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Adolescence Visits - American Academy of Pediatrics

11 Through 21 YearsAdolescence VisitsBFG 4TH 7311/20/17 2:48 PM733 EARLY ADOLESCENCE11 THROUGH 14 YEAR VISITSE arly Adolescence11 Through 14 Year VisitsContextThe early adolescent is embarking on a journey of remarkable transitions and transformations physically, cognitively, emotionally, and socially and the pace at which he experiences these physical and emotional changes varies widely. The onset of puberty is one indicator that the adoles-cent phase of life is beginning. Puberty typically manifests itself visibly with breast development at about age 9 or 10 years for girls, and testicular enlargement for boys at about age 11 years.

13 years. The American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists recommend that health care professionals view the menstrual cycle as a “vital sign”2 and include education about the normal timing and characteristics of menstruation and other pubertal markers as an important compo-

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