Patient's question:
A 1.5-year-old girl frequently performs actions similar to adult masturbation: for example, when she is lying down, she keeps rubbing vigorously; when picked up, she cries and also touches herself with her hands. I don't know if there is any problem. Please advise from an expert.Treatment history and effectiveness: None
Desired help: None
Doctor's answer:
Hello! This condition in children is not referred to as precocious puberty but should be considered a behavioral disorder called "habitual genital rubbing." Habitual genital rubbing typically occurs during sleep or upon waking, lasting several minutes, and may even be done secretly to avoid adult interference. During episodes, the child may exhibit flushed cheeks, fixed gaze, or even profuse sweating. It is important to gently guide and divert their attention, avoiding punishment, scolding, or ridicule. Engaging in physical activity for a certain period before bed can help the child fall asleep more quickly once they are in bed. Avoid dressing the child in excessive layers or making them too hot, and ensure their underwear is not too tight—wider and longer is preferable. For girls, it is essential to rule out any inflammation or discomfort in the external genital area, and it is advisable to consult a local gynecologist.