Diagnosing Early Puberty at Cleveland Clinic Children’s
Puberty starts when hormones cause your child’s body to change into an adult one. This usually begins between ages 8 and 13 for girls. For boys, it often starts between ages 9 and 14. It’s all part of normal adolescent development.
Understanding early puberty
Sometimes, your child’s hormone-producing endocrine system might flip the puberty switch too soon. This is central precocious puberty. Or maybe your child’s ovaries, testicles or adrenal glands don’t work right. This can also cause early puberty. We call it peripheral precocious puberty.
Common signs are acne, body odor, pubic and underarm hair or a growth spurt. Girls may start developing breasts or get their period. Boys might get a deeper voice, facial hair and a larger penis and testicles. When you notice these signs in your younger child, it’s time to get things checked out.
What to expect at your child’s first visit
When you come to your child’s first appointment, their provider will want to learn more about what’s been going on. They’ll ask you when you first started noticing signs of early puberty and how it has affected your child’s life. And they’ll want you to feel comfortable sharing your concerns and asking questions. They’re here to help.
You can also expect your child’s provider to do a physical exam. And they may order tests to help confirm a diagnosis and rule out other conditions.
Testing for early puberty
Your child will likely have tests to help our team confirm a diagnosis, like:
- Hand and wrist X-rays: To check their bone age, which may be more mature than usual if they have early puberty.
- Blood tests: To measure their hormone levels.
- Brain MRI: To rule out other conditions, including tumors.
- Pelvic ultrasound: To check for puberty-related changes in their internal organs.
Meet Our Early Puberty Team
A pediatric endocrinologist will lead your child’s care team. This team may also have other providers like:
- Pediatric nurse practitioners
- Pediatric radiologists
- Social workers
- Child psychologists
- Child life specialists
0 Providers Who Treat Precocious Puberty
Locations
Our healthcare providers see patients at convenient locations throughout Northeast Ohio.
Treating Early Puberty at Cleveland Clinic Children’s
Your child’s treatment plan will depend on what type of early puberty they have. Their care team will personalize treatment to their diagnosis and needs.
Central precocious puberty treatment
Your child’s endocrine system turns on the hormones too soon. So, our team will focus on shutting this down. Your child will get regular injections of synthetic (human-made) hormones known as puberty blockers until it’s a better time for puberty to begin.
Peripheral precocious puberty treatment
Sometimes, ovaries, testicles or the adrenal gland don’t work as they should. When this happens, they can release hormones that cause early puberty. Our team works to stop that. We may have your child take a steroid called glucocorticoid. Or they may have surgery to remove a tumor or other growths causing the symptoms. Their care team will look at test results and go over your options before starting treatment.
Taking the Next Step
Early puberty can be stressful for your child. Especially if they’re younger than 8 years old. They’re just not emotionally or mentally ready for these changes. The good news? Cleveland Clinic Children’s caring providers can pause these surprise changes. At least until your child is ready. We’re here to help your little one do what they do best — be a kid.

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