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Puberty


can Academy of Pediatrics (AAP) even suggests that signs of puberty starting before eight years old for girls or before nine years old for boys — such as pubic hair development or body odor — may occur before a child has started true pu- berty, and the majority of the time are not a cause for concern. Premature thelarche is when breast tissue develops in young children. This is normal as long as there is no pubic or underarm hair development associated with it. Even though changes in our children


are known to be happening sooner, there are times when you may want to consult your child’s pediatric healthcare provider. Progressive breast development before age eight for girls or penile enlargement before age nine for boys has a small risk of being associated with an endocrine issue, according to the AAP. It may be worrisome if growth plate closure, which occurs normally during puberty, happens earlier than normal. Consult your child’s


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provider to determine if there may be an underlying biological reason for early puberty if your child is under age eight and showing these signs. Precocious (early) puberty — sexual


development before the age of eight in females or nine in males — may result from premature activation of hormone re- lease due to certain tumors or endocrine disorders. Precocious puberty occurs more frequently in girls, but 80 to 90 percent will simply be the result of normal variation, with no real reason for this be- ing identified. Males who develop precocious puberty


are more likely to have an underlying biological cause identified, but about half of these cases will still not have an identi- fying reason recognized. In contrast, if your child is a 13-year-old female or a 14-year-old male and has not shown any physical signs of puberty, the cause may need to be investigated further. Your child’s provider may need to explore


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