Girls with period

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Clinicians should convey that females will likely begin to menstruate approximately 2—3 years after breast development begins. Menstrual abnormalities that suggest the need for further evaluation are listed in Box 3. Lack of breast development by age 13 years also should be evaluated 8. Obstet Gynecol ;— It is important to educate girls and their caretakers about the usual progression of puberty and development of the menstrual cycle. See Box 2 for a list of potential causes of abnormal uterine bleeding in adolescents.

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