Diagnosis and treatment

Our services includes:

• three paediatric endocrine clinics per week
• regional service for disorders of sex development (three clinics per year)
• regional paediatric metabolic bone clinic (three clinics per year)
• paediatric endocrinology/genetics service (two clinics per year)
• monthly endocrine specialist nurse-led clinic to promote education and review medication
• a visiting paediatric endocrine service established in Winchester, Basingstoke, Salisbury, Poole, Dorchester, the Isle of Wight and Jersey
• dynamic endocrine function testing is undertaken by the paediatric endocrine nurse specialists on the John Atwell day ward.

Children are referred to us to investigate and manage issues such as:

• short stature
• tall stature and overgrowth syndromes
• delayed puberty and precocious puberty
• pituitary problems including growth and hormone deficiency
• thyroid disorders, acquired or congenital
• adrenal and gonadal disorders
• diabetes insipidus
• calcium disorders including hypercalcaemia, hypocalcaemia, hypoparathyroidism and hyperparathyroidism
• disorders of glucose homeostasis including hypoglycaemia
• disorders of sexual differentiation including micropenis
• polycystic ovary syndrome and menstrual problems
• hirsutism
• insulin resistance
• gynaecomastia
• neonatal endocrine disorders
• endocrine sequelae from childhood cancer treatment
• Cushing's disease and Cushing's syndrome
• phaeochromocytoma
• obesity associated with complications or monogenic obesity
• steroid management, withdrawal and advice
• inherited endocrine neoplasia syndromes.