Understanding Early Breast Development in Young Girls: A Pediatric Guide
A first-grade elementary school girl has a hard lump in her breast? Hello, doctor. I have an urgent question to ask: My daughter, who is in the first grade, has a hard lump in her breast that we noticed earlier. We took her to see a doctor, but the doctor said it is a normal phen...
Dr. Cai Zhengxian Reply:
Dear anxious mother, This is Dr. Tsai Cheng-Hsien, attending physician in the Pediatrics Department at Tainan Municipal Hospital. The process by which children undergo physiological changes and physical development to become reproductively capable adults is known as puberty. The...[Read More] Understanding Early Breast Development in Young Girls: A Pediatric Guide
Understanding Pediatric Phimosis: When to Consider Surgery?
The child's glans is not protruding..? For a 4-year-old child whose glans penis cannot be exposed due to phimosis, is circumcision necessary? He has no issues urinating. Another child, aged 3, exhibits behaviors similar to adult masturbation; is this normal?
Dr. Cai Zhengxian Reply:
Dear Mom, Circumcision surgery in children requires general anesthesia, so it must be approached with special care and caution. There are two situations that necessitate surgery: 1. A tight foreskin that obstructs urine flow, causing the foreskin to balloon during urination, res...[Read More] Understanding Pediatric Phimosis: When to Consider Surgery?
Understanding Delayed Puberty: Concerns and Insights for Young Adults
Pubertal Growth and Development Hello Doctor, 1. I am currently 23 years old, born in the Year of the Pig. I have some concerns regarding my growth and development during puberty. My height is approximately 168 cm and my weight is 70 kg. To describe myself from head to toe: I h...
Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the Chief of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to your inquiry: You mentioned several concerns, one regarding secondary sexual characteristics, including facial hair, Adam's apple, voice changes, armp...[Read More] Understanding Delayed Puberty: Concerns and Insights for Young Adults
Understanding Early Menstruation in Young Girls: Treatment Options and Concerns
Menarche Hello, doctor: My daughter just turned 10 years old in November and is currently in the fourth grade. We discovered that she started menstruating, and after an examination, her bone age was determined to be 12 years old. The ultrasound results were normal, confirming tha...
Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the Director of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to a concerned mother regarding her 10-year-old daughter who has started menstruating and has a bone age of 12 years. This issue can be addressed from two pe...[Read More] Understanding Early Menstruation in Young Girls: Treatment Options and Concerns
Understanding Labial Adhesions in Infants: Concerns and Care
Labial adhesion in a nine-month-old baby? Hello, doctor. My daughter is currently nine months old. Recently, she had a fever and was taken to the hospital for examination, where we unexpectedly discovered that her labia were fused. The doctor manually separated the labia and pres...
Dr. Cai Zhengxian Reply:
Dr. Tsai Cheng-Hsien from Tainan Municipal Hospital's Pediatrics Department responds: Dear concerned mother, infant labial adhesion, strictly speaking, refers to "labial fusion," which commonly occurs in girls under three years old and is often discovered during ro...[Read More] Understanding Labial Adhesions in Infants: Concerns and Care
Understanding Puberty: Key Changes and What to Expect in Adolescence
Puberty Puberty is the developmental stage during which a child's body matures into an adult body capable of sexual reproduction. This process involves a series of physical, hormonal, and emotional changes, typically occurring between the ages of 9 and
Dr. Lin Huizhen Reply:
Dr. Lin Huizhen from the Tainan Hospital of the Department of Health, Executive Yuan, responds to Lanlong: For girls, this means transitioning into a true female. This process typically begins between the ages of 10 and 14, when the reproductive organs (ovaries) start to mature u...[Read More] Understanding Puberty: Key Changes and What to Expect in Adolescence
Excessive Hair Growth in 3-Year-Old: Is It Precocious Puberty?
A 3.5-year-old child has a lot of hair on their hands and feet? My 3.5-year-old son has recently developed a lot of hair on his hands and feet. Could this be a sign of precocious puberty, or is it hereditary? Are there other reasons for him to have such hair growth at such a youn...
Dr. Gu Qingxian Reply:
Hirsutism is associated with excessive production of male hormones from the ovaries or adrenal glands, and it is advisable to undergo a detailed examination at a major hospital.[Read More] Excessive Hair Growth in 3-Year-Old: Is It Precocious Puberty?
Understanding Precocious Puberty: Concerns for Your Daughters' Growth
Precocious puberty issues? Hello Dr. Liang, I am currently residing in Indonesia and have two daughters, one aged nine and the other aged six. My eldest daughter began breast development around seven and a half years old and started her first menstruation at nine years old. She h...
Dr. Liang Hongjian Reply:
Hello: Due to improved nutrition compared to the past, there is a trend of earlier onset of secondary sexual characteristics in children. However, your daughter's onset of menarche at the age of 9 is relatively early. You may want to consult a pediatric endocrinologist to as...[Read More] Understanding Precocious Puberty: Concerns for Your Daughters' Growth
Concerns About Early Puberty and Growth Stagnation in Girls
Developmental issues in young girls? Hello Dr. Zhao, my daughter is currently in the sixth grade. She started developing and got her first period in the second semester of fourth grade, at which time she was 148 cm tall. Now, in sixth grade, her height is still 148 cm. Before fou...
Dr. Zhao Yongkang Reply:
Hello Billy Hsu, You can bring your child to see a pediatric endocrinologist for growth hormone or related endocrine evaluations to determine the underlying cause. Our hospital has a pediatric endocrinology clinic, and Dr. Niu Daoming sees patients on the afternoon of the second...[Read More] Concerns About Early Puberty and Growth Stagnation in Girls
Understanding Growth Spurts During Male Puberty: What to Expect
Development during Puberty During puberty, boys typically begin to experience a rapid growth spurt approximately 1 to 2 years after the onset of secondary sexual characteristics, such as the development of pubic hair. This growth spurt can last for about 2 to 3 years, after which...
Dr. Zhao Yongkang Reply:
Hello Mr. Pig: Generally, boys enter puberty between the ages of 9 and 13, although this can vary from person to person. Once puberty begins, both weight and height will increase rapidly, with a significant growth spurt occurring between the ages of 14 and 16. After the age of 17...[Read More] Understanding Growth Spurts During Male Puberty: What to Expect
Will I Still Grow Taller? Understanding Puberty and Height Growth
Height!! I was born in 1983, and I entered puberty in the third year of junior high school. It wasn't until recently (now in my third year of high school) that I started to develop armpit hair, and I have not yet experienced a noticeable change in my voice. I am currently 16...
Dr. Shi Zhongxian Reply:
(1) You are currently over seventeen years old, and theoretically, you still have the opportunity to grow taller until you reach twenty. However, this is closely related to your parents' height; if your parents are not tall, the chances are smaller. (2) Your secondary sexual...[Read More] Will I Still Grow Taller? Understanding Puberty and Height Growth