When Do Girls Stop Growing? Height, Breasts, And What To Expect
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Medically reviewed by Karen Gill, M.D. — Written by Amanda Barrell — Updated on May 15, 2025- When does female puberty start?
- Height
- Breasts
- Delays
- Mental health
- Summary
During female puberty, people tend to have a major growth spurt between the ages of 10 and 14. Most will reach their adult height by the time they are 14 or 15 years old.
Share on PinterestDuring puberty, teenagers tend to experience a growth spurt that takes them to their adult height. This major growth spurt happens during the phase of physical and psychosocial development known as puberty.
Everyone starts puberty at a different time, and genetics largely determines growth patterns. This means “normal” growth rates in humans occur within a range.
When does female puberty start?
Puberty is the transition from childhood to adulthood. It describes a series of changes people go through as their bodies start to increase the production of certain hormones.
Female puberty tends to start between the ages of 8 and 13. However, it is different for everyone.Starting puberty before the age of 8 is considered early.
Puberty is late if breasts have not developed by age 13 or periods have not started by age 15. While there is often no cause for concern, it is recommended to consult with a doctor when signs of puberty are early or late.
The start of menstrual periods, known as menarche, happens on average around age 12 to 14.
Height
According to a 2017 article, females usually experience their fastest growth spurt around age 11 or 12. After menstruation starts, they typically grow another 7 cm (2.75 inches) in height. Usually, they reach adult height around the age of 15. However, this can vary.
Because growth patterns are largely determined by genetics, there are a lot of variabilities when it comes to “normal” height. Expectations for overall growth based on age come from studies of healthy populations of children.
The Centers for Disease Control and Prevention (CDC) recommends the use of growth charts from the World Health Organization (WHO) until age 2 to guide expectations. CDC growth charts are then used for ages 3-19.
If there are concerns about a child’s growth, a doctor can use growth charts to help determine whether their rate of growth is typical.
Other factors that can have an impact on height include:
- malnutrition
- hormonal imbalances, such as low growth hormone levels
- genetics
- genetic conditions
- chronic illness
Breast development
Breast development (thelarche) is usually the first sign of female puberty. Breasts can start to develop from around age 9 or 10.
The earliest sign of breast growth happens when bumps develop under the nipple, called breast buds. As these buds grow, they will form breasts made up of mammary glands and fatty tissues.
For some, the earliest stages of growth can start as younger than the age of 8. Doctors define signs of puberty before age 8 as precocious (early) puberty. In most cases, early signs of puberty are benign and do not require treatment.
Breast growth typically continues throughout puberty. Certain aspects of breast size are hereditary, meaning it runs in the family. Breasts will also vary in size depending on a person’s weight.
After puberty, breast tissue continues to change and respond to hormones throughout life, including during the menstrual cycle, pregnancy, breastfeeding or chestfeeding, and menopause.
Teenagers can sometimes feel self-conscious about this element of growing up. However, it is normal to:
- have one breast slightly bigger than the other
- have sore or swollen breasts at times, particularly around a period
- have hair around the nipples, or stretch marks
Can anything prevent or delay puberty?
A well-balanced diet and regular physical activity will support growth and healthy development.
However, puberty and subsequent growth can be delayed for a variety of reasons. Constitutional delay, or “being a late bloomer,” describes a pattern of later development that runs in families and is nothing to worry about. These teenagers will fully develop, just later than their peers.
Children with long-term conditions, such as diabetes and cystic fibrosis, may also experience delayed puberty. This may be less likely if the condition is well-controlled, with limited complications.
Conditions affecting the pituitary or thyroid glands, which produce the hormones the body needs to grow and develop, can also delay puberty. Likewise, some genetic conditions can interfere with the process.
Intensive training and restrictive eating may delay the onset of puberty in young athletes. In contrast, obesity is associated with an earlier start to puberty. These variations may be due to changes in hormone levels associated with activity levels and body composition.
Nutrition
Nutrition is important, and someone who is malnourished can develop later than their peers. Severe malnutrition as a child can contribute to growth delays, which can have ongoing effects if not corrected. Malnutrition can cause children to be underweight, low in height, or both.
Worldwide, the WHO reports that in 2022, 149 million children under the age of 5 were too short for their age, and 45 million were too thin for their height. These conditions can cause delayed puberty, as well as other developmental complications.
Puberty and gender-affirming careSome transgender, nonbinary, or intersex people may decide to take puberty blockers. These are medications that prevent the physical changes associated with puberty.
Gender-affirming hormone therapy may also be used by a person who is transgender, nonbinary, or intersex to help their body align with their gender identity. Options include estrogen therapy and T therapy (testosterone therapy).
According to the American Academy of Pediatrics, gender-affirming care includes supports other than medical care. This can include mental health resources, and social services for transgender, nonbinary, and intersex people and families.
Young people and their families can discuss gender-affirming care with their doctor or pediatrician.
Female puberty and mental health
Puberty is a time of major transition in a child’s life, and they may experience a rollercoaster of emotions. It can sometimes be difficult to know whether these changes are normal, or a sign of conditions such as anxiety and depression.
When thinking about how to support a teen during puberty, the National Alliance on Mental Health (NAMI) suggests considering questions such as:
- Does the child have at least one good friend they can talk with?
- Does the child have at least one adult in their life they can talk with? Examples can include a family member or a teacher.
- Does the child have a hobby, sport, activity, or area of interest that they are engaged with?
- Does the child appear happy, at least some of the time? If a child never expresses contentment or happiness, this may be cause for concern.
- Is the child’s well-being at risk due to substance use, self-harm, or other risky or destructive behaviors?
If a child seems moody or irritable, but they have solid supports in place, then they may be experiencing normal puberty-related changes.
If a child appears to be struggling and lacks support, or if there are concerns about a child’s wellbeing, talking with a doctor is a good place to start to get help.
If there is an immediate risk to a child’s safety, get emergency help.
According to NAMI, parents and caregivers of teens can support their mental health by:
- listening without judgment
- providing nutritious food and opportunities for exercise
- encouraging good sleep habits
- remaining calm in the face of conflict
Summary
Puberty and growth patterns are different for everyone. If there are concerns about a child’s progression through puberty, families can talk with a doctor or pediatrician.
If puberty appears to be early or late, a doctor can find out more using tests such as a physical exam, an evaluation of eating habits, blood tests to screen for medical conditions, and X-rays that look at how the bones grow.
- Endocrinology
- Pediatrics / Children's Health
- Parenthood
- Teens / Adolescents
How we reviewed this article:
SourcesMedical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.- Breehl L, et al. (2023). Physiology, puberty. https://www.ncbi.nlm.nih.gov/books/NBK534827/
- Klein DA, et al. (2017). Disorders of puberty: An approach to diagnosis and management. https://www.aafp.org/pubs/afp/issues/2017/1101/p590.html
- Kapczuk K. (2017). Elite athletes and pubertal delay. https://pubmed.ncbi.nlm.nih.gov/28745464/
- Li W, et al. (2017). Association between obesity and puberty timing: A systematic review and meta-analysis. https://pmc.ncbi.nlm.nih.gov/articles/PMC5664767/
- Malnutrition. (2024). https://www.who.int/news-room/fact-sheets/detail/malnutrition
- Matthews D. (2018). Is it a mental health problem? Or just puberty? https://www.nami.org/education-professional/is-it-a-mental-health-problem-or-just-puberty/
- Rafferty J, et al. (2018). Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents. https://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for
- Tang C, et al. (2023). Delayed puberty. https://www.ncbi.nlm.nih.gov/books/NBK544322/
- WHO growth standards for use in US infants and children birth to 2 years. (2024). https://www.cdc.gov/growthcharts/who-growth-charts.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fgrowthcharts%2Fwho_charts.htm
- Your Changing Body: Puberty in Girls. (2023).https://www.acog.org/womens-health/faqs/your-changing-body-puberty-in-girls
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Medically reviewed by Karen Gill, M.D. — Written by Amanda Barrell — Updated on May 15, 2025Latest news
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