Can I Still Grow Taller During Puberty? Growth Stages - Pediatrics

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Height issues during puberty?


Hello doctor, I currently have pubic hair and an Adam's apple, and my height is 160 cm.
Can I still grow taller? What stage of puberty am I in?

Wu Tongxue, 10~19 year old female. Ask Date: 2024/05/18

Dr. Pei Rensheng reply Pediatrics


Hello: 1.
According to the Tanner stages of puberty, there are five stages; the presence of pubic hair indicates stage three.
2.
The appearance of the Adam's apple signifies stage five, which is the end of puberty.
If there are concerns about limited growth potential, it is recommended to visit a pediatric endocrinology clinic for a health assessment.
Best regards, Ren Sheng.

Reply Date: 2024/05/18

More Info


During puberty, growth in height is primarily influenced by the development of growth plates in the long bones. These growth plates, also known as epiphyseal plates, are areas of developing cartilage tissue near the ends of long bones. As a person matures, these plates gradually harden and fuse, which ultimately stops further growth in height.
In males, puberty typically begins between the ages of 9 and 14, and it can last until the late teens. The development of secondary sexual characteristics, such as pubic hair and the growth of the Adam's apple (laryngeal prominence), indicates that you are in the midst of puberty. The presence of these features suggests that your body is undergoing significant hormonal changes, which are crucial for growth.

At 160 cm, if you are still in your growth phase and your growth plates have not yet closed, there is still a possibility for you to grow taller. The growth spurt during puberty can vary significantly among individuals. Some may experience rapid growth early in puberty, while others may have a delayed growth spurt. The average growth during puberty for boys can be around 10 cm to 15 cm per year, but this can vary widely.

To assess your potential for further growth, it is essential to consider several factors:
1. Bone Age: A bone age assessment through X-ray can provide insight into how much growth potential you have left. If your growth plates are still open, you may have more time to grow.

2. Genetics: Your height potential is also influenced by your parents' heights. If both parents are of average height, it is likely that you will fall within a similar range, but there are always exceptions.

3. Nutrition and Exercise: A balanced diet rich in calcium, vitamin D, and protein is vital for bone health and growth. Regular physical activity, especially weight-bearing exercises, can stimulate growth hormone production and promote healthy bone development.

4. Health Conditions: Certain medical conditions can affect growth. If you have concerns about your growth or development, it may be beneficial to consult a healthcare provider for a thorough evaluation.

In summary, if your growth plates are still open, you still have the potential to grow taller. However, the rate of growth may slow down as you approach the end of puberty. It's essential to maintain a healthy lifestyle, including proper nutrition and regular exercise, to support your growth during this critical period. If you have specific concerns about your growth or development, consider seeking advice from a healthcare professional who can provide personalized guidance based on your individual circumstances.

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