Hi,
I have gone through your question and understand your concern
Please share with us when your daughter had her breast development and hair growth. Have you done any
hormonal tests on her.
Having breast development and
menarche at 10 yrs is no t abnormal. Only concern here is height. Girls will grow only 6-7 cm after menarche.
If you are very much concerned about height, two things can be done.
1. Give growth hormone- daily injections. You have to check done blood tests like IGF -1, GH stimulation tests ,
MRI pituitary before starting on this
2. GNRH analogues - once in 3-4 weeks injection. This will delay her pubert so that she can grow for longer period.
In my room practice if the parents are concerned, I will start both treatments so that the final height can be increased by 8-10 cm. We are definitely playing with her normal pubertal and growth hormones. If you are under supervision of a good paediatric
endocrinologist, you can do this with minimal side effects.
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Paediatric Endocrinologist