Jai Hind Madam, My daughter got her first menstrual cycle this year. Will she gain height after her first periods. what changes she need to bring in her life style to keep healthy and gain height.

Ans: Menstrual irregularity at age 15. It is very common to have irregular paid periods in the initial years of menopause anarchy, so having irregular periods. For the first 2 or 3 years, when the period when monarchy begins is quite common. If the ultrasound of the pelvis is fine and the hormonal assessment is normal, like thyroid, prolactin levels, insulin levels are all fine and the FSH, LH levels are fine, it should not be a cause of concern. I do not think regulating the menses menses at such an early age is recommended. However, since she is 53 and ways 66 kilos, maybe optimising her weight by about 2 or 3 kilos might be helpful. Other than that, lifestyle modification, regular exercise, eating a judiciously avoiding junk food, or decreasing the amount of sweets and junk Maida. Potatoes, sugar, rice, EC may help, and increasing proteins in the diet may be helpful. Other than that, if the hemoglobin levels and hormonal profile is normal, I don't think it's a huge cause for concern.

Ans: If she has reached puberty more than 3 years ago then the chance of growth now is poor. Treatment can be offered before puberty sets in

Ans: Her final height depends on genetic and external factors like diet and activities. Based on her growth velocity till now, her pediatrician will be able to give you an estimated height. Once puberty sets in, the growth plates at the end of long bones start fusing so growth usually stops in 2 years. Ensure has a balanced diet with good protein intake, an active lifestyle with at least 1 sport.