The anamnesis (medical history) represents an important component in the diagnosis of pubertas tarda (delayed puberty).
Family history
- What is the general health of your relatives?
- Are there any diseases in your family that are common?
- Are there any hereditary diseases in your family?
Social anamnesis
Current medical history/systemic medical history (somatic and psychological complaints).
- Has the growth of secondary sexual characteristics already begun?boys:
- Increased body hair (chest, abdomen, back, armpits and pubic area) and beard growth.
- Vocal change, possibly also clear protrusion of the larynx, (Adam’s apple).
- Redistribution of body mass (typical male stature: broad shoulders and narrow hips) and an increased buildup of muscles.
Girls:
- Thelarche (breast growth)? If so, at what age?
- Pubarche (pubic hair growth)? If so, at what age?
- Armpit hair?
- Menarche (first menstrual period)?
- Female body appearance (wide hips, narrow waist, narrow shoulders).
- Do you feel otherwise physically completely healthy? Or are there any symptoms present?
- Do you suffer from impaired sense of smell?
Vegetative anamnesis incl. nutritional anamnesis.
- What is your height?
- Has your physical development been normal so far?
Self history incl. medication history.
- Pre-existing conditions (childhood diseases; endocrine diseases; chronic diseases).
- Surgeries
- Radiotherapy
- Vaccination status
- Allergies
- Environmental history
Medication history
- Androgens* *
- Anabolic steroids* *
- Chemotherapeutic agents* * *
- Thyroxine (thyroid hormone)* * *
* Boys* * Girls
* * * Both sexes
