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Precocious Puberty

What is Precocious Puberty ?
Precocious puberty is the appearance of any sign of secondary 
sex characteristics in boys younger than age 9 and in girls 
younger than 8.
 
Problems of Precocious Puberty
Girls:
Breast development
Vaginal bleeding
Boys:
 Enlargement of the testicles and penis
Facial hair
Deepening voice
Both Boys and Girls:
Pubic or underarm hair
Rapid height growth—a growth “spurt”
 Acne
 Adult body odor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Prominent Breasts in 5 year old girl with Brain Hamartoma causing Precocious Puberty
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Enlarged Penis seen in 4 year old boy with Precocious Puberty & Advanced Bone Age
 
 
 
Near the end of puberty, growth in height stops.
Because the bones of children with precocious puberty mature and stop 
growing earlier than normal, these children can be shorter than 
expected as adults.
Precocious puberty can also cause emotional 
and social problems for children who are ahead of their peers in 
terms of sexual maturity.
 
What causes precocious puberty?
Two main types of precocious puberty are abnormal. The first 
is called central precocious puberty (cPP) and the second is 
peripheral precocious puberty (PPP).
 
Central precocious puberty occurs when the Hypothalamus releases GnRh and activates  puberty early.
Which occurs due to problems  like tumor, brain trauma (such as a blow to the head, brain 
surgery, or radiation treatment to the head), or inflammation (such 
as meningitis). 
 
Peripheral precocious puberty is rarer than central precocious puberty. It results from early production of sex 
hormones due to problems with the ovaries, testicles, or 
adrenal glands. 
Another cause can be external exposure to sex 
hormones (such as coming into contact with an estrogen or 
testosterone cream).
 
How is precocious puberty  diagnosed?
To make a diagnosis, your  doctor will take a medical 
history and perform a physical exam. Blood tests may be done 
to measure hormone levels. the doctor may order an x-ray of the 
hand to see if the child’s bones are maturing too fast. Sometimes 
a ct scan or MRI is ordered to check for a tumor. 
 
How is precocious puberty  treated?
If your child has central precocious puberty, there are medications to prevent further  pubertal development.
 If the problem is peripheral precocious puberty, the treatment will 
depend on the underlying cause. It could involve medications, 
surgery (if there is a tumor), or removing the external source of 
the hormones (such as estrogen cream). 
 

 

 

 

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Ground Floor,

Challa Estate,

H.No. 301, Adjacent to Vignesh Temple,

Rd. No. 3, KPHB Colony Phase 1,

Hyderabad 500072.

Ph: 04040101539

       9059600930

       9849777971

 

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