A nine-year-old girl has menstrual bleeding only when she has a bowel movement. Is there no bleeding otherwise?

Patient's question:

Nine-year-old girl, has menstruation, bleeding only during bowel movements, no bleeding otherwise. Went to the doctor for a check-up, here is the report. The doctor couldn't determine the cause. I want to ask why the ovaries develop? How should it be regulated?

Doctor's answer:

Constipation is related to intestinal dysfunction, or it may be related to intestinal motility and imbalance of gut microbiota. If you haven't had a bowel movement for a long time, it is recommended to take a sedative. Massage your abdomen and eat probiotics. Regulation is also a key part of dietary regulation, drink more water, and eat more fiber-rich foods. If you are unsure, you can ask again. Hello, according to the situation you described. It is best to take the baby to the pediatric endocrinology department of a hospital at the provincial level or above for examination, to check the baby, check the sex hormones, and see if the baby is precocious.

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