What should I do if my sixth-grade daughter hasn't started her period yet?
Feb 07, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
"Da Yi Ma" refers to menstruation. It is normal for a sixth-grade girl not to have started her period, as the typical age for a girl's first menstrual cycle is around 13 to 14 years old. Some girls may start earlier, for example at age 10, while others may start later. However, if a girl hasn't started menstruating by age 16, she should go to the hospital for an examination.
Menstruation, commonly referred to as "da yi ma," typically begins in girls around the ages of 13 to 14. It is normal for a sixth-grade student not to have started menstruating yet. Some girls may begin earlier, even as early as age 10, while others may start later. However, if a girl has not begun menstruating by age 16, it is advisable to seek medical evaluation.
Under normal circumstances, girls undergo puberty between the ages of 13 and 18. With the onset of puberty come various physiological changes, such as breast development and menarche (first menstrual period). The absence of menstruation during puberty may be due to delayed sexual development, which can be related to genetic factors. A medical check-up is recommended. If all test results are within normal ranges, no special treatment is usually required. Improving nutrition may help, and menstruation will typically begin once the reproductive organs have fully matured.
The absence of menstruation could also result from uterine malformation, which is often linked to congenital developmental issues. Uterine malformations can interfere with normal ovulation and endometrial shedding, leading to amenorrhea (absence of menstruation), and may also affect fertility. An ultrasound examination can help diagnose such conditions. Treatment options include uterine fusion surgery; more severe cases of uterine malformation may require correction through laparoscopic surgery.
