The teenage years are difficult enough for people who enter puberty at the normal time. Having delayed or absent puberty, and being left behind by a peer group, can be particularly difficult and may result in:

• Low self-esteem, little confidence
• Shyness, difficulty interacting with peers
• Difficulty forming intimate emotional and physical relationships
• Sex drive (libido)
• Anxiety, depression
• Poor body image

Specific to KS:

• A lack or abnormal sense of smell can affect the sense of taste and enjoyment of food
• An inability to detect the smell of gas or spoiled food can cause health and safety concerns
• Concerns about body odor can cause social anxiety and self-isolation