Precocious puberty


Does drinking honey water cause early puberty in boys?
Drinking honey water will not cause precocious puberty in boys, but it is important to note that honey should only be given to children over one year old. Although honey contains certain sex hormones, the amount is minuscule and not necessarily linked to precocious puberty, as the main component of honey is sugar, which constitutes a large proportion. Other components include proteins, organic acids, and pollen. There is no report from authoritative testing that has detected animal hormones in honey. Although pollen contains a considerable amount of plant hormones, these compounds are significantly different from the hormones found in animal bodies. Thus, plant hormones do not produce hormone-like effects in the human body, nor can they cause precocious puberty in children. However, it is important to note that the sugar content in honey water is relatively high and excessive intake can lead to obesity and cause abnormal development of dental health in children, including symptoms of tooth decay.


The difference between precocious puberty and early development
It is generally believed that the development of breasts before the age of eight in girls, and the onset of menstruation before the age of ten; in boys, the development of testicles before the age of nine, appearance of secondary sexual characteristics, and accompanied by rapid physical development, are referred to as precocious puberty. Early development refers to the situation where, before puberty, not only the sexual organs but also other organs in boys and girls begin to develop simultaneously. Therefore, precocious puberty and early development not only differ in the age of onset but also focus more on whether the sexual organs are developing in coordination with the body's other organs. The differences lie not only in the timing but primarily in whether the development of the sexual organs is coordinated with the development of the body's other organs. If the sexual organs and the body's other organs are not developing in coordination, it indicates precocious puberty. If they are coordinated, and merely occurring earlier than usual in puberty, it is considered early development.


Does a hard lump in a child's breast mean precocious puberty?
Children's breasts have lumps, and it is indeed necessary to consider whether it is precocious puberty, but there are other conditions that can cause lumps in children's breasts. For example, cysts or other solid occupying lesions. Besides the development of secondary sexual characteristics, including the development of breasts, growth of axillary hair, and even menstruation in girls, if these secondary sexual characteristics appear before the age of nine and are accompanied by a recent rapid growth in height, then we need to consider the possibility of precocious puberty.


How can precocious puberty be treated? Is it reversible?
Precocious puberty has many causes, including genetic factors, conditions during the mother's pregnancy, or congenital pituitary abnormalities, all of which can lead to the condition. When precocious puberty occurs, it is necessary to conduct diagnostic tests including MRI of the pituitary in the head, bone age assessment, ultrasonography of the gonads, and blood hormone level measurements to determine the appropriate treatment. Mild cases can be managed through a balanced diet, appropriate exercise, and rest. In some cases, oral Chinese medicine can be used if blood hormone levels are not severe enough to require other treatments, to help control the child’s sexual development. In severe cases, such as when a child's bone age is more than one year above their actual age, accompanied by abnormal blood hormone levels and changes in gonadal ultrasound, and significant loss in height, it may be necessary to administer injections of gonadotropin-releasing hormone analogs to control the level of sexual development. If there is a significant loss in height, it may also be necessary to combine this with growth hormone injections to treat growth.


Can you grow taller after treatment for precocious puberty?
Precocious puberty, if identified and treated early, can allow for normal height growth. Precocious puberty refers to an abnormal condition where secondary sexual characteristics develop in girls before the age of eight and in boys before the age of nine. Based on the mechanism of onset and clinical presentation, it can be categorized into central precocious puberty and peripheral precocious puberty. The main risks of precocious puberty include shorter adult height, earlier sexual behavior, suppressed personality, and more. The primary goal of treatment is to improve the adult height of the affected child. Early detection and prompt treatment are crucial for improving the prognosis of children with precocious puberty. In addition to daily observations for signs of secondary sexual characteristics, it is also important to monitor for any sudden growth spurts in children under the age of ten.