Should My 11-Year-Old Daughter Start Herbal Treatment for Growth? - Traditional Chinese Medicine

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11 and a half-year-old girl (sixth grade)


Hello, I am a worried mother.
My daughter is 11 and a half years old (in sixth grade), and she hasn't started her menstrual cycle yet, but she has developed secondary sexual characteristics (pubic hair, breast development, and acne).
Many people suggest that I give her herbal medicine for growth, but others say that it should only be taken after her menstrual cycle begins.
What should I do?

Fanrao de mama, 40~49 year old female. Ask Date: 2007/08/25

Dr. Lin Huanquan reply Traditional Chinese Medicine


Generally, the optimal time for girls to experience growth spurts is between the ages of 10 to 12, with the best effects occurring before the onset of menstruation.
If menstruation has already started, the golden period for growth is approximately three years.
Your daughter is currently at an excellent time for growth.
The appearance of secondary sexual characteristics indicates that menstruation is approaching.
I believe she will likely experience her first menstruation between the years 96 and 97.
It is essential to prepare early, as it will be too late once menstruation begins.
I have attached an article I submitted to the Minsheng Daily, which will provide you with a better understanding of traditional Chinese medicine and its approach to growth.

Reply Date: 2007/08/25

More Info


When considering whether your 11-year-old daughter should start herbal treatment for growth, it's essential to approach this decision with caution and a thorough understanding of her current developmental stage and health. Based on the information you've provided, your daughter is showing signs of secondary sexual characteristics, such as breast development and pubic hair growth, but has not yet started menstruating. This situation raises several important points to consider.

Firstly, the onset of secondary sexual characteristics in girls typically indicates that they are entering puberty. In general, girls can start showing these signs as early as 8 years old, and the average age for the onset of menstruation (menarche) is around 12 years. However, there is a wide range of normal, and some girls may start their periods earlier or later. The presence of secondary sexual characteristics without menstruation is not uncommon and does not necessarily indicate a problem.

Regarding herbal treatments, particularly those aimed at promoting growth or regulating menstrual cycles, it is crucial to consult with a healthcare professional, preferably a pediatric endocrinologist. Herbal remedies can vary widely in their composition and effects, and while some may be marketed as "growth tonics," their efficacy and safety are not always supported by scientific evidence. Additionally, the use of such treatments should be approached with caution, especially in children, as they may have unintended side effects or interact with other medications.

There is a common belief that herbal treatments should only be initiated after the onset of menstruation. This perspective is rooted in the idea that once a girl has started menstruating, her body is more prepared for the hormonal changes that accompany growth and development. However, this does not mean that growth-promoting treatments are ineffective before menarche; it simply highlights the need for careful monitoring and professional guidance.

In your daughter's case, since she has not yet started her period but is showing signs of puberty, it may be beneficial to wait and see if her menstrual cycle begins naturally. Many girls experience irregular cycles in the first few years after menarche, and it is not uncommon for periods to be sporadic or light initially. If her development continues to progress normally, there may be no immediate need for intervention.

If you are concerned about her growth or development, it would be wise to schedule an appointment with a pediatric endocrinologist. They can assess her growth patterns, evaluate her bone age through X-rays, and determine if there are any underlying hormonal issues that need to be addressed. They can also provide guidance on whether any treatments, including herbal remedies, would be appropriate for her specific situation.

In summary, while the idea of using herbal treatments for growth is appealing, it is essential to prioritize your daughter's health and well-being by consulting with a qualified healthcare provider. They can help you navigate the complexities of puberty, growth, and any potential treatments, ensuring that any decisions made are in her best interest. Remember, every child develops at their own pace, and patience, along with professional guidance, is key to supporting her during this important stage of life.

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