Does the baby feel a little hard around the nipple, is it precocious puberty?

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 (Dumex) for eight days. Onset time and cause: Treatment situation: Desired help: Is this symptom a sign of precocious puberty?]

Doctor's answer:

The baby should be classified as simple premature thelarche, also known as pseudopuberty, and 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 simple premature thelarche, especially if there are persistent hard lumps in the breast, progressive enlargement, or recurrence after regression. In such cases, regular follow-up is essential to closely monitor 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.

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