Puberty concerns

[Fizzy1]

Many thanks for your time and support.

I am a Mother of 6 children, youngest being Twin girls, they  turn this month 8years old. Had 4 boys first.
I take our girls to our paed’s Dr we had for 19years, in Australia you only see a paed's Dr if you have problems,
not for normal routine things. Our girls were born at 38/0weeks both weighed 6p.08oz each and breastfeed them for 2years each.

I am concerned should our twin girls start developing early, breast's  public hair etc, can you slow down puberty so
they won’t go through early puberty, say if they in the next 12months they start deveoponing breasts, I don't want
them having early menstruation, would love them to get to 12yrs before they have periods, all our boys
have gone through puberty at the average age, this fare are taller than my husband. I went through puberty early, in my day, started my periods at 11years and 3months and it was
shocking, NOBODY my age got periods at 11yrs, girls were all more like 13-14yrs. I don't want our girls to suffer like I did. One
of our twins has learning difficulties, in normal School but has extra education help and I can't see how getting periods early would mentally help her. Can you tell me if I start seeing puberty signs in our twin girls could I insist on Lupron to slow puberty. One of the twins that has learning difficulties has always had a cubby chest, looks like breasts when she sits down, Paeds' Dr said
it's just fatty tissues, she has been like this since a baby, and other twin doesn't have any fullness in breast area,
both have no public hair.
I love our girls dearly and just want them to have as easy as possible transition into puberty.

Thank you Fizzy

[Deanna L Aftab Guy, MD]

Age 8 is usually the youngest "acceptable" age for early breast development unless you are the MOM of these girls! In order to consider treatment they need testing, this includes an xray of their left hand called a bone age, labs that include LH, FSH, estradiol, cmp, cbc, thyroid functions and depending on their findings some other labs.
Sometimes we like to get a pelvic ultrasound to look at the maturity of the ovaries and uterus. Chances are this is earlier than normal tempo since both have it rather than a  scary reason like a tumor on the pituitary, But you need to go to your pediatrician for referral to see a peds endo. Australia is well known for their excellent endocrinology, so ask please at least to get a bone age and labs, if they are out of normal they can refer you, it may just be fatty tissue but if it is breast then you may have measureable estrogen or advancing bone age leading to a more insistent referral.
Good luck

[Fizzy1]

Thank you for your time and understanding, will do.

Thanks Fizzy