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Dr Adi
Dr Adi, Professor
Category: Endocrinology
Satisfied Customers: 284
Experience:  Director of the Pediatric Diabetes Clinics at UCSF.
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MY FIVE YEAR OLD GRANDDAUGHTER HAS PUBIC HAIR AND HAS HAD VAGINAL

Customer Question

MY FIVE YEAR OLD GRANDDAUGHTER HAS PUBIC HAIR AND HAS HAD VAGINAL SPOTTING SHE HAS BEEN SEEN BY GP WHO SUGGESTS PRECOCIOUS PUBERTY AND REFERRED HER FOR ENDOCRINOLOGY AT LOCAL HOSPITAL TO WHICH WE HAVE BEEN TOLD THERE IS 12 MONTH WAITING LIST WHAT COULD BE THE CAUSE OF THIS PROBLEM AND SHOULD I SEEK PRIVATE APPOINTMENT
Submitted: 1 year ago.
Category: Endocrinology
Customer: replied 1 year ago.
we are very worried and have looked up causes and it looks serious
Expert:  Dr Adi replied 1 year ago.
Hi there,There are many causes for this condition, so a complete work up is required. This will require a complete physical examination and a thorough history to direct the work up. I would not wait several months before seeing a pediatric endocrinologist.Pubic hair itself is not an indication of puberty. True puberty starts with breast development. If she does not have any breast buds, the work up would move in a different direction.Medications, and local vaginal area cremes or lotions can affect that too. Family history is important, and so growth history; if she has been growing well, or if she has had an acceleration in growth recently.Honestly, it is too complicated to go through it all here, but the short answer to your question is "yes, you should have her seen soon".

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