instruction: hello doctor I have an year old daughter yesterday there was a faded blood in her panty and we thought that it was the start of her menstrual period however the menstruation did not show after she changed her panty until now please advise
output: hello years is too early to start menses I would like to know does she have her secondary sexual characters developed as in does she have the breasts developed and axillary and public hairs if not then mostly she is yet to achieve her puberty many a times the minimal bleeding or spotting could be either due to local genital infections or some ulcers or trauma sometimes even a piles problem or fissures bleeding may be confused as vaginal bleeding if you observe the bleeding again you can visit a gynecologist for general examination to look for any local cause as of now I would advise to wait and watch if you do not feel any signs of infection like burning itching pain etc