New here with ?????

[Guest guest]

My son, now 15.5yo, was diagnosed in April with constitutional growth

delay and delayed puberty. It was felt by the endocrinologist that

puberty was surely beginning and if we didn't see adequate progression

by October we should call back. I am very open with my son, I asked

him how things were progressing and he felt the whole puberty issue

was " definately " moving along. Last week we went to the pediatrician

for a routine check up and she felt a follow up with endocrinology was

needed. Keep in mind that everything has always looked

anatomically " normal. "

She said that while my son definately did have the appropriate

enlargement of the testis and penis, he does not have any pubic hair.

Not in the genital region, under his arms, on his legs, not anywhere.

She explained the two parts of male puberty: gonadarche and

adrenarche. The part that usually comes first, adrenarche, is missing

with my son.

We also have an underlying genetic metabolic disorder that we know my

son inherited but only shows soft signs of, it is called a

mitochondrial disorder.

We are going to see endocrinology next week but I hate to be

unprepared. Excluding the mitochondrial disorder, Has anyone here ever

dealt with this issue, and what was it caused from. And does anyone

know some of the appropriate questions for me to present to the

endocrinologist?

I will greatly appreciate ANY suggestions or comments.