Puberty is called precocious in African American girls if they develop breasts before they are 5 or 6 years old. It is called precocious in Caucasian girls if they develop breasts before they are 6 or 7 years old. Precocious puberty is much more common in girls than it is in boys.
African American and Caucasian boys both start puberty at about 9 years old. Puberty is called precocious for them if they begin sexual changes before this time.
Children with CPP grow quicker than normal. Children with isolated, partial forms of precocious puberty, on the other hand, usually grow normally. In male CPP, the testicles enlarge before the penis begins to enlarge. In PPP, the penis grows much larger than the testicles.
Mental development is usually the same as other children their age. Mood swings are not uncommon, but serious psychological problems are unusual.
Other special conditions that may be seen include the following: