Growth attenuation is an elective medical treatment which involves administering
estrogen
Estrogen (also spelled oestrogen in British English; see spelling differences) is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three ...
to cause closure of the
epiphyses
An epiphysis (; : epiphyses) is one of the rounded ends or tips of a long bone that ossify from one or more secondary centers of ossification. Between the epiphysis and diaphysis (the long midsection of the long bone) lies the metaphysis, inc ...
of the
bone
A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...
s (
Epiphyseal plate
The epiphyseal plate, epiphysial plate, physis, or growth plate is a hyaline cartilage plate in the metaphysis at each end of a long bone. It is the part of a long bone where new bone growth takes place; that is, the whole bone is alive, with ma ...
s), resulting in a reduced adult height. Since the 1960s this treatment has been performed primarily on children growing toward an adult height considered unacceptably excessive by their parents and doctors. The cultural consensus of what is considered an excessive height justifying treatment has differed in Europe and North America and has risen over the last 4 decades.
Most of the children treated have been girls, with larger numbers treated in Europe than in North America. The height considered unacceptable by parents and doctors has become substantially taller over the last few decades. Very few boys have ever been treated for excessive tallness in North America, but this also has been done more often in Europe. Growth attenuation treatment has caused some controversy with news of the
Ashley Treatment
The Ashley Treatment refers to a controversial set of medical procedures performed on an American child, "Ashley X". Ashley, born in 1997, has severe developmental disabilities due to static encephalopathy; she is assumed to be at an infant le ...
administered to a developmentally disabled girl.
This has been criticised as denying the human rights of disabled people.
References
Medical treatments
Pediatrics
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