SDL(Gynac)

Name:-Tamal Tapas Maity

Roll no.48
Topic:-Etiology of Precocious Puberty
 Precocious Puberty

Precocious puberty is
when a child's body begins
changing into that of an
adult (puberty) too soon

When puberty begins
before age 8 in girls and
before age 9 in boys, it is
considered as precocious
puberty
Etiology of Precocious Puberty

Etiology of precocious puberty can be divided into
two factors
1.Gonadotropin Dependent
(Central precocious puberty) and
2.Gonadotropin Independent
(Peripheral Precocious puberty)
1)Central Precocious Puberty

Central precocious puberty (CPP) occurs when the brain secretes gonadotropins
at an abnormally young age.

They signal the gonads, located in girls’ ovaries and boys’ testicles, to produce
sex hormones responsible for the physical changes associated with puberty.

It’s often not clear what causes central precocious puberty,but In some cases,
though, central precocious puberty may be associated with:-
1) Brain or spinal tumor
2) Injury to the brain or spinal cord
3) Fluid buildup in the brain at birth
4) Hypothyroidism
2)Peripheral Precocious puberty

Peripheral precocious puberty (PPP) is less common than CPP

Unlike CPP, PPP isn’t stimulated by the pituitary gland’s premature release of
gonadotropins

It results from the early production of the hormones androgen and estrogen in other
parts of the body.

The early production of androgen and estrogen may be caused by:
1) Tumors in the pituitary or adrenal glands
2) Ovarian cysts in girls
3) Testicular tumors in boys
4) McCune-Albright syndrome, an uncommon genetic disorder that can cause problems
with hormone production.
 Other forms of Precocious Puberty

Two less-serious types of precocious puberty can also develop.

One is called Premature thelarche, which causes mild breast development in
girls. The development is limited and can eventually disappear until normal
puberty occurs.


The other form of precocious puberty is Premature adrenarche. It occurs when
the adrenal glands secrete androgen at an especially young age. The result is a
small amount of pubic hair growth and the start of adult body odor. However, no
other features of puberty develop until the expected age-range for puberty.

Treatment for these two types of precocious puberty is not necessary.