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Puberty is the process of physical changes through which a child's body matures into an adult body capable of sexual reproduction.It is initiated by hormonal signals from the brain to the gonads: the ovaries in a female, the testicles in a male.
Puberty is considered delayed when the child has not begun puberty when two standard deviations or about 95% of children from similar backgrounds have. [7] [8] [9]In North American girls, puberty is considered delayed when breast development has not begun by age 13, when they have not started menstruating by age 15, [2] and when there is no increased growth rate. [8]