Early or late puberty

Overview

Early puberty can make children taller early but shorter as adults. Late puberty is often just a family pattern.

Symptoms

Common signs:

• Puberty signs very early or late
• Puberty starting very early or late

Less common

• Fast growth
• Body odor

Look up a symptom: Puberty starting very early or late

When to get medical care

Causes

Genes, hormones.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.
• It can run in families. Tell your doctor if a parent, brother, or sister has it.

Who is more likely to get it

• Family history

Diagnosis

Exam and tests.

Tests

Tests, if needed:

• Bone age X-ray:
• Hormone tests:

Treatment

See a specialist.

Self-care

• Track growth
• Talk with a doctor

Prevention

To lower your risk or prevent problems:

• Avoid hormone creams near children

Which doctor treats this

• Start with your child's pediatrician.
• They may send you to a pediatric specialist: an endocrinologist (hormone doctor).

Children, pregnancy, and older adults

• Girls: Early puberty is more common.
• Girls: Early puberty more common.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

For caregivers

• Learn the warning signs and when to call the doctor or 911.
• Keep a list of your child's medicines, doses, and doctors on your phone.
• Tell teachers, coaches, and sitters what to watch for and what to do.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Treatable.

Treatment works well.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

• A list of your medicines and supplements
• Notes on when symptoms started and what makes them better or worse

Questions to ask

• Should we see a pediatric endocrinologist?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Early or late puberty