Precocious Puberty: To Treat or Not to Treat?
The age of menarche has not shifted at the same rate or as people would have expected. There is some kind of disconnect between thelarche that happens at a younger age and menarche that hasn't changed significantly in timing. People are thinking that the tempo of puberty may be longer in some of those children who present with early thelarche, and I think for the practicing physician, taking this into account will be important. Many people advocate observing these girls for a period of time before making a decision about putting them on a gonadotropin-releasing hormone (GnRH) analog to suppress puberty.