Materiały źródłowe

• #1 Early or Delayed Puberty | Midwest Pediatric Specialists

  https://www.midwestpediatricspecialists.com/early-of-delayed-puberty/

  Early puberty, also known as precocious puberty, refers to the early onset of puberty before the age of 8 in girls and 9 in boys. […] Delayed puberty refers to the absence of sexual development by the age of 13 in girls and 14 in boys. […] It is important for parents, caregivers, and healthcare professionals to be aware of the signs of early or delayed puberty and seek medical guidance if necessary. […] However, for those who require intervention, treatment may involve hormonal therapy to either delay or induce puberty, depending on the specific situation.

• #2 Puberty Issues (Early or Delayed) | Treatment | QPE Brisbane

  https://www.qldpaedendocrinology.com.au/puberty-issues-delayed-precocious-other

  Typically the onset of puberty occurs between the ages of 8 and 13 years for girls, and 9 and 14 years for boys. […] Investigating the possible reasons why your child’s puberty has unusual timing is important, as it may be a clue to another medical issue, and can impact their growth, final height, and potential fertility. […] Once we’ve made an assessment there are treatments available where appropriate to either slow down early (precocious) puberty, or to help kick start delayed puberty.

• #3 Early or Delayed Puberty – Diagnosis and Treatment

  https://rockymountaindiabetes.com/idaho-falls-diabetes-doctor-medical-services/early-or-delayed-puberty/

  When a girl or boy enters the pubescent development stage younger than the average age, it is referred to as early or precocious puberty. […] Conversely, when the development starts later than the average, the condition is referred to as delayed puberty. […] Delayed puberty is most often attributed to family genetics. In other words, it is a growth pattern consistent with other members of the family. […] However, there are medical problems that can be directly attributed to delayed puberty. […] Children with either early or delayed puberty may not need treatment if it is determined that family genetics are the cause. However, when there is an underlying condition, abnormal pubertal development can be treated with medication to accelerate or slow the development process. […] Dr. Smith is the regions only specialist in pediatric endocrinology and is specifically trained to properly diagnose and treat both early and delayed puberty.

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

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

  Patient information: See related handout on early and delayed puberty. […] Boys 14 years and older and girls 13 years and older may benefit from sex steroid treatment to jump-start puberty. […] Girls without breast development by 13 years of age should be evaluated for delayed puberty, and girls without menarche by 15 years of age should be evaluated for primary amenorrhea. […] Boys who do not have testicular growth to at least 4 mL in volume or 2.5 cm in length by 14 years of age should be evaluated for delayed puberty. […] Delayed puberty is the absence of breast development by 13 years of age in girls or the absence of testicular growth to at least 4 mL in volume or 2.5 cm in length by 14 years of age in boys. […] Delayed puberty can cause significant psychological distress and low self-esteem.

• #5 Atlanta GA Precocious & Delayed Puberty Treatment | Decatur, Brookhaven

  https://intownpediatrics.com/precocious-or-delayed-puberty/

  Puberty is a critical stage in a childs development, marked by physical and hormonal changes that lead to sexual maturity. […] Our goal is to ensure that every child develops at a healthy and appropriate pace. […] Early puberty can cause emotional and social challenges for children who may feel out of place among their peers, and if left untreated, it can lead to shorter adult height due to early closure of the growth plates in the bones. […] Delayed puberty can cause emotional distress for children who feel left behind compared to their peers, and in some cases, the underlying cause may require medical intervention. […] Early diagnosis is essential for managing these conditions and ensuring healthy growth and development. […] Early and accurate diagnosis allows us to create a tailored treatment plan that addresses the underlying cause of the condition and promotes healthy growth.

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

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

  You cant prevent most early puberty cases. Limiting your childs exposure to reproductive hormones from outside sources may prevent it. These sources may include estrogen or testosterone creams, lotions or other medications. […] 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.

• #7 Precocious puberty – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/precocious-puberty/symptoms-causes/syc-20351811

  No one can avoid some of the risk factors for precocious puberty, such as sex and race. But there are things that can lower children’s chances of precocious puberty, including: […] Keep anything that contains estrogen or testosterone away from children. These might include prescription medicines for adults or diet supplements. […] Encourage children to stay at a healthy weight.

• #8 Precocious puberty – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/precocious-puberty/symptoms-causes/syc-20351811

  No one can avoid some of the risk factors for precocious puberty, such as sex and race. But there are things that can lower children’s chances of precocious puberty, including: […] Keep anything that contains estrogen or testosterone away from children. These might include prescription medicines for adults or diet supplements. […] Encourage children to stay at a healthy weight.

• #9 Early Puberty: A-to-Z Guide from Diagnosis to Treatment to Prevention | DrGreene

  https://www.drgreene.com/articles/early-puberty

  Often early puberty cannot be prevented. We do know that exposure to puberty hormones such as estrogen can trigger some types of early puberty. Reducing childrens exposure to estrogen or other sex hormones is wise.

• #10 Don’t let your child hit puberty too early. | Bangkok Hospital Headquarter

  https://www.bangkokhospital.com/en/content/precocious-puberty

  Don’t let your child hit puberty too early. Transition from childhood to adolescence is normal; however, if physiological changes occur earlier than expected, such as girls developing breasts before the age of 8 or menstruating before the age of 9, along with a rapid growth history, or boys having enlarged testicles before the age of 9, possibly accompanied by underarm hair, mustache, or body odor, it may signal early puberty due to excessive sex hormones. This could lead to short stature in adulthood and impact the childs mental health. Parents and caregivers should pay careful attention to address and correct the problem quickly, ensuring the child grows appropriately for their age, with proper development and potential for a happy life. […] The easiest way to prevent the risk of early puberty is to control the childs weight to standard guidelines. Importantly, ensure that children eat according to proper nutritional standards and exercise regularly for healthy development appropriate to their age. […] Parents should closely care to ensure the child grows appropriately for their age and maximize their life potential.

• #11 When Is Puberty too Early? | Duke Health

  https://www.dukehealth.org/blog/when-puberty-too-early

  Understanding the signs of early puberty will help you to know when to seek help. […] Most instances of early puberty dont present a health risk to children, but its worth contacting your pediatrician in case your family doctor feels its important to run any tests, Dr. Benjamin said. […] If this is a concern, please see your doctor, Benjamin said. […] Your doctor will perform a physical exam to assess how your childs body is maturing. […] In some cases, medication may be prescribed to stop or slow puberty. […] You can take some steps to minimize environmental causes of early puberty, such as helping your child maintain a healthy weight and avoiding exposure to testosterone or estrogen that could be found in over-the-counter creams/gels, hair treatments, medications, and nutritional supplements.

• #12 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Steps You Can Take to Help Prevent Early Puberty […] While government agencies, medical organizations, and industry need to tackle the factors contributing to early puberty on a global scale, we can and must help prevent or mitigate the factors that can lead to early puberty through the choices we make, and teach our daughters to make. […] Heres an overview of actionable steps you can take at home. […] Prevent Exposure to Environmental Estrogens […] Avoid flame retardant products […] Encourage your pre-girls to avoid cosmetics, and if they are going to use them, go natural. Its more expensive in the short run, but the health price tag is much lower over time! See the Environmental Working Group’s Skin Deep website for information on safe cosmetic options. […] Get your daughter a glass water bottle Life Factory makes them in bright colors, a variety of sizes, with plain and even sippy and straw tops, and they are dishwasher safe and virtually indestructible. All my daughters have one. Encourage her to avoid drinking out of plastic bottles whenever possible.

• #13 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Avoid plastic wrapped foods and plastic food containers for reheating and storing hot foods as much as possible. […] Eat organic whenever possible, especially dairy and meat products, which accumulate environmental contaminants and are more likely to accumulate hormones and antibiotics used in the production process. See the Environmental Working Group’s dirty dozen for the must avoid if not organic list. […] Switch to using ecologically friendly cleaning products at home, especially using products that are unscented. Even breathing in the scents, which often contain phthalates, can cause endocrine disruption. […] Stress-Proof Your Daughter […] Teach your daughter to get help from a teacher and to come to you if there are peer stressors at school or bullying. […] Encourage your daughter to join a school or after school sport, dance class, or other physical activity which is enjoyable for her girls who participate in sports are more likely to graduate high school, go to college, avoid drug use, and are less likely to experience a teen pregnancy.

• #14 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Avoid plastic wrapped foods and plastic food containers for reheating and storing hot foods as much as possible. […] Eat organic whenever possible, especially dairy and meat products, which accumulate environmental contaminants and are more likely to accumulate hormones and antibiotics used in the production process. See the Environmental Working Group’s dirty dozen for the must avoid if not organic list. […] Switch to using ecologically friendly cleaning products at home, especially using products that are unscented. Even breathing in the scents, which often contain phthalates, can cause endocrine disruption. […] Stress-Proof Your Daughter […] Teach your daughter to get help from a teacher and to come to you if there are peer stressors at school or bullying. […] Encourage your daughter to join a school or after school sport, dance class, or other physical activity which is enjoyable for her girls who participate in sports are more likely to graduate high school, go to college, avoid drug use, and are less likely to experience a teen pregnancy.

• #15 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Reduce exposure to TV violence and shows which sexualize and objectify girls and women. […] Reduce social media exposure, and teach your daughter how to engage with social media in a more healthy way, to avoid FOMO, compare and despair, unrealistic body images, and the anxiety and depression we know has risen commensurate with our girls use of social media platforms. […] Teach simple meditation or relaxation skills to be done before bedtime, exams, or in a stressful situation. Simply breathing in and saying, I am on the inhale, and At peace on the exhale 4 times in a row, or counting to 10 with deep breathing can make a difference! […] Learn about and teach resilience tools to your daughter its a gift that will last a lifetime! […] Encourage Healthy Eating and Exercise […] Encourage healthy eating as part of a healthy lifestyle so were not stigmatizing food. Remember, were up against a behemoth food industry that wants to addict our kids to sugar and processed foods from the earliest ages lets teach our kids to recognize this and make healthy choices.

• #16 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Reduce exposure to TV violence and shows which sexualize and objectify girls and women. […] Reduce social media exposure, and teach your daughter how to engage with social media in a more healthy way, to avoid FOMO, compare and despair, unrealistic body images, and the anxiety and depression we know has risen commensurate with our girls use of social media platforms. […] Teach simple meditation or relaxation skills to be done before bedtime, exams, or in a stressful situation. Simply breathing in and saying, I am on the inhale, and At peace on the exhale 4 times in a row, or counting to 10 with deep breathing can make a difference! […] Learn about and teach resilience tools to your daughter its a gift that will last a lifetime! […] Encourage Healthy Eating and Exercise […] Encourage healthy eating as part of a healthy lifestyle so were not stigmatizing food. Remember, were up against a behemoth food industry that wants to addict our kids to sugar and processed foods from the earliest ages lets teach our kids to recognize this and make healthy choices.

• #17 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Cut out soda (and even fruit juice which can have as much sugar as a soda!). Water is the healthiest beverage. […] Emphasize a plant-based, whole foods diet, with healthy portion sizes without being restrictive or stigmatizing about food. […] Do your best to reduce white bread, white pasta, and white rice, and processed foods, from the diet: instead emphasize good quality proteins and vegetables as the mainstay of their diets, with healthy treat options to choose from […] Reduce the amount of TV watching by half and adding exercise will optimize the benefits of this by getting our kids moving more! […] Make sure youre doing all of these things yourself our kids model what they see far more than what we say! […] Prevent Stigma: Teach Your Daughter About Her Body and Her Health […] We must prevent stigma and teach our daughters to respect and love their bodies. If your daughter is entering puberty much earlier than her peers for whatever reason, its all the more important to talk with her about what’s going on and help her feel comfortable in her changing body and self-perception. Its critical to not stigmatize, pathologize, or in any way contribute to a sense of being abnormal, including when it comes to medical visits and assessments for early puberty if those are needed. And while the social consequences should not be dismissed, and need to be addressed for her health and safety, its simultaneously important not to introduce or exacerbate social anxiety or fear.

• #18 Puberty: Early and Delayed | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/1101/p590-s1.html

  Girls should see the doctor if they have: […] Signs of puberty before eight years of age […] No signs of puberty by 13 years of age […] No menstrual period by 15 years of age […] Puberty that starts but then stops. […] Boys should see the doctor if they have: […] Signs of puberty before nine years of age […] No signs of puberty by 14 years of age […] Puberty that starts but then stops. […] Early puberty (also called precocious puberty) is usually just normal puberty that starts too early. […] It depends on the cause. Premature adrenarche and normal puberty that starts too early often don’t need treatment. […] Medicine might be needed if puberty is very delayed or there is a hormone problem. If your child has a health problem or is underweight, treating the condition that is causing delayed puberty can help.

• #19 Early or delayed puberty

  https://www2.hse.ie/conditions/early-or-delayed-puberty/

  There’s usually no need to worry if puberty does not start around the average age. But in some cases, early or delayed puberty could be a sign of an underlying condition that may need treatment. […] Talk to your GP if this happens to your child. […] Treatment for early puberty includes: treating any underlying cause, using medicines to reduce hormone levels and pause puberty. […] Treatment for delayed puberty includes: treating any underlying cause, using medicines to trigger the start of puberty – doctors usually only recommend medicines if your child is having problems or feeling distressed.

• #20 Puberty: Early and Delayed | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/1101/p590-s1.html

  Girls should see the doctor if they have: […] Signs of puberty before eight years of age […] No signs of puberty by 13 years of age […] No menstrual period by 15 years of age […] Puberty that starts but then stops. […] Boys should see the doctor if they have: […] Signs of puberty before nine years of age […] No signs of puberty by 14 years of age […] Puberty that starts but then stops. […] Early puberty (also called precocious puberty) is usually just normal puberty that starts too early. […] It depends on the cause. Premature adrenarche and normal puberty that starts too early often don’t need treatment. […] Medicine might be needed if puberty is very delayed or there is a hormone problem. If your child has a health problem or is underweight, treating the condition that is causing delayed puberty can help.

• #21 Delayed puberty in girls: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/007694.htm

  Delayed puberty in girls occurs when breasts don’t develop by age 13 or menstrual periods do not begin by age 16. […] With delayed puberty, these changes either don’t occur at the normal age, or if they do, they don’t progress normally. […] Another common cause of delayed puberty in girls is lack of body fat. Being too thin can disrupt the normal process of puberty. […] If delayed puberty is caused by a disease or an eating disorder, treating the cause may help puberty to develop normally. […] If puberty fails to develop, or the child is very distressed because of the delay, hormone therapy can help start puberty. […] The treatment will depend on the cause of delayed puberty. […] Contact your provider if: Your child shows a slow growth rate, Puberty does not begin by 13 years of age, Puberty begins, but does not progress normally.

• #22 Addressing Disorders of Puberty in Girls – Advances in Pediatric Endocrinology | NewYork-Presbyterian

  https://www.nyp.org/advances-pediatrics/addressing-disorders-of-puberty-in-girls

  Dr. Oberfield and Dr. Sopher stress that patients with symptoms of concern related to the onset and progression of puberty should undergo an evaluation by an endocrinologist who can determine the cause and plan an appropriate course of treatment. […] To help prevent the long-term health effects associated with both early and delayed puberty, the authors recommend ongoing monitoring of children diagnosed with precocious or delayed puberty. […] According to Dr. Oberfield and Dr. Sopher, treatment is not always indicated and watchful waiting may be the best course in many cases. ERT is indicated in patients who may experience psychosocial issues related to their delayed puberty. […] The goal of estrogen replacement therapy is to mimic normal estradiol secretion to induce development of secondary sexual characteristics, to promote linear growth acceleration, and to maintain bone health, note the authors. […] They recommend that patients presenting with pubertal differences undergo a comprehensive assessment to determine the underlying etiology and to develop an effective treatment plan.

• #23 Delayed Puberty – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/endocrine-disorders-in-children/delayed-puberty

  Delayed puberty may represent constitutional delay or be caused by a variety of genetic or acquired disorders. […] Hormone therapy may be indicated to induce puberty or as long-term replacement. […] Measure levels of testosterone or estradiol, luteinizing hormone, and follicle-stimulating hormone. […] Do a bone age x-ray as part of initial evaluation. […] Pituitary imaging, pelvic ultrasonography in girls, and genetic testing may be done to diagnose cause.

• #24 A Current Perspective on Delayed Puberty and Its Management – Journal of Clinical Research in Pediatric Endocrinology

  https://jcrpe.org/articles/a-current-perspective-on-delayed-puberty-and-its-management/doi/jcrpe.galenos.2024.2024-2-7

  Delayed puberty is defined as the lack of development of secondary sex characteristics in childhood. […] However, in recent years, physiological induction therapy protocols such as human chorionic gonadotropin (hCG) monotherapy, hCG + follicle-stimulating hormone combined therapy, and gonadotropin-releasing hormone infusion have been recommended for the treatment of hypogonadotropic hypogonadism to increase long-term fertility success. […] The development of pubic hair (pubarche) is not usually considered a sign of pubertal onset because pubarche can result from the maturation of the adrenal glands (adrenarche), and the appearance of pubic hair can be independent of activation of the hypothalamic-pituitary-gonadal (HPG) axis. […] CDGP is the most common cause of delayed puberty in both sexes. It accounts for 65-73% of boys and 30-43% of girls.

• #25

  https://www.nuhs.edu.sg/patient-care/find-a-condition/pubertal-disorders-in-children

  Puberty starts between the ages of 8 and 13 years in girls and 9 and 15 years in boys. Children with pubertal disorders may have precocious (early) or delayed puberty. […] Proper treatment and better control of many of these illnesses may reduce the chances of delayed puberty. […] Treatment of delayed puberty generally depends on the underlying cause. If a child is healthy but simply a late bloomer, reassurance and close monitoring are all that is needed. Sex hormone replacement with testosterone or oestrogen may only be indicated in selected cases.

• #26 Delayed puberty in girls: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/007694.htm

  Delayed puberty in girls occurs when breasts don’t develop by age 13 or menstrual periods do not begin by age 16. […] With delayed puberty, these changes either don’t occur at the normal age, or if they do, they don’t progress normally. […] Another common cause of delayed puberty in girls is lack of body fat. Being too thin can disrupt the normal process of puberty. […] If delayed puberty is caused by a disease or an eating disorder, treating the cause may help puberty to develop normally. […] If puberty fails to develop, or the child is very distressed because of the delay, hormone therapy can help start puberty. […] The treatment will depend on the cause of delayed puberty. […] Contact your provider if: Your child shows a slow growth rate, Puberty does not begin by 13 years of age, Puberty begins, but does not progress normally.

• #27 Puberty Disorders | Precocious Puberty, Delayed Puberty | Duke Health

  https://www.dukehealth.org/pediatric-treatments/pediatric-endocrinology/puberty-disorders

  Puberty is the time when a childs body matures and prepares to become capable of reproducing. Sometimes, these changes don’t occur as they should, or they may occur too early or too late. […] Delayed puberty can be caused by hormone deficiencies or by chronic illnesses such as diabetes, inflammatory bowel disease, cystic fibrosis, and kidney disease. […] Early puberty can be slowed or stopped with medicine that keeps the pituitary gland from producing certain hormones. […] Delayed puberty caused by a hormone deficiency is treated with replacement of sex hormones.

• #28

  https://www.nuhs.edu.sg/patient-care/find-a-condition/pubertal-disorders-in-children

  Puberty starts between the ages of 8 and 13 years in girls and 9 and 15 years in boys. Children with pubertal disorders may have precocious (early) or delayed puberty. […] Proper treatment and better control of many of these illnesses may reduce the chances of delayed puberty. […] Treatment of delayed puberty generally depends on the underlying cause. If a child is healthy but simply a late bloomer, reassurance and close monitoring are all that is needed. Sex hormone replacement with testosterone or oestrogen may only be indicated in selected cases.

• #29 Early growth hormone treatment accelerates delayed onset of puberty in patients with growth hormone deficiency

  https://www.jstage.jst.go.jp/article/endocrj/69/2/69_EJ21-0209/_html/-char/en

  We investigated whether growth hormone (GH) treatment could accelerate the onset of puberty in patients with isolated GH deficiency (GHD). […] These results indicate that GH treatment accelerates the delayed onset of puberty in patients with GHD. […] Therefore, early diagnosis and treatment of GHD is recommended. […] This study aimed to prove the hypothesis that early treatment might not lead to an improvement in adult height since GH treatment accelerates the delayed onset of puberty in GHD. […] This study showed that GH treatment accelerates the onset of puberty. However, it is considered to normalize the timing of the onset of puberty in patients with GHD whose onset of puberty is originally delayed. The supplemental analysis demonstrated that the height at the onset of puberty and the adult height were nearly the same in the early versus late start of GH groups, suggesting that early treatment does not lead to an improved adult height. However, early diagnosis and treatment are recommended since the early achievement of a normal height by early treatment leads to the early improvement of psychosocial problems due to short stature.

• #30 Early growth hormone treatment accelerates delayed onset of puberty in patients with growth hormone deficiency

  https://www.jstage.jst.go.jp/article/endocrj/69/2/69_EJ21-0209/_html/-char/en

  We investigated whether growth hormone (GH) treatment could accelerate the onset of puberty in patients with isolated GH deficiency (GHD). […] These results indicate that GH treatment accelerates the delayed onset of puberty in patients with GHD. […] Therefore, early diagnosis and treatment of GHD is recommended. […] This study aimed to prove the hypothesis that early treatment might not lead to an improvement in adult height since GH treatment accelerates the delayed onset of puberty in GHD. […] This study showed that GH treatment accelerates the onset of puberty. However, it is considered to normalize the timing of the onset of puberty in patients with GHD whose onset of puberty is originally delayed. The supplemental analysis demonstrated that the height at the onset of puberty and the adult height were nearly the same in the early versus late start of GH groups, suggesting that early treatment does not lead to an improved adult height. However, early diagnosis and treatment are recommended since the early achievement of a normal height by early treatment leads to the early improvement of psychosocial problems due to short stature.

• #31 Early or delayed puberty

  https://www.nhs.uk/conditions/early-or-delayed-puberty/

  In some cases, early puberty or delayed puberty could be a sign of an underlying condition that may need to be treated. […] Early puberty can be treated by: […] treating any underlying cause […] using medication to reduce hormone levels and pause sexual development for a few years. […] Delayed puberty can be treated by: […] treating any underlying cause […] using medication for a few months to increase hormone levels and trigger the start of puberty.

• #32 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. […] 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. […] Testing and treatment may be initiated if the tempo of puberty begins to accelerate and predicted adult height deteriorates.

• #33 Treating Central Precocious Puberty: What You Need to Know

  https://www.healthline.com/health/treating-central-precocious-puberty-what-you-need-to-know

  Not all children with CPP will require medical intervention. When recommended, however, the goals of CPP treatment often include the following, according to a 2018 research review: delaying further sexual maturity or development, stopping rapid growth and bone maturation, minimizing emotional and psychological impacts, preserving height potential. […] Treatment should also address the underlying cause of CPP, if it is known. […] According to a 2019 review of scientific literature, some researchers recommend a 6-month observation period after initial signs of puberty unless the puberty is already at an advanced stage. […] Another reason to seek treatment includes the desire to avoid or reduce the negative psychological consequences related to early puberty. […] Speak with your child’s doctor to determine the best course of action, including which treatment is right for your child and when they should begin treatment. […] If you notice early signs of puberty in a girl younger than age 8 or a boy younger than age 9, make an appointment with a healthcare professional. They can do a thorough physical exam and discuss treatment options that may help delay puberty until the right age if necessary.

• #34 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. […] The goal of treatment for precocious puberty is to stop, and possibly reverse, the onset of puberty. […] Our team is sensitive to the physical and emotional challenges that come along with entering puberty early, and our team is here to help. […] 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. […] Helping your child cope with teasing from his peers, treating your child appropriately for his age, and boosting his self-esteem are important steps to help your child adjust well.

• #35 Treating Central Precocious Puberty: What You Need to Know

  https://www.healthline.com/health/treating-central-precocious-puberty-what-you-need-to-know

  Not all children with CPP will require medical intervention. When recommended, however, the goals of CPP treatment often include the following, according to a 2018 research review: delaying further sexual maturity or development, stopping rapid growth and bone maturation, minimizing emotional and psychological impacts, preserving height potential. […] Treatment should also address the underlying cause of CPP, if it is known. […] According to a 2019 review of scientific literature, some researchers recommend a 6-month observation period after initial signs of puberty unless the puberty is already at an advanced stage. […] Another reason to seek treatment includes the desire to avoid or reduce the negative psychological consequences related to early puberty. […] Speak with your child’s doctor to determine the best course of action, including which treatment is right for your child and when they should begin treatment. […] If you notice early signs of puberty in a girl younger than age 8 or a boy younger than age 9, make an appointment with a healthcare professional. They can do a thorough physical exam and discuss treatment options that may help delay puberty until the right age if necessary.

• #36 Shulamit Lerner MD | Endocrine Explained Intro to Puberty | New York

  https://www.endocrineexplained.com/puberty

  If there is clear early or late puberty, then there are treatment options available to suppress it from progressing, or to stimulate puberty to start. These options should be discussed with your pediatrician, and if available, a pediatric endocrinologist. […] Precocious puberty is suppressed by high doses of GnRH agonists, either by injection every 1-6 months (depending on the formulation), or through an implant under the skin in the upper arm. All use the same hormonal ingredient that prevents pulses of gonadotrophins (LH and FSH), to be secreted. By reducing the pulses, there is less responsiveness to, and a reduced amount of, LH and FSH in the body, so that estrogen and testosterone production is reduced to prepubertal levels. Children are generally treated with puberty suppression through the age of a typical onset of puberty.

• #37 Puberty blocker – Wikipedia

  https://en.wikipedia.org/wiki/Puberty_blocker

  Puberty blockers prevent the development of biological secondary sex characteristics. […] Puberty blockers are commonly used to delay puberty in children with precocious puberty, a condition that activates the hypothalamic-pituitary-gonadal axis prematurely and initiates puberty at an inappropriate age. The main goal of treatment is to preserve children’s adult height potential. Puberty blockers work by stabilizing puberty symptoms, decreasing growth velocity, and slowing skeletal maturation. The outcomes of treatment are assessed in terms of height, reproduction, metabolic, and psychosocial measures. The most pronounced effects on height have been seen in children experiencing the onset of puberty before 6 years of age; however there is variability in height outcomes across studies which can be attributed to varying study designs, time of symptom presentation, and time of treatment termination.

• #38 Shulamit Lerner MD | Endocrine Explained Intro to Puberty | New York

  https://www.endocrineexplained.com/puberty

  If there is clear early or late puberty, then there are treatment options available to suppress it from progressing, or to stimulate puberty to start. These options should be discussed with your pediatrician, and if available, a pediatric endocrinologist. […] Precocious puberty is suppressed by high doses of GnRH agonists, either by injection every 1-6 months (depending on the formulation), or through an implant under the skin in the upper arm. All use the same hormonal ingredient that prevents pulses of gonadotrophins (LH and FSH), to be secreted. By reducing the pulses, there is less responsiveness to, and a reduced amount of, LH and FSH in the body, so that estrogen and testosterone production is reduced to prepubertal levels. Children are generally treated with puberty suppression through the age of a typical onset of puberty.

• #39 Precocious Puberty | Riley Children’s Health

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

  Precocious puberty is defined as the onset of puberty before the age of 7 or 8 in girls and age 9 in boys. […] 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.

• #40 Precocious Puberty | Riley Children’s Health

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

  Precocious puberty is defined as the onset of puberty before the age of 7 or 8 in girls and age 9 in boys. […] 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.

• #41 A Current Perspective on Delayed Puberty and Its Management – Journal of Clinical Research in Pediatric Endocrinology

  https://jcrpe.org/articles/a-current-perspective-on-delayed-puberty-and-its-management/doi/jcrpe.galenos.2024.2024-2-7

  Although the watchful waiting strategy is one of the main approaches in CDGP, puberty can be induced with low doses of testosterone and estrogens when chronological age reaches 14 years and bone age reaches 12 years in boys and chronological age reaches 13 years and bone age reaches 11 years in girls. […] The use of aromatase inhibitors (anastrozole or letrozole) for a six-month duration has been shown to induce puberty and accelerate growth in boys. […] In FHH, if attempts to modify nutritional, psychological, and exercise-related variables are unsuccessful in establishing menses, clinicians may consider estrogen replacement. […] Hormonal therapy is used to induce puberty in adolescent males based on published consensus and expert opinion. However, there are currently no evidence-based guidelines regarding the optimal timing and regimen for inducing puberty in either males or females.

• #42

  https://www.healthychildren.org/English/ages-stages/gradeschool/puberty/Pages/Delayed-Puberty.aspx

  For constitutional delayed puberty, the problem will resolve with waiting and reassurance. […] Therefore, many pediatric endocrinologists may offer a brief course of testosterone to „jump-start” puberty. […] Studies show that a brief course of testosterone will have no effect on the adult height but will allow the boy to get there faster. […] When the problem is either IGD or damage to the testicles, testosterone is still the treatment of choice, but the dose will need to be increased over time and it will need to be continued well into the adult years.

• #43 A Current Perspective on Delayed Puberty and Its Management – Journal of Clinical Research in Pediatric Endocrinology

  https://jcrpe.org/articles/a-current-perspective-on-delayed-puberty-and-its-management/doi/jcrpe.galenos.2024.2024-2-7

  Although the watchful waiting strategy is one of the main approaches in CDGP, puberty can be induced with low doses of testosterone and estrogens when chronological age reaches 14 years and bone age reaches 12 years in boys and chronological age reaches 13 years and bone age reaches 11 years in girls. […] The use of aromatase inhibitors (anastrozole or letrozole) for a six-month duration has been shown to induce puberty and accelerate growth in boys. […] In FHH, if attempts to modify nutritional, psychological, and exercise-related variables are unsuccessful in establishing menses, clinicians may consider estrogen replacement. […] Hormonal therapy is used to induce puberty in adolescent males based on published consensus and expert opinion. However, there are currently no evidence-based guidelines regarding the optimal timing and regimen for inducing puberty in either males or females.

• #44 A Current Perspective on Delayed Puberty and Its Management – Journal of Clinical Research in Pediatric Endocrinology

  https://jcrpe.org/articles/a-current-perspective-on-delayed-puberty-and-its-management/doi/jcrpe.galenos.2024.2024-2-7

  The physiological pubertal induction protocol has several significant disadvantages, including the requirement for five injections each week, consisting of two hCG injections and three FSH injections. […] In male patients, the physiological pubertal induction protocol can be started from the age of 12 years in cases with confirmed congenital HH.

• #45 A Current Perspective on Delayed Puberty and Its Management – Journal of Clinical Research in Pediatric Endocrinology

  https://jcrpe.org/articles/a-current-perspective-on-delayed-puberty-and-its-management/doi/jcrpe.galenos.2024.2024-2-7

  The physiological pubertal induction protocol has several significant disadvantages, including the requirement for five injections each week, consisting of two hCG injections and three FSH injections. […] In male patients, the physiological pubertal induction protocol can be started from the age of 12 years in cases with confirmed congenital HH.

• #46 Atlanta GA Precocious & Delayed Puberty Treatment | Decatur, Brookhaven

  https://intownpediatrics.com/precocious-or-delayed-puberty/

  The treatment for precocious puberty focuses on halting or delaying the progression of puberty to allow the child to grow and develop at a more typical pace. […] However, if the delay is caused by a hormonal imbalance or other medical condition, hormone replacement therapy may be recommended to stimulate puberty. […] Both early and delayed puberty can cause significant emotional and social challenges for children. […] Our team works closely with families to provide support, counseling, and education, ensuring that children feel comfortable and confident as they navigate these developmental milestones. […] If your child shows signs of puberty earlier than this, a medical evaluation is recommended. […] A thorough evaluation is necessary to determine the underlying cause. […] Yes, without treatment, early puberty can cause the growth plates to close prematurely, leading to shorter adult height. […] Yes, delayed puberty can often be treated with hormone replacement therapy if necessary.

• #47 Addressing Disorders of Puberty in Girls – Advances in Pediatric Endocrinology | NewYork-Presbyterian

  https://www.nyp.org/advances-pediatrics/addressing-disorders-of-puberty-in-girls

  Dr. Oberfield and Dr. Sopher stress that patients with symptoms of concern related to the onset and progression of puberty should undergo an evaluation by an endocrinologist who can determine the cause and plan an appropriate course of treatment. […] To help prevent the long-term health effects associated with both early and delayed puberty, the authors recommend ongoing monitoring of children diagnosed with precocious or delayed puberty. […] According to Dr. Oberfield and Dr. Sopher, treatment is not always indicated and watchful waiting may be the best course in many cases. ERT is indicated in patients who may experience psychosocial issues related to their delayed puberty. […] The goal of estrogen replacement therapy is to mimic normal estradiol secretion to induce development of secondary sexual characteristics, to promote linear growth acceleration, and to maintain bone health, note the authors. […] They recommend that patients presenting with pubertal differences undergo a comprehensive assessment to determine the underlying etiology and to develop an effective treatment plan.

• #48 Atlanta GA Precocious & Delayed Puberty Treatment | Decatur, Brookhaven

  https://intownpediatrics.com/precocious-or-delayed-puberty/

  The treatment for precocious puberty focuses on halting or delaying the progression of puberty to allow the child to grow and develop at a more typical pace. […] However, if the delay is caused by a hormonal imbalance or other medical condition, hormone replacement therapy may be recommended to stimulate puberty. […] Both early and delayed puberty can cause significant emotional and social challenges for children. […] Our team works closely with families to provide support, counseling, and education, ensuring that children feel comfortable and confident as they navigate these developmental milestones. […] If your child shows signs of puberty earlier than this, a medical evaluation is recommended. […] A thorough evaluation is necessary to determine the underlying cause. […] Yes, without treatment, early puberty can cause the growth plates to close prematurely, leading to shorter adult height. […] Yes, delayed puberty can often be treated with hormone replacement therapy if necessary.

• #49 Puberty Disorders | Children’s Hospital Colorado

  https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/pediatric-puberty-disorders/

  Sometimes, puberty starts early (precocious puberty). Other times, it starts late (delayed puberty). […] In some cases, we may use medicines to help control this timing and put kids on track with their peers. This helps end the social and emotional difficulty of being far ahead of or far behind their friends. […] Treatment can prevent this early growth and early end to growth. […] When full precocious puberty happens, we can stop it until your child reaches an appropriate age. This helps ensure they will be emotionally ready, and that they will be able to grow to a typical adult height. […] Treatment for delayed puberty also depends on the cause. It can include nutritional therapy or replacement of thyroid, growth or puberty hormones. […] If there is no underlying condition, we may watch your child’s development to see if puberty will start on its own. We may also provide low doses of puberty hormones such as estrogen or testosterone to start the signs of puberty.

• #50 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Cut out soda (and even fruit juice which can have as much sugar as a soda!). Water is the healthiest beverage. […] Emphasize a plant-based, whole foods diet, with healthy portion sizes without being restrictive or stigmatizing about food. […] Do your best to reduce white bread, white pasta, and white rice, and processed foods, from the diet: instead emphasize good quality proteins and vegetables as the mainstay of their diets, with healthy treat options to choose from […] Reduce the amount of TV watching by half and adding exercise will optimize the benefits of this by getting our kids moving more! […] Make sure youre doing all of these things yourself our kids model what they see far more than what we say! […] Prevent Stigma: Teach Your Daughter About Her Body and Her Health […] We must prevent stigma and teach our daughters to respect and love their bodies. If your daughter is entering puberty much earlier than her peers for whatever reason, its all the more important to talk with her about what’s going on and help her feel comfortable in her changing body and self-perception. Its critical to not stigmatize, pathologize, or in any way contribute to a sense of being abnormal, including when it comes to medical visits and assessments for early puberty if those are needed. And while the social consequences should not be dismissed, and need to be addressed for her health and safety, its simultaneously important not to introduce or exacerbate social anxiety or fear.

• #51 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  We have to take the stigma out of puberty so we can talk openly with our daughters and help them feel confident in their bodies no matter what their age. Let’s start talking with our daughters today, asking them questions about how theyre feeling and what theyre going through and taking care of ourselves in ways that model self love, self care, and best health so that they can emerge into womanhood confident and without the preventable risks of long term emotional and health problems that in some cases, though not all, can be associated with early puberty, or just being female in our culture.

• #52

  https://www.nbcnews.com/health/kids-health/puberty-starting-earlier-treatment-children-rcna125441

  With puberty beginning at younger ages, especially among young Black girls, doctors say theres an urgent need for greater awareness and education among families who may face hurdles in access to diagnosis and medical care. […] Although race-based medicine is faulty and detrimental, its eradication from everyday practice remains a challenge, pediatricians from the Warren Alpert Medical School of Brown University wrote. […] Kids entering puberty earlier than the average can be mistakenly treated as older and inappropriately sexualized by society. […] Studies suggest early puberty may be linked to depression and anxiety. […] It may also increase the likelihood of developing eating disorders. […] Doctors are emphatic that not all children need medical help, although they and their parents can benefit from awareness and guidance on whats happening with their bodies.

• #53

  https://www.nbcnews.com/health/kids-health/puberty-starting-earlier-treatment-children-rcna125441

  Determining the best course of treatment for an individual child can hinge on pediatricians taking the physical changes seriously, as well as access to specialists and complex, expensive tests. […] Some doctors previously suggested the diagnosis age for early puberty should be earlier for Black girls than for white girls. […] Shankar countered that precocious puberty diagnosis and treatment decisions shouldnt be determined by race, or even age exclusively, but based on careful hormonal, physical and psychological tests. […] However, doctors should be mindful not to overmedicalize, she said. […] Although the injection drugs are shown to be safe for children with precocious puberty, they may cause rare side effects like the risk of reactions at the injection site or weakened bones if given to kids who dont really need them.

• #54

  https://www.nbcnews.com/health/kids-health/puberty-starting-earlier-treatment-children-rcna125441

  Considerable effort goes into deciding whether children under age 8 who are showing symptoms might benefit from the injectable hormone treatments, pediatric experts say. […] For these girls, precocious puberty can be less concerning and puberty blockers may not be warranted. […] A 2021 study published in the Journal of Pediatric and Adolescent Gynecology estimated that 44 % of girls who started developing breasts between ages 7 and 8 had rapidly progressive precocious puberty; about 15 % required treatment. […] Those younger than 7 years old are more likely to need treatment in the majority of cases, Shankar said. […] A big hurdle for some families is the small number of pediatric endocrinologists who diagnose and treat precocious puberty. […] Many of these children may not get care in a timely manner.

• #55

  https://www.nbcnews.com/health/kids-health/puberty-starting-earlier-treatment-children-rcna125441

  Insurance providers do typically pay for the drugs when theres a clear diagnosis, experts say. […] Without insurance, prescription hormones GnRH agonists that interrupt the pituitary glands production of sex hormones may cost thousands per month. […] Many doctors share the concern that very young girls could be treated as older because of their changing physical appearance. […] Following their daughters experiences, both Benton and Rhodes-Wilson say theyve heard from friends, family and strangers on social media most of them Black or Hispanic who believe theyve also gone through precocious puberty or have children in its midst.

• #56

  https://www.kuh.ku.edu.tr/pediatric-endocrinology-and-diabetes/early-puberty-and-avoiding-unnecessary-treatment

  After stumbling upon a family last week who had come all the way from Fethiye just to get answers to the questions in their minds regarding their daughter whose precocious puberty was brought to a halt when she was 9.5 years old -currently 11.5- (Was it a mistake to start her on treatment? When will she start menstruating? Will she continue to grow taller?, How tall can she grow?), I decided to once again write a few words to reassure parents -particularly mothers- who are worried about early puberty among young girls. […] In fact, a lot of parents -particularly those residing in larger cities, although it is becoming common in everywhere else around the country- continue to bring their daughters to see a doctor after early development of breasts or hair growth. […] Despite the warnings provided by physicians like us, the complaint of early puberty still constitutes a significant reason for visiting a doctor, which incurs miscellaneous costs that are higher than what meets the eye.

• #57

  https://www.kuh.ku.edu.tr/pediatric-endocrinology-and-diabetes/early-puberty-and-avoiding-unnecessary-treatment

  As we will be discussing in the rest of this article, many children are unnecessarily started on inhibitor injections because of the ongoing ambiguities surrounding the definition and treatment of early puberty. […] It is known that the majority of these drugs are used for children. […] Therefore, this increase is associated as much with parents consulting physicians with their children due to unfounded concerns as much as it is with the fact that differences within normal limits are being perceived as conditions and puberty inhibitors are expected to have an adverse impact on height. […] I have been practicing medicine for years in firm belief that we should respect the normal physiology of puberty and avoid use of puberty inhibitors as much as possible. […] On the other hand, three consecutive articles have been published this year, all defending the opinion that starting treatment after 8 years of age for the purpose of gaining height is completely unnecessary.

• #58

  https://www.kuh.ku.edu.tr/pediatric-endocrinology-and-diabetes/early-puberty-and-avoiding-unnecessary-treatment

  Overall, starting treatment after the age of 8 because of concerns related to height is not recommended, because youngsters starting treatment after this age do not really grow much taller. […] The majority of cases treated in various countries are unfortunately just cases of normal early puberty. […] It is wrong to assume that growth will be stunted as if someone hit the brakes as soon as menstruation starts. […] The most appropriate approach is to usually make a decision based on the progress seen 3-6 months later instead of diagnosing/treating the case. […] In order to avoid such a situation, the following should be advised particularly to parents of girls who show signs of puberty between the ages of 7 and 9: […] Treatment costs are high when you also take into account follow-up costs. The stress induced by the treatment itself should also not be ignored. In accordance with these facts, one should think thoroughly before deciding on initiating a treatment that is based on poor evidence and will last 2-4 years.

• #59

  https://www.nbcnews.com/health/kids-health/puberty-starting-earlier-treatment-children-rcna125441

  Determining the best course of treatment for an individual child can hinge on pediatricians taking the physical changes seriously, as well as access to specialists and complex, expensive tests. […] Some doctors previously suggested the diagnosis age for early puberty should be earlier for Black girls than for white girls. […] Shankar countered that precocious puberty diagnosis and treatment decisions shouldnt be determined by race, or even age exclusively, but based on careful hormonal, physical and psychological tests. […] However, doctors should be mindful not to overmedicalize, she said. […] Although the injection drugs are shown to be safe for children with precocious puberty, they may cause rare side effects like the risk of reactions at the injection site or weakened bones if given to kids who dont really need them.

• #60 Precocious puberty – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/precocious-puberty/symptoms-causes/syc-20351811

  No one can avoid some of the risk factors for precocious puberty, such as sex and race. But there are things that can lower children’s chances of precocious puberty, including: […] Keep anything that contains estrogen or testosterone away from children. These might include prescription medicines for adults or diet supplements. […] Encourage children to stay at a healthy weight.

• #61 Don’t let your child hit puberty too early. | Bangkok Hospital Headquarter

  https://www.bangkokhospital.com/en/content/precocious-puberty

  Don’t let your child hit puberty too early. Transition from childhood to adolescence is normal; however, if physiological changes occur earlier than expected, such as girls developing breasts before the age of 8 or menstruating before the age of 9, along with a rapid growth history, or boys having enlarged testicles before the age of 9, possibly accompanied by underarm hair, mustache, or body odor, it may signal early puberty due to excessive sex hormones. This could lead to short stature in adulthood and impact the childs mental health. Parents and caregivers should pay careful attention to address and correct the problem quickly, ensuring the child grows appropriately for their age, with proper development and potential for a happy life. […] The easiest way to prevent the risk of early puberty is to control the childs weight to standard guidelines. Importantly, ensure that children eat according to proper nutritional standards and exercise regularly for healthy development appropriate to their age. […] Parents should closely care to ensure the child grows appropriately for their age and maximize their life potential.

• #62 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Steps You Can Take to Help Prevent Early Puberty […] While government agencies, medical organizations, and industry need to tackle the factors contributing to early puberty on a global scale, we can and must help prevent or mitigate the factors that can lead to early puberty through the choices we make, and teach our daughters to make. […] Heres an overview of actionable steps you can take at home. […] Prevent Exposure to Environmental Estrogens […] Avoid flame retardant products […] Encourage your pre-girls to avoid cosmetics, and if they are going to use them, go natural. Its more expensive in the short run, but the health price tag is much lower over time! See the Environmental Working Group’s Skin Deep website for information on safe cosmetic options. […] Get your daughter a glass water bottle Life Factory makes them in bright colors, a variety of sizes, with plain and even sippy and straw tops, and they are dishwasher safe and virtually indestructible. All my daughters have one. Encourage her to avoid drinking out of plastic bottles whenever possible.

• #63 Puberty: Early and Delayed | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/1101/p590-s1.html

  Girls should see the doctor if they have: […] Signs of puberty before eight years of age […] No signs of puberty by 13 years of age […] No menstrual period by 15 years of age […] Puberty that starts but then stops. […] Boys should see the doctor if they have: […] Signs of puberty before nine years of age […] No signs of puberty by 14 years of age […] Puberty that starts but then stops. […] Early puberty (also called precocious puberty) is usually just normal puberty that starts too early. […] It depends on the cause. Premature adrenarche and normal puberty that starts too early often don’t need treatment. […] Medicine might be needed if puberty is very delayed or there is a hormone problem. If your child has a health problem or is underweight, treating the condition that is causing delayed puberty can help.

• #64 Delayed puberty in girls: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/007694.htm

  Delayed puberty in girls occurs when breasts don’t develop by age 13 or menstrual periods do not begin by age 16. […] With delayed puberty, these changes either don’t occur at the normal age, or if they do, they don’t progress normally. […] Another common cause of delayed puberty in girls is lack of body fat. Being too thin can disrupt the normal process of puberty. […] If delayed puberty is caused by a disease or an eating disorder, treating the cause may help puberty to develop normally. […] If puberty fails to develop, or the child is very distressed because of the delay, hormone therapy can help start puberty. […] The treatment will depend on the cause of delayed puberty. […] Contact your provider if: Your child shows a slow growth rate, Puberty does not begin by 13 years of age, Puberty begins, but does not progress normally.

• #65 When Is Puberty too Early? | Duke Health

  https://www.dukehealth.org/blog/when-puberty-too-early

  Understanding the signs of early puberty will help you to know when to seek help. […] Most instances of early puberty dont present a health risk to children, but its worth contacting your pediatrician in case your family doctor feels its important to run any tests, Dr. Benjamin said. […] If this is a concern, please see your doctor, Benjamin said. […] Your doctor will perform a physical exam to assess how your childs body is maturing. […] In some cases, medication may be prescribed to stop or slow puberty. […] You can take some steps to minimize environmental causes of early puberty, such as helping your child maintain a healthy weight and avoiding exposure to testosterone or estrogen that could be found in over-the-counter creams/gels, hair treatments, medications, and nutritional supplements.

• #66 Atlanta GA Precocious & Delayed Puberty Treatment | Decatur, Brookhaven

  https://intownpediatrics.com/precocious-or-delayed-puberty/

  The treatment for precocious puberty focuses on halting or delaying the progression of puberty to allow the child to grow and develop at a more typical pace. […] However, if the delay is caused by a hormonal imbalance or other medical condition, hormone replacement therapy may be recommended to stimulate puberty. […] Both early and delayed puberty can cause significant emotional and social challenges for children. […] Our team works closely with families to provide support, counseling, and education, ensuring that children feel comfortable and confident as they navigate these developmental milestones. […] If your child shows signs of puberty earlier than this, a medical evaluation is recommended. […] A thorough evaluation is necessary to determine the underlying cause. […] Yes, without treatment, early puberty can cause the growth plates to close prematurely, leading to shorter adult height. […] Yes, delayed puberty can often be treated with hormone replacement therapy if necessary.

• #67 Puberty Disorders | Children’s Hospital Colorado

  https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/pediatric-puberty-disorders/

  Sometimes, puberty starts early (precocious puberty). Other times, it starts late (delayed puberty). […] In some cases, we may use medicines to help control this timing and put kids on track with their peers. This helps end the social and emotional difficulty of being far ahead of or far behind their friends. […] Treatment can prevent this early growth and early end to growth. […] When full precocious puberty happens, we can stop it until your child reaches an appropriate age. This helps ensure they will be emotionally ready, and that they will be able to grow to a typical adult height. […] Treatment for delayed puberty also depends on the cause. It can include nutritional therapy or replacement of thyroid, growth or puberty hormones. […] If there is no underlying condition, we may watch your child’s development to see if puberty will start on its own. We may also provide low doses of puberty hormones such as estrogen or testosterone to start the signs of puberty.

• #68 Understanding and Preventing Early Puberty in Our Daughters – Aviva Romm, MD

  https://avivaromm.com/early-puberty/

  Cut out soda (and even fruit juice which can have as much sugar as a soda!). Water is the healthiest beverage. […] Emphasize a plant-based, whole foods diet, with healthy portion sizes without being restrictive or stigmatizing about food. […] Do your best to reduce white bread, white pasta, and white rice, and processed foods, from the diet: instead emphasize good quality proteins and vegetables as the mainstay of their diets, with healthy treat options to choose from […] Reduce the amount of TV watching by half and adding exercise will optimize the benefits of this by getting our kids moving more! […] Make sure youre doing all of these things yourself our kids model what they see far more than what we say! […] Prevent Stigma: Teach Your Daughter About Her Body and Her Health […] We must prevent stigma and teach our daughters to respect and love their bodies. If your daughter is entering puberty much earlier than her peers for whatever reason, its all the more important to talk with her about what’s going on and help her feel comfortable in her changing body and self-perception. Its critical to not stigmatize, pathologize, or in any way contribute to a sense of being abnormal, including when it comes to medical visits and assessments for early puberty if those are needed. And while the social consequences should not be dismissed, and need to be addressed for her health and safety, its simultaneously important not to introduce or exacerbate social anxiety or fear.

• #69 Addressing Disorders of Puberty in Girls – Advances in Pediatric Endocrinology | NewYork-Presbyterian

  https://www.nyp.org/advances-pediatrics/addressing-disorders-of-puberty-in-girls

  Dr. Oberfield and Dr. Sopher stress that patients with symptoms of concern related to the onset and progression of puberty should undergo an evaluation by an endocrinologist who can determine the cause and plan an appropriate course of treatment. […] To help prevent the long-term health effects associated with both early and delayed puberty, the authors recommend ongoing monitoring of children diagnosed with precocious or delayed puberty. […] According to Dr. Oberfield and Dr. Sopher, treatment is not always indicated and watchful waiting may be the best course in many cases. ERT is indicated in patients who may experience psychosocial issues related to their delayed puberty. […] The goal of estrogen replacement therapy is to mimic normal estradiol secretion to induce development of secondary sexual characteristics, to promote linear growth acceleration, and to maintain bone health, note the authors. […] They recommend that patients presenting with pubertal differences undergo a comprehensive assessment to determine the underlying etiology and to develop an effective treatment plan.

Zobacz więcej