title: Precocious puberty presenting with menarche at the age of 6 years - a case report.
abstract: Precocious puberty or central precocious puberty can be very confusing and truly unexpected. After all who know children could go into puberty too early? There is treatment for this condition. Present report has stated that central precocious puberty is becoming more frequent. Many factors may contribute to children who exhibit signs of early precocious puberty. Here we are reporting a case of premature menarche of 6 years old girl who initially presented with continuous per vaginal bleeding for 3 months as a onset of menarche later on after clinical examination and investigations she was diagnosed a precocious puberty due to juvenile premature hypothyroidism. After the successful treatment with thyroxin, level of TSH gradually was decreased and subsequently normal. There after per vaginal bleeding stopped and clinically improved.
authors.affiliation: Dr Jesmine Banu, Associate Professor (Infertility Unit), Department of Obs & Gynae, Bangbandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
authors.forename: J
authors.initials: J
authors.lastname: Banu
authors.forename: P
authors.initials: P
authors.lastname: Sultana
authors.forename: M A
authors.initials: MA
authors.lastname: Chowdhury
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications*; D008572:Menarche; D011629:Puberty, Precocious / Q000209:etiology*