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Q18 What really happens during this period (puberty)?On an average, a child enters a period of accelerated growth just pri<strong>or</strong> <strong>to</strong> pubescence.The greatest increase in height occurs around 11½ years of age f<strong>or</strong> girls, and around 14years f<strong>or</strong> boys. Girls usually start their first menstrual period between 11 and 14 years ofin age. Other signs such as filling out of body, enlargement of the breasts, growth of hairin girls, change of voice, increase in size of genitalia and growth of hair in boys, also occuraround 11 <strong>to</strong> 15 years of age and complete themselves by 14 years f<strong>or</strong> girls and 15 years f<strong>or</strong>boys on an average. Medically, a boy <strong>or</strong> girl is now capable <strong>to</strong> procreate i.e. have a baby.Q19 What is the age when the first period starts?The average age of menarche (first period) is considered <strong>to</strong> be between the ages of 11 and14. Menarche usually occurs a year <strong>or</strong> two following other puberty related changes likebreast development and hair growth. A young woman's age of menarche is also oftenrelated <strong>to</strong> the age that her mother had her first period. Research suggests that theaverage age of menarche has fallen over the last century.Q 20 What is menstruation?Menstruation is a woman's monthly bleeding. It is also called menses, menstrual period, <strong>or</strong>period. When a woman has her period, she is menstruating. The menstrual blood is partlyblood and partly tissue from the inside of the uterus (womb). It flows from the uterusthrough the small opening in the cervix, and passes out of the body through the vagina.Q 21I am 14 years old, and am w<strong>or</strong>ried about developing spots and pimples on my face.Pimples are the commonest of all chronic dis<strong>or</strong>ders in your age group. This is the result ofh<strong>or</strong>monal changes that activate your sebaceous gland. Usually this is a temp<strong>or</strong>arycondition that will eradicate, as you will grow up. Balanced diet and personal hygienehelps <strong>to</strong> c<strong>or</strong>rect this condition.104

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