A Parent’s Guide: What to Expect When Your Daughter Has Her First Menstruation

2023-10-19 02:05:35

“First menstruation” is an important physiological development for girls, and it also symbolizes the arrival of puberty. At what age is it normal to have first menstruation? What should parents pay attention to? Qiu Qiaofan, a pediatric endocrinology and genetics physician at Linkou Chang Gung Memorial Hospital, compiled the common questions about children’s growth and development in the book “The Journey of Growth”, answered parents’ concerns, and corrected wrong Internet myths. The following is an excerpt from the original book:

School has started. Xiaoting, who has just entered the fifth grade of elementary school, suddenly felt a warm feeling under her pants in the middle of class. She hurried to the bathroom and saw a pool of blood under her pants. The girl panicked. It turned out to be her first period. Got it! Xiaoting’s mother also found it difficult to accept the sudden and shocking news.

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I am worried that my child is not mentally prepared to face menstrual cramps every month in the future, and I am also worried that my child will never grow taller because of this! At what age is it normal to have your first period? What should parents pay attention to when a girl starts menstruation?

Further reading:
Stop telling your adolescent children that “appearance is not important”!Psychologists teach 4 tips to help children build confidence

What is “first menstruation”?

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“Menarche” refers to the first menstrual period in a girl’s life. Menarche means that a girl’s pubertal development has entered a later stage; it means that the girl’s “hypothalamus-pituitary-ovary system” has reached a certain maturity and established cyclic hormonal changes. It also means that the uterus has matured and As hormonal changes occur, the endometrium thickens and peels off, causing “menstrual cramps.” “Menarche” means that a little girl has transformed into a little woman and is about to have the ability to give birth to the next generation.

At what age is it normal to have your first period?

According to research statistics, the average age of menarche falls between 11.5 and 12.5 years old. Generally speaking, the age of first menstruation falls within the normal range of 10 to 15 years old. A normal girl’s pubertal development sequence usually starts with breast development. After 2 to 3 years, when the breasts develop to about the fourth stage of maturity, menopause will occur.

Before menarche, some girls will experience vaginal discharge. Therefore, vaginal discharge can be regarded as a precursor to menstrual cramps. If you find that a girl starts to have vaginal discharge, it is almost time to take precautions, prepare sanitary napkins and teach the girl the correct way to use sanitary napkins.

If there is no secondary sexual characteristics (such as breast development, pubic hair development, etc.) and vaginal bleeding occurs, you need to pay attention to whether you have suffered sexual assault, vulvar injury, genital tumors, or abnormal blood coagulation. If secondary sexual characteristics appear before the age of 8 and menstruation occurs before the age of 10, it is called “precocious puberty”. If a person is over 13 years old and has not yet developed any secondary sexual characteristics, it is called “late puberty”. If the first menstrual period is over 15 years old and still does not occur, it is called “primary amenorrhoea”.

In all of the above situations, you should take your child to the “Pediatric Endocrinology Department” as soon as possible for further examination.

Further reading:
If you want to grow taller during adolescence, it may be too late. Doctor: The key is to do the first height potential test at this age.

The year before menarche is usually the peak growth period for girls during puberty. After the onset of menstruation, the growth rate is much slower than before. About 2 to 3 years after the first menstruation, the growth plates are almost completely closed, and the final height is determined. Therefore, most girls will still grow taller after menarche.

Will I stop growing taller after my first period?

Is first menstruation normal for children?

A normal menstrual cycle lasts about 28 days. Due to the immaturity of the “hypothalamus-pituitary-ovary system” in adolescent girls, the cycle may be slightly shorter or longer. It is a common natural phenomenon that the menstrual cycle will be slightly irregular within the first 3 years after menstruation. Generally speaking, the interval between two menstrual cycles is 21 to 45 days, which is within the normal and acceptable range. A menstrual cycle lasts approximately 3 to 7 days.

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Normal menarche and normal menstrual cycle mean that girls have normal hypothalamus and pituitary gland functions, sound female reproductive organ structures (including uterus, ovaries, vagina, etc.), good nutritional status, and a healthy body (No other serious systemic diseases). Therefore, the “menstrual cycle” is also called the “fifth vital sign” of a woman (other vital signs refer to: body temperature, heartbeat, blood pressure, breathing rate).

What preparations should I make for my daughter’s first period?

When faced with the onset of menstruation, it is inevitable for little girls (even new mothers) to panic. At this time, the mother should calm down first and stand firm. As long as a girl gets her first period at the appropriate age, there is no need to worry too much.

Fathers and mothers should accompany their daughter first and let her know that it is normal to have menstruation at this time, and this situation may last for 3 to 7 days and will come periodically. At the age of menarche, girls should prepare sanitary napkins, menstrual pants, spare underwear and outer pants.

Sanitary napkins: It is recommended to prepare “single-use” “winged”, “normal daily use type” and “night use multiple type” sanitary napkins. Sanitary napkins with wings: allow the sanitary napkin to be fixed more firmly on the underwear to avoid leakage or loosening and shifting. Suitable for little girls who have just started menstruation and are new to using sanitary napkins. General-sized sanitary napkins for daily use: girls can use them while going to school during the day. Even if the amount is not large, it is recommended to change them at least every 2 to 3 hours to avoid bacterial growth and infection. Multi-type sanitary napkins for night use: girls can use them on days when the amount is heavy and at night to avoid the troublesome situation of external leakage or side leakage. Menstrual pants: Menstrual pants are underwear specially designed for women during their menstrual period. In addition to the special material that is not easy to leak, it also makes sanitary napkins more conformable to menstrual pants and skin. Some styles even have an inner design that can fix the wings of sanitary napkins, making them easier to clean. It can make little girls who are new to menstruation feel more secure during the entire menstrual period. Moon pants: Unlike menstrual pants, which are mainly “leak-proof”, moon pants also have the function of absorbing menstrual blood, so they are also known as “blood-sucking underwear”. Its design includes an inner layer of blood-absorbing material and an outer layer of leak-proof material. It can replace sanitary napkins to a certain extent. It is suitable for little girls who have just started menstruation and have irregular menstrual periods to avoid the embarrassment of being caught off guard when a good friend comes to visit unexpectedly. It can also be used in place of panty liners when the amount is small before and after menstruation. It can also be used with sanitary napkins when the amount is heavy. , environmentally friendly and practical!

Spare underwear and outer pants: Girls who have just had their menstruation will inevitably encounter the dilemma of menstruation arriving silently, not having time to use sanitary napkins or accidentally leaking. In order to avoid the embarrassment of accidentally soiling underwear or even outer pants , it is recommended that little girls who have just had their first period should prepare spare underwear and outer pants for emergencies.

(This article is excerpted from/The journey of growth: a one-way ticket for parents and children to ride together, a good way to relieve parents’ worries and anxiety/ Youlu Culture)

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