Do you wear a pad with these?

Yes you would need to wear a pad, they help protect from leaking through your clothing.

Can these be worn instead of a pad for younger girls just starting?

They will protect their clothing on light days but doesn't have an built in pad.

Please help clarify size chart! I see it's sorted by age. What is the best size for a 120lb 5’5 person who is typically in woman small/size 2-3 pants?

These panties run very, very small. So, go with a bigger size.

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