Talk:Precocious puberty
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[edit] Genetics?
Isn't this sort of thing genetic in some cases? I know precocious puberty (menstruation at around 8 or 9) runs in my family, without sedentary lifestyles, environmental causes or childhood obesity.
- it can certainly be familial. An expanded version of this article should include some of the familial forms. alteripse 23:42, 12 August 2006 (UTC)
[edit] Dr Gangino
Thanks for your additions, but the citation is incomplete-- no journal info, and the info is simply wrong. GnRH is not available in the US and is not essential in the evaluation of precocity. Dependence on gonadotropins is one of several ways to categorize precocity. The indications for treatment of central precocity are to preserve height or to prevent/alleviate intolerable psychosocial problems arising from the early puberty. Psychologists are not needed for the care of simple precocity unless there are unusual psychological problems. Sorry, just too many errors. Please propose changes on talk page and learn to do citations correctly. alteripse 17:22, 21 November 2006 (UTC)
Alteripse, thanks for your corrections, but ...
>>>no journal info, and the info is simply wrong.
- agree, that citiations aren't correct, but cann't agree with you, that "info is simply wrong"
>>Also, since some of the info isnt correct, perhaps you could offer it on the talk pages first to avoid reversion.
- Check it, please
- There are many causes of precocious sexual development and these are probably best categorised into those that are gonadotrophin dependent and independent. Such a classification helps both in understanding the aetiology the condition, and also in deciding the treatment options. [1]
http://www.health.am/gyneco/more/precocious-puberty/
- In the diagnosis of disorders of premature sexual maturation, there are two investigative procedures of significance, which are simple and relatively easy to interpret: the GnRH test and pelvic ultrasound assessment. [1]
Pelvic ultrasound is a non-invasive technique which gives two important pieces of information. The uterine volume (and the endometrial thickness) is a measure of oestrogen secretion. The ovarian morphology can be used as an index of gonadotrophin secretion. The initial hormonal events of normal puberty are predominantly LH, rather than FSH, dependent.
url: http://www.health.am/gyneco/more/precocious-puberty-complete-partial/
thank you Dr Gangino
To address your points more fully:
- Gonadotropin dependent or independent is one of several categorizations (e.g., pathologic vs physiologic) but I probably would not have objected to that assertion if it not been accompanied by clearer errors and the messed-up citations.
- In diagnosing precocious puberty the most valuable tests are certainly not the GnRH and pelvic ultrasound. GnRH is not even available in the US and we only do pelvic ultrasounds when other evidence suggests the probability of pelvic pathology. If I had to choose the two essential tests for most cases it would be ultrasensitive gonadotropins and a bone age x-ray, but many other tests may be important depending on the clinical context (e.g., MRI of head, adrenal steroids, testosterone). My objection was to the idea that those 2 tests are more important, more essential, or more routinely done than many others, which is simply not true. If you simply want to mention GnRH or pelvic ultrasound as useful, or routinely done in some areas, I would not object. alteripse 03:27, 27 November 2006 (UTC)
[edit] Incorrect word?
should the sentance in this article, "Early pubic hair, breast, or genital development may result from normal but early maturation or from several abnormal conditions." read insted, "Early pubic hair, breast, or genital development may result from normal but early menstruation or from several abnormal conditions."
I am unsure as to wether this is an error or a word I am not aware of. Skellious (not signed in) 19:09, 25 November 2006 (UTC)
- Your version makes no sense. What word is unfamiliar? The sentence is correct and concise but if it is misleading or assumes too much from our readers we could change it. Is this clearer? "In most children, early pubic hair, breast development, or penile enlargement results from normal but early maturation. In a few, these changes may reflect diseases or abnormal hormone exposures or processes." alteripse 21:18, 25 November 2006 (UTC)
[edit] References
Refs are completely messed up in this article. I'm going to try to fix them over the next day or so. All the Pubmed stuff needs linkage and proper journal cites - Alison✍ 19:36, 27 February 2007 (UTC)
[edit] New research
New research was just published about obesity and puberty. The study found that obesity at age 3-5 predicted early puberty, even controlling for other factors. I will add this info as soon as I have the time. Drzuckerman
- Is it this? Lee J, Appugliese D, Kaciroti N, Corwyn R, Bradley R, Lumeng J (2007). "Weight status in young girls and the onset of puberty". Pediatrics 119 (3): e624-30. PMID 17332182. --Arcadian 02:19, 11 March 2007 (UTC)
[edit] Pimples
I've get zits since I was eight(8). --151.200.159.202 20:34, 19 March 2007 (UTC)
[edit] dancimamma
Welcome to wikipedia. I don't mean this to be unfriendly as your intentions are clearly to improve the article, but most of your additions are wrong (e.g., that there is a high rate of organic disease in cpp), unrelated to the article (hypopituitarism after brain trauma), put in the wrong section (environmental chemical exposures), or ungrammatical or fragmentary sentences (most). Your reference format is incompatible with the others in the article. How about if we start over? Can you add your statements here and we can shape and correct them first, one at a time? Thanks. alteripse 13:22, 26 March 2007 (UTC)
[edit] Risk of alcohol & drug use?
"(Early puberty) is no longer considered abnormal, although it may be upsetting to parents and can increase the risk of alcohol and drug use as well as other social problems."
I'm wondering about this statement - is there evidence for this? Does early puberty increase an individual's predisposition to become addicted, or (probably more likely) has it been linked with social problems, which can lead to alcohol/drug use? Can the link between the two be clarified? Rockdozen 03:07, 3 April 2007 (UTC)
- It is a statistical link and the nature of the connection is not clear, nor is it overwhelmingly strong. Search medline under precocious puberty and alcohol and add some references to this if you are so inclined. This is a reference for girls showing that early menarche is assoc with a slightly less than twofold higher risk of later depression and substance abuse. PMID 11552757
Authors Stice E. Presnell K. Bearman SK. Title Relation of early menarche to depression, eating disorders, substance abuse, and comorbid psychopathology among adolescent girls. Source Developmental Psychology. 37(5):608-19, 2001 Sep. alteripse 10:29, 3 April 2007 (UTC)
