Pediatrics/pubic hair in 6 year old
Hello Dr. Olson,
How are you? I sent you a query back in January of 2012 about my daughter who was about to turn 5 at the time - I had noticed mild body odor from her armpits. I detected no other pubertal changes - no underarm or pubic hair, no breast development, no acne. I took her to our pediatrician - who is fantastic - he could detect no other pubertal changes and advised me to wash her armpits with an antibacterial soap - like Dial. We did that - and the armpit odor is no longer a problem.
She turned 6 a few months ago - and during her well child exam - the pediatrician assessed her and again - no pubertal changes. A couple nights ago she passed a hard BM - and she complained that her bottom hurt. I was worried that she may have experienced a fissure - so took a look. I was surprised to see several dark perianal hairs - they were straight, but were dark, long and slightly coarse.
Of course, I closely examined her - no breast development, no pubic hair, no underarm hair - just the few perianal hairs. I am a pediatric RN - and feel pretty confident about that assessment. Have you seen cases like this in your practice? Should I be concerned?
A couple hairs in the area you describe are normal and not a sign of precocious puberty. Axillary or pubic hair may be, although depending on ethnicity and other factors, a few scant hairs in these two areas can be normal as well.
Good luck, Dr. Olson