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Precocious Puberty




Figure 2     By: Maria , Taylor, Meghan
Precocious Puberty!
• The time during
  which sexual and
  physical
  characteristics
  mature.

• The body changes
  happen earlier than
  normal.
                        Figure 1
What age can this happen!?
• Usually puberty begins between ages 10-14
  girls and ages 12-16 for boys.
• African americans may start puberty earlier
  around 9 years of age

• With this disease puberty could begin as early
  as age 6 or 7 in girls
• For boys puberty could begin as early as
  before age 9.
WHY!?
              • The onset of puberty is
                normally triggered by the
                hypothalamus. It signals
                the pituitary gland to
                release hormones that
                stimulate the ovaries (in
                girls) and the testicles (in
                boys) to make sex
                hormones.

              • Precocious puberty can be
                5% inherited in boys and
Figure 3
                1% inherited in girls.
Figure 4


                More on why!?
• Sometimes, precocious puberty stems from a
  structural problem in the brain (tumor), brain
  injury due to heat trauma, and infection (such
  as meningitis).

• Also disorders of the testicles, ovaries, or
  adrenal glands.


                    Figure 5           Figure 6
How it affects the children.
• With this disease the kids usually do not
  achieve their full height, they may be taller
  when younger compared to their peers but
  when older they are short
• Girls can become more
  emotional, moody, and irritable at a younger
  age.
• Boys can become more aggressive and
  develop a sex drive that is very inappropriate
  for their young age.
Symptoms for girls!
• Breast development can happen as
  early as between 6 months and 3
  years.
• Pubic or underarm hair
  development at a very young age
• A growth “spurt” before all of their
  peers, they may seem taller at a
  younger age
• Menstruation begins earlier
• Acne at a young age
• Also mature body odor at a young
  age.
                                         Figure 7
Symptoms for boys!
                 • Enlargement of the testicles
                   at a young age
                 • Pubic, underarm, or facial
                   hair development earlier
                 • Same as the girls they can
                   have a growth “spurt”
                   before their peers, acne
                   and mature body odor as a
                   young age.
                 • Voice deepening at a
                   younger age.
Figure 8
Diagnosis!
• It is diagnosed in the blood hormone levels

• A CT Scan of the brain or the abdomen can be
  used

• Also an MRI of the brain or the abdomen can
  be used to diagnose the problem.
Treatments!
• The doctor who diagnoses the child is called a
  pediatric endocrinologist who specializes in
  growth hormonal disorders in children

• The goal of the treatment is to stop or reverse
  sexual development and stop the rapid growth
  and bone maturation.
DRUG!
• There is a currently approved hormone
  treatment is with drugs called LHRH analogs:
  synthetic hormones that block the body’s
  production of the sex hormones that are
  causing the early puberty.
After Treatment
• In girls, breast size may decrease or there will
  be no further development.
• In boys, the penis and testicles may shrink and
  go back to the expected size for their age.
• In both, the growth height comes to a halt and
  the behavior goes back to normal according to
  their age.
INTERESTING FACTS!
• Precocious puberty is 10 times more common
  in girls then in boys.
• Pregnancy has been reported in a child with
  precious puberty as early as age 5.
• The earlier before age 12 that a girl starts her
  menstural cycle the higher risk for breast
  cancer.
References!

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Precocious puberty

  • 1. Precocious Puberty Figure 2 By: Maria , Taylor, Meghan
  • 2. Precocious Puberty! • The time during which sexual and physical characteristics mature. • The body changes happen earlier than normal. Figure 1
  • 3. What age can this happen!? • Usually puberty begins between ages 10-14 girls and ages 12-16 for boys. • African americans may start puberty earlier around 9 years of age • With this disease puberty could begin as early as age 6 or 7 in girls • For boys puberty could begin as early as before age 9.
  • 4. WHY!? • The onset of puberty is normally triggered by the hypothalamus. It signals the pituitary gland to release hormones that stimulate the ovaries (in girls) and the testicles (in boys) to make sex hormones. • Precocious puberty can be 5% inherited in boys and Figure 3 1% inherited in girls.
  • 5. Figure 4 More on why!? • Sometimes, precocious puberty stems from a structural problem in the brain (tumor), brain injury due to heat trauma, and infection (such as meningitis). • Also disorders of the testicles, ovaries, or adrenal glands. Figure 5 Figure 6
  • 6. How it affects the children. • With this disease the kids usually do not achieve their full height, they may be taller when younger compared to their peers but when older they are short • Girls can become more emotional, moody, and irritable at a younger age. • Boys can become more aggressive and develop a sex drive that is very inappropriate for their young age.
  • 7. Symptoms for girls! • Breast development can happen as early as between 6 months and 3 years. • Pubic or underarm hair development at a very young age • A growth “spurt” before all of their peers, they may seem taller at a younger age • Menstruation begins earlier • Acne at a young age • Also mature body odor at a young age. Figure 7
  • 8. Symptoms for boys! • Enlargement of the testicles at a young age • Pubic, underarm, or facial hair development earlier • Same as the girls they can have a growth “spurt” before their peers, acne and mature body odor as a young age. • Voice deepening at a younger age. Figure 8
  • 9. Diagnosis! • It is diagnosed in the blood hormone levels • A CT Scan of the brain or the abdomen can be used • Also an MRI of the brain or the abdomen can be used to diagnose the problem.
  • 10. Treatments! • The doctor who diagnoses the child is called a pediatric endocrinologist who specializes in growth hormonal disorders in children • The goal of the treatment is to stop or reverse sexual development and stop the rapid growth and bone maturation.
  • 11. DRUG! • There is a currently approved hormone treatment is with drugs called LHRH analogs: synthetic hormones that block the body’s production of the sex hormones that are causing the early puberty.
  • 12. After Treatment • In girls, breast size may decrease or there will be no further development. • In boys, the penis and testicles may shrink and go back to the expected size for their age. • In both, the growth height comes to a halt and the behavior goes back to normal according to their age.
  • 13. INTERESTING FACTS! • Precocious puberty is 10 times more common in girls then in boys. • Pregnancy has been reported in a child with precious puberty as early as age 5. • The earlier before age 12 that a girl starts her menstural cycle the higher risk for breast cancer.