Preparing Young Girls for Puberty and Menstruation

Quick answer: For most girls, puberty begins between ages 8 and 13, often starting with breast buds and body hair. Menstruation usually begins about 2 to 3 years later, with the average first period in America around age 12. Talking openly and preparing your daughter in advance helps ease anxiety about these normal changes.

Puberty is the stage of life when your child’s body starts going through physical changes as it becomes sexually mature and capable of reproduction. For most girls, this is typically between the ages 8 and 13. The earliest sign you might see is the development of breast “buds,” which are tiny bumps under the nipple. Your child might start growing body hair as well, including pubic hair. Menstruation also begins about 2 or 3 years after the start of puberty. The average age in America for when girls get their first period is 12. As a parent, it’s important to talk to your child about the new changes they experience and to prepare them in advance. It’s likely your child will have questions and knowing how to answer common questions will make having these conversations easier.  Breast development can make young girls anxious, especially since usually one breast starts developing before the other, causing the sizes of the breasts to be different. Let your daughter know that this is completely normal to ease any potential fears. You may also want to help them find new clothes and a training bra that disguises their breast development if it will make her feel more comfortable and less self-conscious.   As your daughter starts growing body hair, she might show an interest in shaving and removing the hair. Keep in mind that this is a personal preference your child might have and it is not medically necessary. But if your child chooses to shave, it’s important to teach them how to do so safely. Without following precautions, shaving can cause cuts, razor burns, and irritation, leading to the risk of skin infection. Advise your daughter to always wet their skin first and apply lotion or gel. They should only apply light pressure when shaving and replace the razor or blade often. Razors should never be shared as that can cause an infection. There are electric shavers designed for girls that could be used as safer alternatives to traditional razors.  As girls approach their first period, they may experience vaginal discharge which is usually clear or white. This can occur 6 months to a year before menstruation begins and is a response to the increase of estrogen happening in the body. Let your daughter know that this is normal. She might have questions about periods and you’ll want to make her feel comfortable to talk about it. It’s especially helpful to let your daughter know what to expect before they get their period. Talk to them about using menstrual products like pads and tampons and good hygiene practices, such as changing the pad or tampon often. If your child expresses concern about menstrual cramps and discomfort, let them know about home remedies that can help such as using a hot water bottle or heating pad, as well as taking an over-the-counter painkiller.   Puberty brings about new changes for children as they make the transition into adulthood. And those changes can bring about uncertainty, confusion, and anxiety. By engaging in conversations with your child about puberty, you can make the navigation during this life stage easier for them. If you have any concerns about your child’s development or if you notice signs of early puberty (before age 8), call our office to talk to our pediatrician.    

Frequently asked questions

At what age does puberty start in girls?

For most girls, puberty typically begins between ages 8 and 13. The earliest sign is often the development of breast buds, tiny bumps under the nipple, along with growing body hair.

When do girls usually get their first period?

Menstruation typically begins about 2 to 3 years after the start of puberty. The average age for a first period in America is 12.

How can I help my daughter feel comfortable about body changes?

Talk to her in advance and reassure her that the changes are normal. For example, it is common for one breast to develop before the other. A training bra or new clothes can help her feel more comfortable if she is self-conscious.

Related reading: Mental Health and Emotional Development in Children and Teens, contact our office. Peninsula Pediatrics proudly cares for families across the Rockaways.

Stress Management for Final Exams

The end of the school year is just a few weeks away and final exams will be coming up soon. This can be a stressful time as your teen might feel under pressure or overwhelmed with exam preparations. We have some tips on how to help your kid manage stress and perform well on their tests. 

Firstly, let your teen know that you empathize with their feelings and encourage them to practice self-compassion. Feeling overwhelmed about exams is completely normal and it’s important that your child doesn’t put too much pressure on themselves. If your child is struggling with preparations or understanding the material for their tests, they might get frustrated with themselves. This is an opportunity to remind them of their skills and strengths so that they develop self-confidence, which will relieve some of the pressure they might be feeling. 

It’s also helpful to encourage your teen to create a plan that breaks down their study and preparation sessions. Often, finals can feel overwhelming when kids take them all in at once. Mapping out what they need to do and the number of hours they need to study can give them the structure they need to prepare and make studying feel more do-able. Creating a study schedule will also keep them on track and ensure that they are ready for when they have to take their finals. Their study plan should include breaks to relax or have a snack to prevent burnouts.

When your child is studying, remind them to keep their cell phones or any electronics they’re not using for studying away. Having a quiet and comfortable study environment can also put your child at ease while preparing for their exams. It’s important that your child is not distracted so that they remain focused and do not procrastinate. Procrastination can lead to cramming for the exams as it gets closer to taking them, making those final days even more stressful.

If your teen has a job, talk to them about cutting down their hours or taking time off so they not only have time to study, but their workload isn’t as excessive. This should eliminate some of the stress and make their schedules more manageable. Calming techniques like meditation, yoga, using stress balls, breathing exercises, and practicing mindfulness can be very beneficial for coping with stress. Visualization, such as seeing the tests go well, can also help. Encourage your child to find a modality that works for them. 

If your child has a mental health condition like depression or anxiety or they have a diagnosis like ADHD, check with their school to see what accommodations can be made, including more time during the exam or modifications to the tests.

As some kids get stressed about finals because they’re afraid of tough questions that they won’t know the answers to or they forgot the answers, advise them on some test strategies like not dwelling on a question for too long or returning to it later. Having a plan and good test practices will help your teen feel more confident. 

Lastly, it’s important that your child remembers to take care of their health as they study. Eating healthy, staying hydrated, exercising, and getting enough sleep will keep them energized and help with concentration. They are also more likely to perform better on their exams.