What are the signs of precocious puberty in boys?

Patient's question:

My son has been drinking since birth, but now some children are showing signs of precocious puberty. I want to get him checked, but I don't know how to do it or which hospital to go to.

Doctor's answer:

There are true precocious puberty and pseudoprecocious puberty. True precocious puberty refers to the development of the testes and penis. The development of gonads and secondary sexual characteristics are completely consistent, and both steps occur relatively early. Pseudoprecocious puberty refers to cases where the testes or penis themselves do not enlarge, but rather other signs, such as bone age development, muscle development, and voice thickening. The causes are relatively clear, such as tumors or post-viral meningitis leading to excessive secretion of sex hormones. Additionally, the abuse of contraceptives, taking hormone supplements, and using hormone-containing cosmetics can cause early maturation in children.

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