Question
My daughter is 8 years and 5 months old and suddenly noticed a slight swelling in her left breast. She says it started in June. How should this be handled? Could it be precocious puberty?
Answer
The onset of sexual development in children over 8 weeks of age should be defined as precocious puberty. It is recommended to have the child undergo hormone level tests, ovarian ultrasound, and pituitary MRI. If confirmed as precocious puberty, treatment with cyproterone acetate can be applied to suppress sexual development until the child reaches a normal height. It is advised to maintain a light diet, avoid stimulating foods, consume more vegetables, and eat fewer snacks and meats.