How can precocious children reduce estrogen levels?

Written by Quan Xiang Mei
Pediatrics
Updated on September 14, 2024
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Once children are diagnosed with precocious puberty, which usually refers to girls developing breasts before the age of 8 and boys showing signs of secondary sexual characteristics such as increased testicular volume and penile thickening before the age of 9, the method to reduce estrogen depends on the severity of the precocious puberty. This includes whether it affects the child's height and the maturity level of the sexual organs, as well as taking into account the estrogen levels at the time of examination for treatment. Mild cases usually do not require medication and can be addressed through dietary and exercise interventions. For moderate cases where hormone levels in the blood have not reached a severe state and there is some loss of height but not to the extent that requires treatment through injections, oral Chinese medicine can be used to reduce estrogen levels. In severe cases, where there is significant change in height, sexual organs, and high hormone levels in the blood, medication such as gonadotropin-releasing hormone analogs can be used to control the child’s sexual development.

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Written by Quan Xiang Mei
Pediatrics
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Where is precocious puberty manifested?

Precocious puberty is primarily characterized by the development of breasts in girls before the age of 8, which leads to a diagnosis of precocious puberty. In boys, an increase in testicular volume and thickening of the penis before the age of 9 or 9.5 years also constitutes a diagnosis of precocious puberty. Once children show signs of precocious puberty, it is crucial to promptly take them to a hospital for the following relevant examinations to determine whether the condition is affecting the child's physical and psychological health. 1. An examination of bone age to determine if it impacts the child's height; 2. An ultrasound of the gonads to verify the severity of sexual development; 3. Under the detailed examination of a doctor, observe whether it affects the child's psychology, thereby providing further reasonable treatment based on the actual manifestations of the child.

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Written by Quan Xiang Mei
Pediatrics
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Will daily skipping improve precocious puberty?

The purpose of daily rope jumping for children with precocious puberty is to impact their height positively, aiming for improvement. The goal of treating precocious puberty is to increase the final adult height. Due to premature sexual development, high levels of estrogen can lead to early closure of the growth plates, resulting in being shorter compared to peers of the same age after growing up. Therefore, to avoid being shorter as an adult, it is recommended in daily life that children engage more in activities that involve jumping, such as rope jumping, which can stimulate the growth plates and contribute to vertical growth in children. Daily rope jumping can, therefore, be beneficial, specifically concerning height improvement.

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Written by Dong Xian Yan
Pediatrics
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What symptoms will appear in the pituitary gland with precocious puberty?

Children with precocious puberty should undergo a pituitary gland examination, which may reveal symptoms in two aspects: 1. Imaging examination such as pituitary MRI, which might uncover tumors in the pituitary gland that could lead to precocious puberty. 2. Hormone level tests, mainly involving the secretion of hormones controlled by the hypothalamic-pituitary-gonadal axis. For example, the secretion of gonadotropin-releasing hormone, luteinizing hormone, and follicle-stimulating hormone can cause precocious puberty. Precocious puberty is a relatively common endocrine disorder in children. Generally, it can be diagnosed in girls before the age of eight and in boys before the age of nine if secondary sexual characteristics appear.

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Written by Quan Xiang Mei
Pediatrics
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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.

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Written by Zeng Hai Jiang
Pediatrics
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What should I do if precocious puberty is not treated in time?

Precocious puberty is defined as the abnormal condition where secondary sexual characteristics develop before the age of eight in girls and nine in boys. The harm of this disease includes shorter adult height, earlier sexual behavior, and suppressed personality, among other effects. The principle of treatment primarily focuses on improving the child's adult height, with treatments mainly including medication and etiological treatment. If diagnosed and treated early, the prognosis is generally good, and the final adult height can be significantly improved. If treatment is not administered in a timely manner, and the epiphyses of the bones have closed, it may not be possible to alter the final height.