Occasionally, early puberty can be a sign of serious illness, especially if it starts before 8 years of age in girls or before 9 years in boys. So when do parents need to be alarmed and take their child to the doctor? This hormone also causes body odor and sometimes mild acne. This part of puberty is called adrenarche. Adrenarche is usually normal in girls who are at least 8 years old, and boys who are at least 9 years old. Even when pubic and underarm hair appear in children younger than this, it is still usually nothing to worry about, but your child does need to see their pediatrician for an exam. Girls who start breast development before age 8 should be seen by their pediatrician to be sure there is not a serious endocrine disorder causing the early puberty, but most of the time it is normal.
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The onset of breast development in girls less than 8 years of age may be the first sign of precocious puberty or more likely a condition referred to as benign premature thelarche. Benign thelarche is most commonly seen in girls who are under 2 or older than 6 years of age. In those girls under 2 years, breast tissue is thought to be a consequence of infant gonadotropin secretion and ovarian hormone production. History and physical findings that support benign development include presence of breast tissue since birth, waxing and waning size of breast development, absence of other pubertal signs and no evidence of linear growth acceleration. Additionally, benign thelarche in girls under two years rarely exceeds Tanner stage II development. When breast development occurs without other signs of puberty in girls older than 6 years, limited work-up is indicated but monitoring of development and growth over subsequent months is necessary.
It starts with a firm, round, tender lump called a breast bud under the nipple of one or both breasts. Girls may complain about feeling sore when they sleep on their stomachs; parents occasionally worry about the lump being a cyst or tumor. One side may develop considerably faster than the other. This is normal. Some girls may be more comfortable if they begin wearing a soft bra or undershirt at this point, but others may prefer to wait. When it first begins to appear, pubic hair is typically light colored and straight; it becomes coarser and darker as girls mature. About two years after pubarche, hair begins to grow under the arms as well.
Jump to navigation. Breast development is caused by hormones released by the ovaries at puberty. These hormones cause fat to accumulate, causing your breasts to enlarge. The first sign of breast development is slight swelling under the nipple, a stage of development called breast buds. As your breasts first start to grow, they can be very tender and sore. They may also itch as your skin gets stretched. Buying a first bra can help protect new breast growth and minimize pain.