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Precocious puberty

  • Definition
    • Puberty is the time during which a person's sexual and physical characteristics mature. Precocious puberty is when these body changes happen earlier than normal.

  • Alternative Names
    • Pubertas praecox

  • Causes
    • Puberty usually begins between ages 8 and 14 for girls and ages 9 and 16 for boys.

      The exact age a child enters puberty depends on a number of factors, including family history, nutrition, and gender.

      Often there is no clear cause for precocious puberty. Some cases are due to changes in the brain, genetic problems, or certain tumors that release hormones. These conditions include:

      • Disorders of the testicles, ovaries, or adrenal glands
      • Tumor of the hypothalamus (hypothalamic hamartoma)
      • Tumors that release a hormone called hCG
  • Symptoms
    • In girls, precocious puberty is when any of the following develop before age 8:

      • Armpit or pubic hair
      • Beginning to grow faster
      • Breasts
      • First period (menstruation)
      • Mature outer genitals

      In boys, precocious puberty is when any of the following develop before age 9:

      • Armpit or pubic hair
      • Growth of the testes and penis
      • Facial hair, often first on the upper lip
      • Muscle growth
      • Voice change (deepening)
  • Exams and Tests
    • The doctor will perform a physical exam to check for signs of precocious puberty.

      Tests that may be ordered include:

      • Blood tests to check hormone levels
      • CT or MRI scan of the brain or of the abdomen to rule out tumors.
  • Treatment
    • Depending on the cause, treatment for precocious puberty may include:

      • Medicines to stop the release of sexual hormones
      • Surgery to remove a tumor
  • Possible Complications
    • Children who go through puberty too early may not reach their full height because growth stops too early.

      Children with early sexual development may have psychological and social problems. Children and adolescents want to be the same as their peers. Early sexual development can make them appear different. Parents can support their child by explaining the condition and how the doctor plans to treat it.

  • When to Contact a Medical Professional
    • See your child's health care provider if:

      • Your child shows signs of precocious puberty
      • Any child with early sexual development appears to be having problems in school or with peers
  • References
    • Garibaldi L, Chemaitilly W. Disorders of pubertal development. In: Kliegman RM, Stanton BF, St Geme JW III, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 562.

      Haddad NG, Eugster EA. Precocious puberty. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 121.