Integrating Mental Health into Adolescent Gynecology: Addressing Early Puberty and Body Image Challenges

Abstract Early puberty, marked by the onset of secondary sexual characteristics in girls before age eight, presents challenges beyond physical development. This review highlights the biological, psychological, and social factors linked to early pubertal onset. Research shows early-maturing girls face higher risks of mental health issues such as depression, anxiety, and eating disorders due to a disconnect between physical and emotional growth. Contributing factors include obesity, endocrine-disrupting chemicals, stress, and social media exposure, which also increase psychological vulnerability. During this stage, brain changes amplify emotional sensitivity and reduce coping skills. However, adolescent care often overlooks mental health support. This review advocates a biopsychosocial approach emphasizing mental health screening, psychoeducation, multidisciplinary collaboration, and media literacy. A holistic strategy can enhance emotional resilience, ensure healthy growth, and address the unique needs of girls experiencing early puberty.