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Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

author:Chief Pediatrician, Dr. Gao Xu

Recently, the platform consults many parents of girls with precocious puberty, and today I specially took time to talk to you about the precautions for girls' precocious puberty!

The 7-year-old girl has grown taller than ten centimeters in the past year, and the whole family is very happy. Until one day, when the mother bathed the child, she accidentally found that the child's breasts began to develop, and the mother who had a certain understanding of the child's development quickly realized that it was likely that the child was precocious, and then took the child to the hospital to see a doctor.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

The doctor prescribed a color ultrasound single, and the examination found that the daughter's uterus was larger than that of her peers, the follicles were enlarged, and the bone age was 3 years earlier, which was determined to be precocious puberty. According to the child's situation at that time, the adulthood height of the child did not exceed 150, which was unacceptable to the whole family, who was immersed in joy.

Mothers usually pay more attention to the health of their children, usually unhealthy fried foods and supplements, basically do not give children food, take children to exercise, regular work and rest, but how does the child start to develop when he is more than 7 years old?

After detailed questioning by the doctor, it was found that the child began to sleep in separate beds with his parents since he was more than 4 years old, but the child was more afraid of the dark, so the bedside lamp would basically be turned on all night. The "murderer" of the girl's precocious puberty turned out to be that the little girl never turns off the lights when she sleeps at night!

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

01 Why does sleeping with the lights on cause precocious puberty?

Children generally fall asleep at night, and their bodies secrete "melatonin". Melatonin regulates secretion levels in the body to slow down the body's development. Prevents precocious puberty.

If the child has been exposed to too much light for a long time, it will reduce the secretion of melatonin, weaken the inhibitory effect on other hormones, and lead to precocious puberty. In short, melatonin secretion is reduced, and the time of sexual initiation in children is advanced.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

Long-term turning on the light when the child is sleeping will seriously affect the quality of the child's sleep, easy to have night trouble, night crying, easy to be woken up, seriously affecting the baby's vision development. Studies have confirmed that the probability of myopia in babies who sleep with the lights off before the age of 2 is about 10%, and the probability of babies sleeping with night lights on is 34%.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

It is best to turn off the lights for children to sleep at night to help children develop good sleep habits. If the child is afraid of the dark and turns on the light to sleep, parents can first dim the light and turn off the light when he enters a deep sleep.

02 What are the signs of precocious puberty in children?

When girls have hard lumps, areola, swelling, breast enlargement, etc. before the age of 8, menstruation occurs before the age of 10; Before the age of 9, the testicles and penis of boys enlarge, and their stature also increases rapidly.

The occurrence of these phenomena indicates that the child has developed precocious puberty.

The specific manifestations are:

Precocious boys before age 9:

Long beard

Adam's apple

The testicles and penis are enlarged and pubic hair appears

Precocious puberty before age 8:

Appearance of axillary hair

Lumps (tenderness) in the breast

Vaginal bleeding, menstruation

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

1. True precocious puberty - central precocious puberty

Due to the premature activation of the hypothalamic-pituitary-gonadal axis function and the secretion of GnRH pulses, the child has the development of ovaries or testes in addition to the development of secondary sexual characteristics. The process of sexual development is the same as that of normal puberty, except that the age is advanced. These include organic lesions secondary to the central nervous system and idiopathic precocious puberty.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

2. Pseudoprecocious puberty - peripheral precocious puberty

It is precocious puberty caused by uncontrolled hypothalamic-pituitary-gonadal function, with secondary sexual characteristics development, elevated sex hormone levels, but the hypothalamic-pituitary-gonadal axis is immature and has no gonadal development. If your child is in such a situation, it is also a blessing in misfortune, but it should be noted that improper control and treatment of pseudoprecocious puberty will transform into true precocious puberty.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

03 What are the dangers of precocious puberty? Parents need to pay attention!!!

Precocious puberty is divided into central precocious puberty and peripheral precocious puberty, central precocious puberty due to the early age of development, so the basic height at the beginning of development is lower than that of normal development, bone maturity is accelerated, bone age is advanced and beyond age, epiphysis heals in advance and stops growing, and eventually adult height can not reach the genetic height, resulting in short stature.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

Due to the child's young age and poor psychological tolerance, precocious puberty leads to menarche and early onset, which can bring psychological problems to the child, therefore, remind the majority of parents to find that the child has precocious puberty to see a doctor in time.

Children with early gonadal development, and the consequent premature aging may also be early, facing a higher risk of oncological diseases.

04 Causes of precocious puberty

Mainly with the progress of society, the living standards of families are now getting better and better, so there is excess nutrition. Because there is an accelerated trend in children's growth and development, this leads to increased sexual maturity.

1. Foreign fast food, fried food

Especially for fried chicken, french fries and potato chips, excessive calories will be converted into excess fat in children's bodies, causing endocrine disorders and leading to precocious puberty;

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

2. Health products

Now parents are paying more attention to the health of their children, eating more and more finely, supplementing more and more advanced, such as more animal colostrum, silkworm pupae, royal jelly because of the high estrogen content, can also introduce exogenous estrogen intake to cause precocious puberty.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

3. Stimulation of mobile phones, TV and other media

Among the content disseminated by film and television media, the proportion of sexual content is quite high. The psychological impact of this content on them can be imagined. Therefore, parents must take good care of their children, reduce the impact of other media such as mobile phones, TVs, tablets, computers, etc., so that children can precociate early!

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

4. Adult cosmetics

Now some cosmetics are added with glucocorticoids or estrogen, and long-term use of such cosmetics by children may cause hormone-dependent dermatitis at best, and premature growth and development in children.

5. Obesity

Now the family conditions are relatively good, there is no lack of food and drink, so that the child's diet is not controlled, resulting in the child's weight gain. Obesity tends to lead to precocious puberty in girls, and in general, obese children, especially girls, are at higher risk of precocious puberty and early sexual development.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

6. Environmental pollution

There are many substances in the environment that interfere with the human endocrine system, called environmental endocrine disruptors, often estrogen-mimetic and anti-androgen effects, which can cause abnormal female sexual differentiation, precocious puberty, endometriosis, breast and ovarian cancer, male testicular and epididymis atrophy, spermatozoa, deformity, decreased motility.

7. Miscellaneous

genetics, excessive light, etc.; Disease-induced diseases such as ovarian cysts, hormone-producing adrenal tumors, and hypothyroidism are prone to precocious puberty.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

05. Diagnostic examination program for girls with precocious puberty

Generally, girls find breast development, height sudden increase, etc., need to clarify whether it is precocious puberty, the examination to be done generally includes breast, uterus, ovarian B ultrasound, bone age assessment, sex hormone six items, sex hormone challenge test, thyroid function, cranial magnetic resonance, etc.

06 Treatment of girls with precocious puberty

If your child is diagnosed with central precocious puberty, some will require gonadotropin-releasing hormone analogue (GnRHa).

However, most children, because parents find that the child's breast development to come to the doctor, generally the course of the disease is shorter, the disease is milder, at this time the use of traditional Chinese medicine treatment, can achieve more satisfactory results.

Through the treatment and conditioning of traditional Chinese medicine, it can effectively inhibit sexual development, delay the closure of the epiphyseal line, strive for more time and space for children's height growth, and reduce the degree of adult height damage.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

In our Chinese medicine, we believe that children have precocious puberty because of insufficient kidney water and delirious fire, and in treatment, I generally focus on nourishing yin and diarrhea. Of course, for children with different constitutions, we must also cooperate with different treatments, such as children with irritable tempers, we can cooperate with liver thinning and depression, and for children with phlegm and wet constitution, we must be accompanied by the method of strengthening the spleen and dissolving phlegm.

The treatment course of precocious puberty is long, often requiring oral Chinese medicine for 3-6 months or even longer, requiring the cooperation of children and parents. Now they are all Chinese medicine granules, directly washed, parents do not need to boil medicine, children do not have to worry about bitterness, can not drink! Safe, simple, effective and convenient.

Why didn't anyone tell me this when my child was older? The mother cried that her daughter was precocious when she was 7 years old

Precocious puberty is not simply early puberty, but also brings a lot of physical and psychological disorders, parents should not interfere too much with the child's growth rhythm. Pulling out seedlings and fueling them backfired.

Well, today I will first say this, I am Dr. Gao Xu, the chief of pediatrics, a pediatric Chinese medicine friend around you, if you have questions, please do not hesitate to ask me.