by Brunilda Nazario, MD
Making Your Body Work for You
“Am I normal?” That's a question many girls ask during puberty. Chances are
your body development is quite normal. But there’s so much going on at once, just
knowing what's coming can help put your mind at ease. Here's what to expect
during puberty -- and why.
Intro to Puberty
Puberty usually starts between the ages of 8 and 13 and lasts a few years. It may
start earlier in girls who are overweight, or later in girls who are very athletic
or thin. If you are 12 and haven't started developing breasts or are 15 and
haven't gotten your period, your doctor will probably want to examine you to
make sure everything's OK.
During puberty, your body releases hormones that stimulate your ovaries to start
producing the female hormone estrogen. Gradually, a girl's body starts changing
into a woman's body. But these surging hormones can also make your mood go up and
down -- and sometimes it may seem as if your body is out of control.
Growing and Gaining Weight
Most girls experience growth spurts early in puberty, while most boys have them
later in puberty. That’s why many girls are taller than boys in middle school.
Increased body fat is also a normal part of puberty. “You may go from 8% to 21%
body fat,” says Kathy McCoy, MD, a psychiatrist who co-wrote The Teenage Body Book
and who was a columnist for Seventeen magazine.
Don’t go on a diet to try to lose this weight. "It’s not bad fat," says Melisa Holmes,
MD, who co-wrote the Girlology book series. "Women just have to have a certain amount
of body fat for reproduction and the health of our menstrual cycles.”
Along with gaining curvier hips, your breasts grow during puberty. Inside them,
a network of milk ducts develops. This is your body's way of preparing you to
nurse a baby when you're older.
Breast development is one of the changes that stress girls out the most. Many girls
worry that their breasts aren’t growing enough. But breasts usually continue to
grow until you’re 17 or 18 years old -- or even into your 20s. Sometimes one breast
grows faster than the other, although the slower one usually catches up.
Your nipples also change during puberty. They can become pink or dark brown, turned
inward or out. Sometimes hairs grow around them. All of this is normal.
If you want to get an idea about what your breasts might look like as a woman, look
at your mom. Your final breast size is based partly on heredity. “Your breasts aren’t
necessarily going to be the same as your mom’s because you’ve got your dad’s genes
added in, but you can look back at your ancestors and get a pretty good feel for
it,” Holmes says.
Two years or so after your breasts start to develop, you'll probably get your
first period. Periods usually last between two and eight days and come every 21
to 35 days. A 28-day cycle is common, but often it takes a while before your periods
Each month, the lining of your uterus thickens with blood to help a fertilized egg
grow. When you don't become pregnant, that lining sheds, and blood comes out
of your vagina. Only a couple of tablespoons of blood are released during your period,
but it can seem like a lot more.
You may notice white, sticky stuff in your underpants. That's the fluid that
keeps your vagina moist and clean. Vaginal discharge may become thicker and stickier
at some points during your menstrual cycle. It has a slight odor but most people
can't smell it. Bathing regularly with soap can help reduce the odor if it bothers
If your vaginal discharge becomes itchy or irritated, has a strong odor, or is dark
yellow or greenish, you may have a vaginal infection. See your doctor.
Puberty brings hair to your body in new places: under your arms, in your genital
area, and maybe even on your upper lip. The hair on your arms and legs may also
get darker or thicker.
Pubic hair usually starts with a few straight strands and becomes curlier and darker
as it grows. Eventually it grows into a thick triangle over the pubic bone and spreads
a little to your inner thighs. This growth may start at the beginning of puberty
or any time during it.
If you grow hair on your chest or chin, though, see your doctor. You may have a
hormone imbalance that needs to be corrected.
Sweating Through Puberty
Your body starts sweating more during puberty. When sweat combines with bacteria
-- under your arms, for instance -- it causes body odor. To control odor, bathe
or shower every day with a deodorant soap and use an antiperspirant. "The higher
the aluminum chloride content, the more antiperspirant activity it will have," says
obstetrician-gynecologist Holmes. (If you develop a rash under your arms, you may
be allergic to aluminum and should use an antiperspirant that doesn’t contain it.)
Also, clothes made of fabrics that wick moisture will dry faster and don't show
armpit stains as much.
Your feet may get sweaty too. Wear cotton socks to absorb moisture, and rotate your
shoes, so they have time to dry out. Avoid shoes made of plastic, rubber, or other
manmade materials. If you have sweaty palms, skip hand lotion. Use a hand sanitizer
to keep your hands drier.
Acne -- whiteheads, blackheads, and pimples -- is caused by surging hormones. If
you have it, try cleansing with a gentle non-soap cleanser and use over-the-counter
acne products with benzoyl peroxide or salicylic acid. It also helps to use sunscreens,
moisturizers, and makeup that are labeled “oil free” or “non-comedogenic.” If these
things don’t get your acne under control, a dermatologist can use other treatments
that will help.
Making Your Body Work for You
At some point during puberty, you will probably look at your face, hair, or body
in the mirror and not like what you see. At those times, Holmes says, it can help
to appreciate the great things your body can do -- like playing the piano, doing
a back flip, or climbing a mountain. If you hate your body most of the time, talk
to a school nurse or counselor who can help you learn to see your body differently.
Holmes, MD, obstetrician-gynecologist, Greenville, S.C.; coauthor, Girlology book
series, Health Communications, Inc.
“Everything You Wanted to Know About Puberty.”
McCoy, MD, psychotherapist, Florence, Ariz.; coauthor, The Teenage Body Book, Hatherleigh,
Plus: “In Young Girls, Obesity Linked to Early Puberty, Analysis Reveals.”
K. American Medical Association Girl’s Guide to Becoming a Teen, Jossey-Bass, 2006.
Academy of Dermatology (AAD): “Acne,” “Food Does Not Cause Acne.”
Wechsler, MD, dermatologist and psychiatrist, New York; assistant clinical professor
of dermatology, SUNY Downstate Medical College, Brooklyn; adjunct assistant clinical
professor of psychiatry, Weill Cornell Medical College, New York; N.Y.
Feature: “Obesity and Early Puberty: What's the Risk?”
by Brunilda Nazario, MD on August
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