The U11 examination takes place between the ages of 9 and 10. Like the U10, it is one of the additional preventive check-ups and is covered by many health insurance providers.

During this stage of life, many changes occur: School demands increase, friendships become more important, and some children begin to experience the first physical changes of puberty. The U11 helps to monitor physical, emotional, and social development early on.

U11 at a Glance

Timing: Ages 9 to 10
Location: Your pediatrician's office
Focus Areas: Growth, school life, emotional health, media use, and early puberty

To find out if your health insurance covers the costs, check with your pediatrician's office or directly with your insurance provider.

What is Examined During the U11?

The pediatrician assesses, among other things:

  • Height, weight, and blood pressure
  • Posture and physical development
  • Vision and hearing
  • Early signs of puberty
  • Concentration and learning behavior
  • Emotional and social development
  • Media use, physical activity, and nutrition
  • Vaccination status

There is also time to address any questions that have arisen in daily life or at school.

How is My Child Doing in School?

At ages nine to ten, challenges often first become apparent in the primary school environment.

Topics discussed may include:

  • Concentration and attention
  • Motivation and learning behavior
  • Friendships and conflicts
  • Performance pressure or stress
  • Bullying or exclusion

The U11 is not about evaluating performance but identifying potential stresses early.

Early Changes of Puberty

Some children may already begin to experience the first physical changes. These can include:

  • Growth spurts
  • Initial breast development or testicular growth
  • Body hair
  • Increased sweating

The pace of development varies greatly and is usually completely normal.

Media and Health

Smartphones, computers, and gaming have become part of everyday life for many children.

The U11 provides an opportunity to discuss topics such as:

  • Screen time,
  • Social media,
  • Adequate physical activity,
  • Healthy sleep, and
  • Balanced nutrition

and to develop sensible rules for family life together.

Vaccinations

During the U11, the vaccination record is checked.

If vaccinations are missing or boosters are recommended, the practice will inform you about the current STIKO recommendations.

What Should You Bring to the U11?

Helpful items include:

  • Health insurance card
  • Vaccination record
  • The Yellow Examination Booklet, if applicable
  • Glasses or hearing aids, if available
  • Questions or observations from school and daily life

Typical Questions for the U11

You might want to discuss:

  • Is my child developing appropriately for their age?
  • How do I handle performance pressure or school stress?
  • Are early signs of puberty normal?
  • What is a reasonable amount of screen time?
  • Is my child developing emotionally well?
  • Are all vaccinations up to date?

The U11 Supports the Transition into Puberty

The U11 helps to identify physical, emotional, and social changes early on. It provides parents and children the opportunity to openly discuss school, media, puberty, and health topics—before small challenges become bigger issues.