Might mean (unverified): Onset of first menstrual period.
Definitions Related words Mentions
We found 2 dictionaries that define the word menarchal:

General (1 matching dictionary)
  1. menarchal: Wiktionary

Medicine (1 matching dictionary)
  1. menarchal: Merriam-Webster Medical Dictionary

Definitions from Wiktionary (Menarchal)

adjective:  Alternative form of menarcheal [Of or pertaining to the menarche (advent of menses).]

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