26 doctors weighed in:

Is menstruation in my daughter at the age of nine considered precocious puberty?

26 doctors weighed in
Dr. Gerard Honore
Fertility Medicine
12 doctors agree

In brief: No

Menstruation before age 8 is precocious puberty in girls, so 'no.
' normally other pubertal changes - breast-budding, pubic hair growth, axillary hair - also occur before menarche. This is just a generalization; if any doubt, absolutely consult her pediatrician.

In brief: No

Menstruation before age 8 is precocious puberty in girls, so 'no.
' normally other pubertal changes - breast-budding, pubic hair growth, axillary hair - also occur before menarche. This is just a generalization; if any doubt, absolutely consult her pediatrician.
Dr. Gerard Honore
Dr. Gerard Honore
Thank
Dr. Vered Lewy-Weiss
Pediatrics - Endocrinology
4 doctors agree

In brief: Likely yes

Precocious puberty is defined in girls when breast development begins before 8 years- old.
The average female starts mentruation around age 12 or so. When periods begin at age 9 it is likely that breast development started before 8.

In brief: Likely yes

Precocious puberty is defined in girls when breast development begins before 8 years- old.
The average female starts mentruation around age 12 or so. When periods begin at age 9 it is likely that breast development started before 8.
Dr. Vered Lewy-Weiss
Dr. Vered Lewy-Weiss
Thank
Dr. Cayce Jehaimi
Pediatrics - Endocrinology
4 doctors agree

In brief: Not too early but

The average age of first menses (called menarche) in girls in the USA has not changed for the last two decades or so, averaging about 12.
5yrs. In your daughter's case, there could be several reasons why she developed menses early one of which is family history. Obesity and prematurity can also be contributing factors. I would schedule an appt with an endocrinologist to discuss the various options.

In brief: Not too early but

The average age of first menses (called menarche) in girls in the USA has not changed for the last two decades or so, averaging about 12.
5yrs. In your daughter's case, there could be several reasons why she developed menses early one of which is family history. Obesity and prematurity can also be contributing factors. I would schedule an appt with an endocrinologist to discuss the various options.
Dr. Cayce Jehaimi
Dr. Cayce Jehaimi
Thank
Dr. Samuel Freedman
Pediatrics
2 doctors agree

In brief: Precocious puberty

Yes - if she started signs of development before 8 years old.
Usually the onset of menarche implies development starting 2 years prior minimally.

In brief: Precocious puberty

Yes - if she started signs of development before 8 years old.
Usually the onset of menarche implies development starting 2 years prior minimally.
Dr. Samuel Freedman
Dr. Samuel Freedman
Thank
Dr. James Ferguson
Pediatrics
2 doctors agree

In brief: Possibly

The earliest signs of puberty in females is breast buds at 7-13 and menses is generally expected 2-2&1/2 yrs later, with a range of 9-16yr. A bone maturity study(xray) often shows the childs bones are more mature than expected for the childs age.
Approximately 2-2&1/2inches more height is expected after menses. Discuss your concerns with your doctor to see if extra studies are needed.

In brief: Possibly

The earliest signs of puberty in females is breast buds at 7-13 and menses is generally expected 2-2&1/2 yrs later, with a range of 9-16yr. A bone maturity study(xray) often shows the childs bones are more mature than expected for the childs age.
Approximately 2-2&1/2inches more height is expected after menses. Discuss your concerns with your doctor to see if extra studies are needed.
Dr. James Ferguson
Dr. James Ferguson
Thank
Dr. Patricia Vuguin
Pediatrics

In brief: Yes

Needs to be evaluated.

In brief: Yes

Needs to be evaluated.
Dr. Patricia Vuguin
Dr. Patricia Vuguin
Thank
Read more answers from doctors