Doctor Answers (2) on Early puberty
Butif Lh Fsh low or normal then it is peripheral cause where ovarian cyst or adrenal gland is producing female hormone and causing pubertal changes.
Many times it is just hypothyroidism which leads to bleeding and multicystic ovaries so provide T4 and Tsh report .as it is simplest to treat only with medication.and cyst also resolves.commonly seen.
So based on cause treatment is decided. No need to worry
But evaluation and treatment is imp because untreated pt bone matures fast and fuse and pt remain short in height.and has many psychosocial issues