At the age of nine, is having menstruation considered early puberty?

Patient's question:

My child was born in January 2004.
They have never been breastfed and have been drinking formula (up until kindergarten). Currently, they are a bit picky about food, but everything else is normal. At 8 and a half years old, they began developing breasts. In the past few months, they have had sparse pubic hair, and now at 9 years and 10 months, they have recently started menstruating (October 29, 2013). The flow is quite heavy. There are no discomforts or pains. Is this considered early puberty? Their current height is 147 cm, and they weigh 35.5 kg.

Doctor's answer:

Hello, mild precocious puberty can be treated with traditional Chinese medicine such as Zhibai Dihuang Wan, Dayin Bupian, and other decoctions. For moderate to severe and true precocious puberty, progesterone and gonadotropin-releasing hormone drugs can be used under the guidance of a doctor. There are many causes of pediatric endocrine diseases. If a child is diagnosed with a pediatric endocrine disease, parents need to cooperate with the doctor to treat it promptly, cooperate with gastrointestinal decompression, and develop good hygiene habits. The child needs a balanced diet and should avoid stimulating and cold foods.

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