“…In nine Western European countries, the decline of age at menarche ranged from 1 to 4 months per decade [6]. More recent findings confirmed the high variability between countries as follows: in poor and developing countries in Africa or in South-East Asia [7,8,9,10,11,12], the trend seems to be still ongoingas well as in the US, Canada, Australia and the UK [13,14,15,16]; in Spain, Denmark, Belgium, Norway, and Sweden, data showed lower rates of decline [17,18]; meanwhile in France [19], Germany [20], Greece [21], and the Netherlands [22] the secular trend looks like to have stopped.…”