It is considered that a delay in the puberty exists when no of the initial signs of sexual maturation in the greater boys of 16 years and in the girls over the 14 is observed.
In any case, always it is difficult to distinguish a puberal delay caused by a pathological condition of a puberty simply delayed with a constitutional or familiar foundation.
The diseases of general origin that attend with states of malnutrition or alterations of the metabolism, the syndromes of malnutrition and/or deficiency can delay the puberty, but very rare time they prevent the physiological maturation of the genital apparatus.
The puberty is a period of important also psychological modifications of the individual; as a result of it, the alterations of a normal development, or are anticipations or delays, can give rise to psychological upheavals, that are competition of the specialist.
