Children with CAH do not have to suffer early puberty.  In fact, all CAHer’s do not.  My daughter is now 15.  She was diagnosed with CAH at age 3.  She was also screened for Precocious Puberty at that time but the tests were inconclusive. At age 5 she was retested for Precocious Puberty.  Without a doubt, the tests were positive.  She was put on a drug called Depot Lupron - a once a month shot.  It definitely stopped all pubertal development (which we did not want occurring at such a  young age) and allowed her to develop at a more normal rate.  It also allowed for extended growing time.  With precocious puberty she would have stopped growing taller at a much earlier age.  She took the medication (along wtih the Cortef and Florinef for CAH) until she reached 13.  After stopping the Lupron, the body will resume pubertal development.  At age 14 she had her first period. She is now just under 5’3" tall which may have been the maximum height she could have attained if she had not had medical issues. (I am barely over 5 ft and my husband is only 5’7 or 8" tall).  The point is, there are ways to treat for precious puberty to allow a child to develop at a normal rate with his/her peers and to attain as much height as possible.  If you have any questions about the treatment, please feel free to contact me by e-mail at kagee88@comcast.net.  Also, check out the Magic Foundation’s webpage.  They have a great explanation of Precocious Puberty at http://www.magicfoundation.org/divisions/pp.htm.  (Magic is a GREAT organization which has lots of good info about growth disorders.)