Children with pubertal delay will require investigations and treatment. Investigations are tailored to understand the reason for pubertal delay.
Once chronic medical disease and normal variants are excluded, we need to understand if the pubertal delay is due to problems with the end organs (ovaries and testes) or with their central controls (pituitary and hypothalamus). Tests are done accordingly to find out source of the disease. Imaging tests like MRI and genetic tests may be required.