What should be done about a 9-year-old girl with precocious puberty?

Patient's question:

Girl with high estrogen levels
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Please help, a 9-year-old girl has high estrogen levels and has started menstruating. Is this normal? Luteinizing hormone and serum follicle-stimulating hormone are also high. What should we do? It is said that the child has precocious puberty.
Uterus size is consistent with menstruation.
Previous treatment and effectiveness: It was said that the child has precocious puberty.
What kind of help do you want?

Doctor's answer:

Hello, according to your description, the age of menarche for young girls is typically between 12 and 13 years old. Ten years ago, when a girl starts her period, estrogen closes the epiphyseal plates of long bones. Guidance: Recommendation: In this case, it is best to have a medical examination in the hospital. People who suddenly develop symptoms at the age of 8-9 or earlier need to be alert to the fact that the epiphyseal plates of long bones are closed due to excessively high estrogen levels, leading to the premature termination of height growth.

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