<unk>  is defined as the development of secondary sexual characters before the age of eight in females and nine in males. The causes of<unk>  are numerous and it can range from being a variant of normal development to severe life-threatening cause (eg; germ cell tumor). Physicians should differentiate central and peripheral causes of<unk>  and determine the need for treatment.
Precocious puberty
Delayed puberty
Pubertal delay
Hypogonadism
Hyperprolactinemia
Hirsutism
Infertility
Hyerthyroidism