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What happens?

 

Boys and girls go through major changes at puberty, the time when your body grows most rapidly and you develop into an adult. The sexual organs mature and pubic hair grows around them. Girls develop breasts and have their first menstrual periods. Boys become more muscular, grow hair on their faces and their voices get deeper.

But the changes aren't only physical. Your attitude to those around you shifts too. You might find your parents irritating and out of touch. They might see you as unreasonable. It is often a time of conflict.

Teenage growth and development
Puberty is triggered when your body starts to produce and release hormones. For boys this happens any time between the ages of 11 and 15, for girls a little earlier, usually between nine and 13. Everyone follows their own inner clock, so the chances are that you will start puberty earlier or later than your friends.

Height and weight usually increase rapidly before slowing and finally stopping around the age of 18. But it's not always like that. Sometimes you grow more gradually. Either way, most teenagers grow around 10ins during puberty.

Growth problems
As everyone develops at a different rate, it can be unsettling to find yourself suddenly towering over your friends, or dwarfed by them. Girls can worry if they're the last in their class to start their periods, and boys may feel odd if they're the only ones shaving before school.

The likelihood is that you are developing fine, and at your own pace.

Still, there are certain specific conditions worth knowing about.

Some girls experience differential development, when one breast develops faster than the other. This can be alarming but usually both breasts even out over time. Boys sometimes develop breast tissue too, known as gynecomastia, but it tends to vanish on its own within a few months.

Precocious puberty and delayed puberty are when, respectively, puberty occurs much earlier or later than for your friends.

Where to get help
If you're anxious for any reason about the way you are growing you can put your mind at rest to see your doctor. He or she might want to measure your height about every six months to see how fast you're growing. They will also examine patterns in your family. It might be that you have inherited short stature from your parents or are experiencing delayed growth - called 'constitutional growth delay' - like other relatives.

Treatments
Extra vitamins or special diets won't make you grow any faster or taller. But sometimes doctors give hormone treatments to boys with constitutional growth delay. These can boost growth and development temporarily until you start producing hormones yourself. This should never be contemplated without a detailed discussion with a specialist in the subject.

Sometimes the pituitary gland (a small gland at the base of the brain that makes and releases several hormones) can't make enough growth hormone. Daily shots of growth hormone usually work here (the advice above applies).

Some girls develop Turner syndrome, which stops them from developing sexually on their own. Growth hormone and oestrogen, another hormone, can help teenage girls in this case.

Growing naturally
The best way to grow normally is to look after yourself properly. That means a good diet, and getting enough sleep and exercise.

Link to:
Puberty - a survival guide for girls
Puberty - a survival guide for guys

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