Is it precocious puberty that my daughter, who is 9 and a half years old, has her menstrual period?

Patient's question:

Half of eighteen-year-old daughter, half of ninety-eight years old, has her period, is it precocious puberty? Now she is 1.45 meters tall, can she still grow taller? Hope the doctor can answer my question above, should I see a doctor?

Doctor's answer:

Generally speaking, when a woman experiences menstruation again, it indicates the maturity of sexual development. If menstruation reappears at this age, it may be a case of precocious puberty. Girls with precocious puberty have a very low chance of growing taller once menstruation resumes. 1 In your case, it is recommended to see an endocrinology specialist. 2 You will need a thorough examination of growth hormone and sex hormone levels, as well as an evaluation of the growth plate to assess whether you can still grow taller.

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