Is leg-hugging a sign of precocious sexuality?

Patient's question:

My daughter is four years old this year. For a year, she has been dislikes crossing her legs for no reason. It takes nearly half an hour each time, with her face turning red and sweating all over. I asked her why she does this, and she said it feels comfortable, adding that it feels comfortable down there. I've tried persuading her and even spanked her, but nothing has worked. I want to know if this will have any impact on her in the future. Is it a sign of early sexual development?

Doctor's answer:

The clitoral rubbing syndrome falls within the realm of child psychology and is also a form of masturbation (sex) in children. The clitoral rubbing syndrome itself is not a manifestation of precocious puberty in children but rather a habit. It may initially be triggered by discomfort in the perineal area, such as eczema, itching, or pinworms, followed by a pleasurable experience that reinforces the behavior. Parents should not display anxiety or tension, nor should they scold or punish the child for this behavior.

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