chemgal's picture

chemgal

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Precocious puberty

If your child (daughters in particular, I don't hear about this as much for boys) underwent precocious puberty, would you treat it?  Why or why not?  

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SG's picture

SG

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I would make sure there was no tumour or Addison's disease or any underlying thing.... but after that,  I do not think I would interfere by hormone supression or surgery (CAH causes baby girls to have a clitoris with the appearance more of a penis).  I would let the child plot the course. It is not medically necessary, it is mostly so young girls are not sexually expolited (over developed for their age) or so they do not/cannot get pregnant young. Yes, it also effects boys, but is not as obvious. Again, I would let it alone, unless the child expressed problems dealing with it.

 

Then again, I admit, I am very bias.

MistsOfSpring's picture

MistsOfSpring

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When people say "precocious puberty" they often don't mean true precocious puberty; they usually mean early puberty that is still well within the normal, healthy age range.  For that reason, I'm going to answer two different ways. 

 

For puberty to be truly precocious for girls, it would be starting before 7 or 8 years old.  Because this is so unusual, it's quite possible that it's a sign of some underlying cause, so yes, I'd definitely seek advice and possibly treatment.  After age 8, however, it's in that normal range, so I wouldn't worry about it physically. 

chemgal's picture

chemgal

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Thanks Mists and SG.  I would hope if there's another health issue that almost everyone would be treating that if possible.  I was referring to true precocious puberty, not just early but within normal range.

Tabitha's picture

Tabitha

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This is a common occurence in girls with other disabilities. It is sometimes treated-and almost always managed-ie. being on oral concreceptives to make monthly flow predictable and lighter.

We had a good talk on this by the Endrcinologist-sp? when I worked at the Stollery.

chemgal's picture

chemgal

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My mom thought this is what was happening to me for a while when I was a toddler.  I was urinating blood because of a UTI but when I shouted that there was blood in the toilet she freaked out a bit.  I don't remember it, but she certainly does.

 

I was an early bloomer, but within normal range.  I think that influences me a bit and my gut instinct would be to treat it.  As it was, I hated going through puberty before everyone else.  At my school it was just me (I was not overweight) and girls who were quite overweight and it did create some temporary body issues with me.  Menstruation was also horrible and I would hate for a young child to have to go through that.  There's also the issues of clothes - kids clothes aren't meant to fit a developed body and the sexualization of children.

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