Breast Development: Concerns for Teens and Hormonal Changes - Breast and Thyroid

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Breast development is limited?


Dear Doctor, I just turned 17 this year and have been menstruating for 5 years, but why is my breast still very small? From the side, there is only a slight protrusion, and it basically looks undeveloped.
However, my nipples have enlarged, and why do I have hair growing around the nipples that is almost 3 centimeters long? Thank you, Doctor.

Rui Ting, 10~19 year old female. Ask Date: 2016/06/28

Dr. Wu Jianting reply Breast and Thyroid


Breast size varies from person to person.
Medically, if height and weight are stable and secondary sexual characteristics such as hair growth and menstruation appear normally, observation is recommended.
If there are concerns about growth and development, a consultation with an endocrinologist is advised.
Thank you for your inquiry.

Reply Date: 2016/06/28

More Info


Breast development during adolescence can be a complex and often concerning topic for many young women. It's important to understand that breast development is influenced by a variety of factors, including genetics, hormonal changes, and overall body composition. At 17 years old, you are still within the age range where breast development can continue, and it is not uncommon for some individuals to experience slower or less pronounced breast growth compared to their peers.

Firstly, breast development is primarily driven by the hormones estrogen and progesterone, which are produced by the ovaries. These hormones stimulate the growth of breast tissue and the development of mammary glands. However, the timing and extent of breast development can vary significantly from person to person. Some girls may experience rapid breast growth during early adolescence, while others may see more gradual changes that can continue into their late teens or even early twenties.

Regarding your concern about having small breasts despite having had your menstrual period for five years, it's essential to recognize that breast size can be influenced by genetic factors. If your family members, such as your mother or sisters, have smaller breasts, it is possible that you may inherit similar traits. Additionally, body fat percentage can also play a role in breast size, as breasts are composed of both glandular tissue and fatty tissue. If you have a lower body fat percentage, this may contribute to a smaller breast size.

The presence of hair around the nipple area, which you mentioned as being about 3 centimeters long, is also a normal occurrence. This hair growth is typically due to hormonal changes during puberty, particularly an increase in androgens (male hormones) that can stimulate hair growth in various areas of the body, including the breasts. This is a common experience and is not usually a cause for concern.

If you are feeling anxious about your breast development, it may be helpful to consult with a healthcare provider or a specialist in adolescent health. They can assess your overall development, including breast tissue, and provide reassurance or guidance based on your individual circumstances. They may also evaluate your hormonal levels if there are concerns about hormonal imbalances that could be affecting your development.

In summary, breast development is a highly individualized process influenced by genetics, hormonal changes, and body composition. It is entirely normal for some individuals to have smaller breasts, and this does not necessarily indicate a health issue or a risk of future problems. If you have ongoing concerns or if there are significant changes in your breast tissue or overall health, seeking medical advice is always a good step. Remember, every body is unique, and development can occur at different rates for different individuals.

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