Precocious Puberty – Causes, Symptoms, Consequences of Early Puberty

 

Precocious puberty, has several characteristic signs,  puberty in girls, occurring even before the age of 8, while in boys know how certain events occur just before the age of 9.

Резултат слика за premature puberty

If a girl  gets her period earlier, or the boy has enlarged testicles , this may indicate early puberty.

If you are also a parent, and you have at home and you have a child of this age, we strongly encourage you to keep on this text.

What are the symptoms of  precocious sexual maturation of children

Signs and symptoms of premature maturation are identical with the real manifestation of physiological puberty, but with a significant difference as early puberty in girls occurs much earlier than usual, even before the eighth year, while in boys may occur before the ninth.

The emergence of the first period before the ninth year is an important criterion for the diagnosis of premature sexual maturation. However, to define premature puberty, one fact very much complicates the whole thing, but it warns us that in healthy children, there are very big differences when it comes to the age in which puberty occurs as a result of deficient genetic factors, and the impact environment.

With 95 percent of healthy girls, puberty begins between 8.5 and 13 years – an increase of breasts, the appearance of pubic hair and hair under the armpits. These can occur before, after or at the same time increase the breast, while the first menstruation (menarche) show an average of two years later, between 12.5 and 14.5 years.

On the other hand, puberty in boys usually begins between 9.5 and 13.5 years – enlargement of the testicles. The growth of the penis, scrotum, and pubic hair phenomenon commonly observed one year later.

It should be noted that it is premature puberty than girls significantly more common than in boys (the ratio is 23: 1).

How is the diagnosis of premature sexual maturation?

Each child with whom there is a suspicion that occurred early puberty, it is necessary to accurately measure the body height, to assess the stage of puberty development, do radiography of the left hand and the areas to determine bone maturity, as well as the level of the hormone, or FSH ( follicle-stimulating hormone) and LH ( luteinizing hormone) and estradiol levels in girls and in boys testosterone levels. In addition, it is necessary to do an ultrasound of the abdomen, and in girls and an ultrasound examination of internal genitalia.

Early puberty in girls

Premature full maturation can be classified into two main categories namely: false and true precocious puberty.

False premature maturation is characterized by the development of secondary sexual characteristics due to the secretion of sex hormones from the gonads (ovaries or testes), or due to the secretion of sex hormones from the adrenal glands. The most common cause of false premature puberty girl is functional ovarian cysts. The mechanism is not known. Most often spontaneously, sometimes it takes the surgical treatment.

Fake precocious puberty in girls may also be caused by accidental ingestion of estrogen (pill) or use of certain cosmetic products with a strong estrogenic effect. (Various creams for hair removal and the like.)

The real form is completely different and is caused by activation of the hypothalamic-pituitary-gonadal axis, while in the case of false symptoms, in fact, the result of some other health conditions, such as frequently and ovarian cyst.

What are the common causes of early puberty

With 90 percent of girls with a premature ripening cause is unknown, it is a so-called idiopathic premature puberty. When more than 70 percent of the tumor causing the boy of CNS (central nervous system).

Unlike boys at girls the intracranial tumor (tumor in the fossa) describes as a cause of premature puberty in less than ten per cent of cases. In young children with these signs, often are detected tumors of the CNS than those of older age.

Differences in the beginning of physiological puberty exist between individual children of the same family, children of the same ethnic origin, and are particularly strong between members of different ethnic groups.

When we talk about the disorder as it premature puberty, it is assumed that genetic factors may have an impact on its occurrence, but they have not yet been sufficiently explored to this day.

What is the impact of food insecurity

The effects of environmental factors are reflected on all of us, but it is certainly in that sense and undoubted influence of the modern diet. However, how this factor affects premature puberty in children are still not sufficiently tested.

What are other health risks of premature puberty

Regardless of etiology, that is the cause of the disorder, in children of both sexes are accelerated linear growth and bone maturation, if diagnosed early puberty. Accelerated bone maturation and results in the premature termination of growth and therefore very low growth in adulthood.

Unlike the advanced physical growth, mental development is in accordance with the chronological age, easily premature breast development, body hair in the vulva area of the armpit, and the occurrence of menstruation in girls, or the increase of libido in boys, can cause emotional instability, serious psychological problems are very rare in this age.

On the other hand, unfortunately, the girls in premature puberty may be victims of sexual abuse very early, while it should not ignore the risk of sexually transmitted diseases and pregnancy, on which themselves do not know much, but necessary education receives only a few years later in schools .

Also, early puberty in boys sometimes manifested aggressive behavior towards their peers, but also younger children, and adults – due to high levels of testosterone.

Medical therapy

The goals of treatment are to first place the identification and treatment of intracranial lesions, stopping further sexual maturation, providing adequate psychological support and prevention of potential sexual abuse at the time, and therefore unwanted pregnancy.

Today, the greatest significance in medicaments treatment of true precocious puberty have synthetic GnRH agonist, drugs that suppress these symptoms and who apply every 28 days in the form of intramuscular injections.

Of course, the psychological support is very important if early puberty in your child’s signals, with the obligatory professional explanation of the nature of the disorder, because it is crucial for children and parents who together go through this difficult period. It features a pretty aggressive behavior, so keep an eye on everything.

If it is premature puberty in girls and boys only partial form, you do not need any treatment. Most often it is a so-called. isolated premature thelarche (breast growth in girls) and isolated premature pubic hairs (pubic hair).

In thelarche observed only increase the glandular breast tissue, without other signs of puberty. Is seen in girls during the first two years of life and most often spontaneously to three years.

Isolated premature pubic hairs indicate the occurrence of pubic hair in girls before eight, or in a boy nine years ago, no other signs of puberty.

Important note: The Brazilian waxing groin, and even the vagina (which has become a kind of fashion trend), like any other in this early period of life can not be used. This will confirm the number of cosmetologist and dermatologists, therefore if your little girl played with early puberty, it is mandatory to answer than that.


Author: K.S

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