Treating Central Precocious Puberty

Before any treatment starts, your child’s doctor needs to perform several medical tests to be sure your child has central precocious puberty (CPP).

The diagnostic tests begin with a complete medical history and a physical examination. Your child may be given some or all of the following tests1:

  • Hand/wrist x-ray—to assess whether the bones have maturing early and their rate of progression
  • Blood tests—to check the levels of different hormones
  • GnRH stimulation test—to determine if pituitary sex hormones are at pubertal levels
  • Pelvic and adrenal ultrasound—to assess the size of the ovaries, testicles, adrenals
  • Magnetic resonance imaging (MRI) or computer assisted tomography (CAT) scan of the head—to establish whether the hypothalamus and pituitary gland are normal

Next: Your Child's Doctor

References:
1. Antoniazzi F, Zamboni G. Central precocious puberty: current treatment options. Paediatr Drugs. 2004;6(4):211-231.

Indication

SUPPRELIN® LA (histrelin acetate) subcutaneous implant is used for the treatment of children with central precocious puberty (CPP).

Important Safety Information

  • SUPPRELIN LA should not be used by women who are or may become pregnant, and in patients who are allergic to gonadotropin releasing hormone (GnRH) or GnRH agonist analogs. Safety and effectiveness in children under 2 years of age has not been determined.

  • SUPPRELIN LA, like other GnRH agonists, may cause a temporary increase in the blood levels of specific hormones associated with the onset of puberty (estrogen in girls and testosterone in both sexes) during the first week of treatment. This increase may temporarily worsen puberty symptoms during the first week, additionally, you may see new symptoms appear during this period. Within the 4 weeks of treatment with SUPPRELIN LA, hormonal suppression generally occurs and the physical signs of puberty should decrease.

  • Your doctor should monitor the levels of specific hormones associated with puberty progression, 1 month after starting SUPPRELIN LA and then every 6 months thereafter. Every 6-12 months, height and bone age should be also monitored by your doctor.

  • During the clinical trial testing of SUPPRELIN LA, the most common side effects involved the implant site and included temporary bruising, pain, soreness, redness of the skin and swelling.

Please talk with your doctor for more information or if you have any questions.