It is uncommon for a young girl to start menstruating before age
10.
Injuries to the pelvic or vaginal area, such as falling on the
crossbar of a bicycle, can cause vaginal bleeding. An object in the vagina can
cause vaginal bleeding or discharge.
Sexual abuse is another possible cause of vaginal
bleeding in a young girl. You may feel uneasy if your health professional
brings up the issue of sexual abuse. Health professionals have a professional
duty and legal obligation to evaluate the possibility of abuse. It is important
to consider this possibility, especially if there were no witnesses to an
injury that caused a child's vaginal bleeding.
If you think your child has been abused, it is your responsibility to
call your health professional or contact the National Child
Abuse Hotline and Referral Service at 1-800-422-4453. Adults need to
protect young children, because children cannot protect themselves.