What is the first sign of thelarche?

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Multiple Choice

What is the first sign of thelarche?

Explanation:
The first sign of thelarche is the appearance of breast buds, i.e., breast development beginning at Tanner stage II. This early change is driven by estrogen and marks the onset of puberty in girls. It occurs before other pubertal changes such as pubic hair growth (pubarche), the growth spurt, and the first menstrual period (menarche). So the initial sign is breast budding at Tanner II.

The first sign of thelarche is the appearance of breast buds, i.e., breast development beginning at Tanner stage II. This early change is driven by estrogen and marks the onset of puberty in girls. It occurs before other pubertal changes such as pubic hair growth (pubarche), the growth spurt, and the first menstrual period (menarche). So the initial sign is breast budding at Tanner II.

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