The signs of CPP are the same as for “normal” puberty: breast development (and, rarely, menstruation) begins in girls, while the penis and testicles enlarge and develop in boys. Other signs may include:
- Appearance of pubic and underarm hair
- Sudden growth spurt
- Acne/oily skin
- Facial hair and a deepening voice in boys
- Changes in mood—what people think of as “teen attitude” or adolescent moodiness
