Page 183 - Meeting with Children Book
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                   Look for the following as outlined by Lucile
                   Packard, Children's Hospital Stanford (2016):
                    13 - 18 yrs   MALES
                               Beginning of puberty occurs between 9.5
                               to 14 years old

                               First pubertal change: enlargement of the
                               testicles

                               Penis enlargement: begins approximately
                               one year after the testicles begin
                               enlarging

                               Appearance of pubic hair: 13.5 years old

                               Nocturnal emissions (or "wet dreams"):
                               14 years old

                               Hair under the arms and on the face,
                               voice change, and acne: 15 years old
                    13 - 18 yrs   FEMALES
                               Girls also experience puberty as a
                               sequence of events, but their pubertal
                               changes usually begin before boys of the
                               same age. Each girl is different and may
                               progress through these changes
                               differently. The following are average
                               ages when puberty changes may occur:
                               Beginning of puberty: 8 to 13 years
                               First pubertal change: breast
                               development
                               Pubic hair development: shortly after
                               breast development

                               Hair under the arms: 12 years old

                               Menstrual periods: 10 to 16.5 years old
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