How to treat precocious puberty in children?

Many young children experience precocious puberty, so they need corresponding treatment to ensure their physical and mental health and avoid problems that affect their growth and physical health. So how should precocious puberty in children be treated? Let me introduce this issue to you below.

Treatment of the cause

For non-idiopathic CPP, emphasis should be placed on simultaneous etiological treatment (such as surgical treatment of sellar region tumors, and simultaneous administration of cortisol to patients with congenital adrenal hyperplasia and CPP). However, for children with hypothalamic hamartoma and arachnoid cyst who do not show signs of increased intracranial pressure, surgery should be postponed and only ICPP should be treated.

In summary, precocious puberty is a sexual development disorder with multiple causes, and identification of the cause is crucial. After confirming GnRH-dependent precocious puberty, central organic lesions should be excluded, especially for boys and those under 6 years of age (both sexes). GnRHa treatment may be considered as the first choice for idiopathic CPP, but the indications for its use must be properly understood, and the growth/maturation balance should be monitored, judged, and mastered during treatment to achieve the goal of improving adult height. During the treatment process, you should also try to avoid contact with substances with estrogenic effects, eat a light diet, exercise more, and avoid obesity.

Monitoring after discontinuation of medication

After treatment, the height, weight, recovery of secondary sexual characteristics and recovery of gonadal axis function should be reviewed every six months. Girls generally experience menarche within 2 years after stopping treatment. GnRHa can effectively inhibit the secretion of LH, causing the development of gonads to be suspended and the secretion of sex hormones to return to the pre-pubertal state, thereby delaying the growth and fusion of epiphyses, and achieving the goal of extending the growth years and improving the final adult height as much as possible.

The above is my opinion on this issue. If the patient has the above-mentioned problems and symptoms, parents need to accompany the child for corresponding treatment. This is to ensure the safety and health of the child and avoid the occurrence of problems such as psychological pressure that affect the child. Finally, I wish the child a speedy recovery.