What are the reasons for premature puberty in girls?

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 she is picked up, she cries, and she also touches herself with her hands. I don't know if there is a problem. Please advise from an expert.
Treatment history and effectiveness: None
Expected help: None

Doctor's answer:

Hello! The situation described in children is not referred to as precocious puberty but should be considered a behavioral disorder called "habitual genital rubbing." "Habitual genital rubbing" mostly 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, staring, or even profuse sweating. It is important to gently redirect their attention and avoid using 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. It is advisable to consult a local gynecologist for evaluation.

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