Pediatric puberty evaluation
Early & delayed puberty
Puberty can bring a lot of questions. We evaluate development that seems to start early, late or differently from what you expected.
Your first visit is a video visit. If your child needs a physical exam, your clinician arranges an in-person visit afterward.

The evaluation
Timing and pattern both matter
Discuss which changes you’ve noticed, when they started, their pace and your child’s growth. One sign or a comparison with friends is not enough for a diagnosis.
The next step might be watching how things change, some tests or treatment. Treatment isn’t needed for every concern.
What we may talk about
- The first changes you noticed and when
- Growth over time and when parents went through puberty
- Other symptoms, health history and medicines
- Which tests, if any, are needed
Your child’s comfort
Your child’s comfort comes first
We use age-appropriate language and explain each step. You and your child should understand the concern and what comes next.
Never send photos of private body areas by form, text or email. We’ll explain how to arrange an exam.
Getting started
How to arrange care
The patient must be physically in Virginia or Maryland during the video visit. Your clinician explains any in-person care needed and where to go.
Request an appointment today. We’ll help you find an available time.
Insurance and cost
We’ll check your plan and explain expected visit costs. Nutrition, labs and medicines may have separate benefits.
Is the first visit by video?
Yes. The patient must be in Virginia or Maryland during the video visit. Your clinician explains whether an in-person exam is needed and where to receive it.
Should I send photos with my request?
No. Please don’t send photos of private body areas through the request form, text or email. Our team will explain how the exam is arranged.
Will my child need treatment?
Not always. Your clinician may recommend monitoring development, further tests or treatment, depending on the findings.
Can we request a visit without knowing the cause?
Yes. You don’t need a diagnosis first. Tell us what you’ve noticed and when it started.
Ask about your child’s development
You don’t need the right medical term. Tell us what you’ve noticed and we’ll help you plan the first visit.
(571) 480-6053
