The first time I was interviewed about this subject my oldest child, a girl, was 9 years old. She is 13 now and many of those hypotheticals are now reality. Her body has matured in ways that look more young woman than little girl and her conversations and interests have changed as well. Boys have gone from “Eww!” to “Hmm?” Even though it never gets easy, the lessons I shared in those early years of puberty still apply.

Have “The Talk” early and often

The first conversation I had with my daughter about puberty was when she was 8 years old. We talked about the changes she was seeing in her friends because she was nowhere near puberty. The talk was really simple then. As I remind parents when their child asks where babies come from at 4 or 5, you don’t have to give every detail. Make sure your conversation is developmentally appropriate. Not just based on your child’s age, but their individual developmental maturity level.

These days our conversations are much more specific. The hygiene conversation is about more than making sure she wears deodorant. We talk about how to prepare for her first period, just in case it starts when she is at school or away at camp. We both feel a little uncomfortable (yes, even for me as a pediatrician), but we push our way through. I know she will be a lot less afraid when it happens and she won’t feel alone.

Take advantage of teachable moments

I’m always on the lookout for chances to engage my daughter in conversations where we can both learn. Everything from the latest app she wants on her phone (Internet/Social Media Safety) to the conversations I overhear when I’m driving the “Mom Taxi” (Sex and Self-Respect).

Don’t forget about the boys

I have a 10-year-old son who has headed down the puberty road as well. The signs for boys are not as apparent, but the feelings are just as real. As a pediatrician, I probably pay a bit more attention to these subtle changes than others, but all moms and dads notice the smells! Be sure you don’t leave them wondering. My husband usually takes the lead on these conversations, but, just like it is important that he shares his perspective with our daughter, it is also important that I share mine with my son. Both kids will be curious about what is happening with the opposite sex in their classroom. So, just like with girls, refer to first and second tips above.

Even as a pediatrician, I don’t have all the answers. I look to my mom and dad friends who are going through or have been through it, to share their expertise. I’ve asked questions on everything from breastfeeding to periods. I’m sure I’ll still be asking when it comes to college and weddings.


Ivor Horn, MD, MPH, was a general pediatrician at Children's National. She discusses teen issues through her own life experience with her daughter and as a general pediatrician.

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