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| Definition | Puberty refers to the onset of sexual maturation. Puberty is the period when the child experiences physical, hormonal, and sexual changes and becomes capable of reproduction. It is associated with rapid growth and the appearance of secondary sexual characteristics. Adolescence is the period of transition between puberty and adulthood. |
| Alternative Names | Sexual education; Maturation - sexual; Adolescence; Pubescence; Reproductive development; Sexual maturation |
| Information | The hypothalamus and pituitary glands, hormone secreting structures in the brain, produce hormones that, among their other functions, control growth and maturation. At the appropriate time these hormones trigger increases in height and weight, and regulate body build (whether the person tends to be tall or short, thin or heavy, and so on).
When a healthy child is somewhere between 9 and 16 years old, he or she will enter puberty. The exact age depends on factors such as heredity and nutrition and whether the child is a boy or girl. On and average, boys enter puberty 2 years later than girls. At this time the pituitary and hypothalamus glands ( endocrine glands) begin sending out new hormones that trigger the changes of puberty.
General changes in both boys and girls include sudden increases in height and weight, the development of secondary sex characteristics (the appearance of an adult man or woman) and increased sexual interest (sex drive). In girls, the ovaries begin to increase production of estrogen and other "female" hormones. In boys, the testicles increase production of testosterone . The sweat glands become more active, and the sweat produced has a slightly different content than when the child was small (it begins to develop more of an odor). Oil glands become more active, and acne may appear. At this time the importance of personal hygiene becomes apparent and it is important for boys and girls who are beginning to mature to pay attention to regular bathing and other aspects of hygiene. The adolescent may find that an underarm deodorant or antiperspirant becomes necessary.
PUBERTY IN GIRLS
Puberty usually occurs in girls between 9 and 16 years old. The onset of menstrual periods (menarche) is one of the most visible signs that a girl is entering puberty. Before having the first menstrual period, the pubescent girl will normally experience: rapid growth, especially an increase in height breast enlargement pubic, armpit, and leg hair growth clear or whitish vaginal secretions increased hip width The ovaries increase their production of estrogen and other hormones. This begins the monthly menstrual cycle. Having menstrual periods is only one part of this cycle. Girls are born with a place for babies to grow (the uterus). Next to the uterus are two small glands (the ovaries). The ovaries produce "female hormones" and begin to release the "eggs" (ova), which have been stored in the ovaries since birth. Every month (approximately), an ovary releases one "egg" (ovum). This ovum travels along the tube connecting the ovary to the uterus (the Fallopian tube). In about 3 or 4 days the ovum reaches the uterus. During this time, the lining of the uterus (endometrium) begins to thicken by filling with blood and fluid. This happens so that if the ovum is fertilized, it can grow in this thickened lining to produce a baby. The ovum can become fertilized if unprotected sexual intercourse occurs during this "fertile" time. When a sperm cell (from the man) and an ovum (from the woman) join, a pregnancy occurs. If the ovum is not fertilized, it dissolves and the endometrium drains off, out of the uterus through the vagina , causing a menstrual period. In between the menstrual periods, there may be a clear or whitish vaginal discharge . This is normal. Menstrual cycles occur over about one month (28 to 32 days). At first, the menstrual periods typically are irregular. The girl may go two months between periods, or may have 2 periods in one month. Over time, these will become more regular. The girl may want to keep track of when she has a menstrual period, and how long the period lasts, on a calendar. This can help her to see what her individual pattern is, and can help her predict when she will have the next menstrual period. Generally, the different phases of the menstrual cycle are not uncomfortable and the majority of girls will not notice any problems. Cramping, when present, is usually mild. Severe menstrual cramping should be evaluated by a physician. There may, however, be other cyclic hormonal and physical changes -- for example, just before or during a menstrual period the girl may feel "moody" or emotional, and may feel puffy or swollen. PMS ( premenstrual syndrome ) may begin to develop, especially as the girl gets older. In girls, maturation is usually complete by age 17. Subsequently, any increases in height beyond this age are uncommon. Although full physical maturity has been reached educational and emotional maturity remain ongoing processes. It is important to remember that fertility (often present as early as 12 years of age) precedes emotional maturity and pregnancy can, and often does, occur before an adolescent is equipped for parenthood. PUBERTY IN BOYS
Puberty usually occurs in boys between 13 and 15 years old. Unlike girls, there is no visible signs that tells a boy that he has entered puberty. However, the pubescent boy will normally experience: accelerated growth, especially height increased shoulder width growth of the penis and testicles voice changes pubic, beard, and armpit hair growth nighttime ejaculations (nocturnal emissions; "wet dreams") There are five stages in the pubertal development of boys: Stage one is known as the prepubertal period and is characterized by downy pubic hair that is similar to the hair found on the abdomen. Enlargement of the scrotum and testis is seen in the second stage of puberty. The enlargement of the scrotum is accompanied by reddening and folding of the skin. The first sparse pubic hair becomes apparent. Enlargement of the penis begins during the third stage of pubertal developement. A majority of this developement occurs in the length of the penis, although there may be small changes in the diameter of the penile shaft. Further enlargement and development of the scrotum and testis takes place and pubic hair thickens. Other changes involving the pubic hair include curling and coarsening in texture. These changes continue throughout the fourth stage accompanied by enlargement of the penile glans with thickening of hair in the pubic area. Stage five is the completion of sexual maturation. The penis, scrotum and testis are fully matured and are adult-sized. Pubic hair fills the pubic area and extends onto the surface of the thighs and up the abdomen. Increased body hair, voice changes and other physical changes are called the secondary sex characteristics of puberty. They are the consequence of changing hormone levels in the male body.
Unlike ovaries, their female counterpart, the testis constantly manufacture their reproductive contribution, sperm. The process of sperm production is termed spermatogenesis. While a volume of sperm can be stored in a structure extending off of the testicle called the epididymis, at intervals, the stored sperm must be released as part of the normal physiological process to make room for the newly manufactured sperm. This can occur automatically during sleep and is known as a nocturnal emission or "wet dream" or following masturbation or sexual intercourse. Nocturnal emissions may be a common concern for young men entering puberty but they should be reassured that is a normal part of maturation.
ADOLESCENCE
Adolescence refers to the time between the beginning of sexual maturation (puberty) and adulthood. It is a time of psychological maturation; becoming "adult-like" in behavior.
Adolescence is roughly considered to be the period between 13 and 19 years of age. The adolescent experiences not only physical growth and change but also emotional, psychological, social, and mental change and growth. During this period adolescents are expected to become capable of adult behavior and response. See school age child development and adolescent development for detailed information about these changes.
ADOLESCENT HEALTH CONCERNS
Adolescents face several unique health concerns, such as:
accidental injuries (cause approximately 70% of adolescent deaths)
motor vehicle accidents drowning poisoning (usually drug overdoses) homicide (second leading cause of death) suicide (third leading cause of death) alcohol intoxicationsubstance abuseadolescent depression sexual experimentation adolescent pregnancy sexually transmitted diseases malnutrition , anorexia nervosa , bulimiachildhood stress
These problems are very real as seen from the statistics available from the motor vehicle division of the police department, police statistics on teenage arrest, national statistics on teenage pregnancy unwed mothers, Centers for Disease Control (CDC) statistics on teenage sexually transmitted disease (STD), and continued reports of teenage alcohol and drug usage. Information and help is available through multiple agencies including schools, churches, police and other civic groups.
Awareness about health and dealing with life, happiness and fulfillment should begin at a very young age in the home and continue throughout the teenage years. Good examples set by parent(s), a stable and caring home life, participation of the parents during the growing up process, and attention to education may contribute more to a happy and safe adolescence than any other resources available.
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