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WHEN SHOULD MY DAUGHTER START HAVING HER PERIODS?
Any time between the ages of ten to thirteen most females have had their first menstrual cycle. If your daughter has not started by the age of thirteen, discuss this with your child’s health professional. The age of menarche (the first menstrual cycle) depends on many factors and may vary widely from individual to individual. The earlier the mother started, often the earlier the daughter will start as well. Athletic females may have delayed cycles and even irregular cycles. If you have not discussed this important part of development in your daughter’s life with her, do so now.

WHAT CAN I DO FOR MY ACNE?
Acne is a very common problem for the adolescent and can be a major psychological concern at a time when self-esteem and self-confidence are already low. The treatment of acne includes a step-wise approach. Cleansing with a medicated soap at least twice daily is the first and most important step. Removing excess residual oil from the skin with medicated astringent pads is next. The application of antiacne topical preparations containing Benzoyl peroxide in a 5 or 10% concentration after the first two steps will take care of most mild to moderate cases. If this regimen is followed closely on a regular basis and the patient is still having problems with the acne, a visit to the health professional for more advanced care may be necessary.

WHEN CAN MY SON START ATHLETIC TRAINING AND WEIGHT LIFTING?
In 1983, the American Academy of Pediatrics made a policy statement to the effect that weight- and/or strength-training should not be begun until puberty . However, several studies since then have shown that strength training can be safe and beneficial for youngsters, that it can increase muscle strength, improve motor skills, protect against injury, increase muscle endurance, and have positive psychological benefits for the athlete, under proper instruction and guidance by trained personnel.

HOW AND WHEN SHOULD I TALK TO MY CHILD ABOUT SEX?
Talking about the human body and in particular about reproduction with a son or daughter is a very stressful event in the life of a parent. However, it is your responsibility to discuss these matters with your adolescent and should be done at this age, if not sooner. Be honest and factual, using anatomically correct terms and pictures, if desired. There are many publications which can assist the parent in this important matter and are available in most book stores.

WHEN DOES MY CHILD RETURN FOR HIS NEXT HEALTH SUPERVISION VISIT?
At 14 years of age your child should have his next health supervision visit.