Concerns About Early Menstruation and Height Growth in Young Girls

My daughter has started her period, and I'm worried that starting so early might affect her growth?

I would like to ask about my daughter, who is in the fourth grade and has started menstruating.
Friends say that girls who get their period early will not grow taller than 10 centimeters afterward.
Her father is concerned that she might have excess hormones, which could be why she started menstruating early, and he wants me to take her for an examination (my daughter is 142 cm tall and weighs 50 kg).
However, when I asked our family doctor, he mentioned that children are developing earlier nowadays, and it is common for girls to start menstruating around the third to fourth grade.
I would like to know if I should take her to see a doctor or if I should just let it be.
Her father is worried about her future height; is there anything that can be done? Is it necessary to see a traditional Chinese medicine practitioner for treatment?

Xu, 30~39 year old female. Ask Date: 2010/05/21

Dr. Cai Yonglong reply Obstetrics and Gynecology

Dear Dr.
Tsai Yong-long of the Tainan Hospital, Department of Obstetrics and Gynecology,
Hello.
The onset of menstruation in girls aged 9 and 10 is considered precocious puberty, whereas it is typically expected to begin in the 5th or 6th grade of elementary school or in the 1st or 2nd year of junior high school.
It is advisable to take them to see a doctor; otherwise, early closure of the growth plates can affect their future height.
Possible interventions by the doctor may include: 1.
Encouraging more physical activity, adequate sleep, and increased calcium intake during this period to maximize growth.
2.
The doctor may consider administering growth hormone, so please consult with a specialist in obstetrics and gynecology or pediatrics.

Wishing you good health and all the best from the Tainan Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2010/05/21

More Info

Concerns about early menstruation and its impact on height growth in young girls are quite common among parents. Your daughter's early onset of menstruation at the fourth grade is indeed a topic that warrants attention, especially considering the various factors that can influence growth and development during this critical period of adolescence.

Firstly, it is essential to understand that the onset of menstruation, known as menarche, typically occurs between the ages of 9 and 16, with the average age being around 12. In recent years, there has been a trend towards earlier menarche, which can be attributed to several factors, including genetics, nutrition, and environmental influences. Your daughter's experience of starting her period at a young age falls within the range of what is considered normal, although it may be on the earlier side.

Regarding the concerns about height growth, it is a common belief that girls who start menstruating early may not grow as tall as their peers. This belief stems from the fact that the growth plates in the bones close after puberty, which can limit further height increase. However, it is important to note that while early menstruation can be associated with a shorter growth period, it does not automatically mean that your daughter will not grow significantly taller. Many factors influence final adult height, including genetics, nutrition, and overall health.

In your daughter's case, her current height of 142 cm and weight of 50 kg suggest that she may be experiencing a normal growth pattern for her age. It is crucial to monitor her growth over time, as children often have growth spurts at different stages. Regular check-ups with a pediatrician can help track her growth and ensure that she is developing appropriately.

If you have concerns about your daughter's hormonal levels or overall health, it may be beneficial to consult with a pediatric endocrinologist. They can conduct assessments to determine if there are any underlying issues contributing to her early menstruation or growth patterns. Tests may include measuring hormone levels and assessing bone age through X-rays to see if her growth plates are closing prematurely.

As for the idea of seeking traditional Chinese medicine (TCM) for "regulating" her body, it is essential to approach this with caution. While TCM can offer supportive therapies, it is crucial to ensure that any treatment is evidence-based and conducted under the guidance of a qualified healthcare professional. It is always advisable to discuss any alternative treatments with your primary care physician to ensure they are safe and appropriate for your daughter.

In summary, while early menstruation can raise concerns about height growth, it does not definitively determine your daughter's final height. Regular monitoring, a balanced diet rich in essential nutrients, and maintaining an active lifestyle are vital for her overall health and growth. If you have ongoing concerns, consulting with a healthcare professional who specializes in pediatric growth and development can provide you with the guidance and reassurance you need.

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