Approximately 99.6% of white boys have at least early signs of secondary sexual development by the age of 14, but the cutoff age for identifying boys who need to be evaluated for delayed puberty may vary in different ethnic groups. The most common reason for delayed puberty is constitutional (idiopathic), which is usually accompanied by a delay in height growth. Various endocrine disorders, causing hypogo-nadotropic or hypergonadotropic hypogonadism, must also be considered in boys with pubertal delay.

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