Puberty is a time of major change. For girls, these physiological and psychological changes include menstruation, fat distribution, facial hair growth, skin disorders, and body odor. Fat tissue dictates changes on body parts such as the hips, breasts, and thighs, greatly influencing how the girl's body turns out. It's easy to imagine the effect of an acne outbreak on a girl who's undergoing puberty.

In many ways, breast development is more significant for girls than the start of menstruation. From an historical perspective alone, women's breasts have been revered and defiled, the source of humankind's most basic sustenance and the source of men's most base desires. The earliest statuary and art depict women's breasts as the ultimate in feminine beauty.

When entering puberty, girls begin developing breasts, gain weight in their hips, buttocks, and thighs, and begin to grow hair under their arms, grow pubic hair, and their skin becomes oily, which can cause pimples in the majority of girls. At some point during this process, girls begin to menstruate. Once menstruation begins, girls are, of course, capable of becoming pregnant. Going through puberty is an arduous process with many emotional ups and downs.

Puberty occurs due to the hormonal action. It starts in the brain where the hypothalamus triggers the pituitary gland to start to produce hormones. These hormones cause changes in the ovaries in girls and testes in boys. In girls, the ovaries start to release an ovum each month causing menstruation. They also produce female sex hormones oestrogen and progesterone. In the boys, the testes start to produce sperm.

It should not be painful to go through female puberty but at times it may be uncomfortable. For example, your breast will grow and get a little tender, you may get cramps when you start your period and menstrual bleeding in general can be bothersome. If you feel a lot of pain or have any concerns that something is wrong then you should talk to your doctor about it.

Acne can increase the physical and emotional stress that girls experience during puberty. The severity and likelihood of acne is one of the many changes in girls during puberty due to the increased oil secretions in the skin. Mood swings, increased irritability and feelings of low self esteem can also be experienced by girls during puberty. Even girls who have been self confident can suffer from low self esteem when puberty starts.

Another interesting trend is that we are seeing more time elapse between the time that breasts develop and the onset of periods. Whereas, before it typically took about a year for a girl to get her period after developing breasts, now it is not uncommon for three years to go by before the beginning of menstruation.

During midpuberty, a girl also goes through her "growth spurt," during which she gets both taller and heavier. It is extremely important to know that it is 100 percent normal for a girl to gain twenty-four pounds of fat during the two or three years of puberty.' In fact, during puberty, a girl's body fat content rises from about 8 percent to about 25 percent. This increase in the amount of fat on her body is needed to help it get ready to have a baby.

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