Commonest cause of precocious puberty
1.Idiopathic
2.Pituitary tumor
3.Benign follicular ovarian cysts
4.Granulosa cell tumor
sol:
Precocious puberty is divided most easily into gonadotropin-dependent and gonadotropin-independent sexual precocity.
Gonadotropin-dependent precocity is almost always pituitary-mediated and so is also termed central precocious puberty.
Gonadotropin-independent precocity, usually a result of a gonadal or adrenal disorder, is also termed peripheral precocious puberty.
Most cases of precocious puberty are gonadotropin-dependent with no underlying abnormality (Idiopathic).
Idiopathic/ constitutional precocious puberty is the most common situation with female precocity.