<prompt> Delayed puberty is when primary amenorrhea is seen without development of secondary sexual characters beyond the age of?12 years14 years16 years18 years  <response>: c. 16 yearsRef: Nelsons 20e p 2673, Ghai 8e p 534Delayed puberty is defined as absence of secondary sexual characters by 14 yrs age or absence of menarche by 16 years. 