“Is it necessary to bring my child to an endocrinologist?”

More important to talk to your pediatrician or GP who knows your child and your family. Looking at height and weight information and making sure they are being plotted on standard charts and there is no deviation present. Good and detailed list of usual questions about general health also important. There are also staging of puberty, brast and pugic hair patterns, menstrual history in addition to growth that suggests either normal or problems related to timing of puberty. Some questions about family patterns of early, on-time or late puberty and family heights are also important to assess. If all these are unremarkable, then no reason to question puberty means no need for an endocrinologist. If there is some question of deviation by history or exam or family history/risks, then some endocrine evaluation may be needed. If your pediatrician or GP is comfortable, they may be able to do some lab and bone age xray screening about growth and pubertal development. Stuart Brink, MD Senior Endocrinologist, New England Diabetes & Endocrinology Center (NEDEC) c/o NEDEC, 196 Pleasant Street, Newton Centre MA 02459-1815, USA phone 1-781-572-4533, e-mail: stuartbrink@gmail.com

It depends how old your daughter is and if she has medical problems. If she started puberty after the age of 8 years and there are no medical concerns she doesn't need to see an endocrinologist. You may see your primary care physician for regular visit and discuss it with the doctor. But if she have a medical problem or your child have precocious puberty (puberty before age of 8 years) or if your child have developmental issue, your primary care physician need to refer you to an endocrinologist for further evaluation. But simply starting normal puberty without any other medical problem is not a reason to see an endocrinologist.
Good luck

Yes, an endocrinologist can help you to determine if she has precocious puberty.

Start with your primary care doctor first.