Delayed Puberty and Its Impact on Development - Urology

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Developmental issues


I am currently 13 years old (in the third year of junior high school), and I have not yet developed secondary sexual characteristics, but I have already experienced ejaculation and have a habit of masturbation.
My testicles have not yet grown, and I do not have pubic hair.
Should I be concerned about delayed growth? Also, does masturbation affect my development?

Henry, 10~19 year old female. Ask Date: 2019/10/08

Dr. Du Shixi reply Urology


Hello: Development can vary greatly from early to late, and it's hard to say definitively.
Masturbation should not hinder development, but it's important to ensure it does not affect learning and sleep.
Pay attention to sleep, nutrition, and exercise, as these three factors contribute to healthy development.
If you notice the growth of pubic hair or a change in voice, it's especially important to focus on the first three aspects.
Wishing you good health.

Reply Date: 2019/10/08

More Info


Delayed puberty is a condition characterized by the late onset of secondary sexual characteristics, which typically occurs after the age of 14 in boys. In your case, at 13 years old, you are experiencing some signs of puberty, such as the presence of semen, but you have not yet developed other secondary sexual characteristics like testicular enlargement or pubic hair. This situation can indeed be concerning, especially since puberty is a critical period for physical and emotional development.

The development of secondary sexual characteristics in boys usually begins with testicular enlargement, followed by the growth of pubic hair, and then other changes such as increased height and changes in body composition. The absence of these signs by age 14 may indicate a delay in puberty, but it is essential to consider individual variations. Some boys may naturally experience a later onset of puberty, which can be influenced by genetic factors, nutritional status, and overall health.

Regarding your question about masturbation, it is a normal behavior for many adolescents and does not negatively impact physical development or growth. Masturbation is a natural part of sexual development and exploration, and it does not interfere with the hormonal changes that occur during puberty. It is important to understand that sexual behaviors, including masturbation, are a normal part of growing up and do not cause harm to your body or development.

If you are concerned about your development, it would be beneficial to consult a healthcare professional, such as a pediatrician or an endocrinologist. They can perform a thorough evaluation, including a physical examination and possibly blood tests to assess hormone levels. This evaluation can help determine if there is an underlying condition affecting your growth and development.

In some cases, delayed puberty may be associated with hormonal imbalances or other medical conditions that may require treatment. Early intervention can be crucial in addressing any potential issues and ensuring that you reach your full growth potential.

In summary, while you may be experiencing some signs of delayed puberty, it is essential to consult with a healthcare professional for a comprehensive evaluation. Masturbation is a normal behavior and does not affect your development. Remember that everyone develops at their own pace, and seeking guidance from a medical professional can provide you with the support and information you need during this time of growth and change.

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