Overview
Your child’s healthcare provider will perform a physical examination and ask questions about your child’s medical history.
They may order an X-ray of your child’s hand and wrist to check their bone age. If your child’s body overproduces reproductive hormones, their bones mature earlier than normal, which suggests precocious puberty.
Your child’s provider may also order blood tests to measure your child’s hormone levels. These tests will check your child’s pituitary hormones — luteinizing hormone (LH) and follicle-stimulating hormone (FSH). These hormones control puberty. They’ll also check the levels of your child’s sex hormones.
Your child’s provider may recommend a brain MRI (magnetic resonance imaging). This test can help rule out issues in your child’s brain like tumors.
Your child’s provider may order a pelvic ultrasound if they suspect your child has peripheral precocious puberty. This test checks for ovarian or adrenal tumors in your child’s pelvis and adrenal glands. These growths sometimes cause early puberty in female children.
Based on their findings, your child’s provider may refer you to a pediatric endocrinologist.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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