Normal Development in Pre-Adolescent Boys - Urology

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My 11-and-a-half-year-old son (almost 12) has a flaccid penis size of about 2-3 cm on average and an erect size of 6-7 cm.
Is this considered short or normal? He is also afraid of being laughed at by his classmates, and he has not yet developed pubic hair.
Is this normal?

ni jiao qiang, 30~39 year old female. Ask Date: 2005/11/03

Dr. Xu Weikai reply Urology


Hello, "Mud Gun," what a unique nickname! I have a few questions: Has he reached puberty? Has his voice changed? Has he grown taller? If not, it may indicate that he has not yet developed.
If necessary, you can visit a pediatrician (preferably a pediatric endocrinologist) to check for any signs of delayed development or to determine if he is within the normal range.
If there are concerns, tests can be conducted to assess whether the endocrine system is functioning normally.
What about the size of the testes? What is their firmness? These factors should also be included in the evaluation.
Therefore, it is advisable to consult a specialist for a more accurate assessment.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/11/03

More Info


When it comes to understanding normal development in pre-adolescent boys, it's essential to recognize that puberty is a highly individualized process. Each child develops at their own pace, influenced by a variety of factors including genetics, nutrition, and overall health.
In boys, puberty typically begins between the ages of 9 and 14, with the average onset around 11 to 12 years old. The first signs of puberty in boys often include testicular enlargement, followed by the development of pubic hair, voice changes, and growth spurts. The development of the penis and scrotum occurs gradually, and it is normal for there to be a wide range of sizes and stages of development during this time.

In your case, your son is 11 and a half years old and has not yet experienced significant growth in his genitalia or the development of pubic hair. The average size of an erect penis for boys in this age group can vary widely, and it is not uncommon for some boys to have smaller sizes at this stage. The average size of an erect penis for boys around this age is generally between 6 to 7 cm, but many boys may not reach this size until later in puberty.
It is also important to note that the absence of pubic hair at this age does not necessarily indicate a problem. Pubic hair typically begins to appear after the testicles have started to enlarge, which is one of the first signs of puberty. If your son has not yet developed pubic hair, it may simply mean that he is on the later end of the spectrum for the onset of puberty.
Concerns about size and development are common among pre-adolescent boys, and it is crucial to approach these feelings with sensitivity. Many boys worry about being teased by their peers, especially during this vulnerable stage of development. Open communication with your son about these feelings can help alleviate some of his anxiety. Reassuring him that everyone develops at their own pace and that there is a wide range of what is considered "normal" can be beneficial.
If you are concerned about your son's development, it may be worthwhile to consult a pediatrician or an endocrinologist who specializes in adolescent health. They can assess his growth patterns, check for any hormonal imbalances, and provide guidance on what to expect as he continues to grow. They may also recommend a bone age assessment, which can help determine if his growth plates are still open and how much growth he may have left.

In summary, while your son's current development may seem concerning, it is essential to remember that puberty is a gradual process that varies significantly from one individual to another. Encouraging open dialogue about his feelings and seeking professional advice if necessary can help ensure that he feels supported during this transitional phase of his life.

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