What are the signs of precocious puberty in a four-year-old girl?

Patient's question:

My daughter is four years old. Recently, I've noticed she keeps touching her private area with her hands. There was also a time when she rubbed her vagina against a plush toy, mimicking adult sexual positions. Neither my husband nor I have ever had sex in front of her. What could be going on?

Doctor's answer:

Hello, this situation is usually a case of shin syndrome, which is an early psychological manifestation. Generally, it is not necessary to deliberately correct the child, to shout at the child, to dress the child in loose clothing, or to distract the child's attention. Overall, it is not bad! It is necessary to take the child to see a doctor for examination, as it may be caused by factors such as perineal itching and pain. If it is vulvitis, in addition to treatment, medication should be used, and the child should be bathed to keep the skin clean and dry.

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