Puberty, when children develop into men and women both physically and emotionally, usually begins around the age of 10 for girls and 9 for boys. When this happens much earlier, it is called precocious puberty. When it happens much later, it is called delayed puberty. In many cases, there is no medical reason for these conditions, but sometimes there is an underlying cause that requires proper diagnosis and treatment. It could be that something triggers the area of the brain that regulates the pituitary gland, which releases hormones to stimulate the ovaries or testicles to produce sex hormones. This could be a brain tumor, a head trauma or an infection, such as meningitis. Puberty disorders can also be caused by problems in the ovaries or thyroid glands. We understand the significant impact these disorders can have on a child’s social development and family wellbeing.