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Premature adrenarche is the most common cause of premature pubarche. Premature adrenarche is when hormones are elevated before the age of 8 to 9 years old. For premature adrenarche to be diagnosed, some conditions must be ruled out such as congenital adrenal hyperplasia, androgen-producing tumors of the adrenals or gonads.[1]

  1. ^ Novello, Laura; Speiser, Phyllis W. (2018). "Premature Adrenarche". Pediatric Annals. 47 (1): e7–e11. doi:10.3928/19382359-20171214-04. ISSN 1938-2359. PMID 29323690.