Premature Adenarche/Puberty

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Sorry OP, I would be scared too. How tall are you/your husband? If you are short/average it’s possible your DD will stop growing sooner than most girls her age. She is 95% at 8 so she is probably as tall as a 10 year old….

Also, there is a girl in my DD(10)’s class who already has her period (while my DD has not started puberty yet). This girl is also a full head taller than most girls in her class (including my DD).

It’s no longer unusual for 10 year olds to have their periods

It’s pretty rare. Again, my DD is 10 and only 1 girl in her grade (about 45 girls) has her period. Others started puberty and clearly show signs, but my DD tells it’s only the one girl that already has her period. I guess girls talk about this stuff…

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Sorry OP, I would be scared too. How tall are you/your husband? If you are short/average it’s possible your DD will stop growing sooner than most girls her age. She is 95% at 8 so she is probably as tall as a 10 year old….

Also, there is a girl in my DD(10)’s class who already has her period (while my DD has not started puberty yet). This girl is also a full head taller than most girls in her class (including my DD).

It’s no longer unusual for 10 year olds to have their periods

It’s pretty rare. Again, my DD is 10 and only 1 girl in her grade (about 45 girls) has her period. Others started puberty and clearly show signs, but my DD tells it’s only the one girl that already has her period. I guess girls talk about this stuff…

She knows this about every single other girl... out of 44... I find this very unlikely. She might know it about her close friends.

[Anonymous]

Hi OP. We are going through something similar with my DD. We've been to two pediatric endocrinologists since last summer for consults, after starting with our ped. Both endos said that puberty is happening younger and younger and that ages 6-8 isn't even consider 'early' puberty anymore based on the number of children going through it. Signs of puberty before the age of 8 are still flagged for further testing to ensure the signs are related to an underlying condition causing puberty. I highly recommend talking to your ped then seeing a pediatric endo. They'll do bloodwork, a bone age scan (x ray of wrist), exam, talk to your child and you. We had to go an hour away to get an appointment with a ped end within a month of our first conversation with our ped but then had a follow up with a provider closer to our home - all that to say I wouldn't wait to get in the queue. Our providers were through the Hopkins network and both were great. Good luck!

[Anonymous]

I had this for all three daughters, breast buds 9, 8.5 and 9. One is 5 3.5 (should have been 5 6/7), one is 5 4.5(should have been 5 8), youngest is 9 now, 4 6 with breast buds...she is being followed by ped endo even though PCP said its fine. They all seem to shorter than they would have been 3-4 inches, worried about youngest as she was genetically supposed to be just 5 4 based on height as child...it sucks but I have read soo much about these blockers and they do not just block sex hormones but also TRH which is a thyroid hormone precursor that affects brain development...so there is some research to say IQ can go down 7-10 points, in theory once off them it should catch up but no good research on this. I am not against them but seems risky...as they are girls there height is within normal so thats that....hope my youngest is taller than 5 2, if her bones were to start quickly closing my DH and I agreed we would consider this is she would be shorter than 5 feet.
All three thin, organic food...I did take progesterone (and some meds for my autoimmune d.o I had to take)--wonder if tis that, kicking myself for trying not be on the progesterone (given by ob as had miscarriage and then prog levels found to be low).

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Sorry OP, I would be scared too. How tall are you/your husband? If you are short/average it’s possible your DD will stop growing sooner than most girls her age. She is 95% at 8 so she is probably as tall as a 10 year old….

Also, there is a girl in my DD(10)’s class who already has her period (while my DD has not started puberty yet). This girl is also a full head taller than most girls in her class (including my DD).

It’s no longer unusual for 10 year olds to have their periods

It’s pretty rare. Again, my DD is 10 and only 1 girl in her grade (about 45 girls) has her period. Others started puberty and clearly show signs, but my DD tells it’s only the one girl that already has her period. I guess girls talk about this stuff…

There is NO WAY that your daughter and you know this. Moms needs to stop talking like this, I see these assertions on DCUM al the time with periods and social behaviors and college admissions. You have no idea. It's so so so presumptuous and frankly, makes you look simple to think you know exactly how many girls out of 45 have their periods without realizing that is absurd and is such a private matter associated with shame and it's more likely other girls have their periods and do not talk about it to anyone. Weird. Gross. No.

[Anonymous]

Anonymous wrote:I had this for all three daughters, breast buds 9, 8.5 and 9. One is 5 3.5 (should have been 5 6/7), one is 5 4.5(should have been 5 8), youngest is 9 now, 4 6 with breast buds...she is being followed by ped endo even though PCP said its fine. They all seem to shorter than they would have been 3-4 inches, worried about youngest as she was genetically supposed to be just 5 4 based on height as child...it sucks but I have read soo much about these blockers and they do not just block sex hormones but also TRH which is a thyroid hormone precursor that affects brain development...so there is some research to say IQ can go down 7-10 points, in theory once off them it should catch up but no good research on this. I am not against them but seems risky...as they are girls there height is within normal so thats that....hope my youngest is taller than 5 2, if her bones were to start quickly closing my DH and I agreed we would consider this is she would be shorter than 5 feet.
All three thin, organic food...I did take progesterone (and some meds for my autoimmune d.o I had to take)--wonder if tis that, kicking myself for trying not be on the progesterone (given by ob as had miscarriage and then prog levels found to be low).

Sorry I don’t understand. What do you mean “should’ve been 5’8?” Are you just talking about those height predictions you can do when your kids are toddlers and you combine their height w parents’ height? I don’t think that is very reliable…

[Anonymous]

Anonymous wrote:

Anonymous wrote:I had this for all three daughters, breast buds 9, 8.5 and 9. One is 5 3.5 (should have been 5 6/7), one is 5 4.5(should have been 5 8), youngest is 9 now, 4 6 with breast buds...she is being followed by ped endo even though PCP said its fine. They all seem to shorter than they would have been 3-4 inches, worried about youngest as she was genetically supposed to be just 5 4 based on height as child...it sucks but I have read soo much about these blockers and they do not just block sex hormones but also TRH which is a thyroid hormone precursor that affects brain development...so there is some research to say IQ can go down 7-10 points, in theory once off them it should catch up but no good research on this. I am not against them but seems risky...as they are girls there height is within normal so thats that....hope my youngest is taller than 5 2, if her bones were to start quickly closing my DH and I agreed we would consider this is she would be shorter than 5 feet.
All three thin, organic food...I did take progesterone (and some meds for my autoimmune d.o I had to take)--wonder if tis that, kicking myself for trying not be on the progesterone (given by ob as had miscarriage and then prog levels found to be low).

Sorry I don’t understand. What do you mean “should’ve been 5’8?” Are you just talking about those height predictions you can do when your kids are toddlers and you combine their height w parents’ height? I don’t think that is very reliable…

Im talking about height at age 7/8 and parents height-when you look at the growth chart you see it starts speeding up earlier and ends growing earlier--by two years..which is usually 3 to 4 inches of non pubertal growth they skipped.

[Anonymous]

I noticed sparse blond longer hairs at the base of my new 5 year old's penis and the pediatrician could not have cared less, didn't even want to look at it. At 6 he is quite tall and muscular, not fat at all. I have chosen not to worry about it!

[Anonymous]

We’re going through this with my newly 8 year old now too. Breast buds starting, and waiting results on a bone age test. Her ped checked her chest, then immediately ordered the test, no “it’s normal now” talk. My hope is that her bone age is close to normal and she has three more years of growth and maturing before she gets her period. If results are less reassuring, we’ll look into causes (thyroid, cysts, etc), but likely wouldn’t treat with puberty blockers. But we’ll see what the tests say.

And when you do a bone age test, they’ll tell you what their expected height should be and what it is likely to be based on how advanced it is. Mine is supposed to be around 5’9” according to the formula my ped used, but I think she loses at least an inch or two for every year her bone age is advanced. Which hopefully still puts her well in the median range.

And yes, it’s really hard to imagine my 97th percentile kid ending up shorter than me. And really really hard to imagine my baby developing already and potentially getting her period in third grade. But I’m trying not to put the cart before the horse or go down a worry spiral. We’ll deal with what comes when it comes.

[Anonymous]

Anonymous wrote:We’re going through this with my newly 8 year old now too. Breast buds starting, and waiting results on a bone age test. Her ped checked her chest, then immediately ordered the test, no “it’s normal now” talk. My hope is that her bone age is close to normal and she has three more years of growth and maturing before she gets her period. If results are less reassuring, we’ll look into causes (thyroid, cysts, etc), but likely wouldn’t treat with puberty blockers. But we’ll see what the tests say.

And when you do a bone age test, they’ll tell you what their expected height should be and what it is likely to be based on how advanced it is. Mine is supposed to be around 5’9” according to the formula my ped used, but I think she loses at least an inch or two for every year her bone age is advanced. Which hopefully still puts her well in the median range.

And yes, it’s really hard to imagine my 97th percentile kid ending up shorter than me. And really really hard to imagine my baby developing already and potentially getting her period in third grade. But I’m trying not to put the cart before the horse or go down a worry spiral. We’ll deal with what comes when it comes.

We did this for my now 8 yo who developed breast buds at 6. Her bone age was slightly advanced when we checked over a year ago, but not concerning (basically within normal range of +/- 1 year.) Pretty sure no testing would have happened if she had breast buds at 8! I feel like both you and your doctor are overreacting TBH. My DD still doesn't have her period yet (but has definitely continued developing) and I'm hoping she won't get it before 9 (but have discussed extensively with her.) She'll also get another scan month. If it's within range we'll probably continue doing nothing.

Did I mention she's 4'3"? So we're hoping she gets to 5'. Not everyone gets to be above median. 50% of people don't. Jesus.

And it's normal for some moms to end up taller than their daughters.

Finally, there's some evidence that girls who get to puberty earlier do grow more than those who get to puberty later. This is basically what I'm clinging to.

I know you're worried but I just find your worries so ridiculous compared to my own (you're worried your daughter won't get to 5'9"??). Even my worries are really not that big of a deal in the grand scheme of things. We all worry about our kids. Please take a chill pill.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Sorry OP, I would be scared too. How tall are you/your husband? If you are short/average it’s possible your DD will stop growing sooner than most girls her age. She is 95% at 8 so she is probably as tall as a 10 year old….

Also, there is a girl in my DD(10)’s class who already has her period (while my DD has not started puberty yet). This girl is also a full head taller than most girls in her class (including my DD).

It’s no longer unusual for 10 year olds to have their periods

It’s pretty rare. Again, my DD is 10 and only 1 girl in her grade (about 45 girls) has her period. Others started puberty and clearly show signs, but my DD tells it’s only the one girl that already has her period. I guess girls talk about this stuff…

There is NO WAY that your daughter and you know this. Moms needs to stop talking like this, I see these assertions on DCUM al the time with periods and social behaviors and college admissions. You have no idea. It's so so so presumptuous and frankly, makes you look simple to think you know exactly how many girls out of 45 have their periods without realizing that is absurd and is such a private matter associated with shame and it's more likely other girls have their periods and do not talk about it to anyone. Weird. Gross. No.

I can assure you that PP is wrong and there are other 10 year old girls in the class who have their periods. It’s not unusual now and it wasn’t even unusual 20 years ago.

[Anonymous]

This thread gets started once a week. Breast buds at 8 and periods at 10 aren't a sign of something terrible. Got that?

[Anonymous]

Breast buds are the definitive sign of puberty, not pubic hair. Adrenarche is different than puberty and you can have early adrenarche aka development of pubic hair - usually just a few hairs - and that does NOT mean early puberty or periods. My kid had a few longer dark hairs at age 6 and we went to the pediatric endo. They start with blood tests and if only the dhea (sp?) is raised and no increase in estrogen etc that is the differential diagnoses. If the estrogen is increased they will start doing bone age testing.

I actually was more afraid of some strange adrenal tumor but that is rare and levels would be very high. A mild increase will grow a few hairs but not what you would consider full pubic hair like an adult.

This is what I was told by two pediatric endos (got second opinion).

[Anonymous]

Anonymous wrote:Breast buds are the definitive sign of puberty, not pubic hair. Adrenarche is different than puberty and you can have early adrenarche aka development of pubic hair - usually just a few hairs - and that does NOT mean early puberty or periods. My kid had a few longer dark hairs at age 6 and we went to the pediatric endo. They start with blood tests and if only the dhea (sp?) is raised and no increase in estrogen etc that is the differential diagnoses. If the estrogen is increased they will start doing bone age testing.

I actually was more afraid of some strange adrenal tumor but that is rare and levels would be very high. A mild increase will grow a few hairs but not what you would consider full pubic hair like an adult.

This is what I was told by two pediatric endos (got second opinion).

That’s strange. My pediatrician said pubic hair is definitely a sign of puberty. My DD’s pubic hair seem to be a little ticker than everywhere else. He said my DD is at either Tanner stage 1 or 2 depending on whether those are actually pubic hair.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Breast buds are the definitive sign of puberty, not pubic hair. Adrenarche is different than puberty and you can have early adrenarche aka development of pubic hair - usually just a few hairs - and that does NOT mean early puberty or periods. My kid had a few longer dark hairs at age 6 and we went to the pediatric endo. They start with blood tests and if only the dhea (sp?) is raised and no increase in estrogen etc that is the differential diagnoses. If the estrogen is increased they will start doing bone age testing.

I actually was more afraid of some strange adrenal tumor but that is rare and levels would be very high. A mild increase will grow a few hairs but not what you would consider full pubic hair like an adult.

This is what I was told by two pediatric endos (got second opinion).

That’s strange. My pediatrician said pubic hair is definitely a sign of puberty. My DD’s pubic hair seem to be a little ticker than everywhere else. He said my DD is at either Tanner stage 1 or 2 depending on whether those are actually pubic hair.

Also, she has no breast buds whatsoever.