Question
Should a Child’s Early Puberty Be Treated?
Answer
The child, aged 11, experienced nipple pain and slight hardness about half a month ago. The examination results showed that they are developing more than a year earlier than their peers. The doctor advised increasing physical activity and reducing intake of hormone-containing foods such as fried foods and KFC. The child currently has no other discomforts. No related diseases have been found in the medical history. This is the first time early breast development has been discovered, which is a simple case of partial central precocious puberty (PICPP). After the stimulation test, FSH levels significantly increased, but LH levels did not rise obvious, and FSH/LH>1. Regular follow-up is required, especially for children with recurrent breast enlargement or persistent regression. In addition, when treating primary diseases such as congenital adrenal hyperplasia and McCune-Albright syndrome, attention should also be paid to monitoring the occurrence of central precocious puberty. In some cases, congenital hypothyroidism may be accompanied by early signs of sexual precocity, with elevated LH baseline values but not increasing after GnRH stimulation. As the course progresses, it may transform into true central precocious puberty. These children usually have the characteristic of short stature.