
Understanding How Celiac Disease Can Delay Puberty

Puberty happens at different times for different kids, and typically, a slightly later start is nothing to be concerned about. But if your preteen or teen seems significantly behind their peers, there could be more to the story.
While you might think of celiac disease as a condition that affects the gut, it can impact other bodily systems, too — even influencing when puberty begins. Find answers at Center for Multisystem Disease, where Jill Schofield, MD, helps patients of all ages understand the many ways autoimmune disorders can affect their health.
It’s natural for parents to keep a close eye on their child’s growth and development, and when things seem to be progressing slowly, it’s understandable to be concerned. This month, learn how celiac disease can delay puberty and the signs that might point to this disorder as a factor.
The link between celiac disease and delayed puberty
About one in 300 kids has celiac disease, an autoimmune disorder where ingesting gluten triggers an immune response that damages the small intestine. This damage impairs the body’s ability to absorb essential vitamins, minerals, and calories from food, potentially leading to malnutrition — even if your child is eating enough.
Puberty is a period of rapid growth, and young people need energy and nutrients to fuel hormonal development. If your child’s body isn’t absorbing what it needs to due to untreated celiac disease, it can lead to delays in the onset of puberty as well as other issues like slower physical growth, damage to tooth enamel, weight loss, and liver problems.
Is it delayed puberty or just a late start?
Every child develops at their own pace. However, there are general age ranges for when the first signs of puberty typically appear — for girls, it’s usually between ages 8 and 13; for boys, between 9 and 14.
While some variation outside of this window is normal, certain signs may suggest a possible delay and warrant a closer look. In boys, these signs might include:
- Minimal or no noticeable genital growth by the time they reach age 14
- Lack of facial or body hair by age 15
And in girls:
- No breast development by age 13
- Absence of a first menstrual period by age 16
On their own, these signs may not necessarily point to celiac disease or any other specific condition. But if your child is also experiencing any of the common symptoms of celiac disease, such as persistent digestive issues, fatigue, or anemia, it’s important to seek medical advice from a specialist like Dr. Schofield.
Taking the next step
If you’re worried about your child’s development, especially alongside potential celiac symptoms, you can take action to help get them on the right track.
Without careful management, celiac disease can lead to serious long-term health consequences, including ongoing nutritional deficiencies and an increased risk of other autoimmune disorders and some cancers.
A strict gluten-free diet is essential to manage celiac disease and its related issues. Making this dietary change may allow puberty to progress as the gut begins to heal and absorb nutrients properly.
If you have concerns about your child’s development and suspect celiac disease may be a factor, Dr. Schofield can provide an accurate diagnosis and expert advice. Contact us at Center for Multisystem Disease today to schedule an appointment.
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