What are the symptoms of precocious puberty in children?

Written by Huang Kun Mei
Pediatrics
Updated on June 06, 2025
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Precocious puberty generally occurs when secondary sexual characteristics appear relatively early. For example, girls may experience breast development, pubic hair, and underarm hair growth. Boys may experience enlargement of the testicles, growth of pubic hair, underarm hair, facial hair, deepening of the voice, and nocturnal emissions. If a child exhibits signs of precocious puberty, it can impact their growth and it’s important to promptly visit a hospital to check their sex hormones and bone age through X-rays. Treatment with medication can be initiated based on the specific circumstances of the child. If the child's bone age is normal, it is possible to suppress the secretion of the child's hormones.

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Written by Tong Peng
Pediatrics
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Will eating oysters cause early puberty in children?

Children eating oysters will not lead to precocious puberty, because oysters mainly contain protein and the trace element zinc. Precocious puberty is primarily caused by the intake of hormone-like foods, which disrupts the endocrine function in children, especially sex hormones such as estrogen and androgen. Oysters do not generally contain hormones, so there is no necessary connection between eating oysters and precocious puberty. However, it should also be noted that although oysters are nutritious, they are not suitable for excessive consumption because they are seafood products, and overeating may cause allergies or symptoms of indigestion. For precocious puberty, it is mainly about avoiding the intake of high-calorie foods and hormone-like foods in daily life, especially some out-of-season foods and the use of cosmetics containing hormones, which can all lead to precocious puberty.

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Written by Dong Xian Yan
Pediatrics
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Does precocious puberty require growth hormone treatment?

For children with precocious puberty, a small number require combined treatment with growth hormones. For instance, if a child's height growth rate is less than 4cm, it is necessary to add growth hormones to promote growth and development. The second scenario involves using a bone age test; if the height is less than 151cm, growth hormones can also be used in combination for treatment. In the third scenario, if the child's bone age at the time of consultation has already exceeded 11.5 years, has significantly increased, or even if menstruation has started and their height has been clearly affected, it is generally advised to use growth hormones in combination with treatment.

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Written by Quan Xiang Mei
Pediatrics
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Can precocious puberty be inherited by children?

Precocious puberty may have a hereditary factor, but it is not very typical. This means that if the parents experienced early puberty or development, their children might also potentially display early signs of puberty or development, but it is not a certainty. Children with precocious puberty typically refer to those who undergo sexual development too early, which can affect their height or their sexual development. This usually impacts their adult height. If parents show signs of early puberty or development, we need to closely monitor the sexual development of their children, observing the development of the nipples in girls and the development of the testicles and penis in boys.

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Written by Zeng Hai Jiang
Pediatrics
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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.

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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.