Noticed changes in your child?
Talk to a
If you are worried about seeing a growth spurt and early signs of puberty in your child, such as breast bud development, testicle and penis enlargement, pubic and underarm hair, adult body odor, or acne, taking your child to the pediatrician is the next step.
Tips on what
to say to the pediatrician
To get started, think about the signs you have noticed in your child. When you talk to the pediatrician, ask if they notice the same signs.
Sudden growth spurt
Sweating/adult body odor
Breast bud development (girls)
First period (girls)
Testicle and penis enlargement (boys)
Voice change (boys)
Facial hair (boys)
- Do you see signs of early puberty or CPP in my child? Ask the pediatrician to do a full physical exam of your child and to check the genitals for signs such as pubic hair.
- Does CPP go away on its own?
- Are there long-term issues with CPP to worry about?
- How does CPP affect a child’s height?
- Can you diagnose my child or should my child see a pediatric endocrinologist?
- What tests can determine if my child has CPP?
- Does my child need all the tests?
- Are there other possible causes for the changes in my child?
- It is OK to be direct when you ask questions about what you notice in your child. You can ask your pediatrician to look at your child’s private areas (genitals) to check for pubic hair.
- You can ask your pediatrician as many questions as necessary to get the information you need to help your child.
- If you don’t understand the answers you get, ask the pediatrician to use simple language.
- If your pediatrician isn’t sure if your child has central precocious puberty, or CPP, ask for a referral to a pediatric endocrinologist.
You can download and print out the list of signs and questions for the pediatrician if you want.