Patient's question:
Breast has an egg-sized lump. Onset time: Early in the year, with breast tenderness and pain. Detailed examination results: Bone age is 11 years old. Chengdu Children's Hospital diagnosed it as precocious puberty. The blood test results have not yet been received.What kind of assistance is needed: How to treat it, is Western medicine better or Chinese medicine more effective? What kind of medicine should be used.
Doctor's answer:
Precocious puberty refers to the recurrence of secondary sexual characteristics before the age of sexual development, such as breast development, pubic hair, and underarm hair reappearing, rapid growth in height and weight, and the development of external genitalia.Guidance: High-dose sex hormone feedback inhibition of hypothalamic-pituitary gonadotropin secretion should be adopted. For example, medroxyprogesterone, also known as dydrogesterone, is a derivative of progesterone and is used to treat precocious puberty in girls. The daily oral dose is 10–30 mg, and the dose should be increased after the therapeutic effect is observed to maintain it. Cyproterone is a derivative of 17-hydroxyprogesterone, which not only blocks sex hormone receptors but also increases the release of gonadotropins. The daily dose is 70–150 mg/m2. The above two drugs cannot stabilize adult height.