Patient's question:
[All symptoms: Recently, there has been talk online about early puberty in babies. I touched my baby's nipple, and the area around the nipple felt a bit hard. Previously, the baby had been drinking breast milk, but recently started drinking Numico (a brand of formula milk) for exactly eight days. Onset time and cause: Treatment situation: Desired help: Is this symptom indicative of precocious puberty?]Doctor's answer:
The baby should be classified as isolated premature thelarche, which is also known as pseudopuberty, and it cannot be diagnosed as precocious puberty. It falls within the normal range, so there is currently no need for intervention or treatment. We should adhere to clinical follow-up for children with isolated premature thelarche, especially if there are persistent hard lumps in the baby's breasts that do not resolve, progressively enlarge, or reappear after resolution. In such cases, it is essential to pay close attention to regular follow-up, closely monitoring growth rate, bone age, and the development of secondary sexual characteristics. During the follow-up process, if other signs of sexual development, accelerated growth, advanced bone age, or elevated levels of sex hormones appear, timely evaluation and treatment should be initiated.