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Precocious puberty

Definition:

Puberty is the period in life when the body changes rapidly and develops reproductive capability. Precocious puberty is premature development of body characteristics that normally occur during puberty.  Puberty normally occurs between 13 and 15 years old in boys, and between 9 and 16 years old in girls.

In girls, precocious puberty is when any of the following develop before 8 years of age:

  • Breasts
  • Armpit or pubic hair
  • Mature external genitalia
  • First menstruation

Some evidence suggests that it may be normal if these changes occur as early as 7 years in Caucasian girls and 6 years in African American girls.

In boys, precocious puberty is when any of the following develop before 9 years of age:

  • Enlarged testes and penis
  • Armpit or pubic hair
  • Facial hair, usually first noted on the upper lip


Alternative Names:
Pubertas praecox

Causes, incidence, and risk factors:

The main causes are structural abnormalities in the brain and hormone-secreting tumors.




Review Date: 10/27/2005
Reviewed By: Daniel Rauch, MD, FAAP, Director, Pediatric Hospitalist Program, Associate Professor of Pediatrics, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.

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