Precocious puberty (असामयिक यौवन) is puberty occurring at an unusually early age. In most cases, the process is normal in every aspect except the unusually early age, and simply represents a variation of normal development. In a minority of children, the early development is triggered by a disease such as an injury to brain or brain tumor. Even when there is no disease, unusually early puberty can have adverse effects on social behavior and psychological development, can reduce adult height potential, and may shift some lifelong health risks. Considering lifelong health risks a major problem, let us know precocious puberty in detail e.g. definition, symptoms, types, causes, diagnosis, various treatments, and free Siddha energy remedies, without money and medicines.
Central precocious puberty can be treated by suppressing the pituitary hormones that induce sex steroid production. The opposite condition is delayed puberty. Before this article is read, it would be helpful to read the earlier article named ‘How Body Changes During Puberty‘.
Precocious puberty definition (असामयिक यौवन परिभाषा)
The term is used with several slightly different meanings that are usually apparent from the context. In its broadest sense, and often simplified as early puberty, “precocious puberty” sometimes refers to any physical sex hormone effect, due to any cause, occurring earlier than the usual age, especially when it is being considered as a medical problem.
Stricter definitions of “precocity” may refer only to central puberty starting before a statistically specified age based on percentile in the population, on expert recommendations of ages at which there is more than a negligible chance of discovering an abnormal cause, or based on opinion as to the age at which early puberty may have adverse effects. A common definition for medical purposes is onset before 8 years in girls or 9 years in boys.
Precocious puberty Life long health risks (जीवन भर स्वास्थ्य जोखिम)
Women who experience very early puberty, for example, precocious puberty or menarche earlier than the average age, are known to be at a greater risk of psychosocial problems such as:
Precocious puberty Symptoms (असामयिक यौवन – लक्षण)
Precocious puberty symptoms include the development of the following before age 8 in girls and before age 9 in boys:
- Breast growth and first period in girls
- Enlarged testicles and penis, facial hair and deepening voice in boys
- Pubic or underarm hair
- Rapid growth
- Adult body odor
Precocious puberty Types (असामयिक यौवन – प्रकार)
- Central Precocious Puberty
- Peripheral Precocious Puberty
Precocious puberty Causes (असामयिक यौवन – कारण)
Pubertas praecox is the Latin term used by physicians in the 19th century. Early pubic hair, breast, or genital development may result from natural early maturation or from several other conditions.
Central precocious puberty (केंद्रीय असामयिक यौवन)
If the cause can be traced to the hypothalamus or pituitary, the cause is considered central. Other names for this type are complete or true precocious puberty.
Causes of central precocious puberty can include:
- Damage to the inhibitory system of the brain (due to infection, trauma, or irradiation)
- Hypothalamic hamartoma produces pulsatile gonadotropin-releasing hormone (GnRH)
- Langerhans cell histiocytosis
- McCune–Albright syndrome
Central precocious puberty can also be caused by:
- Brain tumors
- Infection (tuberculous meningitis, especially in developing countries)
- Angelman syndrome
Precocious puberty is associated with advancement in bone age, which leads to early fusion of epiphyses, thus resulting in reduced final height and short stature.
Precocious puberty can make a child fertile when very young, with the youngest mother on the record being Lina Medina, who gave birth at the age of 5 years, 7 months and 17 days, in one report and at 6 years 5 months in another.
Central Precocious Puberty (CPP) was reported in some patients with suprasellar arachnoid cysts (SAC), and SCFE occurs in patients with CPP because of rapid growth and changes of growth hormone secretion.
Peripheral precocious puberty (परिधीय पूर्ववर्ती यौवन)
Secondary sexual development induced by sex steroids from other abnormal sources is referred to as peripheral precocious puberty or precocious pseudopuberty. It typically presents as a severe form of the disease with children.
Symptoms are usually as sequelae from adrenal insufficiency, which includes but is not limited to hypertension, hypotension, electrolyte abnormalities, ambiguous genitalia in females, signs of virilization in females. Blood tests will typically reveal a high level of androgens with low levels of cortisol.
Causes can include:
- Endogenous sources
- Gonadal tumors
- Adrenal tumors
- Germ cell tumor
- Congenital adrenal hyperplasia
- McCune–Albright syndrome
- Exogenous hormones
- Environmental exogenous hormones
- As treatment for another condition
Isosexual and Heterosexual (समलिंगी और विषमलैंगिक)
Patients with precocious puberty develop phenotypically appropriate secondary sexual characteristics. This is called isosexualprecocity.
Sometimes a patient may develop in the opposite direction. For example, a male may develop breasts and other feminine characteristics, while a female may develop a deepened voice and facial hair. This is called heterosexual or contrasexual precocity.
It is very rare in comparison to isosexual precocity and is usually the result of unusual circumstances. As an example, children with a very rare genetic condition called aromatase excess syndrome in which exceptionally high circulating levels of estrogen are present usually develop precocious puberty. Males and females are hyperfeminized by the syndrome.
Precocious puberty Diagnosis (असामयिक यौवन – निदान)
Studies indicate that breast development in girls and the appearance of pubic hair in girls and boys are starting earlier than in previous generations. As a result, early puberty in children, particularly girls, as young as 9 and 10 is no longer considered abnormal.
Although it may be upsetting to parents and can be harmful to children who mature physically at a time when they are immature mentally.
No age reliably separates normal from abnormal processes in children, but the following age thresholds for evaluation are thought to minimize the risk of missing a significant medical problem:
- Breast development in boys before the appearance of pubic hair or testicular enlargement
- Pubic hair or genital enlargement in boys with onset before 9.5 years
- Pubic hair before 8 or breast development in girls with onset before 7 years
- Menstruation in girls before 10 years
Medical evaluation is sometimes necessary to recognize the few children with serious conditions from the majority who have entered puberty early but are still medically normal. Early sexual development warrants evaluation because it may:
- Induce early bone maturation and reduce eventual adult height
- Indicate the presence of a tumor or other serious problem
- Cause the child, particularly a girl, to become an object of adult sexual interest
Precocious puberty Prognosis (असामयिक यौवन – रोग का निदान)
Early puberty is believed to put girls at higher risk of sexual abuse, unrelated to pedophilia because the child has developed secondary sex characteristics; however, a causal relationship is, as yet, inconclusive.
Early puberty also puts girls at a higher risk for teasing or bullying, mental health disorders and short stature as adults. Helping children control their weight is suggested to help delay puberty. Early puberty additionally puts girls at a far greater risk for breast cancer later in life.
Girls as young as 8 are increasingly starting to menstruate, develop breasts and grow pubic and underarm hair; these biological milestones typically occurred only at 13 or older in the past.
African-American girls are especially prone to early puberty. There are theories debating the trend of early puberty, but the exact causes are not known.
Though boys face fewer problems upon early puberty than girls, early puberty is not always positive for boys; early sexual maturation in boys can be accompanied by increased aggressiveness due to the surge of hormones that affect them.
Precocious puberty Treatment (असामयिक यौवन – इलाज)
One possible treatment is with Anastrozole. Histrelin, Triptorelin, or Leuprorelin, any GnRH agonists, may be used.
Non-continuous usage of GnRH agonists stimulates the pituitary gland to release follicle stimulating hormone (FSH) and Luteinizing Hormone (LH).
However, when used regularly, GnRH agonists cause a decreased release of FSH and LH. Prolonged use has a risk of causing osteoporosis. After stopping GnRH agonists, pubertal changes resume within 3 to 12 months.