Growth and pubertal development are among the most important milestones in a child's life. Disruptions to normal growth or puberty can have lasting physical and psychological effects. Early diagnosis and appropriate endocrinological intervention can ensure children reach their full growth potential and experience healthy pubertal development.
We provide expert evaluation and management for children and adolescents with growth and pubertal concerns.
Growth Disorders We Treat
Growth Hormone Deficiency
Insufficient production of growth hormone by the pituitary gland results in slower-than-normal growth rate and short stature.
Signs
- Height significantly below average for age
- Slow growth rate (less than 4–5 cm per year)
- Delayed bone age
- Immature facial features
- Increased body fat, reduced muscle mass
Our Management
- Growth hormone stimulation testing
- Bone age X-ray assessment
- Growth hormone replacement therapy
- Regular growth monitoring and dose adjustments
Short Stature
Short stature has multiple causes — including familial short stature, constitutional delay, hormonal deficiencies, and chronic illness. A thorough evaluation is essential to identify treatable causes.
- Height and growth velocity assessment
- Hormonal and nutritional evaluation
- Identification of underlying medical conditions
- Targeted management based on cause
Tall Stature
Abnormally tall stature in children may be related to growth hormone excess or genetic syndromes, and warrants evaluation to rule out treatable causes.
Pubertal Disorders We Treat
Precocious Puberty (Early Puberty)
Puberty that begins too early — before age 8 in girls and before age 9 in boys — can affect final adult height and cause psychosocial challenges.
Our Evaluation
- Hormonal assessment (LH, FSH, oestrogen/testosterone)
- Bone age and growth projection
- Brain MRI when indicated
- GnRH analogue therapy to pause puberty when appropriate
Delayed Puberty
Absence of pubertal development by age 13 in girls and age 14 in boys. Causes range from constitutional delay to hormonal deficiencies.
Our Management
- Hormonal profile and pituitary evaluation
- Bone age assessment
- Sex hormone therapy when indicated
- Fertility counselling when appropriate
- Psychological support guidance
Why Choose Dr. Prathamesh Deorukhkar?
- Specialist expertise in paediatric and adolescent endocrinology
- Comprehensive growth and pubertal assessments
- Evidence-based hormonal therapies to optimise growth outcomes
- Sensitive, child-friendly approach
- Close monitoring and long-term follow-up through adolescence
