HomeAnswersObstetrics and Gynecologybrown dischargeIs it normal to have brownish discharge in an 11-year-old girl before puberty?

My 11-year-old daughter gets brownish discharge for the past 3 days. Can this be considered a period?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At February 5, 2021
Reviewed AtSeptember 13, 2023

Patient's Query

Hello doctor,

My daughter is 11 years old, and she has brown discharge for three days. Today is the fourth day. Please advise if this is a period or a sign of a period. Should I consider this as a period and start the counting cycle? If this is not a period, then when can we expect the actual period? If this is not a period, then for how many days this brown discharge will occur? She is conscious about the same as it happened the first time to her. Though we have educated her about menses, this unexpected discharge is still concerning as it is for three days now. Note: It is just light discharge, but more than spotting, dark brownish/ blackish. She is already using a panty liner and thin pad.

Hello,

Welcome to icliniq.com.

First of all, I would like to advise you to calm down and relax a bit. I know it concerns you and also distressing for her. I will try my best to clear your doubts. If she has not started her menses yet, most likely, she is going to start her periods soon. Labeling this as a proper period is a bit controversial here. It is also unpredictable in this kind of situation how long it (brownish discharge) will last. The symptoms she is facing are most likely a hormonal disturbance causing such a scant flow or spotting (brownish discharge). However, structural causes like any endometrial polyps or so should be ruled out by doing an ultrasound. I would advise you to take her to a gynecologist and get her evaluated for the same. I am mentioning the tests that you need to do for her.

Also, as I can see that her weight is a bit on a higher side for her height, she needs to work on that. She should exercise regularly, eat a healthy diet, and avoid gaining weight to avoid hormonal disturbances in the future. Sometimes a lifestyle-related problem called PCOS (polycystic ovarian syndrome) which has a spectrum of symptoms like acne ( pimples), unwanted facial hairs, severe hair fall, or irregular periods (delayed or altered flow, which can be heavy or scanty or only spotting) or a scan showing polycystic changes in ovaries. If any two of these are found, then it makes a diagnosis of PCOS. Sometimes, this condition may manifest from puberty as either delayed or altered bleeding, like how your daughter has been experiencing. However, I would insist on getting her evaluated in person once with your doctor before coming to any conclusions.

I hope this helps.

The Probable causes

Hormonal disturbance.

Investigations to be done

Ultrasound abdomen and pelvis. Hemogram. Thyroid profile. Serum prolactin level. Lipid profile. LFT (liver function test). RFT (renal function test).75 g glucose tolerance test (fasting, 1 hour, 2 hours). HbA1c levels. Serum Calcium, Vitamin D, and B12 levels. Serum fasting and post-prandial insulin levels.

Preventive measures

Reduce weight. Maintain a menstrual diary. Regular exercises at least one hour daily. Lifestyle and dietary modifications.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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