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Pediatric Endocrinology (Expert Forum)
11 month old diagnosed with idiopathic central precocious puberty
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.
11 month old diagnosed with idiopathic central precocious puberty
by Madhu79, May 09, 2008 02:18PM
Hi
My daughter is 11 months old around a month ago she developed breasts we took her to a ped endo, who ordered a bone age , her bone age came as 2 years . An ultrasound shows uterine volume of 1 cc and normal ovaries with no endometrium thickness, but a gnRh stimulation scared us the basal LH - 1.3 miu/ml and FSH - 40 miu/ml after the stimulation with gonadorelin 100 micrograms the values @ 30 mins were LH - 45.2 miu/ml and FSH - 149.1 miu/ml. An MRI without contrast was done and they say everything is fine .
My endo has diagnosed her with idiopathic CPP and wants to start the treatment , My concerns are should we really hurry up into the treatment? Is she too young to recieve the shots ? what would be the side effects of those monthly shots on this young child ? will she grow normally if we start the treatment ? how long can we wait before starting the treatment ? My husband is in US(Hartford CT) so you think we should get things evaluated there ?
I am really freaked at the thought of putting her on treatment and since she is so young i am concerned if she can still have idiopathic CPP (MRI says so but I am scared, my endo was suspecting a hypothalmic hamartoma)
And also the major concern is about the drugs availibility in india if i go to the US and start treament i am not sure if we will be able to continue the same here
Please help me
My daughter is 11 months old around a month ago she developed breasts we took her to a ped endo, who ordered a bone age , her bone age came as 2 years . An ultrasound shows uterine volume of 1 cc and normal ovaries with no endometrium thickness, but a gnRh stimulation scared us the basal LH - 1.3 miu/ml and FSH - 40 miu/ml after the stimulation with gonadorelin 100 micrograms the values @ 30 mins were LH - 45.2 miu/ml and FSH - 149.1 miu/ml. An MRI without contrast was done and they say everything is fine .
My endo has diagnosed her with idiopathic CPP and wants to start the treatment , My concerns are should we really hurry up into the treatment? Is she too young to recieve the shots ? what would be the side effects of those monthly shots on this young child ? will she grow normally if we start the treatment ? how long can we wait before starting the treatment ? My husband is in US(Hartford CT) so you think we should get things evaluated there ?
I am really freaked at the thought of putting her on treatment and since she is so young i am concerned if she can still have idiopathic CPP (MRI says so but I am scared, my endo was suspecting a hypothalmic hamartoma)
And also the major concern is about the drugs availibility in india if i go to the US and start treament i am not sure if we will be able to continue the same here
Please help me
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Could you please help me I am really confused and need help