How can I determine if my development is normal?
Hello, doctor: I will be turning 19 this year.
I have developed an Adam's apple, and I have some hair in my armpits and pubic area, but I still don't have a beard.
My genitalia, including my testicles and penis, are still small, just like when I was younger.
Is there a problem with my development? I have been checking my testicles, but how can I determine if there are any lumps? If I go to see a urologist, how should I explain to the doctor that I am concerned about my development?
Ye Zi, 10~19 year old female. Ask Date: 2006/08/20
Dr. Xu Weikai reply Urology
Hello, you just need to visit the hospital for a consultation with a urologist.
After a physical examination, a diagnosis should be possible.
If necessary, hormone testing can also be performed.
Note: I apologize for the late response as I just returned to work today due to a business trip.
Sincerely,
Dr.
Hsu Wei-Kai
Director, Urology Department
Taitung Hospital, Department of Health, Executive Yuan
Reply Date: 2006/08/20
More Info
At 19 years old, it's natural to have concerns about physical development, especially regarding secondary sexual characteristics such as body hair, voice changes, and genital size. Development during puberty varies widely among individuals, and there is a broad spectrum of what is considered "normal."
Firstly, it's important to understand that puberty is a complex process that occurs over several years, typically starting between ages 9 and 14 for boys and continuing into the late teens. The development of secondary sexual characteristics, such as the growth of body hair (including axillary and pubic hair), deepening of the voice, and the growth of the penis and testicles, can occur at different rates for different individuals. Some boys may experience rapid changes, while others may develop more slowly.
In your case, the presence of a noticeable Adam's apple (laryngeal prominence) and some body hair indicates that you are progressing through puberty. However, if you feel that your genital development is not in line with your peers or is concerning to you, it may be worth discussing with a healthcare professional.
Regarding the size of your testicles and penis, it's important to note that size can vary significantly among individuals. The average size of an adult male's penis is often cited as being between 5 to 6 inches when erect, but many factors, including genetics and hormonal levels, can influence this. If you are concerned about the size of your genitalia, remember that size does not determine masculinity or sexual function.
If you are worried about the presence of hard lumps in your testicles, it is crucial to perform regular self-examinations. To check for lumps, you should gently roll each testicle between your fingers, feeling for any unusual bumps or changes in texture. Normal testicles should feel smooth and firm, and any hard lumps or changes should be evaluated by a healthcare professional.
When you visit a urologist or any healthcare provider, it is essential to be open and honest about your concerns. You can explain your developmental timeline, mentioning the changes you have noticed, such as the growth of body hair and the presence of an Adam's apple, while expressing your worries about the size of your genitalia and any lumps you may have felt. This information will help the doctor understand your situation better and provide appropriate guidance or treatment if necessary.
In conclusion, while it is normal to have concerns about development at your age, it is essential to remember that there is a wide range of what is considered normal. If you have specific worries, especially regarding lumps or significant developmental delays, seeking professional medical advice is the best course of action. A urologist can provide you with reassurance, conduct any necessary examinations, and help you understand your development in the context of your overall health.
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