any kind of treatment. Although the onset of puberty is delayed, these children will progress through puberty normally when it ensues.
It is important to start talking about puberty to your child early, for example when he or she is around 8 years old. It might even have to be earlier if your child has evidence of early puberty and the school has not started on puberty education.
It may be scary to your child when he or she experience changes in his or her body. The sight of blood during your daughter's first menses may be traumatising for her. Hence parents need to inform their child, especially girls, about how his or her body will change and what to expect.