Ask the Doctor

No breasts at twelve years

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My twelve-year old daughter, even though she has commenced her menses, has no breasts. All she has on her chest are two tiny buds of flesh. She has started getting embarrassed because her friends of the same age already have breasts. Kindly help me.

Ibukun (by SMS)

 

Delayed puberty in girls occurs when breasts don’t develop by age 13 or menstrual periods do not begin by age 16. Puberty changes occur when the body starts making sex hormones. These changes normally begin to appear in girls between ages 8 to 14 years old. With delayed puberty, these changes either don’t occur, or if they do, they don›t progress normally. In most cases of delayed puberty, growth changes just begin later than usual, sometimes called a late bloomer. Once puberty begins, it progresses normally. This pattern runs in families. This is the most common cause of late maturity. Another common cause of delayed puberty in girls is lack of body fat. Being too thin can disrupt the normal process of puberty. Having said this, since your daughter is just 12 years old, you may need to give her another two years before seeking medical attention if her breasts still fail to develop.

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