Editing Delayed puberty (section)

==== Constitutional and physiologic delay ====
Children with constitutional delay are reported to be shorter than their peers, lacking a [[growth spurt]], and having an overall smaller build.<ref name=":8" /> Their growth has begun to slow down years before the expected growth spurt secondary to puberty, which helps differentiate a constitutional delay from an HPG-axis related disorder.<ref name=":7" /> A complete family history with the ages at which parents hit the pubertal milestones can also provide a reference point for the expected age of puberty.<ref name=":11" /><ref name=":0" /> Growth measurement parameters in children with suspected constitutional delay include a height, a weight, the rate of growth, and the calculated mid-parental height which represents the expected adult height for the child.<ref name=":1" /><ref name=":11" />