Here's an overview of the major physical changes girls can expect as they go through puberty:. Girls usually begin puberty between the ages of 8 and 13 years old. The earliest sign of puberty in most girls is the development of breast "buds," nickel-sized bumps under the nipple. It is not unusual for breast growth to start on one side before the other.
On average, it's about two years from the time a girl first starts to show any breast development to the time that she actually starts her periods. Since girls in the United States start their periods anywhere from 9 to 15 years of age, breast development starting as early as 7 years of age is normal. In general, a girl starts her period in a pattern similar to her mother; if Mom started early, her daughter is more likely to start early. This isn't an absolute rule, though. Factors such as nutrition overweight children can start sooner than they otherwise might, and underweight children may start later and illness can influence the onset of puberty.
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