Early Puberty in Girls: Causes and Symptoms (2024)

What is Early Puberty?

Early puberty is when your daughter starts showing the first signs of puberty before she is 8 years old. This can be normal, but might require evaluation by a pediatric endocrinologist (hormone doctor).

What is Normal Puberty?

Normal puberty is when children’s bodies start to grow and develop into young adult bodies. Girls usually start to go through puberty between the ages of 8-13 years. When your daughter starts to go through puberty, her gonads (ovaries) and adrenal glands (glands that sit on top of the kidneys) release hormones. These hormones cause the first signs of puberty, which are breast development, body odor, underarm hair, pubic hair and acne (pimples). Over time, girls will develop later signs of puberty, such as a growth spurt followed by starting their menstrual periods.

There are 2 types of puberty that make up the entire pubertal process. These are:

  • Adrenal puberty
    This is when the adrenal glands make hormones that cause the first signs of puberty including body odor, pubic hair, underarm hair and acne.
  • Gonadal puberty
    This is when the pituitary gland (a small gland in the brain that controls other glands in the body) makes hormones that tell the gonads (ovaries) to make the hormones estrogen and progesterone. These hormones are responsible for breast and uterine development, starting a monthly period and growing taller.

What Causes Early Puberty in Girls?

The causes of early adrenal puberty and early gonadal puberty are different.

Early adrenal puberty: Sometimes, early adrenal puberty is normal. Other times, a problem with the adrenal glands can cause your daughter to have early adrenal puberty.

Early gonadal puberty: There are 2 types of early gonadal puberty, which have different causes. These are:

  • Gonadotropin dependent puberty
    This type of puberty is caused by the pituitary gland making the hormones FSH and LH, which stimulate the ovaries to make estrogen. This can be caused by tumors, radiation or trauma in the central nervous system or can be idiopathic. This means we have not found a cause of the early gonadal puberty.
  • Gonadotropin independent puberty
    This type of puberty is caused by the ovaries working on their own or exposure to medication or products with hormones in them.
Rev. 1/2015
Mass General for Children and Massachusetts General Hospital do not endorse any of the brands listed on this handout. This handout is intended to provide health information so that you can be better informed. It is not a substitute for medical advice and should not be used to treatment of any medical conditions.
Early Puberty in Girls: Causes and Symptoms (2024)

FAQs

Early Puberty in Girls: Causes and Symptoms? ›

Most commonly, especially in girls, precocious puberty is due to the brain sending signals earlier than it should. There is no other underlying medical problem or trigger. This also can often run in families. Less often, precocious puberty stems from a more serious problem, such as a tumor or trauma.

What can trigger early puberty in girls? ›

The cause of precocious puberty often can't be found. Rarely, certain conditions, such as infections, hormone issues, tumors, brain issues or injuries, may cause precocious puberty. Treatment for precocious puberty usually includes medicines to delay puberty.

What are the first signs of puberty in girls? ›

When your daughter starts to go through puberty, her gonads (ovaries) and adrenal glands (glands that sit on top of the kidneys) release hormones. These hormones cause the first signs of puberty, which are breast development, body odor, underarm hair, pubic hair and acne (pimples).

How do I know if my daughter has precocious puberty? ›

The signs and symptoms of precocious puberty in both sexes include acne, body odor and a growth spurt. Precocious puberty also causes sexual characteristics to develop early. In girls and children AFAB, these include: Breast development.

What is the earliest age a girl can hit puberty? ›

The average age for girls to start puberty is 11, while for boys the average age is 12. But it's perfectly normal for puberty to begin at any point between the ages of 8 and 13 in girls and 9 and 14 in boys.

Why is my daughter going through puberty early? ›

Most commonly, especially in girls, precocious puberty is due to the brain sending signals earlier than it should. There is no other underlying medical problem or trigger. This also can often run in families. Less often, precocious puberty stems from a more serious problem, such as a tumor or trauma.

What happens if precocious puberty is left untreated? ›

Untreated precocious puberty usually leads to short stature and can also cause significant emotional and behavioral issues.

How long after armpit hair does the period start? ›

Armpit hair is self-explanatory. Any amount will do. At this point, a girl will probably start her periods within 3-6 months, if she hasn't already. It also occurs right after the growth spurt of adolescence.

Why is my 7 year old developing breast buds? ›

The onset of breast development in girls less than 8 years of age may be the first sign of precocious puberty or more likely a condition referred to as benign premature thelarche.

What is the best indicator of precocious puberty in girls? ›

Children with early puberty can show one or more of these signs:
  • rapid height growth - a growth spurt.
  • pubic or underarm hair.
  • adult body odor.
  • acne.

How to avoid early puberty in girls? ›

What You Can Do
  1. Encourage and help your child to maintain a healthy weight with proper nutrition and exercise.
  2. Avoid exposure to hormones such as estrogen and testosterone that may be found in hair products, medications and nutritional supplements.
  3. Avoid exposure to EDCs and BPA.
Jul 5, 2018

What foods should I avoid for early puberty? ›

Top 5 Foods that Cause Early Puberty
  • Food and Drinks High in Fat. ...
  • Food and Drinks High in Sugar. ...
  • Food and Drinks Packaged in Plastic. ...
  • Foods Grown with Exposure to Chemicals and Pesticides. ...
  • Foods Cooked with certain Non-Stick Pans.
Aug 12, 2023

When do girls start getting pubic hair? ›

Between ages 8 and 13, girls typically experience the following: Their breasts begin to bud, and their areola (the pigmented area around the nipple) starts to enlarge. They develop a small amount of genital hair. At this stage, they experience a growth spurt of about 2 3/4 inches per year.

What grade do most girls hit puberty? ›

Girls generally begin puberty about two years earlier than boys. Puberty for girls usually starts between the ages of 8 and 13. However, Black and Hispanic girls tend to start puberty earlier than white girls (age 7½ instead of 8).

When do girls grow pubic hair? ›

Girls usually start puberty between ages 8 and 13. Changes your daughter may notice that signify they are going through puberty include: Breast development (usually the first sign) Pubic and armpit hair growth.

What can trigger early puberty? ›

For most children, early puberty starts for no known reason. It can run in families. Sometimes there is a problem in the brain, such as an injury, a tumor or an infection. Early puberty can also be caused by a problem in the sex glands (testes or ovaries), the thyroid gland or the adrenal glands.

Can puberty be triggered? ›

In hypogonadotropic hypogonadism puberty can be initiated by the use of pulsatile GnRH, gonadotropins, and sex steroids. Sex steroids will induce development of the secondary sex characteristics alone, while combined administration of gonadotropins and GnRH may induce gonadal development including fertility.

Can a girl hit puberty at 15? ›

Usually, these changes begin between the ages of 8 and 14 for girls, and between 9 and 15 for guys. This wide range in age is normal, and it's why you may develop several years earlier (or later) than most of your friends.

Can stress cause early puberty? ›

One frequently reported finding is that psychological stress, experienced during early childhood, accelerates pubertal development, a phenomenon termed “psychosocial acceleration” (33).

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