Patient: Description of the condition (onset time, main symptoms, hospital visit, etc.): Daughter born in March 2000, menarche on August 18, 2010, Hospital test on August 25: mt: 152.5m wt: 42kg Double breast: B3-B4 Sex hormones: FSH 6.2mIU/ml LH 5.95mIU/ml PRL 14.19ng/mL TSTO 31.52ng/dl E2 56.57pg/ml PRGE 0.47ng/ml Uterine ovarian ultrasound: 3.3×2.8 × 2.7 cm in the anterior uterus Multiple follicles are visible in bilateral ovarian bones, the larger one on the right side is about 1.7×00 .8cm, and the larger one on the left is about 1.1×0.5 cm
Bone age tablets: 13-13.5 years old The doctor who treated the treatment said that the treatment was no longer meaningful. May I ask, is the daughter precocious, if so, is there a degree of precocious puberty, and if so, what degree does the daughter belong to? How much room does my daughter have to grow? The daughter is active, and never picky eaters, nor does she love snacks, insisting on a glass of milk or yogurt every morning and evening since weaning, I don't know if these are related to her growth and development?
I would also like to ask the doctors, what should I pay attention to in my daughter's future growth? A very anxious mother. Thank you!
Pan Hui, Department of Endocrinology, Peking Union Medical College Hospital:
I have looked at the information you provided, I think it should be normal adolescent development, the current child development is early, this is normal. I think you're so anxious that I don't understand. In addition, your negative emotions will affect the little one's Oh! Can you tell me about your child's current growth rate? I would like to know the height of both of you and your expectations for your child's height? Now it should be noted that children should eat a balanced diet, increase exercise appropriately, and ensure good sleep and a good mood.
Patient: Dr. Pan, thank you! I am relieved by your response, and I am really grateful. The height of the daughter was 09.4 meters in April and the school checked it was 140.5m. My height is 160.5m, my father's height is 168m, I expect my daughter's height to reach 165m, is this expectation realistic? Thank you again for your reminder and advice.
Patient: The biggest reason for the anxiety of the daughter is that she is not tall, coupled with the online query about the article about precocious puberty, I feel that the impact on the child is also quite a lot, but also feel very helpless, will have such emotions, I will pay attention to it in the future, thank you!
I personally find it difficult, but the child is a normal height, why do you have to reach 165? Is this important, I think knowledge determines height, ability determines height, these are more important, thank you~