How Do Doctors Evaluate Early Puberty in Girls?

Our evaluation of your daughter’s early puberty begins with a discussion about your daughter’s signs of puberty and a physical exam. If your daughter has signs of early puberty, we will typically have her get an X-ray of her left hand and wrist called a bone age. A bone age tells us how much your child's bones have matured. It can also help us figure out if your child should have further evaluation with blood tests.

Your child might have a blood test to help us measure your child’s hormone levels. This will help us figure out if your child is experiencing gonadotropin dependent or independent puberty. It will also help us figure out if there is a concern about the adrenal glands. Depending on the results of the laboratory testing further radiology testing may include a pelvic ultrasound or head MRI.

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Rev. 1/2015
MassGeneral Hospital 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.