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In grade 11 my breasts are still flat, I haven’t had a period, what disease does my child have, doctor?

This year’s daughter is in grade 11 but still a “genuine” child, her breasts are still flat, she hasn’t had a period, her face is still leaking milk…

While many parents are worried about their child’s early puberty, there are also unfortunate cases where parents can’t sit still, that is, they can’t see their child growing up (late puberty).

Ms. Thanh Hai (Ba Dinh, Hanoi) said, this year’s daughter has reached grade 11 but is still a “genuine” child, her breasts are still flat, her face is still leaking milk…

At first, this mother was delighted because she “has successfully raised her child” but while her friends of her age have become young girls a long time ago, her baby still looks like a male perch, she worries.

“My friend has a child who has been going through puberty since 4th grade. Most of the 6-7th graders have all become girls, but my daughter in 11th grade still has nothing. I have to go to the doctor, but if I leave it like this, I don’t know if my child has any disease without knowing it”, this worried mother said.

Ths. Lien Huong – Vietnam Institute of Applied Medicine said that puberty is the period when a child’s body begins to transform into an adult’s body.

Delayed puberty is when physical signs of sexual maturity do not appear at the desired age. Accordingly, the desired age of puberty is between 8-13 years old in girls and 9-14 years old in boys.

In grade 11 my breasts are still flat, I haven’t had a period, what disease does my child have, doctor?

“Every child will hit puberty at a different age. If the signs of puberty do not appear 2 to 2.5 years after the desired age, the child may have delayed puberty. No breast papillae in girls or failure to develop testicles in boys are signs of delayed puberty. In the majority of cases, the underlying cause for delayed puberty is not clear and the condition may go away on its own,” said Dr. BS Lien Huong said.

According to Ths. Dr. Lien Huong, in most cases of delayed puberty, the exact cause is unknown. And in some cases, delayed puberty runs in families.

However, there are a number of factors below that can influence the timing of puberty in some cases:

Physical growth retardation and delayed puberty (CDGP): This condition is characterized by short stature, delayed puberty, and skeletal age. Physical growth retardation can lead to an increased risk of delayed puberty. The condition often runs in families and is diagnosed only after other causes have been ruled out.

In addition, delayed puberty is caused by underlying health problems such as celiac disease, which can affect a child’s ability to grow normally.

Several other conditions can prevent the hippocampus or pituitary gland from sending the “start of puberty” signal and lead to delayed puberty. In addition, there may be causes related to genetic disorders, such as Turner syndrome in girls and Klinefelter syndrome in boys.

Scientists also point out that, in addition to the above causes, delayed puberty can also be a result of malnutrition, too much physical activity, stress and the use of psychiatric drugs.

Ms. Lien Huong also added that the most common sign of delayed puberty is delayed development of secondary sexual characteristics in children.

In girls, symptoms may include: Failure to develop breasts by age 12;

More than 5 years since breast development but still no period; No period at age 15

In boys, signs may include: No pubic hair growth, or pubic hair growing in an irregular shape; Failure to develop testicles by age 14; More than 5 years, but not fully developed sex organs like adult men.

“Treatment for delayed puberty depends on the cause of the problem. In general, children with physical and developmental delays and puberty will still reach puberty and achieve normal sexual characteristics, albeit with a slight delay.

In most cases, when the cause is treated, puberty will go on as usual. If delayed puberty has a genetic factor, it will not be treated. In some cases, treatment may include hormone therapy to increase testosterone or estrogen levels to induce puberty.

However, this expert notes that parents need to care about delayed puberty. Because your child may experience the emotional stress of having a delayed puberty and seeing their peers develop faster.

At this point, parents need to give their child emotional support and reassure them that this is only temporary and everything will be okay. Children can also be stressed and sometimes they will need help to relieve their mood.

In most cases, children can get through this stage spontaneously, but if your child shows signs of anxiety, consult your doctor.

N. Huyen

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