What should be done about precocious puberty in daughters?

Patient's question:

My daughter is 9.4 years old and currently 147 cm tall. She started developing breasts at the end of last year. Last week, she had a medical check-up: GP bone age is 12.0 years old, BP method predicts a height of 163 cm, bilateral ovarian enlargement? Maybe? Multiple small follicles, slightly enlarged uterus.

Doctor's answer:

Hello, we must first determine whether the onset of sexual development is due to true precocious puberty or pseudoprecocious puberty. You must identify the cause. Some causes are due to tumors in the brain or other diseases. We must rule out the underlying cause and treat the primary disease. If there is no organic disease, we call it idiopathic precocious puberty, and the main treatment involves sex hormones, releasing hormones, etc.
Guidance: Parents should pay more attention to their children. For example, when a girl is bathing or changing clothes, the mother should observe the condition of her breasts. When breast development begins, some girls may tell their mothers about breast pain and other symptoms, such as a small lump felt when gently touching the breast.

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