What are the signs of early puberty in boys?

Patient's question:

In recent times, I noticed an embarrassing phenomenon: I would experience morning erections every morning when I went to bed, but after a few minutes, it would naturally bend. This lasted for a long time. However, my peers of the same age did not experience this phenomenon again. What are the signs of early puberty in boys?

Doctor's answer:

Early-onset puberty in boys refers to the growth and development of secondary sexual characteristics in boys before the age of 9, such as the regression of the scrotum, the darkening of the scrotal skin, gradual penile enlargement, and the eventual appearance of pubic and armpit hair. In later stages, boys may also experience the development of an Adam's apple and voice changes, which are normal parts of the pubertal growth process. However, if these symptoms appear in boys before the age of 9, it is considered precocious puberty.
You are already 15 years old, and you experience morning erections, which are normal physiological phenomena. This is not precocious puberty.

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