Is the short stature caused by precocious puberty a problem with the pituitary gland?

Patient's question:

Early growth and development, short stature, menstruation at the age of 9, height growth stopped at 12 years old. Onset time: 9 years old. Examination results: No tests were performed, only consulted a doctor, and no tests were recommended. Past treatment history and effectiveness: The doctor did not recommend any treatment. Hello, what kind of tests should be done?

Doctor's answer:

① A decrease in living standards and sufficient nutrition makes it easier for the potential of growth and development to be fully realized. In the past 20 years, the age of sexual development in female middle school students in China has advanced by approximately one year, while the age of sexual development in male middle school students has advanced by about two years.
② The impact of media and culture: Many films, videos, laser discs, books, and newspapers contain scenes and texts with sexual content, which exposes children to these elements and leads to an early psychological age regarding sexuality. Their brain's neural centers that regulate pubertal growth are activated prematurely, resulting in relative precocious puberty.

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