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Puberty marks the obvious physical development in early to middle adolescence and is seen as the time for potential onset of sexual thoughts and experimentation.On average, middle adolescence is a time when teens begin to be interested in more intimate relationships and experimentation.advised that girls who start to develop breasts and pubic hair at age 6 or 7 years are not necessarily abnormal.(1) The guidelines were based on a number of studies, the most important being the trial by Herman-Giddens et al (2) of 17,000 girls between the ages of 3 and 12 years who were patients in more than 200 pediatricians’ offices across the country.(3)The obesity epidemic has been postulated as the likely cause of earlier onset of puberty.

Sexuality, the expression of interest, orientation, and preference, is a normal part of adolescence.

Published in 1997, the report was based on girls evaluated in 19.

Previous norms for puberty were based on a study of fewer than 200 girls in a British orphanage in the 1960s.

(4) The study found that the onset of puberty (as measured by breast development) dropped from a mean age of 10.9 years in 1991 to 9.9 years in 2006.

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Parental and societal concerns regarding premature sexual activity include unplanned pregnancy, sexually transmitted infections (STIs), sexual abuse, and potential emotional consequences of sexual behaviors.

These concerns underscore the importance of providing adolescents with preventive health services and comprehensive sexual health education.

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