Generally speaking, the incidence of precocious puberty in female friends is much higher than that in male friends, and the disease starts before the age of eight. After the onset of the disease, female friends will feel that their breasts are much larger than those of children of the same age, and even menstruation will come early. This is one of the most common symptoms of precocious puberty. So what are the manifestations of precocious puberty in females? Girls who show signs of sexual maturity such as menstruation, breast development, and pubic hair growth before the age of 8 years or before 2 standard deviations of the local mean age of menarche can be diagnosed with precocious puberty, and then determined to be true or false precocious puberty, and the cause should be sought. First, we must rule out diseases that are more serious harm to the body, such as central nervous system diseases, ovarian and adrenal tumors, and vaginal bleeding caused by other non-endocrine abnormalities, such as inflammation, foreign bodies, trauma, or reproductive tract tumors. When collecting medical history, we should ask whether the girl has taken birth control pills by mistake, whether breastfeeding mothers have taken birth control pills, whether she has consumed nutritious foods containing sex hormones, whether she has a history of head trauma 1 to 2 months ago, and whether she has a history of birth trauma, convulsions, epilepsy, and infection, whether she has a family history of precocious puberty, and understand the age of onset, the speed of the disease course and growth, and whether she has headaches or visual impairment during the course of the disease. During the physical examination, pay special attention to: ① Record height (the ratio of upper to lower body), chest circumference, arm circumference, weight, pay attention to fat distribution, body shape, and record the stages of sexual characteristics development and external genital development. Generally, breast development is equivalent to bone age of 11 years old, and menstruation is equivalent to bone age of 13 years old to evaluate gonad development; ② The whole body examination should also pay attention to the specific signs of McCune-Albright syndrome, hypothyroidism, silver syndrome, etc., such as skin pigmentation spots, abnormal head shape, and pay attention to whether there are signs of abnormal nervous system. When examining the skin, pay attention to skin pigment changes, acne, hair growth, excessive sebum secretion, and whether there are masculinization manifestations, etc.; ③Abdominal and pelvic examination, paying attention to the presence of abdominal pain, abdominal masses, etc. Children should take nutritional supplements under the guidance of a doctor and supplement nutrition according to their physiological needs. Children with precocious puberty often have a history of taking supplements such as ginseng royal jelly, pollen, chicken embryo baby essence, licorice, and cordyceps. Although these foods contain a variety of nutrients, they also contain gonadotropin-like substances. Excessive intake of these supplements by children may induce precocious puberty. Therefore, it is very important not to give children supplements casually in order to prevent the occurrence of precocious puberty. The above article explains to us in detail the manifestations of precocious puberty in women. Basically, you will feel bleeding in your vagina, and even find out the location of inflammation during examination. Once these symptoms appear, you must seek treatment in time. |
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