Is this a type of disorder?
Hello doctor, I am currently 16 years old and I still have not ejaculated during masturbation.
I have some pubic hair but my voice has not changed, and my penis does not seem to have grown.
Is this a sign of delayed development or could it be related to some kind of illness?
Niming, 10~19 year old female. Ask Date: 2023/04/25
Dr. Du Shixi reply Urology
Hello: Please seek medical attention at a large hospital.
Wishing you good health.
Reply Date: 2023/04/25
More Info
Delayed puberty can indeed be a concern for your urological health, but it is important to understand the context and the normal variations in puberty development. Puberty is a complex process that involves hormonal changes leading to physical development, including the growth of body hair, changes in voice, and the development of the genitalia. Typically, boys begin to experience signs of puberty between the ages of 9 and 14, with most completing the process by the age of 18.
In your case, at 16 years old, the absence of ejaculation, lack of voice change, and minimal growth of the penis and pubic hair may indicate delayed puberty. However, it is crucial to note that every individual develops at their own pace, and some may naturally experience a later onset of these changes.
Delayed puberty can be classified into two categories: primary and secondary. Primary delayed puberty refers to the absence of any signs of puberty by age 14, while secondary delayed puberty refers to the lack of progression in puberty after it has started. Given that you have experienced some signs of puberty, such as the growth of pubic hair, it may be more appropriate to consider this as a secondary delay.
Several factors can contribute to delayed puberty, including:
1. Hormonal Imbalances: Conditions affecting the hypothalamus or pituitary gland can disrupt the hormonal signals necessary for puberty to commence.
2. Genetic Factors: Family history can play a role; if other family members experienced late puberty, it may be a hereditary trait.
3. Chronic Illnesses: Conditions such as diabetes, cystic fibrosis, or other chronic health issues can impact growth and development.
4. Nutritional Deficiencies: Poor nutrition or eating disorders can hinder physical development and delay puberty.
5. Psychological Factors: Stress, anxiety, and other psychological issues can also affect hormonal levels and delay the onset of puberty.
Given your concerns, it is advisable to consult with a healthcare professional, preferably a urologist or an endocrinologist, who can evaluate your growth and development more thoroughly. They may conduct a physical examination, review your medical history, and possibly order blood tests to assess hormone levels.
In some cases, treatment may be necessary if a hormonal imbalance or underlying health issue is identified. Hormone therapy can be an option for those with significant delays in puberty, but this should be discussed in detail with your doctor.
It is also important to remember that while delayed puberty can be concerning, it is often manageable, and many individuals who experience it go on to have normal reproductive health and development. Open communication with your healthcare provider can help alleviate your worries and guide you through this phase of development.
In summary, while delayed puberty can be a concern for your urological health, it is essential to approach this issue with a comprehensive understanding and seek professional guidance to determine the best course of action for your individual situation.
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