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All photos are of models and not of persons with central precocious puberty.
Can my regular pediatrician
Your child’s regular pediatrician is your first step in getting a diagnosis. He or she knows your child’s medical history. If you notice any signs or symptoms of puberty occurring too soon, speak with your child’s doctor. Let him or her know your concerns. The doctor will review your child’s and family’s medical history and do a physical exam. In the meantime, prepare for your doctor's visit by using our Interactive Growth Tool to compare the signs of puberty you see in your child to the stages of puberty in normal development.
Doctor Discussion Guide for your child’s doctor
It’s important to ask the right questions and give as much information as possible during your doctor’s visit. To help, we’ve created this Doctor Discussion Guide that you can print and take with you to help with your conversation with your pediatrician and/or pediatric endocrinologist.
Seeing a pediatric endocrinologist2
If your pediatrician thinks your child may have central precocious puberty (CPP), he or she may refer you to a pediatric endocrinologist to make an official diagnosis. Pediatric endocrinologists are specialists that focus on the treatment of hormone-related conditions in children.
The pediatric endocrinologist may perform some or all of the tests below. Once all the tests are complete, he or she will review the results and make a proper diagnosis.
Need a pediatric endocrinologist?
Need a Pediatric Endocrinologist?
While AbbVie does not recommend any specific healthcare providers, we can help you find a pediatric endocrinologist in your area.
Tests that can help diagnose central precocious puberty3
If your child is diagnosed with CPP, remember that it can be treated. Before choosing a treatment, discuss with the doctor how it works and how it can affect your child.
Which treatment for central precocious puberty is appropriate for your child?4,5
The most common treatment for CPP, or central precocious puberty, is called a gonadotropin-releasing hormone (GnRH) agonist. GnRH agonists work by helping the pituitary gland ignore signals from the brain so it stops sending hormones that stimulate the ovaries and testes. That, in turn, stops the production of sex hormones. Once your pediatric endocrinologist decides that your child has reached a more appropriate age, he or she will stop GnRH agonist therapy, and your child will go through “normal” puberty just like his or her peers.
The pediatric endocrinologist may also tell you that not all children require treatment. In fact, the amount of time a child is on treatment will depend on his or her unique growth and development.
To find out more about a treatment option
Talking with your child6
Often, children are too young to understand the physical and hormonal changes happening to them. It’s important to reassure your child that these changes are normal—all of his or her friends will eventually go through puberty, too. These changes are just happening earlier in his or her body than they should. Help your son or daughter understand that every person is different and that being different is okay.
When you talk with your child, it helps to keep in mind that CPP can be treated and that your child can have a childhood just like other children his or her age.
Having this conversation early on can help your child feel more comfortable with CPP and its treatment.
Always be sure to talk with your child’s doctor if you have any questions.
Some tips for your conversation
While the type of discussion you have will depend on your child’s age, here are some tips that can help:
References: 1. Precocious Puberty: Complications. Mayo Clinic Website. http://www.mayoclinic.org/diseases-conditions/precocious-puberty/basics/complications/con-20029745. Accessed June 16, 2015. 2. Mayo Clinic Web site. Precocious Puberty. Preparing for your appointment. http://www.mayoclinic.org/diseases-conditions/precocious-puberty/basics/preparing-for-your-appointment/con-20029745. Accessed July 16, 2015. 3. Carel JC, Léger J. Clinical practice. Precocious puberty. N Engl J Med. 2008;358(22):2366-2377. 4. Saenger P. Novel treatments seem promising for central precocious puberty. http://www.healio.com/endocrinology/pediatric-endocrinology/news/print/endocrine-today/%7Bbe447e73-0aab-417e-8ce4-4cb91d8f095d%7D/novel-treatments-seem-promising-for-central-precocious-puberty. Accessed January 31, 2014. 5. WebMD Children's Health. Early puberty: Causes and Consequences. http://webmd.com/children/guide/causes-symptoms. Accessed June 17, 2015. 6. Chemtob C. Talking with children about difficult subjects: illness, death, violence and disaster. http://www.aboutourkids.org/articles/talking_children_about_difficult_subjects_illness_death_violence_disaster. Accessed January 31, 2014.