Story perspectives
Puberty Starting Earlier: Causes and New Guidelines Ahead
1/22/2026
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Story summary
- Puberty is starting earlier worldwide, with the average age at menarche dropping from about 16–17 years in the 1840s to about 12 years today.
- Rising obesity, exposure to hormone-disrupting chemicals, and psychological stress are linked to this earlier puberty.
- The Endocrine Society plans to release guidelines in 2026 to address treatment for early puberty.
- The trend has prompted increased referrals for precocious puberty, particularly during the COVID-19 pandemic.
