The age of menarche varies in young girls. Doctors, however, come across cases of vaginal bleeding in young girls who are not even remotely close to common menarche age. The following article provides an overview of an approach for evaluation of vaginal bleeding in children. The age of menarche can vary in girls due to different factors including genetic, physiological and environmental factors. There is no set rule regarding the age at which girls will have menarche, but it is quite common to get menarche between the ages of 11 to 13.

However, doctors receive the cases of girls who are not quite at the age of menarche. They also receive the cases of adolescent girls who face the issue of vaginal bleeding between menses. It is recommended that these cases need to be carefully evaluated and should be deemed abnormal after primary assessment. Often in India, such patients visit the…