Can you grow taller after treatment for precocious puberty?

Written by Zeng Hai Jiang
Pediatrics
Updated on September 01, 2024
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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.

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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 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.

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Written by Tong Peng
Pediatrics
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Is thigh clamping in children a sign of precocious puberty?

Babies crossing their legs is not a sign of precocious puberty. There is a clinical sign in children called "leg crossing syndrome," primarily occurring in either sex, where children experience pleasure through the friction of the skin between their legs. This condition is often a form of masturbation, seeking self-comfort and stimulation to achieve a sense of relief. Possible causes include increased secretions due to poor local hygiene, leading to babies rubbing against each other, thus manifesting a sense of sexual satisfaction. Additionally, parasitic infections can cause itching in the perineal area, leading to symptoms of leg crossing syndrome. If parents notice this behavior, they should guide the child gradually and persuasively without scolding, while also maintaining cleanliness in the affected area and enhancing education about sexuality. Precocious puberty is mostly characterized by the development of breasts and other secondary sexual characteristics, so there is a difference between the two conditions.

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Written by Quan Xiang Mei
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Premature breast pain has now stopped hurting, does that mean it's healed?

When girls develop breasts before the age of eight, they may experience pain at the breast bud nodules. Pain does not necessarily mean recovery; it is possible that as the breast bud enlarges, the pain will naturally disappear. Whether treatment is needed once precocious puberty occurs and whether it has reached a level of cure mainly depends on the assessment through pediatric bone age, gonadal ultrasound examinations, or a combination of brain pituitary MRI and blood hormone levels to analyze the severity of the condition. For mild cases, with appropriate medication, diet, and exercise guidance, children can reach a basic level of clinical cure. Severe cases require the control of the child's sexual development through the injection of gonadal hormones or hormone-releasing analogues. Psychological impacts due to early sexual development may also necessitate behavioral and psychological interventions.

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Written by Dong Xian Yan
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The precocious puberty stimulation test is used to check for what?

The precocious puberty stimulation test, also known as the luteinizing hormone-releasing hormone stimulation test. The method of examination involves administering an intravenous injection of gonadotropin-releasing hormone, followed by taking blood samples before the injection, and at 30, 60, 90, and 120 minutes after the injection. Serum levels of luteinizing hormone and follicle-stimulating hormone are measured to assess their peak values. This can diagnose whether the gonadal axis has been activated and is a reliable method for diagnosing precocious puberty.