Common "Stage Of Menarche" queries answered by top doctors | iCliniq

Stage Of Menarche

Menarche, the first menstruation, is usually painless, and it occurs without warning. It usually occurs between the age of 10 and 16 years in girls. Initially, breast development is the first noticeable sign of puberty, which is referred to as thelarche. Hair begins to grow on the pubic area and underarms, which is the second stage, and it is called pubarche. After this stage, first menstrual bleeding occurs, which is known as menarche.

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I am experiencing heavy flow periods every two weeks. Why?

Query: Hi doctor, I am a 13-year-old female. I am a virgin, not on any medications and I started my period about two years back. My period has been coming nearly exactly every two weeks without fail since about a year ago. At the beginning, it was all over the place (which is to be expected), but it start...  Read Full »


Dr. Balakrishnan R

Answer: Hello, Welcome to icliniq.com Let me start by saying that you are absolutely fine. It is a human tendency to expect a big condition when it is actually a simple one. We should always think of the common conditions first. You are having immature hormone cycles and spasmodic dysmenorrhea. Let me expl...  Read Full »

Please explain the growth cycle of a female child.

Query: Hi doctor, My daughter is 9 years old. She had body odor in the armpit. I was alarmed because it smelled like an adult body odor. She had sweating. A few days ago, she told about her nipple that one nipple looks normal and the other one looks hard. I want to know whether she has reached the puberty ...  Read Full »


Dr. Simy Mathew

Answer: Hi, Welcome to icliniq.com. It is normal to have these findings now because a few kids have it. Normal growth cycle follows these ways. The first one is thelarche. In this, there is a development of the breast. The second one is pubarche. In this, there is a development of pubic hair. Then the nex...  Read Full »

Why have the periods not started yet in a teenager?

Query: Hello doctor, My 16-year-old has not grown in height in 2.5 to 3 years and has not started her period and is delayed in puberty. Seems to be a late bloomer. She is small (short) for her age and underweight but eats normally. Her bloodwork only shows low prolactin. Everything else is normal. Is ther...  Read Full »


Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to icliniq.com. Prolactin deficiency can cause delayed puberty. Few studies have shown that this delayed puberty is due to prolactin deficiency. Also, check for other possibilities, genetic factors, growth hormone deficiency, etc. In a few cases, supplementation of prolactin may be ...  Read Full »

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