Delayed Puberty

Delayed puberty for girls and boys is identified by the absence of breast development by age 13 years or the absence of testicular enlargement by age 14 years, respectively. Testosterone enanthate and conjugated estrogen are used to treat delayed puberty in boys and girls, respectively. In a double-blind, placebo-controlled crossover study of sexual behavior in boys and girls with idiopathic delayed puberty, sex hormone treatment impacted overt behavior and thoughts (Finkelstein et al. 1998). Specifically, boys reported more nocturnal emissions and sexual touching with a partner following testosterone treatment, whereas girls reported more necking. Both sexes reported more sexual thoughts following hormone treatment (Finkelstein et al. 1998). Using the same study design and participants, Finkelstein et al. (1997) also assessed self-reported aggressive behavior. Following sex hormone treatment, aggressive impulses and physical aggression increased for both boys and girls.

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