Question
A child is showing symptoms of suspected true precocious puberty, including a hoarse voice and the growth of facial hair, indicating the onset of secondary sexual characteristics. The parents inquire whether treatment is necessary and how it should be carried out.
Answer
True precocious puberty is caused by the premature activation of the hypothalamus-pituitary-gonadal axis, which may lead to the early onset of puberty. Treatment methods typically include the use of medications such as GnRH analogs or gonadotropin inhibitors to slow down gonadal development and the onset of menstruation. In addition, psychological counseling and support may be needed to help children and parents cope with the psychological and social issues associated with precocious puberty. It is recommended that parents take their child to a pediatrician or an endocrinology specialist for a detailed examination and assessment to develop the most appropriate treatment plan.