Question

My daughter is 8 years and 2 months old, with a height of about 140 cm and a weight of 40 kg. She recently discovered a slight bulge on her right breast, and when lying down, she can feel small hard lumps. There is pain when pressed. Could it be early development? What tests are needed for precocious puberty?

Answer

The following tests are needed for diagnosing precocious puberty:

  1. Sexual Hormone Stimulation Test: Used to differentiate between true precocious puberty and pseudo-precocious puberty.
  2. Ultrasound Examination: Can observe the development of female ovaries and uterus, such as whether the follicles increase. For males, it mainly observes the development of testicles and other parts, especially comparing the size of the testicles to understand their development level and whether there is enlargement or just an increase in the penis size. Precocious puberty usually manifests in girls through breast development and early menstruation. For boys, symptoms may include nocturnal emission and enlargement of the testicles.