How to Avoid Early Puberty for Indian Girls

Early puberty, also called precocious puberty, is a growing concern in India, particularly in urban areas. If you’re a parent of a young Indian girl, we completely understand why you might be worried, especially if your daughter is already experiencing early puberty. That’s why we’ve created a science-backed guide to answer all of your questions about early puberty, its causes, and what you can do to help your daughter avoid it.

Section 1 of 5:

What is early puberty for females?

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Signs of female puberty include breast development, menstruation, and acne as well as increased height and body hair.^{[1]XResearch source} Typically, females begin puberty at age 11, so puberty onset before age 8 is considered early.^{[2]XTrustworthy SourceNational Health Service (UK)Public healthcare system of the UKGo to source}
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Early puberty is technically known as gonadotropin-dependent or central precocious puberty. Puberty begins when the body releases hormones called gonadotropins. Gonadotropins include luteinizing hormone (LH) and follicle stimulation hormone (FSH). If the hypothalamus signals to the pituitary gland to start releasing these hormones early, puberty begins early. This is more common for females than males.^{[3]XResearch source}
- A less common reason for puberty to begin is the release of sex hormones. This is called gonadotropin-independent or peripheral precocious puberty.
- A healthcare provider can run blood tests to measure your child's hormones and determine which type of early puberty they're dealing with.^{[4]XExpert SourceRebecca Levy-Gantt, MPT, DO
  Board Certified Obstetrician & GynecologistExpert Interview. 3 April 2020.}

Section 2 of 5:

What causes early puberty for females?

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The cause of early puberty is often unknown. Unfortunately, it can be tough to tell why some people experience precocious puberty and others don’t.^{[5]XResearch source} Some females may just have a genetic predisposition to early puberty.^{[6]XTrustworthy SourceNational Health Service (UK)Public healthcare system of the UKGo to source}
- If other females in your family experienced early puberty, your child may be more likely to encounter it.
Brain tumors, brain trauma, medical conditions affecting the ovaries or thyroid glands, and some genetic disorders can cause early puberty.^{[7]XExpert SourceRebecca Levy-Gantt, MPT, DO
Board Certified Obstetrician & GynecologistExpert Interview. 3 April 2020.} While this might sound scary, these conditions are rare and unlikely to be the cause of early puberty in most young females. Still, to be safe, take your child to see a doctor if they begin puberty early so they can be tested for serious medical conditions.^{[8]XTrustworthy SourceNational Health Service (UK)Public healthcare system of the UKGo to source}
Chemicals known as endocrine disruptors found in items including toothpaste, cosmetics, and even mothballs could lead to early puberty.^{[9]XResearch source} Similarly, exposure to reproductive hormones from chemicals or products like estrogen or testosterone creams may cause early puberty.^{[10]XTrustworthy SourceCleveland ClinicEducational website from one of the world's leading hospitalsGo to source}
Changes in weight can have an impact on the function of the ovaries.^{[11]XExpert SourceRebecca Levy-Gantt, MPT, DO
Board Certified Obstetrician & GynecologistExpert Interview. 3 April 2020.} Children who are overweight, obese, or consume large amounts of high-fat or processed foods tend to start puberty earlier than children with healthy diets and normal weight ranges.^{[12]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}

Section 3 of 5:

How is early puberty impacting Indian children?

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Early puberty can create emotional and social hardships. Breast development, menstruation, and mood swings can be difficult for anyone, but more so for a female at age 7 or 8. Dealing with these bodily changes in addition to acne and body odor can also make them feel self-conscious. This can be a confusing and often embarrassing time for a child, especially if they are viewed or treated differently than other kids their age because of their changing body and moods.^{[13]XTrustworthy SourceAmerican Psychological AssociationLeading scientific and professional organization of licensed psychologistsGo to source}
- Sexual curiosity and urges at a young age are particularly tough to understand and deal with. Females who begin puberty early are more likely to experience depression, substance use, and early sexual behavior.^{[14]XTrustworthy SourceAmerican Psychological AssociationLeading scientific and professional organization of licensed psychologistsGo to source}
Because early puberty causes growth spurts at an early age, Indian females who go through early puberty can be significantly taller than their peers. However, height growth stops when puberty ends, so they may not reach their full height potential and actually end up being shorter than someone who went through puberty later in life.^{[15]XTrustworthy SourceCleveland ClinicEducational website from one of the world's leading hospitalsGo to source}

Section 4 of 5:

Preventing Early Puberty for Indian Girls

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Being exposed to chemicals in perfumes, soaps, shampoos, and cosmetics while in the womb can lead to early puberty. Check ingredient labels on products you use and avoid anything containing phthalates, parabens, and phenols when pregnant.^{[16]XResearch source}
Research shows that children who are breastfed from birth experience puberty up to 6 months later than children who are not breastfed.^{[17]XResearch source}
Keep your children away from medications, creams, and lotions that contain reproductive hormones like estrogen and testosterone. This is the best way to avoid early puberty, as it cannot be prevented in most cases.^{[18]XTrustworthy SourceCleveland ClinicEducational website from one of the world's leading hospitalsGo to source}
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Stay away from endocrine disruptors. Endocrine disruptors found in natural and synthetic products have hormone-like qualities that can contribute to early puberty. Do your best to limit your child's exposure to endocrine disruptors found in cosmetics, dyes, plastics, solvents, cleaning products, pesticides, fungicides, and herbicides.^{[19]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
- Endocrine disruptors include phytoestrogen, organohalogens, phthalates, drugs, heavy metals, and industrial products.
- Use BPA-free plastic, as BPA is an endocrine disruptor that may contribute to early puberty.^{[20]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
- Endocrine disruptors including BPA may also increase your risk of cancer.^{[21]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
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Eat a healthy diet. A healthy, balanced diet can encourage normal pubertal development.^{[22]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source} Encourage your child to eat lots of fruits and vegetables. Limit consumption of fried foods, soft drinks, and animal products.^{[23]XResearch source}
- There is some evidence that early puberty could be related to drinking large quantities of milk.^{[24]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source}
- Contrary to popular belief, studies have found that there’s no connection between consuming soy and early puberty.^{[25]XTrustworthy SourcePLOS ONEOnline peer-reviewed, open access scientific research journalGo to source}
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Maintain a healthy weight. Children that are overweight or obese are more likely to start puberty early.^{[26]XTrustworthy SourcePubMed CentralJournal archive from the U.S. National Institutes of HealthGo to source} If your child is overweight, help them lose weight safely by eating well, staying active, and practicing healthy habits.
- Enroll your kid in an active after-school activity or sport of their choice to maintain a healthy weight.
- Limit the time your child spends doing sedentary activities like watching television, using the internet, or playing video games.

Section 5 of 5:

Supporting Your Child

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Talk to your child about puberty. Sit down and explain to your child what changes they can expect as they go through puberty.^{[27]XExpert SourceRebecca Levy-Gantt, MPT, DO
Board Certified Obstetrician & GynecologistExpert Interview. 3 April 2020.} Let them know that all of this is a normal part of growing up, even if they start puberty early. Be open and honest about what they're going through and answer all of their questions.^{[28]XResearch source}
- It’s important to discuss sexual curiosities or urges your child might experience, as well. They might also be exploring their sexual orientation.
- Make sure that your child knows that menstruation is a totally normal thing and that it isn't anything to be scared of.^{[29]XExpert SourceRebecca Levy-Gantt, MPT, DO
  Board Certified Obstetrician & GynecologistExpert Interview. 3 April 2020.}
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Explain the importance of good health and hygiene. Let your child know that eating healthy, exercising, getting good sleep, and taking care of their body is extremely important. If they understand how their choices affect their mind and body, they'll be more likely to develop healthy habits.^{[30]XTrustworthy SourceFamilyDoctor.orgFamily-focused medical advice site run by the American Academy of Family DoctorsGo to source}
- Model positive habits in your family regarding diet, exercise, substance use, and sexual behavior.
- Help your child develop healthy self-esteem. Teaching them to see their own body in a positive light can protect them from mental health and substance issues.
Teach them how to relieve stress. Increased stress can affect hormone levels, which can in turn affect pubertal development.^{[31]XResearch source} Encourage your child to have healthy outlets for stress, like hobbies, sports, and art. Help them build a support system of friends and loved ones they can connect with.^{[32]XResearch source}