How to deal with precocious puberty in a 1-year-old girl?

Patient's question:

Medical Description (main symptoms, onset time): Enlarged breasts, discovered at 3 months.
History of treatment and effectiveness: Uterine diameter was 1.51.0 CM, bilateral ovaries showed poor clarity. Left ovary: 1.30.8 CM, right ovary: 1.60.8 CM.

Doctor's answer:

What is this child eating? Whether it is being fed with formula milk or with estrogen-containing foods such as honey and colostrum, when the breasts enlarge, estrogen in the body may also be introduced by the mother at 3 months of age. If it is introduced by the mother, it usually gradually disappears. If it is due to the activation of the gonadal axis, estrogen will continue to increase and requires dynamic observation. If it is due to hypothyroidism, thyroxine will decrease while thyroid-stimulating hormone will increase. Currently, there is a lack of comparative data between 3 months and 9 months. It is not possible to completely rule out true precocious puberty, but based on the materials provided so far, it cannot be completely determined that this may not be true precocious puberty. It may be caused by other reasons. Further observation and reexamination are needed to first eliminate possible factors.

📌 Related Posts