Precocious Puberty Daughter 7 Years

[needforspeed]

Don’t know where (Forum) to post it, here as many parents read this:

I am not a doctor, luckily my younger sister is, unlucky again she is working in Europe and not Thailand.

The problem is my daughter (only 7) got precocious puberty signs.

I asked my GF to see a doctor, she came back and advice from the doctor was......... “Don’t eat Chicken”.

I almost felt of my sofa.

Called my sister later that day that this Precocious puberty (Pubertas Praecox) , need to be treated.

Very young children under 8 years old struggle a lot when their bodies change and often lead to psychological problem later in their life.

Are there any other parent had this with their children.

I been informed that there are medicines on the marked (Lupron) but this has many side effect for children.

Any advice or experience more than welcome.

[bkkmick]

Sorry, no real help, but, I overheard my two daughters (7 and 9) talking with their friend (9) and they were saying that chicken makes your boobs grow bigger (I too nearly fell off my sofa). Must be some Thai myth about chicken!?

Good luck with your investigations.

[needforspeed]

Sorry, no real help, but, I overheard my two daughters (7 and 9) talking with their friend (9) and they were saying that chicken makes your boobs grow bigger (I too nearly fell off my sofa). Must be some Thai myth about chicken!?

Good luck with your investigations.

Must be the growth hormones in chicken.

Thanks,

NFS

[Kwasaki]

Have you asked your girlfriend what she was like at your daughters age me assuming she is the mother of your daughter.

My wife developed quickly as a child and made other kids jealous of her at the same age.

Most Thai ladies are known not be that well endow in the breast department.

l overheard conversations with some of the ladies get togethers talking about " nom ".

l'm sure her mum will take good care of her don't worry yourself so much let nature take it's course.

Don't think about giving drugs please a loving background when growing up is all she needs.

Me proud father of 3 daughters 1 of them adopted, grandfather of 3 grandaughters.

[needforspeed]

Have you asked your girlfriend what she was like at your daughters age me assuming she is the mother of your daughter.

My wife developed quickly as a child and made other kids jealous of her at the same age.

Most Thai ladies are known not be that well endow in the breast department.

l overheard conversations with some of the ladies get togethers talking about " nom ".

l'm sure her mum will take good care of her don't worry yourself so much let nature take it's course.

Don't think about giving drugs please a loving background when growing up is all she needs.

Me proud father of 3 daughters 1 of them adopted, grandfather of 3 grandaughters.

Thanks Kwasaki,

I just talked with the doctor on my work also as he isn't a specialist childrens doctor he informed me that in Asia they still using a lots of groth hormonen in chicken, pork and beef.

This could be part of the problem.

I am not worried she is taking care the kids very well.

About herself she start developing when she was 11 years old.

Thanks a lot,

NFS

[FBN]

This condition really needs expert management which will probably not be available outside of specialist pediatric services and facilities usually associated with University Hospitals; I would suggest to get her to one such facility asap.

[Sheryl]

Your daughter has what is called "precocious puberty". It can be due to many things, including (rarely) certain tumors, thyroid problems, and exposure to estrogen-like chemicals (which can include pesticides and meat of animals that have been fed hormones). In many cases no cause can be found. There are medications that cane be given, but these cannot safely be prescribed until the type of puberty and underlying causes have been explored. Aside form the pyscho-social aspects, one of the problems with precocious puberty is that it can lead to a premature halt to growth, causing the girl to remain quite short.

You need to take her to a doctor t with expertise in this area to rule out treatable underlying causes, and possibly prescribe drugs to suppress sex hormones. The foremoist expert in this field in Thailand is:

Dr. Suttipong Wacharasindhu - head of the Endocrine Department, Chulalonghorn Dept of Pediatrics; trained in US and UK; US board certified. . he has private practice at Bangkok Hospital (Bangkok branch) Tuesdays 5:30 - 7:30 PM. Can also access him at Chula but might be a biot time consuming; on the other hand if drug treatment is warranted, may save a lot of money. Your call.

Even if it involves considerable travel (I don't know where you live), do take her to see him. the earlier treatment can begin the better in terms of ensuring normal growth and minimizing pyscho-social problems. Once he has done the initial investigations and established a treatment plan, she will not have to see him that often. But for sure you will not find anyone with the necessary expertise up-country.

To the extent feasible, should also avoid exposure to pesticides (not playing in agricultural fields or near where farmers are spraying, consuming pesticide-free vegetables or at least cleaning vegetables thoroughly before preparing them, and reducing meat intake...that's where the "avoid chicken" bit comes in, although hardly a satisfactory treatment in itself).

Also if she is at all overweight, losing weight will help. Sex hormones have an affinity for body fat; also, the amount of body fat seems to serve as a trigger for the onset of puberty.

However in doing all these things, avoid showing too much concern in front of your daughter, best to act matter of fact with her so as to not to increase her sense of embarassment.

See these links for more information:

http://emedicine.medscape.com/article/924002-overview

http://kidshealth.org/parent/medical/sexual/precocious.html

[needforspeed]

This condition really needs expert management which will probably not be available outside of specialist pediatric services and facilities usually associated with University Hospitals; I would suggest to get her to one such facility asap.

Dear FBN,

Thanks, do you have any suggestions for (children) Hospital who have this knowledge in Bangkok.

Thanks,

NFS

[WarpSpeed]

My wife's GYN told her to eat black chicken when she was nursing to produce more milk, she hated it and I can't say it worked very well she still had to stop nursing prematurely..

[rixalex]

Sorry, no real help, but, I overheard my two daughters (7 and 9) talking with their friend (9) and they were saying that chicken makes your boobs grow bigger (I too nearly fell off my sofa). Must be some Thai myth about chicken!?

Why on earth isn't KFC's marketing department running with this?

[WarpSpeed]

Sorry, no real help, but, I overheard my two daughters (7 and 9) talking with their friend (9) and they were saying that chicken makes your boobs grow bigger (I too nearly fell off my sofa). Must be some Thai myth about chicken!?

Why on earth isn't KFC's marketing department running with this?

They advertise the opposite, clean steroid free chicken...

[rixalex]

My wife's GYN told her to eat black chicken when she was nursing to produce more milk, she hated it and I can't say it worked very well she still had to stop nursing prematurely..

Only eat black chicken?!

What a racist! Even chickens have the right to protection from discrimination, don't they?

[MikeyIdea]

Thanks Sheryl for taking time to write a long and informative post.

Bangkok hospital will of course be the more comfortable place to be but if money doesn't allow it, then Chula will be equally good from a medical perspective in my opinion

Good Luck

[needforspeed]

Your daughter has what is called "precocious puberty". It can be due to many things, including (rarely) certain tumors, thyroid problems, and exposure to estrogen-like chemicals (which can include pesticides and meat of animals that have been fed hormones). In many cases no cause can be found. There are medications that cane be given, but these cannot safely be prescribed until the type of puberty and underlying causes have been explored. Aside form the pyscho-social aspects, one of the problems with precocious puberty is that it can lead to a premature halt to growth, causing the girl to remain quite short.

You need to take her to a doctor t with expertise in this area to rule out treatable underlying causes, and possibly prescribe drugs to suppress sex hormones. The foremoist expert in this field in Thailand is:

Dr. Suttipong Wacharasindhu - head of the Endocrine Department, Chulalonghorn Dept of Pediatrics; trained in US and UK; US board certified. . he has private practice at Bangkok Hospital (Bangkok branch) Tuesdays 5:30 - 7:30 PM. Can also access him at Chula but might be a biot time consuming; on the other hand if drug treatment is warranted, may save a lot of money. Your call.

Even if it involves considerable travel (I don't know where you live), do take her to see him. the earlier treatment can begin the better in terms of ensuring normal growth and minimizing pyscho-social problems. Once he has done the initial investigations and established a treatment plan, she will not have to see him that often. But for sure you will not find anyone with the necessary expertise up-country.

To the extent feasible, should also avoid exposure to pesticides (not playing in agricultural fields or near where farmers are spraying, consuming pesticide-free vegetables or at least cleaning vegetables thoroughly before preparing them, and reducing meat intake...that's where the "avoid chicken" bit comes in, although hardly a satisfactory treatment in itself).

Also if she is at all overweight, losing weight will help. Sex hormones have an affinity for body fat; also, the amount of body fat seems to serve as a trigger for the onset of puberty.

However in doing all these things, avoid showing too much concern in front of your daughter, best to act matter of fact with her so as to not to increase her sense of embarassment.

See these links for more information:

http://emedicine.med...924002-overview

http://kidshealth.or...precocious.html

Dear Sheryl,

Thank very much, i live in Bangkok close to Silom, Bangkok hospital is that Bangkok Christina Hospital at Silom?

Again thanks a lot,

NFS

[sbk]

No, Bangkok Hospital is here: http://www.bangkokhospital.com/

If it were me, I'd try for Chula despite the wait. Just from personal experience with Bkk Hospital administration.

[WarpSpeed]

My wife's GYN told her to eat black chicken when she was nursing to produce more milk, she hated it and I can't say it worked very well she still had to stop nursing prematurely..

Only eat black chicken?!

What a racist! Even chickens have the right to protection from discrimination, don't they?

Yeah, well you know? TIT

[needforspeed]

No, Bangkok Hospital is here: http://www.bangkokhospital.com/

If it were me, I'd try for Chula despite the wait. Just from personal experience with Bkk Hospital administration.

Cheers SBK,

For all the good information send to me.

Will make a appointment there.

Thank,

NFS

[Flatouthruthefog]

<br />Thanks Sheryl for taking time to write a long and informative post. <br /><br />Bangkok hospital will of course be the more comfortable place to be but if money doesn't allow it, then Chula will be equally good from a medical perspective in my opinion<br /> <br />Good Luck<br />

<br /><br /><br />

Sheryl's response is one of the most detailed and valuable I have ever seen on this forum. Well done!

I can only make 2 very minor observations which may be of help. Chicken is blamed here by Thai medicos for several health problems. In my case (and at my age!) a gouty type of arthritus. If we talk to knowledgeable chums in the west they may dismiss this, but what do they know about chicken feeding and rearing here in Thailand? An exec with KFC (in their very early days in Thailand) told me that their biggest challenge was "persuading" (his word) Thai farmers to produce larger chickens. Maybe there's something in this?

Last(and I'll keep watching this interesting thread), another qualified expat, seeing me enjoying tomatoes, as I always do, was horrified to see me eating the whole thing.

I was ORDERED to cut out the white/yellow central pith and discard it. "That is where all the insecticides and fertiliser concentrates as the tom grows", said he, "and you don't want to eat all that crxp!"

[bina]

<br />Thanks Sheryl for taking time to write a long and informative post. <br /><br />Bangkok hospital will of course be the more comfortable place to be but if money doesn't allow it, then Chula will be equally good from a medical perspective in my opinion<br /> <br />Good Luck<br />

<br /><br /><br />

Sheryl's response is one of the most detailed and valuable I have ever seen on this forum. Well done!

I can only make 2 very minor observations which may be of help. Chicken is blamed here by Thai medicos for several health problems. In my case (and at my age!) a gouty type of arthritus. If we talk to knowledgeable chums in the west they may dismiss this, but what do they know about chicken feeding and rearing here in Thailand? An exec with KFC (in their very early days in Thailand) told me that their biggest challenge was "persuading" (his word) Thai farmers to produce larger chickens. Maybe there's something in this?

Last(and I'll keep watching this interesting thread), another qualified expat, seeing me enjoying tomatoes, as I always do, was horrified to see me eating the whole thing.

I was ORDERED to cut out the white/yellow central pith and discard it. "That is where all the insecticides and fertiliser concentrates as the tom grows", said he, "and you don't want to eat all that crxp!"

very good points, lots of growth hormones used also in corn for bigger better corn... also, soy products with the estrogen in them? btw, black chickens means the yard chickens, the fighting cock kind as opposed to battery house white leghorn and meat chickens. the meat on 'black' chickens is richer and darker, gamier tasting, and usually they eat whatever they get fed or scavenge but they arent in feed lot situations...

bte, not sure but i think american children seem to be huger, taller, wider, larger breasted at the same age as our kids here in israel, not sure also if its to do with the milk/meat or genetics or a factor of both...

[Sheryl]

I take it you haven't dealt with Chula administration SBK... :crazy:

As you are not looking at hospitalization here, just outpatient consultation, I really would not worry about hospital administration. (And BH in Bkk is very, very different from its "affiliates" in the provinces). The trade-offs are cost, convenience, time and communication with the doctor. In all respects other than cost, BH wins hands down. But the cost difference will be considerable.

Chula will unquestionably be less expensive, especially with regard to the initial diagnostic work up and drug therapy (depending on the results of the diagnostic work-up, she may need monthly injections of a fairly costly medication). However it will also involve long waits and lots of red tape, the same tests that could be done in a day at a private hospital can easily involve weeks at Chula (there may be waiting lists for the various scans etc) and every doctor appointment will use up the better part of a full day with hours of waiting. Be prepared for extreme rudeness on the part of the administrative staff/nurses, minimal explanation given of what to do/where to go/what to expect etc. For sure send your wife or bring her along as a Thai speaker is a must, all the signs and forms are in Thai and the clinic staff provide very little in the way of explanation (understatement).

Aside from much shorter waits and less red tape,advantages to having a consultation at BH at some point are:

1. Direct consultation with Dr. Suttipong (at Chula he would probably see her/review her case at some point but much of the care would be from residents training under his supervision) and

2. More opportunity to ask questions, get explanations. At Chula it is a mob of people and the doctors are pressed to see everyone within the time available, and you may not get the degree of communication you'd like. In fact not unusual to get none at all.

If it were me and if I could afford it, I'd have at least one consultation privately with Dr. Suttipong at some point, in order to get a clear understanding of her condition and the treatment plan. You could do this first and then, if you are uninsured and money is a concern, take her to Chula thereafter. Or conversely you could take her to Chula and then once all the tests etc have been done, see him privately. Would need in that case to get copies of her file sent over to Bkk Hospital which, based on my dealings with Chula, is far from easy to achieve, but possible.

Second option is probably the most efficient one, since he will be able to tell you much more when all the tests have been completed.

Just my two cents.

[mkawish]

The real differences between govt hospitals and private hospitals?

My father in law just loved the local govt hospital which he had made some donation.

Whenever he felt ill, that was where he told to take him. The wait was long even with some help in prearranging number. We were there before 8am each time. And I was summoned to pick him up only after lunch. The last time he was there, two years ago, he was having persistent cough and some general weakness associated with his age 77. He was sleeping in public room waiting for a private room. There was a two days wait there before he was put into a private room at about 1,200 THB. Despite the treatment and medication, he was progressively getting worse and worse. I implored with him--Dad, let's get out of here, you are not getting any stronger or better. Let's have another hospital takes care of you, so you can get stronger and better. He was persistent in his old way refusing to be relocated to another hospital. Other members of the family were not on my side either. That was two long years ago.

Just last week, I got a call from my mother in law's house keeper at around 7:30 am alerting me that my mother was really weak and sick, coughing incessantly. In spite of all her protest, I took her to a private hospital. The front desk was scheduling my mom to a specialist but I protested and demanded to see the chief of staff. I whispered in his ear to admit my mother for observation. About 25 min later, she was admitted to the last private room available. My mom asked how much? I said politely only 1k. She commented that the two bathrooms suite was very pleasing and comfortable.

What I like to say here is there are huge differences between the service and medical attention given to patients in these two different hospitals. My father was admitted into the hospital of his choice and he came home legally alive but medically dead. But my mom returned home full of life and agility with plenty of energy left over to summon me to make appointment for a new pair of glasses, then asked why did I not see that the room charge was 10,000 not 1,000 per night. Everyone in her house lighted up and laughed like only the Thais know how to.

Friends, choose the best medical team that meets your needs. You can always make the money back later, if you live.

[needforspeed]

I take it you haven't dealt with Chula administration SBK... :crazy:

As you are not looking at hospitalization here, just outpatient consultation, I really would not worry about hospital administration. (And BH in Bkk is very, very different from its "affiliates" in the provinces). The trade-offs are cost, convenience, time and communication with the doctor. In all respects other than cost, BH wins hands down. But the cost difference will be considerable.

Chula will unquestionably be less expensive, especially with regard to the initial diagnostic work up and drug therapy (depending on the results of the diagnostic work-up, she may need monthly injections of a fairly costly medication). However it will also involve long waits and lots of red tape, the same tests that could be done in a day at a private hospital can easily involve weeks at Chula (there may be waiting lists for the various scans etc) and every doctor appointment will use up the better part of a full day with hours of waiting. Be prepared for extreme rudeness on the part of the administrative staff/nurses, minimal explanation given of what to do/where to go/what to expect etc. For sure send your wife or bring her along as a Thai speaker is a must, all the signs and forms are in Thai and the clinic staff provide very little in the way of explanation (understatement).

Aside from much shorter waits and less red tape,advantages to having a consultation at BH at some point are:

1. Direct consultation with Dr. Suttipong (at Chula he would probably see her/review her case at some point but much of the care would be from residents training under his supervision) and

2. More opportunity to ask questions, get explanations. At Chula it is a mob of people and the doctors are pressed to see everyone within the time available, and you may not get the degree of communication you'd like. In fact not unusual to get none at all.

If it were me and if I could afford it, I'd have at least one consultation privately with Dr. Suttipong at some point, in order to get a clear understanding of her condition and the treatment plan. You could do this first and then, if you are uninsured and money is a concern, take her to Chula thereafter. Or conversely you could take her to Chula and then once all the tests etc have been done, see him privately. Would need in that case to get copies of her file sent over to Bkk Hospital which, based on my dealings with Chula, is far from easy to achieve, but possible.

Second option is probably the most efficient one, since he will be able to tell you much more when all the tests have been completed.

Just my two cents.

Dear Sheryl,

Thanks again, money isn't a issue.

I am not in Bangkok myself (working overseas), my wife called Chula yesterday already they go there today.

Will call het afternoon how it was, if process takes a long time i would advise her to go to bangkok Hospital tomorrow.

Again very much appriciated the efforts and time you spending to reply on this matter.

Thank you very much,

NFS

[needforspeed]

Just called my GF, she wen to Chula Hospital at Rama 4, the doctor wasn't there (overseas) and back at Chula Hospital on December 11th they advice her to come back then.

She wen to bangkok Christina as one of my sons needed to have a vacination, and they checked my daughter as well in the same Hospital.

Again same story, doctor asked her (my GF) if she eats chicken answer yes, doctors advice don't eat chicken anymore.

Told my GF just to wait till 11 December and go to see the specialist at Chula or Bangkok hospital.

NFS

[mkawish]

Just called my GF, she wen to Chula Hospital at Rama 4, the doctor wasn't there (overseas) and back at Chula Hospital on December 11th they advice her to come back then.

She wen to bangkok Christina as one of my sons needed to have a vacination, and they checked my daughter as well in the same Hospital.

Again same story, doctor asked her (my GF) if she eats chicken answer yes, doctors advice don't eat chicken anymore.

Told my GF just to wait till 11 December and go to see the specialist at Chula or Bangkok hospital.

NFS

This is absurd.

Why are you intelligent, civilized and educated people put up with this kind of quick and rude brush off, so easily?

Is it because of language limitation that hinders you all from pursuing the welfare of your children further?

If and when you feel you are being treated unfairly in any hospital, request to see the Director of Management there, pls.

If that won't work. Then you demand to see Chief Physician in charge for that shift.

Come on, we are talking about paid services for our family members, Farangs or otherwise.

Even in Thailand, we have the God given rights to first ask; then, request and; finally, demand fair treatments, particularly from medical professionals and staff members.

Pls do not back down or back off, until you are treated fairly and squarely meeting your needs or your family members' needs.

Whatever you do, pls be polite to those working at the front desk, most there do not have any idea of patients' rights and accommodations. :jap:

Edited November 20, 2010 by mkawish

[needforspeed]

Just called my GF, she wen to Chula Hospital at Rama 4, the doctor wasn't there (overseas) and back at Chula Hospital on December 11th they advice her to come back then.

She wen to bangkok Christina as one of my sons needed to have a vacination, and they checked my daughter as well in the same Hospital.

Again same story, doctor asked her (my GF) if she eats chicken answer yes, doctors advice don't eat chicken anymore.

Told my GF just to wait till 11 December and go to see the specialist at Chula or Bangkok hospital.

NFS

This is absurd.

Why are you intelligent, civilized and educated people put up with this kind of quick and rude brush off, so easily?

Is it because of language limitation that hinders you all from pursuing the welfare of your children further?

If and when you feel you are being treated unfairly in any hospital, request to see the Director of Management there, pls.

If that won't work. Then you demand to see Chief Physician in charge for that shift.

Come on, we are talking about paid services for our family members, Farangs or otherwise.

Even in Thailand, we have the God given rights to first ask; then, request and; finally, demand fair treatments, particularly from medical professionals and staff members.

Pls do not back down or back off, until you are treated fairly and squarely meeting your needs or your family members' needs.

Whatever you do, pls be polite to those working at the front desk, most there do not have any idea of patients' rights and accommodations. :jap:

I agree with you but i wasn't there, my GF is Thai. If this doctor told her that my daughter had to eat uncooked rice with french mustard she would do this as well.

Not that she is stupid but she is typical Thai, the doctor is always wright.

I just told her to wait for the doctor at Chula or Bangkok hospital and go there on 11 December, most likely i be home an go together.

Thanks for your concern.

NFS

[Sheryl]

This is absurd.

Why are you intelligent, civilized and educated people put up with this kind of quick and rude brush off, so easily?

Is it because of language limitation that hinders you all from pursuing the welfare of your children further?

If and when you feel you are being treated unfairly in any hospital, request to see the Director of Management there, pls.

If that won't work. Then you demand to see Chief Physician in charge for that shift.

Come on, we are talking about paid services for our family members, Farangs or otherwise.

Even in Thailand, we have the God given rights to first ask; then, request and; finally, demand fair treatments, particularly from medical professionals and staff members.

Pls do not back down or back off, until you are treated fairly and squarely meeting your needs or your family members' needs....

:jap:

I don't know if you were referring to Chula (telling them to come back in 2 weeks) or Bkk Christian (the " don't eat chicken" bit again) but in neither case is it likely that rudeness or "brush off" was the problem.

This is a highly specialized medical problem and no one at Bkk Christian hosp (or virtually any other hospital save the Endocrine clinic at Chula and the private practice of its staff) in Thailand has the necessary expertise to treat it. What was encountered at Bkk Christian was I think just ignorance and no amount of going up the chain of command would really have helped. The necessary expertise is just not there.

As for Chula, either Dr. Suttipong is out of town, or the clinic is fully booked until the 11th December. It is a specialty clinic to which people are referred from all over the country, so this is quite possible. If you want to know if it's the first problem, could also call Bkk hosopital and see if Dr. S. currently taking appointments.

Incidentally it was not stated exactly what the pubertal signs were. If only breast enlargement (without menstruation or public hair etc) it may not be a true precocious puberty and it is even possible, if she eats a great deal of chicken, that this is a factor and the advuse to abstain not totally off.

But certainly it needs to be evaluated by a pediatric endocrinologist.

[needforspeed]

This is absurd.

Why are you intelligent, civilized and educated people put up with this kind of quick and rude brush off, so easily?

Is it because of language limitation that hinders you all from pursuing the welfare of your children further?

If and when you feel you are being treated unfairly in any hospital, request to see the Director of Management there, pls.

If that won't work. Then you demand to see Chief Physician in charge for that shift.

Come on, we are talking about paid services for our family members, Farangs or otherwise.

Even in Thailand, we have the God given rights to first ask; then, request and; finally, demand fair treatments, particularly from medical professionals and staff members.

Pls do not back down or back off, until you are treated fairly and squarely meeting your needs or your family members' needs....

:jap:

I don't know if you were referring to Chula (telling them to come back in 2 weeks) or Bkk Christian (the " don't eat chicken" bit again) but in neither case is it likely that rudeness or "brush off" was the problem.

This is a highly specialized medical problem and no one at Bkk Christian hosp (or virtually any other hospital save the Endocrine clinic at Chula and the private practice of its staff) in Thailand has the necessary expertise to treat it. What was encountered at Bkk Christian was I think just ignorance and no amount of going up the chain of command would really have helped. The necessary expertise is just not there.

As for Chula, either Dr. Suttipong is out of town, or the clinic is fully booked until the 11th December. It is a specialty clinic to which people are referred from all over the country, so this is quite possible. If you want to know if it's the first problem, could also call Bkk hosopital and see if Dr. S. currently taking appointments.

Incidentally it was not stated exactly what the pubertal signs were. If only breast enlargement (without menstruation or public hair etc) it may not be a true precocious puberty and it is even possible, if she eats a great deal of chicken, that this is a factor and the advuse to abstain not totally off.

But certainly it needs to be evaluated by a pediatric endocrinologist.

Dear Sheryl,

Dr Suttipong is out of town (overseas) will be back on 11 December, we just go back there no problem for us, we can wait for him.

This ignoring and very quick answer without doing anything just checking her breast (30 seconds) was at bangkok Christian Hospital.

No problem she just asked information at the wrong place and the wrong person i gues, we didn't loose annything.

I will keep you informed after the appointment with Dr Suttipong.

Thanks again,

NFS

[Kwasaki]

Thought you would to like read this from Wilki (second from last sentence) you said your daughter was 7years so how near to 8years is she, anyway have read.

Precocious puberty is a medical term for puberty occurring at an unusually early age.

In most of these children, the process is normal in every respect except the unusually early age.

Helping children control their weight is suggested to help delay puberty. Early puberty additionally puts girls at a far greater risk for breast cancer later in life.

Girls as young as 8 are increasingly starting to menstruate, develop breasts and grow pubic and underarm hair; these biological milestones only typically occurred at 13 or older decades ago.

African American girls are especially prone to early puberty.

There are theories debating the trend of early puberty, but the exact causes are not known.

This is a review of what we know; it's absolutely superb, said Dr. Marion Kavanaugh-Lynch, an oncologist and director of the California Breast Cancer Research Program in Oakland, which directs tobacco tax proceeds to research projects.

The data indicates that if you get your first period before age 12, your risk of breast cancer is 50 percent higher than if you get it at age 16, said the report's author, a biologist and also a cancer survivor.

For every year we could delay a girl's first menstrual period, we could prevent thousands of breast cancers.

Though boys face fewer problems upon early puberty than girls.

Studies have shown that early maturing boys are more likely to be sexually active and are more likely to participate in risky behaviors.

Studies indicate that breast development in girls and pubic hair in girls and boys are starting earlier than in previous generations.

As a result, early puberty in children, particularly girls, as young as 9 and 10 is no longer considered abnormal, although it may be upsetting to parents and can be harmful to children who mature physically at a time when they are immature mentally.

No single age limit reliably separates normal from abnormal processes in children today, but the following age thresholds for evaluation will minimize the risk of missing a significant medical problem:

Pubic hair (pubarche) before 8 or breast development (thelarche) in girls with onset before 7 years.

Menstruation (menarche) in girls before 10 years.

[needforspeed]

Thought you would to like read this from Wilki (second from last sentence) you said your daughter was 7years so how near to 8years is she, anyway have read.

Precocious puberty is a medical term for puberty occurring at an unusually early age.

In most of these children, the process is normal in every respect except the unusually early age.

Helping children control their weight is suggested to help delay puberty. Early puberty additionally puts girls at a far greater risk for breast cancer later in life.

Girls as young as 8 are increasingly starting to menstruate, develop breasts and grow pubic and underarm hair; these biological milestones only typically occurred at 13 or older decades ago.

African American girls are especially prone to early puberty.

There are theories debating the trend of early puberty, but the exact causes are not known.

This is a review of what we know; it's absolutely superb, said Dr. Marion Kavanaugh-Lynch, an oncologist and director of the California Breast Cancer Research Program in Oakland, which directs tobacco tax proceeds to research projects.

The data indicates that if you get your first period before age 12, your risk of breast cancer is 50 percent higher than if you get it at age 16, said the report's author, a biologist and also a cancer survivor.

For every year we could delay a girl's first menstrual period, we could prevent thousands of breast cancers.

Though boys face fewer problems upon early puberty than girls.

Studies have shown that early maturing boys are more likely to be sexually active and are more likely to participate in risky behaviors.

Studies indicate that breast development in girls and pubic hair in girls and boys are starting earlier than in previous generations.

As a result, early puberty in children, particularly girls, as young as 9 and 10 is no longer considered abnormal, although it may be upsetting to parents and can be harmful to children who mature physically at a time when they are immature mentally.

No single age limit reliably separates normal from abnormal processes in children today, but the following age thresholds for evaluation will minimize the risk of missing a significant medical problem:

Pubic hair (pubarche) before 8 or breast development (thelarche) in girls with onset before 7 years.

Menstruation (menarche) in girls before 10 years.

Dear Kwasaki,

Thanks, little bit worried.

She is just wen 2 weeks ago 7 years old.

Thanks a lot for this information realy appreciate it.

NFS

[MikeyIdea]

I think it is important to note who says what in Thailand. There is an absolutely enormous difference in knowledge between nurses and doctors for instance. Nurses may know enough to recommend a workaround, a doctors knowledge includes the root cause.