Puberty can be a stressful and confusing time, especially for you and your son with an Intellectual and/or Developmental Disability (I/DD). In spite of delays in other areas, children with I/DD usually enter puberty around the same time as other children their age. Some boys with I/DD, including those with spina bifida and cerebral palsy, may start puberty early (called precocious puberty). This toolkit gives you resources and tips on how to talk to your son about these sensitive topics.