Question
A one and a half-year-old girl often performs actions similar to adult masturbation: for instance, when lying down, she will keep rubbing herself vigorously, and she will cry when picked up, and she will also use her hands to touch herself. I don’t know if there is any problem. What was the treatment situation and the effectiveness? I would like to receive some assistance?
Answer
This situation in children does not constitute early puberty but is a form of behavioral disorder known as “habitual vulvar friction syndrome.” It usually occurs during sleep or upon waking up and may last for several minutes, even to avoid interference from adults. During an episode, the child may exhibit symptoms such as a flushed face, staring, or even sweating profusely. It is important to guide them and redirect their attention; punishment, scolding, or laughing at them should be avoided. It can be helpful to let the child engage in some physical activity before bedtime so that they can fall asleep quickly after lying down. Avoid dressing the child too warmly or in too tight underwear; instead, opt for something wider and longer. For girls, it is important to rule out any inflammation or discomfort in the vulva; it would be best to consult a local gynecologist.