What is precocious puberty?
Precocious puberty is another term for early puberty. In boys
puberty is considered early if it occurs before the age of 9. The
signs of puberty in boys include:
- increased size of the testicles
- development of pubic, underarm, or facial hair
- a big growth spurt.
Is precocious puberty a problem?
Precocious puberty may become a problem for a child. Early puberty
can have an effect on your son's final height if it is not
treated. He may stop growing before reaching his expected height.
What is the cause?
Often there is no apparent cause. Sometimes early puberty runs in
the family or there may be something affecting the release of
hormones in the brain. All boys with early puberty should be
checked by their healthcare provider.
How is it diagnosed?
Your child's healthcare provider will examine your son and measure
height, weight, and bone age. Your provider checks the bone age by
doing a simple X-ray of the hand and wrist to measure of the
body's overall bone maturity. Your provider will also ask about
your family history of early puberty.
Depending on the results of these tests, your son may need a blood
test to check his hormone levels. Sometimes, an MRI of the brain
is done to check if anything is affecting the gland responsible
for releasing hormones. A specialist, called a pediatric
endocrinologist may need to see the results of the tests.
What is the treatment?
Treatment is needed if early puberty is likely to cause your son
not to reach his expected height or another underlying cause has
been identified. Early puberty can be stopped with a medicine
called Lupron. This medicine mimics a natural hormone in the body
and is given as a shot once per month. It has no known side
effects, and once the shots are stopped, puberty begins again
normally.
Your provider may want to see your son every 4 to 6 months to
check on his growth.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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