Clinical_Rounds_in_Endocrinology_Volume_II_-_Pediatric_Endocrinology

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54. What is the most common therapy to induce puberty in boys with congenital
    IHH?
    Exogenous testosterone is the most common therapy used to induce puberty in
    boys with congenital IHH. Various formulations of testosterone are available
    including oral, intramuscular, transdermal, buccal, and nasal spray; however,

ab

c

Fig. 7.14 (a) An 18-year-old adolescent with delayed puberty and bilateral lipomastia, (b) imma-
ture facies and absence of facial hairs, (c) pubic hair Tanner stage 2, and testicular volume 8 ml
suggestive of partial hypogonadotropic hypogonadism

7 Delayed Puberty