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Menarche issue
My daughter got her first period yesterday.But as I know,there are certain body changes should be there before menarche.She has a bit breast development but no underarm and pubic hair yet.is it normal to have first period without pubic hair and auxiliary hair?Please suggest
Answers (5)
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This is called precocious puberty
She will need detailed evaluation with a Pediatric endocrinologist to look for the cause and manage the same
Next Steps
Reassure your child, follow healthy diet and hydration
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Do not delay the consultation
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once physically to nearby endocrinologist
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Dr. Prathibha Reddy
Pediatrician
12 yrs exp
Hyderabad
Seems to be precocious puberty . Consult paediatric Endocrinologist.
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Dr. Anjali Maini
Pediatrician
33 yrs exp
Gurgaon
Breast development before 8 years and menarche before 9.5 years is considered premature (precocious )
I agree that a normal sequence involves other changes like public hair and axillary hair and a significant breast development and this is away from normal
I will advise you to check with a pediatric endocrinologist. Check up is required to ascertain there is no local injury/ foreign body
We will like to check for associated growth spurt and bone age in such cases, do an ultrasound of uterus and ovaries if required and do some basic blood tests like estradiol, LH, FSH, TSH as the case after a physical examination
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
While the typical sequence of puberty involves breast development followed by pubic and underarm hair before menstruation, there can be variations. It is not unheard of for a girl to get her first period with minimal or no pubic/underarm hair development. However, at 9 years old, this is considered on the earlier side for menarche. It would be advisable to consult with a pediatrician for a proper evaluation to ensure everything is within expected parameters for her age and developmental stage.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.