Materiały źródłowe

• #1 Precocious Puberty – Stanford Medicine Children’s Health

  https://www.stanfordchildrens.org/en/topic/default?id=precocious-puberty-90-P01973

  Puberty that happens early is called precocious puberty. This means a child’s physical signs of sexual maturity develop too soon. Precocious puberty happens before age 8 in girls, and before age 9 in boys. […] The goal of treatment for is to stop the onset of early puberty signs. In some cases, the signs can be reversed. Treatment will depend on the type of precocious puberty and the cause. […] Treatment may be done with synthetic gonadotropin-releasing hormone. This can stop the sexual maturity process. […] You can help your child by treating your child like normal, boosting your child’s self-esteem, and seeking a child counselor if more help is needed.

• #2 Precocious Puberty | Phoenix Children’s Hospital

  https://phoenixchildrens.org/specialties-conditions/precocious-puberty

  Puberty that happens early is called precocious puberty. This means a child’s physical signs of sexual maturity develop too soon. Precocious puberty happens before age 8 in girls and before age 9 in boys. […] The goal of treatment is to stop the onset of early puberty signs. In some cases, the signs can be reversed. Treatment will depend on the type of precocious puberty and the cause. […] Treatment may be done with medicines called synthetic gonadotropin-releasing hormone agonists. These can stop the sexual maturity process by stopping the pituitary gland from releasing the gonadotropin hormones. […] You can help your child by treating them like normal, boosting their self-esteem, and seeking a child counselor if more help is needed. […] Call your child’s healthcare provider if you see signs of sexual development in a girl before age 8 or in a boy before age 9. […] Treatment may be done with synthetic gonadotropin-releasing hormone agonists. This can stop the sexual maturity process.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2556

  Precocious puberty means that a child has signs of puberty at an early age. Girls with early puberty may have breast development before age 8. Or they may have menstrual periods before age 10. Boys can have pubic hair and genital growth before age 9. […] Treatment, especially when given early, will help your child reach a normal adult height. Your child may still have some signs of puberty. But these changes usually stop after a couple months of treatment. […] Follow-up care is a key part of your child’s treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if your child is having problems. […] Talk to your child honestly about what is happening. He or she may be confused or embarrassed about being different than other children. Explain that his or her body has started developing early but is growing normally. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child expresses a lack of self-worth. Your child shows a lack of interest in usual activities, withdraws, and seems sad. Your child avoids school or activities.

• #4 Precocious Early Puberty | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/precocious-early-puberty

  When a child enters puberty (the process of becoming sexual mature) too early, it’s called precocious puberty, or early puberty. Children experiencing the condition develop early sexual characteristics; in girls this means before age 8, and in boys, this means before age 9. […] The goal of treatment for precocious puberty is to stop, and possibly reverse, the onset of puberty. At Children’s, we often use synthetic luteinizing-hormone-releasing hormone (LHRH). […] Our team is sensitive to the physical and emotional challenges that come along with entering puberty early, and our team is here to help. […] With proper treatment and care, most children with precocious puberty will ultimately experience a normal and happy adolescence. […] Helping your child cope with teasing from her peers is important, as is treating your child age-appropriately and taking steps to boost his or her self-esteem.

• #5 Precocious Puberty | Riley Children’s Health

  https://www.rileychildrens.org/health-info/precocious-puberty

  Precocious puberty in girls is when the following happens before the age of 8: […] Precocious puberty in boys is when the following happens before the age of 9: […] There are two types of precocious puberty: […] Treatment of precocious puberty depends on if your child is diagnosed with central precocious puberty or peripheral precocious puberty: […] Central precocious puberty is treated with a medicine that slows production of luteinizing hormone (LH) and follicle stimulating hormone (FSH) by the pituitary gland. […] Peripheral precocious puberty is treated with medicines that suppress or stop the production of hormones or surgery to remove tumors that produce estrogen or testosterone. […] If your child has been diagnosed with precocious puberty, treatment can slow down or delay puberty, allowing your child to grow to a more normal height.

• #6 Puberty Disorders Causes, Symptoms, and Treatments

  https://www.upmc.com/services/womens-health/conditions/puberty-disorders

  Doctors define puberty disorders as the onset of pubertal changes earlier or later than expected for a persons age. […] Precocious puberty is more common in girls, but delayed puberty is more common in boys. […] Precocious puberty is generally classified into two categories: Gonadotropin-dependent precocious puberty (GDPP) and Gonadotropin-independent precocious puberty (GIPP). […] If your child is struggling with their mental health because of precocious puberty or delayed puberty, keep them in the loop about their condition and how the doctor will treat it. […] Treatment for precocious puberty depends on its cause. If GDPP is suspected, there are medications to temporarily turn off the hypothalamus and slow the progress of pubertal changes until a child is older. For GIPP, your doctor will direct treatment at the source of the excess hormone secretion. […] Treatment for delayed puberty will depend on the underlying reasons for the delayed puberty. In certain situations, hormone therapy can start puberty.

• #7 Precocious Puberty Treatment & Management: Approach Considerations, Surgical Care, Medical Care

  https://emedicine.medscape.com/article/924002-treatment

  Early onset of puberty can lead to several problems. The early growth spurt initially can result in tall stature, but rapid bone maturation can cause linear growth to cease too early and may result in short adult stature. Moreover, the early appearance of breasts or menses in girls and increased libido in boys can cause emotional distress for some children. However, not all patients with CPP who are age 7 years or older at the time of onset require treatment. […] When CPP is caused by a CNS tumor other than a hamartoma, a resection should be attempted to the extent possible without impinging on vital structures such as the optic nerves. Radiation therapy is often indicated if surgical resection is incomplete. Unfortunately, removal of the tumor rarely causes regression of precocious puberty.

• #8 Precocious Puberty (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/precocious.html

  Precocious puberty is when the signs of puberty start: […] It can be hard for some kids and sometimes is a sign of a health problem. […] When puberty ends, growth in height stops. Because their skeletons mature and bone growth stops at an earlier age than normal, kids with precocious puberty that’s not treated usually don’t reach their full adult height potential. […] Going through puberty early also can be hard for kids emotionally and socially. […] Even emotions and behavior may change in kids with precocious puberty. […] If your child has precocious puberty, the doctor may refer you to a pediatric endocrinologist (a doctor who treats growth and hormone disorders in children) for treatment. […] The treatment goals are to: stop or even reverse sexual development; stop the rapid growth and bone maturation that can lead to adult short stature or an early start to periods. […] The important thing is that doctors can treat precocious puberty. They can help kids keep their adult height potential and limit the emotional and social stress kids may face from maturing early.

• #9 Precocious Puberty (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/precocious-puberty-pro

  Glucocorticoids – used for CAH. […] Testolactone – an aromatase inhibitor (therefore inhibits steroid biosynthesis). It is used most commonly for MAS but also in testotoxicosis. Other aromatase inhibitors such as letrozole and anastrozole have also been used in small case studies for MAS. […] Tamoxifen – has been used in MAS. […] Ketoconazole – may be used (for example, in testotoxicosis) to inhibit steroid biosynthesis. […] Cyproterone acetate – may be used for anti-androgen action. Flutamide is also used to counter androgen excess. […] Medroxyprogesterone (a progesterone analogue) – has also been used. […] […] […] Complications […] Psychological difficulties, including feeling stressed and becoming withdrawn because of the early physical changes. Poor self-esteem and bullying may be issues.

• #10 Precocious (Early) Puberty | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/early-puberty/

  Puberty typically begins around ten years of age in girls and 12 years of age in boys. Precocious puberty (early puberty) is when the bodys changes toward sexual maturity start much sooner than usual: before girls are eight years old and before boys are nine years old. […] When a child starts experiencing early puberty, a visit with a pediatric endocrinologist is appropriate. […] Treatment can help even if, as in most cases, the cause cannot be determined. The sexual changes can be stopped or reversed to limit the childs social and emotional difficulties, and protect the child at risk of becoming a short adult. […] Limiting the social and emotional difficulties is important in early sexual maturation. Difficulties can lead to both behavioral and medical problems. […] Our psychologists, nurses, and endocrinologists are useful resources. We help parents explain the changes and behaviors the child is experiencing. We offer strategies and support to the child.

• #11 Puberty Blockers: What You Should Know | Cedars-Sinai

  https://www.cedars-sinai.org/blog/puberty-blockers-for-precocious-puberty.html

  The condition doesnt have to disrupt your childs life. Providers can treat precocious pubertymarked by breast development before age 8 or testes growth before age 9with hormonal suppressants, also called puberty blockers. With supervision, these reversible drugs safely and effectively delay a childs development until theyre ready. […] Precocious puberty can have physical consequences as well, raising long-term heart disease and breast cancer risk and prematurely aging bones. That could compromise a childs height if their growth plates close too soon. […] A pediatrician can use these medications to slow down physical maturity to a healthier pace, protect bone growth and help young patients adjust as needed. Experts suggest discontinuing the treatments around age 12.

• #12

  https://www.nbcnews.com/health/womens-health/early-puberty-may-linked-common-chemical-used-personal-care-products-rcna169967

  Starting puberty significantly early younger than age 8 in girls, 9 in boys may have health effects lasting into adulthood, including higher risks of breast cancer, diabetes and heart disease. It can also lead to shortened stature in both girls and boys. […] Shaw suggests that until more is known, parents hoping to prevent early puberty should check ingredient lists for musk ambrette on any cosmetics, fragrances and household products their children might use.

• #13 What Primary Care Providers Need to Know About Precocious Puberty – Pediatrics Nationwide

  https://pediatricsnationwide.org/2024/09/27/what-primary-care-providers-need-to-know-about-precocious-puberty/

  PCPs are the first line of defense in recognizing and referring possible cases of precocious puberty to endocrinologists for formal diagnosis and treatment. […] Precocious puberty — signs of the onset of puberty before the age of 8 in girls and 9 in boys — affects less than 1% of children in the United States, and is most common among females, children with obesity and African Americans. […] Early detection of precocious puberty and proactive referral to endocrinology can make a big difference in a child’s outcomes in these cases. […] There are definitely some health implications for children who start puberty early and continue to progress. […] If one is present and you miss precocious puberty, you miss that potential underlying cause, which can be harmful. […] The mainstay treatment for precocious puberty are gonadotropin releasing hormone analogs (GnRHas).

• #14 Precocious Puberty | Norton Children’s

  https://nortonchildrens.com/services/gynecology/conditions/precocious-puberty/

  Norton Children’s Gynecology is the only practice in Louisville, Southern Indiana and Kentucky dedicated to pediatric gynecological care. Our board-certified physicians are trained to treat precocious puberty with the sensitivity that children, teens and parents need. […] Precocious puberty or early puberty describes puberty that begins before age 8 in girls and before age 9 in boys. Girls are much more likely than boys to experience this condition. […] If we suspect precocious puberty, our team will review your child’s medical history and conduct a physical exam. Diagnostic testing may include: […] The goal of treatment is to stop the onset of puberty. The best course of treatment will depend on the cause. […] Medication is effective for most children with central precocious puberty. Your child continues to receive this medication until he or she reaches the normal age of puberty. […] If another medical condition is causing early puberty, treatment of that condition is necessary to stop the progress of puberty.

• #15 Disorders of Puberty: An Approach to Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/1101/p590.html

  Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. […] Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome neurologic symptoms typically have a benign pattern of development and should be monitored in the appropriate clinical context. […] Among patients with true precocious puberty, or full activation of the hypothalamic-pituitary-gonadal axis, most girls have an idiopathic etiology, whereas it is commonly due to identifiable pathology on imaging in boys. […] History and physical examination should be followed by measurements of serum follicle-stimulating hormone, luteinizing hormone, and testosterone (boys) or estradiol (girls); thyroid function testing; and bone age radiography. […] Brain magnetic resonance imaging should be performed in girls younger than six years, all boys with precocious puberty, and children with neurologic symptoms.

• #16 Precocious Puberty: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/924002-overview

  Precocious puberty refers to the appearance of physical and hormonal signs of pubertal development at an earlier age than is considered normal. […] In central precocious puberty (CPP), which is gonadotropin-dependent, early maturation of the entire hypothalamic-pituitary-gonadal (HPG) axis occurs, with the full spectrum of physical and hormonal changes of puberty. […] A thorough history, physical examination, and growth curve review can help to distinguish these normal variants from true sexual precocity. […] The early growth spurt initially can result in tall stature, but rapid bone maturation can cause linear growth to cease too early and may result in short adult stature. […] For patients with precocious puberty who are treated with GnRH agonists: Follow-up should occur every 4-6 months to ensure that progression of puberty has been arrested.

• #17 Precocious Puberty: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/924002-overview

  Monitor bone age yearly to confirm that advancement has slowed. […] If the history, physical examination, and laboratory data suggest that a child exhibits early and sustained evidence of pubertal maturation, the clinician must differentiate CPP from precocious pseudopuberty. […] Correct diagnosis of the etiology of sexual precocity is critical because the evaluation and treatment of patients with precocious pseudopuberty are quite different from those of patients with CPP.

• #18 Precocious Puberty – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK544313/

  Precocious puberty is an early onset of puberty and secondary sexual characteristics in children. […] This activity reviews the early identification, evaluation, and management of precocious puberty and highlights the role of providers in identifying the condition and promptly referring to the pediatric endocrinologist for further management and preventing the complications. […] The main goals of treatment are to preserve the adult height and to alleviate the associated psychosocial stress. […] GnRH agonists are the standard of care. […] While on treatment, periodic monitoring of pubertal progression, growth velocity, and skeletal maturation are necessary. […] Treatment is directed towards eliminating the source of sex steroids. […] The primary care providers and the pediatric endocrinologists should have a detailed conversation explaining the early pubertal changes even if it’s a benign variant.

• #19 Precocious (Early) Puberty in Children | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/early-puberty-in-children

  Nationwide Children’s Hospital offers a team of experts focused on treating early puberty in children. […] The goal of treatment is to stop or reverse early puberty. This is so your child can grow to their full adult height and delay puberty until the right age. The type of treatment depends on what is causing the problem. Your child may need: medicines to stop the pituitary from releasing hormones. This can delay sexual development. […] Using simple and honest words, talk to your child about what is happening. Tell them that signs of puberty are normal for older children and teens, but their body has started developing a little too early. […] Watch for signs of emotional stress, teasing by others or depression. Warning signs can be poor grades, problems at school or loss of interest in daily activities.

• #20 Precocious Early Puberty | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/precocious-early-puberty

  The goal of treatment for precocious puberty is to stop, and possibly reverse, the onset of your child’s early puberty. Treatment will also depend on the type of precocious puberty and the underlying cause, if it’s known. […] When treating children with central precocious puberty, we often use synthetic luteinizing-hormone-releasing hormone (LHRH). This hormone appears to stop sexual maturation brought on by the disorder by stopping the pituitary gland from releasing gonadotropin. […] Treatment for peripheral precocious puberty depends on what’s causing excess estrogen or androgen production. Options include tumor removal, blocking the actions of estrogen or androgen on the body, or treatment of hypothyroidism with replacement thyroid hormone.

• #21 Precocious Puberty – Early Puberty: Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/21064-precocious-early-puberty

  Precocious puberty, or early puberty, means puberty that begins before age 8 in girls and before age 9 in boys. Treatment for the condition includes medications that can turn off the production of certain hormones. […] Precocious puberty treatment depends on the type. […] Turning off the pituitary glands production of LH and FSH is the main goal of central precocious puberty treatment. […] Eliminating the source of reproductive hormones is the treatment for peripheral precocious puberty. […] You cant prevent most early puberty cases. Limiting your childs exposure to reproductive hormones from outside sources may prevent it. […] Early treatment with medications or surgery usually stops precocious puberty. This treatment allows a child to develop and grow into adulthood at a more normal rate. […] Call your childs healthcare provider if theyre showing any signs of precocious puberty, especially if theyre younger than 8 years old.

• #22 Precocious Puberty (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/precocious-puberty-pro

  Precocious puberty treatment and management […] For cases of CPP with no underlying brain pathology and no psychosocial complications, treatment for the pubertal changes alone may not be required. Puberty can be arrested and growth hormone given if the height prognosis is poor. Examples of treatment include: […] Surgery: tumours may require resection but resection of central lesions will not cause regression of the pubertal changes. Gonadal tumours require surgery with or without subsequent radiotherapy/chemotherapy. […] Medical treatments include: […] GnRH agonists – used in CPP, as well as for other aetiologies, including MAS and testotoxicosis. These come in a number of depot preparations. They work by overstimulating the pituitary gland, causing desensitisation and thereby less release of LH and FSH. They are continued until the time for normal puberty arrives. If started early they can help the individual achieve predicted adult height.

• #23 What to Know About Central Precocious Puberty Insurance Coverage

  https://fensolvi.com/what-to-know-about-central-precociouspuberty-insurance-coverage/

  FENSOLVI is a type of medicine known as a gonadotropin releasing hormone (GnRH) agonist. It is used to treat central precocious puberty (CPP) in children 2 years of age and older and is administered as an injection under the skin (subcutaneously) by your childs healthcare provider. […] During the first few weeks of treatment, an increase in signs and symptoms of puberty, including vaginal bleeding in girls, may occur. […] Some children may have emotional changes with FENSOLVI, including crying, irritability, impatience, anger, or aggression. Call your childs doctor right away if your child has any new or worsening emotional symptoms while taking FENSOLVI. […] The most common side effects seen in studies with FENSOLVI were injection site pain/redness, colds/sore throat, fever, headache, cough, stomach pain, nausea, constipation, vomiting, wheezing, wet cough and hot flush. Tell your childs doctor about any side effects.

• #24 Precocious puberty – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/precocious-puberty/diagnosis-treatment/drc-20351817

  Diagnosing precocious puberty involves: […] The primary goal of treatment is for children to grow to adult height. […] Treatment for precocious puberty depends on the cause. […] This usually involves medicine called GnRH analogue therapy, which delays further development. […] Children keep getting this medicine until they reach the usual age of puberty. […] If another medical condition is causing precocious puberty, stopping puberty means treating that condition. […] Counseling can help families better understand and handle the feelings and issues that may come with precocious puberty.

• #25 Precocious Early Puberty | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/precocious-early-puberty

  The goal of treatment for precocious puberty is to stop, and possibly reverse, the onset of your child’s early puberty. Treatment will also depend on the type of precocious puberty and the underlying cause, if it’s known. […] When treating children with central precocious puberty, we often use synthetic luteinizing-hormone-releasing hormone (LHRH). This hormone appears to stop sexual maturation brought on by the disorder by stopping the pituitary gland from releasing gonadotropin. […] Treatment for peripheral precocious puberty depends on what’s causing excess estrogen or androgen production. Options include tumor removal, blocking the actions of estrogen or androgen on the body, or treatment of hypothyroidism with replacement thyroid hormone.

• #26 What to Know About Central Precocious Puberty Insurance Coverage

  https://fensolvi.com/what-to-know-about-central-precociouspuberty-insurance-coverage/

  FENSOLVI is a type of medicine known as a gonadotropin releasing hormone (GnRH) agonist. It is used to treat central precocious puberty (CPP) in children 2 years of age and older and is administered as an injection under the skin (subcutaneously) by your childs healthcare provider. […] During the first few weeks of treatment, an increase in signs and symptoms of puberty, including vaginal bleeding in girls, may occur. […] Some children may have emotional changes with FENSOLVI, including crying, irritability, impatience, anger, or aggression. Call your childs doctor right away if your child has any new or worsening emotional symptoms while taking FENSOLVI. […] The most common side effects seen in studies with FENSOLVI were injection site pain/redness, colds/sore throat, fever, headache, cough, stomach pain, nausea, constipation, vomiting, wheezing, wet cough and hot flush. Tell your childs doctor about any side effects.

• #27 Precocious Early Puberty | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/precocious-early-puberty

  The goal of treatment for precocious puberty is to stop, and possibly reverse, the onset of your child’s early puberty. Treatment will also depend on the type of precocious puberty and the underlying cause, if it’s known. […] When treating children with central precocious puberty, we often use synthetic luteinizing-hormone-releasing hormone (LHRH). This hormone appears to stop sexual maturation brought on by the disorder by stopping the pituitary gland from releasing gonadotropin. […] Treatment for peripheral precocious puberty depends on what’s causing excess estrogen or androgen production. Options include tumor removal, blocking the actions of estrogen or androgen on the body, or treatment of hypothyroidism with replacement thyroid hormone.

• #28 Precocious Puberty (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/precocious-puberty-pro

  Precocious puberty treatment and management […] For cases of CPP with no underlying brain pathology and no psychosocial complications, treatment for the pubertal changes alone may not be required. Puberty can be arrested and growth hormone given if the height prognosis is poor. Examples of treatment include: […] Surgery: tumours may require resection but resection of central lesions will not cause regression of the pubertal changes. Gonadal tumours require surgery with or without subsequent radiotherapy/chemotherapy. […] Medical treatments include: […] GnRH agonists – used in CPP, as well as for other aetiologies, including MAS and testotoxicosis. These come in a number of depot preparations. They work by overstimulating the pituitary gland, causing desensitisation and thereby less release of LH and FSH. They are continued until the time for normal puberty arrives. If started early they can help the individual achieve predicted adult height.

• #29 Precocious Puberty Treatment & Management: Approach Considerations, Surgical Care, Medical Care

  https://emedicine.medscape.com/article/924002-treatment

  For patients with precocious puberty treated with GnRH agonists: Follow up every 4-6 months to ensure that progression of puberty has been arrested. Favorable signs include normalization of accelerated growth, reduction (or at least no increase) in breast size, and suppression of gonadotropin levels after a challenge of GnRH. Monitor bone age yearly to confirm that the rapid advancement seen in the untreated state has slowed, typically to a half year of bone age per year or less. […] In many cases, the physician may elect to observe the child with CPP, either because the age of onset is borderline (ie, 7-8 y) and the child and family are coping well, or because the progression of puberty is not rapid and the bone age is only mildly advanced, so that predicted adult height falls well within the broad normal range. In these cases, thoughtful counseling of parents about the manageable risks of withholding treatment and follow-up at 6-month intervals are appropriate.

• #30 Precocious (Early) Puberty | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/early-puberty/

  For some children, the best course of treatment may be no treatment. […] The specialists in Lurie Children’s Division of Endocrinology can help families and patients discuss how the condition is affecting and may affect the child, and what treatment options may help. […] Counseling may help the child cope with the emotional effects of early puberty. […] Hormone therapy medication a form of gonadotropin-releasing hormone (synthetic luteinizing-releasing hormone) can suppress or slow the signals from the hypothalamus and pituitary. Central precocious puberty can be effectively treated this way.

• #31 Precocious Puberty Treatment & Management: Approach Considerations, Surgical Care, Medical Care

  https://emedicine.medscape.com/article/924002-treatment

  For patients with precocious puberty treated with GnRH agonists: Follow up every 4-6 months to ensure that progression of puberty has been arrested. Favorable signs include normalization of accelerated growth, reduction (or at least no increase) in breast size, and suppression of gonadotropin levels after a challenge of GnRH. Monitor bone age yearly to confirm that the rapid advancement seen in the untreated state has slowed, typically to a half year of bone age per year or less. […] In many cases, the physician may elect to observe the child with CPP, either because the age of onset is borderline (ie, 7-8 y) and the child and family are coping well, or because the progression of puberty is not rapid and the bone age is only mildly advanced, so that predicted adult height falls well within the broad normal range. In these cases, thoughtful counseling of parents about the manageable risks of withholding treatment and follow-up at 6-month intervals are appropriate.

• #32 Pediatric Endocrine Treats Children With Precocious Puberty

  https://pediatricendocrineassociates.com/conditions/early-puberty/

  Precocious puberty refers to puberty that appears earlier than expected (in boys if it occurs before the age of 9 years, in girls before the age of 8 years). […] The treatment will vary depending on the cause. The need for treatment varies with the age and emotional development of the child, the stage of puberty, bone age, and whether the puberty is rapidly progressing. If your doctor feels treatment is necessary, your child may be given a medication to temporarily stop puberty. It is a gonadotropin releasing hormone agonist, known as Lupron. The goal of treatment with this drug is to decrease the rate of bone maturation. […] It will be important for your child to be seen by the pediatric endocrinologist in our office every 3 months. This will allow the doctor to measure the height and determine the growth rate; a physical exam will be done to evaluate development, and lastly the dose of medication (if therapy was initiated) may need to be adjusted to ensure that your child is receiving the appropriate amount.

• #33 Precocious Puberty Treatment & Management: Approach Considerations, Surgical Care, Medical Care

  https://emedicine.medscape.com/article/924002-treatment

  For patients with precocious puberty treated with GnRH agonists: Follow up every 4-6 months to ensure that progression of puberty has been arrested. Favorable signs include normalization of accelerated growth, reduction (or at least no increase) in breast size, and suppression of gonadotropin levels after a challenge of GnRH. Monitor bone age yearly to confirm that the rapid advancement seen in the untreated state has slowed, typically to a half year of bone age per year or less. […] In many cases, the physician may elect to observe the child with CPP, either because the age of onset is borderline (ie, 7-8 y) and the child and family are coping well, or because the progression of puberty is not rapid and the bone age is only mildly advanced, so that predicted adult height falls well within the broad normal range. In these cases, thoughtful counseling of parents about the manageable risks of withholding treatment and follow-up at 6-month intervals are appropriate.

• #34 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Precocious puberty nursing case study […] Nurses Roles during management of Precocious Puberty. […] Assessment and Monitoring: Conduct thorough assessments of patients to gather relevant data. Monitor the progression of secondary sexual characteristics and hormonal levels. Regularly assess the emotional and psychological well-being of the patient. […] Patient and Family Education: Provide extensive education about precocious puberty, its causes, and potential treatments. Explain the significance of diagnostic tests and procedures. Offer guidance on the expected course of treatment and potential side effects. […] Emotional Support: Offer emotional support to the patient and their family throughout the diagnostic and treatment processes. Address concerns and anxieties related to the condition. Facilitate communication between the healthcare team, patient, and family.

• #35 Nurses’ role in caring for girls with precocious puberty – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37547941/

  Puberty is an important marker of health and development in a child’s life. Complex neuroendocrine factors contribute to the onset of puberty. While pubertal changes usually occur between the ages of 12 and 13 years, some children may attain puberty before the age of eight years for girls and nine years for boys, which is termed precocious puberty. […] Nurses have an important role in preparing children and families, and supporting their psychological and social well-being.

• #36 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Precocious puberty nursing case study […] Nurses Roles during management of Precocious Puberty. […] Assessment and Monitoring: Conduct thorough assessments of patients to gather relevant data. Monitor the progression of secondary sexual characteristics and hormonal levels. Regularly assess the emotional and psychological well-being of the patient. […] Patient and Family Education: Provide extensive education about precocious puberty, its causes, and potential treatments. Explain the significance of diagnostic tests and procedures. Offer guidance on the expected course of treatment and potential side effects. […] Emotional Support: Offer emotional support to the patient and their family throughout the diagnostic and treatment processes. Address concerns and anxieties related to the condition. Facilitate communication between the healthcare team, patient, and family.

• #37 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Precocious puberty nursing case study […] Nurses Roles during management of Precocious Puberty. […] Assessment and Monitoring: Conduct thorough assessments of patients to gather relevant data. Monitor the progression of secondary sexual characteristics and hormonal levels. Regularly assess the emotional and psychological well-being of the patient. […] Patient and Family Education: Provide extensive education about precocious puberty, its causes, and potential treatments. Explain the significance of diagnostic tests and procedures. Offer guidance on the expected course of treatment and potential side effects. […] Emotional Support: Offer emotional support to the patient and their family throughout the diagnostic and treatment processes. Address concerns and anxieties related to the condition. Facilitate communication between the healthcare team, patient, and family.

• #38 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Collaboration with Healthcare Team: Collaborate with endocrinologists, radiologists, and other specialists in the development and implementation of the patients care plan. Contribute nursing expertise to the interdisciplinary team. […] Administration of Medications: Administer medications as prescribed, such as GnRH agonists, which are commonly used in the management of central precocious puberty. Educate patients and families on medication administration and potential side effects. […] Monitoring for Adverse Effects: Monitor patients for any adverse effects of medications or interventions. Report and document any unexpected reactions promptly. […] Psychosocial Support: Address psychosocial challenges associated with precocious puberty, such as body image concerns and social interactions. Facilitate support groups or counseling for patients and families.

• #39 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Precocious puberty nursing case study […] Nurses Roles during management of Precocious Puberty. […] Assessment and Monitoring: Conduct thorough assessments of patients to gather relevant data. Monitor the progression of secondary sexual characteristics and hormonal levels. Regularly assess the emotional and psychological well-being of the patient. […] Patient and Family Education: Provide extensive education about precocious puberty, its causes, and potential treatments. Explain the significance of diagnostic tests and procedures. Offer guidance on the expected course of treatment and potential side effects. […] Emotional Support: Offer emotional support to the patient and their family throughout the diagnostic and treatment processes. Address concerns and anxieties related to the condition. Facilitate communication between the healthcare team, patient, and family.

• #40 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Advocacy: Advocate for the patients needs within the healthcare system. Ensure that the patients rights and preferences are respected. […] Coordination of Care: Coordinate the various aspects of the patients care plan. Ensure smooth transitions between different stages of diagnosis, treatment, and follow-up. […] Continuity of Care: Promote continuity of care by maintaining regular follow-up appointments. Facilitate communication between the outpatient and inpatient settings, if necessary. […] Patient Safety: Prioritize patient safety during diagnostic procedures and treatment interventions. Educate patients and families on safety measures at home. […] Documentation: Maintain accurate and comprehensive documentation of patient assessments, interventions, and outcomes. Ensure that all relevant information is available for the healthcare team.

• #41 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Collaboration with Healthcare Team: Collaborate with endocrinologists, radiologists, and other specialists in the development and implementation of the patients care plan. Contribute nursing expertise to the interdisciplinary team. […] Administration of Medications: Administer medications as prescribed, such as GnRH agonists, which are commonly used in the management of central precocious puberty. Educate patients and families on medication administration and potential side effects. […] Monitoring for Adverse Effects: Monitor patients for any adverse effects of medications or interventions. Report and document any unexpected reactions promptly. […] Psychosocial Support: Address psychosocial challenges associated with precocious puberty, such as body image concerns and social interactions. Facilitate support groups or counseling for patients and families.

• #42 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Collaboration with Healthcare Team: Collaborate with endocrinologists, radiologists, and other specialists in the development and implementation of the patients care plan. Contribute nursing expertise to the interdisciplinary team. […] Administration of Medications: Administer medications as prescribed, such as GnRH agonists, which are commonly used in the management of central precocious puberty. Educate patients and families on medication administration and potential side effects. […] Monitoring for Adverse Effects: Monitor patients for any adverse effects of medications or interventions. Report and document any unexpected reactions promptly. […] Psychosocial Support: Address psychosocial challenges associated with precocious puberty, such as body image concerns and social interactions. Facilitate support groups or counseling for patients and families.

• #43 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Advocacy: Advocate for the patients needs within the healthcare system. Ensure that the patients rights and preferences are respected. […] Coordination of Care: Coordinate the various aspects of the patients care plan. Ensure smooth transitions between different stages of diagnosis, treatment, and follow-up. […] Continuity of Care: Promote continuity of care by maintaining regular follow-up appointments. Facilitate communication between the outpatient and inpatient settings, if necessary. […] Patient Safety: Prioritize patient safety during diagnostic procedures and treatment interventions. Educate patients and families on safety measures at home. […] Documentation: Maintain accurate and comprehensive documentation of patient assessments, interventions, and outcomes. Ensure that all relevant information is available for the healthcare team.

• #44 Self-Care Tips for Parents of a Child With Central Precocious Puberty

  https://www.webmd.com/parenting/features/cpp-self-care-caregivers

  Parenting a child with any health condition is no small task. […] Being a caregiver of a child with central precocious puberty (CPP), a condition in which the normal process of puberty starts too early, can come with its own set of challenges and self-care needs too. […] Learning how to support a child with CPP is a journey, so the process of caring for yourself may look different on day one than it does several months down the road. […] It’s normal to have a lot of emotions when you learn about your child’s diagnosis and start new methods of care for CPP. Allow yourself the time to process them in healthy ways. […] It can be helpful, Geffner notes, to zoom out and keep perspective on the situation. Remember, CPP is a treatable condition, for example. […] Though you may be tempted to blame yourself after getting the diagnosis, Sewell-Roberts says it’s important to „remind yourself that a child’s diagnosis like this one is not your fault, that you didn’t do anything incorrectly … and there isn’t anything you could have done differently to prevent it.”

• #45 Self-Care Tips for Parents of a Child With Central Precocious Puberty

  https://www.webmd.com/parenting/features/cpp-self-care-caregivers

  As a caregiver, you’ll likely feel emotional pressure, too, which means looking after your mental health is very important. […] Just as there are many ways to turn inward and take care of yourself, there are also plenty of avenues you can access for outside support. […] If you’re having a hard time adjusting to your child’s diagnosis on your own, you may want to get help from a qualified counselor. Counseling can help you and your family better understand and manage the emotions and challenges that come with CPP.

• #46 Precocious (Early) Puberty in Children | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/early-puberty-in-children

  Nationwide Children’s Hospital offers a team of experts focused on treating early puberty in children. […] The goal of treatment is to stop or reverse early puberty. This is so your child can grow to their full adult height and delay puberty until the right age. The type of treatment depends on what is causing the problem. Your child may need: medicines to stop the pituitary from releasing hormones. This can delay sexual development. […] Using simple and honest words, talk to your child about what is happening. Tell them that signs of puberty are normal for older children and teens, but their body has started developing a little too early. […] Watch for signs of emotional stress, teasing by others or depression. Warning signs can be poor grades, problems at school or loss of interest in daily activities.

• #47 Precocious Puberty: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.precocious-puberty-care-instructions.ut2556

  Precocious puberty means that a child has signs of puberty at an early age. […] During puberty, both boys and girls have a rapid growth spurt. […] In precocious puberty, children start to grow early. They also stop growing early, before they reach a normal adult height. […] With treatment, puberty is delayed and children have a longer period for growth. […] Treatment, especially when given early, will help your child reach a normal adult height. […] Follow-up care is a key part of your child’s treatment and safety. […] Talk to your child honestly about what is happening. […] Help your child build healthy self-esteem. […] Although your child may look older, remember to treat your child according to his or her age. […] Assure your child that you accept him or her even when others do not.

• #48 Self-Care Tips for Parents of a Child With Central Precocious Puberty

  https://www.webmd.com/parenting/features/cpp-self-care-caregivers

  Parenting a child with any health condition is no small task. […] Being a caregiver of a child with central precocious puberty (CPP), a condition in which the normal process of puberty starts too early, can come with its own set of challenges and self-care needs too. […] Learning how to support a child with CPP is a journey, so the process of caring for yourself may look different on day one than it does several months down the road. […] It’s normal to have a lot of emotions when you learn about your child’s diagnosis and start new methods of care for CPP. Allow yourself the time to process them in healthy ways. […] It can be helpful, Geffner notes, to zoom out and keep perspective on the situation. Remember, CPP is a treatable condition, for example. […] Though you may be tempted to blame yourself after getting the diagnosis, Sewell-Roberts says it’s important to „remind yourself that a child’s diagnosis like this one is not your fault, that you didn’t do anything incorrectly … and there isn’t anything you could have done differently to prevent it.”

• #49 Precocious Puberty: Symptoms, Treatment, & More – Care Options for Kids

  https://careoptionsforkids.com/blog/precocious-puberty

  Although precocious puberty is still relatively rare, incidences have been growing in recent years. […] While it can be an alarming condition to encounter, in most cases, it is not serious and can be treated with medication if needed. […] By learning more about the signs and symptoms to watch for, how to treat it, and how to meet care needs that may arise, you can make a sound and confident decision for the health and well-being of your family. […] The primary goal of treatment is to slow down the early puberty to minimize symptoms and increase the chances of achieving a normal height. This is usually accomplished through a treatment called GnRH analog therapy, which consists of a monthly injection of a medicine designed to slow down and delay further development. […] Children dealing with precocious puberty will need extra care and attention.

• #50 Precocious (Early) Puberty | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/early-puberty/

  For some children, the best course of treatment may be no treatment. […] The specialists in Lurie Children’s Division of Endocrinology can help families and patients discuss how the condition is affecting and may affect the child, and what treatment options may help. […] Counseling may help the child cope with the emotional effects of early puberty. […] Hormone therapy medication a form of gonadotropin-releasing hormone (synthetic luteinizing-releasing hormone) can suppress or slow the signals from the hypothalamus and pituitary. Central precocious puberty can be effectively treated this way.

• #51 Precocious puberty Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/precocious-puberty

  Puberty is the time when a person’s sexual and physical characteristics mature. Precocious puberty is when these body changes happen earlier than normal. […] Your health care provider will perform a physical exam to check for signs of precocious puberty. […] Depending on the cause, treatment for precocious puberty may include: Medicines to stop the release of sexual hormones, to help delay puberty. These medicines are given as a shot (injection). They will be given until the normal age of puberty. […] 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 their provider plans to treat it. Talking to a mental health worker or counselor may also help. […] See your child’s provider if: Your child shows signs of precocious puberty […] Adult prescription medicines and dietary supplements that contain hormones should not be consumed by children.

• #52 Precocious (Early) Puberty in Children | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/early-puberty-in-children

  Nationwide Children’s Hospital offers a team of experts focused on treating early puberty in children. […] The goal of treatment is to stop or reverse early puberty. This is so your child can grow to their full adult height and delay puberty until the right age. The type of treatment depends on what is causing the problem. Your child may need: medicines to stop the pituitary from releasing hormones. This can delay sexual development. […] Using simple and honest words, talk to your child about what is happening. Tell them that signs of puberty are normal for older children and teens, but their body has started developing a little too early. […] Watch for signs of emotional stress, teasing by others or depression. Warning signs can be poor grades, problems at school or loss of interest in daily activities.

• #53 Precocious Puberty: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.precocious-puberty-care-instructions.ut2556

  Be positive. […] Treat your child with respect. […] Encourage communication. […] Watch closely for changes in your child’s health, and be sure to contact your doctor if: Your child expresses a lack of self-worth. […] Your child shows a lack of interest in usual activities, withdraws, and seems sad. […] Your child avoids school or activities.

• #54 Precocious Puberty (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/precocious-puberty-pro

  Glucocorticoids – used for CAH. […] Testolactone – an aromatase inhibitor (therefore inhibits steroid biosynthesis). It is used most commonly for MAS but also in testotoxicosis. Other aromatase inhibitors such as letrozole and anastrozole have also been used in small case studies for MAS. […] Tamoxifen – has been used in MAS. […] Ketoconazole – may be used (for example, in testotoxicosis) to inhibit steroid biosynthesis. […] Cyproterone acetate – may be used for anti-androgen action. Flutamide is also used to counter androgen excess. […] Medroxyprogesterone (a progesterone analogue) – has also been used. […] […] […] Complications […] Psychological difficulties, including feeling stressed and becoming withdrawn because of the early physical changes. Poor self-esteem and bullying may be issues.

• #55 Precocious Puberty (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/precocious-puberty-pro

  Behavioural problems and emotional problems. […] Early puberty accelerates growth but bone maturation is also accelerated and so adult height is reduced. […] […] […] Prognosis […] This depends on the aetiology. The possible diagnoses already discussed cover a range of possible outcomes. With early recognition and treatment, the prognosis can be excellent. For CPP, without treatment most girls aged 6-8 years at the onset of their puberty will achieve adult height within the normal range. The prognosis otherwise depends on the underlying cause.

• #56 Precocious Early Puberty | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/precocious-early-puberty

  When a child enters puberty (the process of becoming sexual mature) too early, it’s called precocious puberty, or early puberty. Children experiencing the condition develop early sexual characteristics; in girls this means before age 8, and in boys, this means before age 9. […] The goal of treatment for precocious puberty is to stop, and possibly reverse, the onset of puberty. At Children’s, we often use synthetic luteinizing-hormone-releasing hormone (LHRH). […] Our team is sensitive to the physical and emotional challenges that come along with entering puberty early, and our team is here to help. […] With proper treatment and care, most children with precocious puberty will ultimately experience a normal and happy adolescence. […] Helping your child cope with teasing from her peers is important, as is treating your child age-appropriately and taking steps to boost his or her self-esteem.

• #57 Precocious Puberty (Causes, Symptoms, and Treatment)

  https://patient.info/doctor/precocious-puberty-pro

  Behavioural problems and emotional problems. […] Early puberty accelerates growth but bone maturation is also accelerated and so adult height is reduced. […] […] […] Prognosis […] This depends on the aetiology. The possible diagnoses already discussed cover a range of possible outcomes. With early recognition and treatment, the prognosis can be excellent. For CPP, without treatment most girls aged 6-8 years at the onset of their puberty will achieve adult height within the normal range. The prognosis otherwise depends on the underlying cause.

• #58 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Advocacy: Advocate for the patients needs within the healthcare system. Ensure that the patients rights and preferences are respected. […] Coordination of Care: Coordinate the various aspects of the patients care plan. Ensure smooth transitions between different stages of diagnosis, treatment, and follow-up. […] Continuity of Care: Promote continuity of care by maintaining regular follow-up appointments. Facilitate communication between the outpatient and inpatient settings, if necessary. […] Patient Safety: Prioritize patient safety during diagnostic procedures and treatment interventions. Educate patients and families on safety measures at home. […] Documentation: Maintain accurate and comprehensive documentation of patient assessments, interventions, and outcomes. Ensure that all relevant information is available for the healthcare team.

• #59 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Patient Advocacy: Advocate for the patients holistic well-being, considering physical, emotional, and psychosocial aspects. Address any ethical concerns that may arise during the management process. […] Education on Follow-Up Care: Provide detailed instructions for follow-up care, including medications, appointments, and potential lifestyle adjustments. […] Promoting Coping Strategies: Facilitate the development of coping strategies for both the patient and their family. Encourage open communication and expression of feelings.

• #60

  https://ilsan.chamc.co.kr/en/departments/list/clinic/Precocious-Puberty/Introduction.cha

  Early adolescent care reduces psychosocial stress by matching puberty development with peers while minimizing the loss of growth potential. […] The main purpose of treating precocious puberty is to minimize the loss of growth potential and reduce mental and social stress by matching puberty development with peers. Treatment to delay puberty involves hormone injections to stop sexual development and is given every four weeks. Treatment is targeted at children with advanced bone age and rapidly progressing signs of puberty. […] Healthy Lifestyle to Prevent Precocious Puberty includes regular exercise and a balanced diet to prevent obesity, reducing stress and having a happy mindset, and avoiding exposure to environmental hormones.

• #61 Precocious puberty Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/precocious-puberty

  Puberty is the time when a person’s sexual and physical characteristics mature. Precocious puberty is when these body changes happen earlier than normal. […] Your health care provider will perform a physical exam to check for signs of precocious puberty. […] Depending on the cause, treatment for precocious puberty may include: Medicines to stop the release of sexual hormones, to help delay puberty. These medicines are given as a shot (injection). They will be given until the normal age of puberty. […] 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 their provider plans to treat it. Talking to a mental health worker or counselor may also help. […] See your child’s provider if: Your child shows signs of precocious puberty […] Adult prescription medicines and dietary supplements that contain hormones should not be consumed by children.

• #62 Referral criteria from primary care – precocious puberty – Primary Care Notebook

  https://primarycarenotebook.com/pages/diabetes-and-endocrinology/referral-criteria-from-primary-care-precocious-puberty

  GPs should have a low threshold for specialist referral in cases of suspected precocious puberty – so if precocious puberty is suspected then this requires prompt referral for specialist review. […] If precocious puberty is suspected (red flags present or not) then this is an indication for GP referral for specialist review: […] many cases of precocious puberty in girls over 6 have benign causes – however precocious puberty can indicate serious pathology in some cases. […] „Idiopathic” precocious puberty is the commonest cause of GDPP and is more commonly seen in girls than boys.

• #63 Precocious Puberty – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK544313/

  This condition is best managed by an interprofessional team that includes an endocrinologist, pediatrician, nurse, surgeon (if involving masses or tumors) and a mental health counselor. […] Precocious puberty, in its various forms, requires an interprofessional team approach, including physicians, specialists, counseling professionals, specialty-trained nurses, and pharmacists, all collaborating across disciplines to achieve optimal patient results.

• #64 PRECOCIOUS PUBERTY – Nurses Revision

  https://nursesrevisionuganda.com/precocious-puberty/

  Collaboration with Healthcare Team: Collaborate with endocrinologists, radiologists, and other specialists in the development and implementation of the patients care plan. Contribute nursing expertise to the interdisciplinary team. […] Administration of Medications: Administer medications as prescribed, such as GnRH agonists, which are commonly used in the management of central precocious puberty. Educate patients and families on medication administration and potential side effects. […] Monitoring for Adverse Effects: Monitor patients for any adverse effects of medications or interventions. Report and document any unexpected reactions promptly. […] Psychosocial Support: Address psychosocial challenges associated with precocious puberty, such as body image concerns and social interactions. Facilitate support groups or counseling for patients and families.

• #65 Nurses’ role in caring for girls with precocious puberty

  https://journals.rcni.com/nursing-children-and-young-people/evidence-and-practice/nurses-role-in-caring-for-girls-with-precocious-puberty-ncyp.2023.e1480

  Nurses have an important role in preparing children and families, and supporting their psychological and social well-being. […] To recognise the role of nurses in supporting children experiencing precocious puberty and their families, with a focus on girls. […] Pharmacological and psychological interventions may be used to manage precocious puberty. […] A literature review was conducted to explore the incidence and prevalence of precocious puberty, identify contributory factors, and recognise management and preventive measures.

• #66 Child Health Nursing Research

  https://www.e-chnr.org/articles/search_result.php?term_type=keywords&term=Puberty,%20precocious

  This study aimed to investigate the perceptions of precocious puberty and elucidate the distinct characteristics of each type of perception related to precocious puberty among school-aged children who had undergone treatment for the condition. […] Through the identification of four types of perceptions, we can see that there is a need to develop an intervention program for nursing that is tailored to the specific type of precocious puberty. […] The results of this study can be used as basic data for the development of a psychosocial nursing intervention program for girls who experience precocious puberty.

• #67 Child Health Nursing Research

  https://www.e-chnr.org/articles/search_result.php?term_type=keywords&term=Puberty,%20precocious

  This study aimed to investigate the perceptions of precocious puberty and elucidate the distinct characteristics of each type of perception related to precocious puberty among school-aged children who had undergone treatment for the condition. […] Through the identification of four types of perceptions, we can see that there is a need to develop an intervention program for nursing that is tailored to the specific type of precocious puberty. […] The results of this study can be used as basic data for the development of a psychosocial nursing intervention program for girls who experience precocious puberty.

• #68 Nurses’ role in caring for girls with precocious puberty – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37547941/

  Puberty is an important marker of health and development in a child’s life. Complex neuroendocrine factors contribute to the onset of puberty. While pubertal changes usually occur between the ages of 12 and 13 years, some children may attain puberty before the age of eight years for girls and nine years for boys, which is termed precocious puberty. […] Nurses have an important role in preparing children and families, and supporting their psychological and social well-being.

• #69 Nurses’ role in caring for girls with precocious puberty

  https://journals.rcni.com/nursing-children-and-young-people/evidence-and-practice/nurses-role-in-caring-for-girls-with-precocious-puberty-ncyp.2023.e1480

  Nurses have an important role in preparing children and families, and supporting their psychological and social well-being. […] To recognise the role of nurses in supporting children experiencing precocious puberty and their families, with a focus on girls. […] Pharmacological and psychological interventions may be used to manage precocious puberty. […] A literature review was conducted to explore the incidence and prevalence of precocious puberty, identify contributory factors, and recognise management and preventive measures.

• #70 Nurses’ role in caring for girls with precocious puberty

  https://journals.rcni.com/nursing-children-and-young-people/evidence-and-practice/nurses-role-in-caring-for-girls-with-precocious-puberty-ncyp.2023.e1480

  Nurses have an important role in preparing children and families, and supporting their psychological and social well-being. […] To recognise the role of nurses in supporting children experiencing precocious puberty and their families, with a focus on girls. […] Pharmacological and psychological interventions may be used to manage precocious puberty. […] A literature review was conducted to explore the incidence and prevalence of precocious puberty, identify contributory factors, and recognise management and preventive measures.

• #71 Precocious Puberty – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK544313/

  This condition is best managed by an interprofessional team that includes an endocrinologist, pediatrician, nurse, surgeon (if involving masses or tumors) and a mental health counselor. […] Precocious puberty, in its various forms, requires an interprofessional team approach, including physicians, specialists, counseling professionals, specialty-trained nurses, and pharmacists, all collaborating across disciplines to achieve optimal patient results.

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