So after a series of medical consultations, the Carters (all
these names have been changed at the families' request) put
Sharon on lupron, a hormone that slams the brakes on puberty--only
to see their happy little girl go into terrible mood swings.
"I had a child acting like she was in menopause," says Carter.
The parents decided to stop the treatment, and by age 9, Sharon
had full-blown breasts and was getting her period.
Laura Stover took her daughter Karen to a specialist when
the girl began growing pubic hair at age 5. The doctor put
Karen through a battery of blood tests to rule out ovarian
tumors (which can force glands to churn out puberty-triggering
hormones). But there was no apparent medical problem, and
by age 8, Karen had full pubic growth. "We didn't allow her
to go to any slumber parties," says Stover. "Or to change
bathing suits in front of other children."
Cecilia Morton, in Santa Maria, Calif., has not one but two
daughters who developed early. Clara, now 13, started sprouting
breasts and pubic hair when she was 8 and began menstruating
a year later, at summer camp. Says her mother: "It was scary
and embarrassing because the girls in her cabin didn't have
their periods yet." Then Clara's little sister Susan, a kindergartner,
began developing at the same time. Although Susan's tests
were normal, Morton put her on hormone treatments. "We already
see how men look at Clara," she says. "If my younger one didn't
have the medication, I can't even imagine the problems we'd
be having."
If these were isolated cases, they might be chalked up to
statistical flukes. But it seems as if everywhere you turn
these days--outside schools, on soccer fields, at the mall--there
are more and more elementary schoolgirls whose bodies look
like they belong in high school and more and more middle schoolers
who look like college coeds. "Young girls [in the 5-to-10-year-old
range] with breasts or pubic hair--we encounter this every
day we're in clinic," says Dr. Michael Freemark, chief of
pediatric endocrinology at Duke University Medical Center
in Durham, N.C.
It's as if an entire generation of girls had been put on
hormonal fast-forward: shooting up, filling out, growing like
Alice munching on the wrong side of the mushroom--and towering
Mutt and Jeff-like over a generation of boys who seem, next
to the girls, to be getting smaller every year (see box).
What's going on? Is it something in the water? That's a possibility.
Scientists think it may be linked to obesity, though they've
also proposed a witches' brew of other explanations, from
chemicals in the environment to hormones in cow's milk and
beef. But the truth is that all anyone knows for certain is
that the signs of sexual development in girls are appearing
at ever younger ages. Among Caucasian girls today, 1 in every
7 starts to develop breasts or pubic hair by age 8. Among
African Americans, for reasons nobody quite understands, the
figure is nearly 1 out of every 2.
Even more troubling than the physical changes is the potential
psychological effect of premature sexual development on children
who should be reading fairy tales, not fending off wolves.
The fear, among parents and professionals alike, is that young
girls who look like teenagers will be under intense pressure
to act like teenagers. Childhood is short enough as it is,
with kids bombarded from every direction by sexually explicit
movies, rock lyrics, MTV videos and racy fashions. If young
girls' bodies push them into adulthood before their hearts
and minds are ready, what will be forever lost?
The danger, as authors Whitney Roban and Michael Conn pointed
out in a report for the Girls Scouts of America called Girls
Speak Out, is that the stages of childhood development--cognitive,
physical and emotional--have got out of synch. Roban and Conn
call this "developmental compression" and pepper their study
with poignant quotes from girls struggling to cope with pressures
they are ill equipped to handle. "Boys," complains a fourth-grader
in their report, "are gaga over girls with breasts."
In retrospect, pediatricians and psychologists say, there
have been hints for the past decade or so that something strange
was going on. But it wasn't until 1997 that anyone put her
finger on it. That's when Marcia Herman-Giddens, now an adjunct
professor at the University of North Carolina School of Public
Health, published her famous paper in the journal Pediatrics.
Herman-Giddens noticed in her clinical work that more and
more young girls were coming in with breasts and pubic hair.
Intrigued, she launched a major study of 17,000 girls to get
a statistical handle on the problem. >>MORE
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