Your child's
is your first step

The sooner your child is diagnosed and treated, the sooner progression of puberty can be stopped until your child is ready

The pediatrician knows your child’s medical history. If you notice any signs or symptoms of puberty occurring too soon, speak with your child’s pediatrician. Let them know your concerns. The pediatrician will review your child’s and family’s medical history.

The pediatrician will do a full physical examination

They’ll look at your child’s private areas (genitals) to check for signs of puberty such as pubic hair. They’ll see if your daughter is developing breasts and they’ll see if your son shows penis and testicle enlargement. If the pediatrician doesn’t check these parts of your child’s body, ask the pediatrician to look at them.

The pediatrician may refer you to a pediatric endocrinologist for an official diagnosis.

Getting a diagnosis as soon as possible is important

See Karen Klein, MD, pediatric endocrinologist, discuss next steps in diagnosing CPP.

Seeing a pediatric
endocrinologist is the next step

If your pediatrician thinks your child may have central precocious puberty, or CPP, they may refer you to a pediatric endocrinologist.
They are specialists who focus on the treatment of hormone-related conditions in children.

The pediatric endocrinologist may perform some or all of the tests below. They will also do a full physical exam.
Once all the tests are complete, they will review the results and make a proper diagnosis.

Bone age test
of hand and wrist

An X-ray of the left hand can help determine your child’s bone age. It is then compared to standard growth charts to establish whether the bones are growing too quickly.

Blood Test

This test measures the level of hormones in your child’s bloodstream.

stimulation test

This test helps distinguish CPP from other possible causes of early puberty.

Pelvic and
adrenal ultrasound

This checks the development of your child’s ovaries or testicles, and adrenal glands.

MRI or CT scan

These tests show if any brain abnormalities are causing the early start of puberty.

If your child is diagnosed with CPP, remember that it’s not your fault and that it can be treated. Before choosing a treatment, discuss with the doctor how it works and how it can affect your child.

Getting a diagnosis helps
you plan what to do next

Watch parents describe how getting a diagnosis gave them a sense of relief.

Already seen the

If you’ve seen the pediatrician, the next step is to see a pediatric endocrinologist for a diagnosis. If you haven’t seen a pediatric endocrinologist, ask your pediatrician for a referral. Trust your instincts and make sure you get a diagnosis. Half of all children with CPP are diagnosed too late for treatment to have an impact.* The sooner you know for sure if your child has CPP, the sooner your child can get the treatment he or she needs.

*Based on an online survey of 141 US pediatric endocrinologists from June 6 to July 14, 2017.

Find a pediatric
in your area

While AbbVie does not recommend any specific healthcare providers, we can help you find a pediatric endocrinologist in your area.

Need help

talking to the


Create your own discussion guide to ask the right questions and get as much information as possible during the visit to the pediatrician.

Check your child
the Signs and Stages

Use the interactive tool to compare the signs you see in your child with the stages of puberty in normal development.