If CPP is left untreated
Central precocious puberty can have an impact on growth, development, and the psychosocial well-being of the child.
For untreated children, the long-term outcomes may include short stature, body disproportion, and obesity.
The association between early puberty and negative behavioral outcomes may be due to. 
- Lack of developmental readiness (i.e., children are not prepared for the sudden emotional and increased drive in adolescence)
- Psychological distress caused by developing earlier than their peers
Therefore, early diagnosis and adequate treatment are important to ensure that these children experience normal physical and psychological development. 
- Galván, A. 2017. Puberty. In: The Neuroscience of Adolescence (Cambridge Fundamentals of Neuroscience in Psychology). 1st ed. Cambridge: Cambridge University Press; 2017:21-49.
- Kaplowitz P, Bloch C. Evaluation and referral of children with signs of early puberty. Pediatrics. 2016;137(1):e20153732. doi:10.1542/peds. 2015-3732.
- Fensolvi® (leuprolide acetate) for injectable suspension 45 mg Prescribing Information. Dublin 2, Ireland: Tolmar International, Ltd.; 2020.
- Klein K, Soliman AM, Bonafede M, et al. Health Care Utilization and Economic Burden in Patients with Central Precocious Puberty: An Assessment of the Commercially Insured and Medicaid Populations. J Manag Care Spec Pharm. 2019;25(7):836-846. doi:10.18553/jmcp.2019.25.7.836