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Doctor insights on: Pubertas Praecox

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Dr. Michael Gabor
70 doctors shared insights

Precocious Puberty (Definition)

A condition in which development of secondary sex characteristics (breasts, testicular enlargement) occurs before age eight in girls and age nine in boys. Often times, especially in girls, the cause is unknown and not harmful to the child. However, all children with precocious puberty should see a doctor to rule out harmful causes such as cancer. Furthermore, early puberty can stunt growth due to premature closure of the growth plates. Early detection and intervention can prevent ...Read more


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How is gonadotropin-independent precocious puberty typically diagnosed?

How is gonadotropin-independent precocious puberty typically diagnosed?

Blood work: Peripheral precocious puberty (gonadotrophin independent) is easily distinguished from central precocious puberty with blood tests. Genetic testing is also available to help determine certain causes. ...Read more

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Is precocious puberty a disease?

Is precocious puberty a disease?

Yes: Precocious puberty is abnormal: pubertal development before age 8 in girls and age 9 in boys. The causes are too complex to review here, but are divided into gdpp) early developmental signals from the brain, and gipp) abnormal steroid production, such as from tumors or ingesting hormonal medication. Over 80% of gdpp in girls is idiopathic, meaning no cause is identified. ...Read more

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Whats central precocious puberty?

Whats central precocious puberty?

CPP: This is true puberty. When the pituitary gland begins to secrete pubertal levels of lh and fsh which act on testes or ovaries to initiate testicular enlargement in boys or breast development in girls. Cpp can only be diagnosed when girls are < 8 yo and boys < 9 yo. After this age, it is no longer precocious. ...Read more

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What causes precocious puberty in girls?

Not sure: Puberty is occurring earlier - we think because girls are heavier. True precocious puberty may be due to many factors. If you have a girl child who is growing breasts or having a menstrual period ahead of her peers see a pediatric endocrinologist now. ...Read more

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Isn't precocious puberty any sign of puberty earlier than normal?

Isn't precocious puberty any sign of puberty earlier than normal?

Not necessarily: Some signs overlap. The appearance of genital hair and underarm odor is under control of the adrenal glands and may precede true puberty by a couple of years. ...Read more

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What is precocious puberty?

Early puberty : It is defined by girls who start developing secondary sexual characteristics before age 8 years-old and in boys before age 9 years-old. ...Read more

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What is precocious puberty?

What is  precocious puberty?

Precocious puberty: Precocious puberty is pubertal development before age 8 in girls and age 9 in boys. The causes are too many and complex to review here, but are divided into gdpp) early developmental signals from the brain, and gipp) abnormal steroid production, such as from tumors or ingesting hormonal medication. Over 80% of gdpp in girls is idiopathic, meaning no cause is identified. ...Read more

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Does autism cause early puberty in girls?

Does autism cause early puberty in girls?

No: Not in my experience. I see the same age range of puberty in my autistic girls as i did when i practiced general pediatrics. ...Read more

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What is central precocious puberty?

What is central precocious puberty?

Central puberty: This term refers to the early turning on of the brains signals to the gonads. The area of the brain which signals puberty is called the hypothalamus and pituitary gland. This is distinguished from "peripheral" puberty due to adrenal, testicle, or ovarian disorders. ...Read more

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How is vaginitis in young girls diagnosed before puberty?

Swab: Without needing to do a true internal exam, i small swab of the discharge can be obtained and examined under the microscope to determine the cause of the vaginitis and initiate specific treatment. ...Read more

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Is precocious puberty considered a disease?

Is precocious puberty considered a disease?

No: It may be a symptom of a disease, but not a disease by itself. The most common cause is idiopathic. Many kids with precocious puberty don't need treatment. Boys more likely than girls to need treatment. However, a proper evaluation is always necessary with either pediatrician or pediatric endocrinologist to make this determination. ...Read more

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Do boys have their grow spurt in Tanner III or IV?

Do boys have their grow spurt in Tanner III or IV?

In males: "spurt" is seen throughout puberty, as growth accelerates as puberty progresses, but is most rapid in state IV. ...Read more

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Does dieting at young age cause delayed puberty?

Does dieting at young age cause delayed puberty?

It can: Underweight from dieting, or just underweight, often delays the onset of puberty and slows growth. Weight management in children should really be medically supervised for these reasons and more. ...Read more

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Does polycystic ovarian syndrome cause any masculinization beyond hirsutism in teen girls & young adult women? Please, need some answers?

Does polycystic ovarian syndrome cause any masculinization beyond hirsutism in teen girls & young adult women? Please, need some answers?

PCOS symptoms: Yes, there can be masculinization. The elevated androgens in PCOS can have a broad spectrum of manifestations, from irregular periods only, to mild hirsutism to more severe changes such as male pattern of hairline, body hair in male places (chest, abdomen), etc. The level of testosterone or DHEA does not always predict this. See your endocrinologist or Gyn. ...Read more