How to treat my daughter’s precocious puberty?

  Patient: My daughter is 6 weeks and 10 months old. Ten days ago, she found a hard lump in her left breast, which is painful when pressed. She went to Baotou No.8 Hospital for examination and her bone age was measured at 8.5 years old. Ultrasound examination: anterior uterus, size: 26*21*13mm, regular uterus shape, muscle layer not clear, left ovary 17*7.1mm, right ovary 18.5*9.6mm, several hypoechoic areas can be seen inside, size is about 2*3mm, a small amount of anechoic area can be seen in the rectal fossa of the uterus, range is about 13.4*13.6 The doctor has done hormone level test and suggested the use of Chinese herbal medicine “Taiyin Pill”, which I have not taken yet. I am afraid that if the child takes so much Chinese medicine (and this medicine is not available in our local pharmacies), it will have any effect on her growth and development, mainly because I am afraid that it will affect her future fertility. I would like to ask Dr. Chen to give me some advice, thank you very much!  Chen Yonghui of the Department of Traditional Chinese Medicine at the Capital Institute of Pediatrics: Precocious puberty is very common in clinical practice and should first be diagnosed clearly before targeted treatment is given. From your child’s current situation and examination results, it is difficult to diagnose true precocious puberty, and it is recommended to do stimulation test. As for the treatment, at present, one is western medicine injection and the other is Chinese medicine. I am mainly engaged in Chinese medicine treatment and research of precocious puberty, if you are willing to treat through Chinese medicine, you can come to me. It is important to emphasize that Chinese medicine must be used according to the specific circumstances of the child in order to achieve better results, that is to say, the right evidence! The use of so-called premature sexual development herbal medicines such as the Great Tonic Yin Pill and Zhi Bai Di Huang Pill is often not beneficial, but harmful! In addition, because there is no special medicine for precocious puberty, western medicine injection and Chinese medicine treatment are not 100% effective, so parents should be prepared.