Is it possible to experience puberty signs at the age of 9 by a girl child?

Q. My daughter, 9 years old, complaining about abdominal cramps. Is this a sign of puberty?

Answered by
Dr. Muhammad Majid Hanif
and medically reviewed by Dr. Hemalatha
This is a premium question & answer published on Sep 09, 2019

Hello doctor,

My daughter just turned 9. She has been complaining about lower abdomen cramps, and I have noticed a few things changing. Is it possible that she is getting ready to start something and should we be prepared? She is only 9, but I have heard of other little girls starting puberty earlier, and with myself, I did not begin that wonderful stage until I was 14.



Welcome to

I can well understand your concern. It is not too young for her to get started with the signs of puberty. Usually, girls start puberty between 9 and 14 years. And she has started at 9; this is fine and in range. I will instead ask you to confirm about her pubic hair and breast development. I am sorry to ask, but we have to take the scenario as a whole. It is because pelvic inflammatory disease alone may cause such pains, and in that case, pubic hair and breasts will say no we are not ready to be mature yet.

The Probable causes:

1. Start of puberty.
2. Pelvic inflammatory disease.
3. Gastrointestinal problems.

Differential diagnosis:

GIT issues.

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