Precocious Puberty

Dear Doctor,

My daughter has been under investigations for the past 10 months. She developed some pubic hair when she was 5 months old. We did all the tests neccessary( pelvic and abdominal ultrasound, brain MRI and blood tests) Everything came back fine apart from FSH  that was slightly elevated and peaditrician ordered GNRH test to be done. After the test had been done another doctor who had seen the results( peaditrician with interest in endocrinology) diagnosed her with central precocious puberty.He sugested to start with Triptorelin injections A.S.A.P.I would like to stress thet the doctor who suggested injections haven't even seen her as he is too busy and will see her in March. He made diagnosis without examination.  Her basal LH was less than 1 and after 30 minutes of stimulation was 5, her basal FSH was 3 and the peek was 24 after 60 minutes of stimulation. She has been on the 97%  of the height chart bur my other daughter is as well.There are no growth spurts. No other signs of puberty. I have seen other doctors after this diagnosis had been made and they told me that it doesn't seem to them that she has CPP. We are having appointment with the doctor who diagnosed CPP in March. We are still against injections as we don't see strong reasons why she should start the therapy at this stage.I don't know what to do. Please give us advice. Thanks.


This discussion is related to 11 month old diagnosed with idiopathic central precocious puberty.