Sexual precocity and its treatment

Deanna B. Brown, Lindsey A Loomba-Albrecht, Andrew A. Bremer

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Puberty is a complex and dynamic period in development during which individuals transition from the juvenile to adult state. Regulated by multiple genetic and endocrine controls, it is characterized by somatic growth and sexual maturation. Sexual precocity is defined as the appearance of secondary sexual characteristics before the lower limit of the normal age for pubertal onset. Data sources: Based on recent publications and the experience with the disease of our group, we reviewed the normal timing and order of puberty, the definition of sexual precocity, the classification of sexual precocity, the differential diagnosis of sexual precocity, variations in pubertal development, the diagnosis of sexual precocity, and the treatment of sexual precocity. Results: Sexual precocity can be classified as either gonadotropin-releasing hormone (GnRH)-dependent or GnRH-independent. Regardless of the etiology, sexual precocity causes increased height velocity, somatic development, and skeletal maturation, which may have profound physical and psychological implications. Conclusions: The treatment of sexual precocity is focused on its cause and must address both its psychosocial and clinical implications. For GnRH-dependent precocious puberty, GnRH agonists are the main pharmacological agents used. Alternatively, the treatment of disorders causing GnRH-independent sexual precocity is directed toward the underlying abnormality.

Original languageEnglish (US)
Pages (from-to)103-111
Number of pages9
JournalWorld Journal of Pediatrics
Volume9
Issue number2
DOIs
StatePublished - May 2013

Fingerprint

Gonadotropin-Releasing Hormone
Puberty
Sexual precocity
Precocious Puberty
Sexual Maturation
Information Storage and Retrieval
Age of Onset
Differential Diagnosis
Pharmacology
Psychology
Growth

Keywords

  • puberty
  • sex precocity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Sexual precocity and its treatment. / Brown, Deanna B.; Loomba-Albrecht, Lindsey A; Bremer, Andrew A.

In: World Journal of Pediatrics, Vol. 9, No. 2, 05.2013, p. 103-111.

Research output: Contribution to journalArticle

Brown, Deanna B. ; Loomba-Albrecht, Lindsey A ; Bremer, Andrew A. / Sexual precocity and its treatment. In: World Journal of Pediatrics. 2013 ; Vol. 9, No. 2. pp. 103-111.
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