What department should I go to for my child's precocious puberty?

Precocious puberty, within the scope of precocious puberty, you have to go to the endocrinology department, 8-year-old girl, before the definition of precocious puberty in 9-year-old boy, you are already 10 years old you should. We advise against liberal use of medications. Which department should I go to for a child with precocious puberty? Suggestions: It is recommended that parents take their children to have an endocrine check-up. No medication is needed. Children today have not started to develop yet, so there is no need to worry too much.

Child health or child endocrinology.

When a child suffers from precocious puberty, anxious parents don’t know which department to go to for treatment. It is reported that if a child has precocious puberty, he or she can go to the pediatric health department or the pediatric endocrinology department. By measuring the bone age, it can be determined whether the child has precocious puberty.

1. Bone age determination

Bone age is assessed based on X-rays of the hands and wrists to determine whether bone development is advanced. Children with precocious puberty generally have a bone age that is older than their actual age.

2. CT or MRI examination

If an intracranial tumor or adrenal disease is suspected, a head or abdominal CT or MRI examination should be performed.

3. Ultrasound examination

Choose pelvic B-ultrasound to check the development of the ovaries and uterus of girls; for boys, pay attention to the testicles, adrenal cortex and other parts. If the pelvic B-ultrasound shows multiple follicles ≥4mm in the ovaries, it is precocious puberty. If a single follicle with a diameter >9mm is found, it is mostly a cyst. If the ovaries are not large and the uterus is >3.5cm in length and the endometrium is thickened, it is mostly the effect of exogenous androgens.

Other tests can be further selected based on the child's clinical manifestations. For example, if hypothyroidism is suspected, T3, T4, and TSH can be measured. Gonadal tumors have increased testosterone and estradiol concentrations. Children with congenital adrenal hyperplasia have significantly increased blood 17-hydroxyprogesterone (17-OHP) and urinary 17-ketosteroid (17-KS).