During puberty a young girl’s breasts may fail to grow or have limited growth. As she reaches adulthood she may become increasingly self conscience of her breasts which may lead to psychological problems at a later stage as well as low self-confidence and self-esteem. There are several possible causes of underdeveloped small breasts which are discussed below.
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Breast Hypoplasia
Breast hypoplasia the medical definition of underdeveloped small breasts also known as breast hypomastia is a condition in which the breasts fail to develop or grow during puberty. There maybe several reasons for breast hypoplasia including the following:
> Hormone deficiency
> Nutrition deficiency
> Systemic diseases
Hormone deficiency
The onset of puberty is triggered by the rising levels of oestrogen’s (US: estrogen) produced by the ovaries. The increasing levels of oestrogens are absorbed by the oestrogen receptors in the breasts which trigger the breasts to grow. Underdeveloped small breasts results from a deficiency of oestrogen which may have some underlying causes. A visit to an endocrinologist maybe needed to undergo tests for hormone levels in the blood. A gynaecological endocrinologist deals specifically with female hormonal problems.
If results show there are no underlying medical problems or a small hormonal deficiency a treatment of growth hormones maybe required. Any hormonal treatment must be done under the strict control of the endocrinologist.
Nutrition deficiency
A nutrition deficiency is a possible cause of delayed puberty and breast growth; in western countries malnutrition tends not to be a cause of nutrition deficiency. However Anorexia Nervosa is a likely cause in western countries where the young girl is starving herself in the belief she is overweight. Generally parents may have some indication the child has an eating disorder. The resumption of a normal diet will bring on the onset of puberty and normal breast growth. A zinc deficiency will also delay the onset of puberty and breast growth.
Systemic diseases
Systemic diseases are diseases that affect a number of organs and tissues and can lead to underdeveloped small breasts. Types of systemic diseases include chronic renal failure and inflammatory bowel disease.
Other causes of underdeveloped small breasts
There is a possibility that puberty maybe naturally delayed although by the age of 13 years, for western girls, there should be signs of breast development. There is also the possibility there are no causes for the underdeveloped small breasts; the medical term for this is idiopathic from an obscure or unknown cause.
What are the options available?
Any treatment for delayed puberty should begin with a visit to a registered medical practitioner to identify any underlying causes. If there are no underlying causes for the underdevelopment of the breasts or the breasts are just naturally small in size then there is the option of breast implants surgery on reaching adulthood. While there are a lot of risks involved undergoing breast implant surgery it does have a positive affect on the patient’s psychological frame of mind.
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