Early adolescence or precocious puberty?

Patient's question:

My child is a boy, 11 years old. When he was 10 and a half, he started growing rapidly. Now he is 160 cm tall, has acne on his face, and has also grown some pubic hair. I would like to ask if this is precocious puberty.

Doctor's answer:

Hello. Children are not experiencing precocious puberty now. Precocious puberty refers to the sexual development of girls aged 8 and boys before the age of 9. The order of sexual development in boys is as follows: first, an increase in testicular volume, then an increase in penile thickness, followed by the growth of male physical characteristics such as armpit hair, a lower voice, and a beard. The entire process takes more than 5 years. When secondary sexual characteristics appear, children's height and weight grow rapidly. During adolescence, children's social activities increase. Their psychological adaptability strengthens, but they are prone to fluctuations. In terms of emotions, relationships, career choices, moral evaluations, and life views, personality changes are easily observed. Parents should guide their children from the side. Once personality is formed, it becomes relatively stable.

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