S3.4.2 Chapter 2

Changes in puberty

What is puberty, and what will change in my body?

Your guess

Pick one before you read on. It is fine to be wrong.

Your guess
  • You picked A. Read on. At the end, the chapter comes back to your guess.

  • You picked B. Read on. At the end, the chapter comes back to your guess.

  • You picked C. Read on. At the end, the chapter comes back to your guess.

By the end you can

  • Describe the body changes of puberty in girls and in boys
  • Explain that puberty starts at different times for different people

Puberty is the time when a child's body changes into an adult's body. It happens in the adolescent stage. It takes a few years from start to end.

Puberty starts with hormones. A hormone is a chemical messenger. It is made in one part of the body and carried in the blood to other parts. There it tells them to change.

Draw it first

Draw the changes that come to everyone

  1. A standing person seen from the front, with labels added in three steps. Step one: growth spurt, pointing at a leg. Step two: armpit hair and pubic hair, pointing under the arm and just above the fork of the legs. Step three: sweat under the arm and spots on the face. Labels: growth spurt, armpit hair, pubic hair, sweat, spots.growthspurt

    1 Draw a person standing. In puberty the bones grow fast: a growth spurt.

  2. A standing person seen from the front, with labels added in three steps. Step one: growth spurt, pointing at a leg. Step two: armpit hair and pubic hair, pointing under the arm and just above the fork of the legs. Step three: sweat under the arm and spots on the face. Labels: growth spurt, armpit hair, pubic hair, sweat, spots.growthspurtarmpithairpubichair

    2 Hair grows under the arms and on the pubic area, just above the genitals.

  3. A standing person seen from the front, with labels added in three steps. Step one: growth spurt, pointing at a leg. Step two: armpit hair and pubic hair, pointing under the arm and just above the fork of the legs. Step three: sweat under the arm and spots on the face. Labels: growth spurt, armpit hair, pubic hair, sweat, spots.growthspurtarmpithairpubichairsweatspots

    3 You sweat more, and many people get spots on the face.

Some changes come to everyone. You grow fast for a while. This is a growth spurt. Hair grows under the arms. It also grows on the pubic area, the skin just above the genitals. The genitals are the sex organs on the outside of the body.

You sweat more, and sweat can start to smell. Many people get spots on the face and back. These spots are called acne. Your feelings change too. The next chapter is about feelings.

A young woman standing, seen from the front, with the curves of her breasts drawn on the chest. The changes of puberty for girls are named, each with a line to its place. Breasts grow, on the chest. Hips widen, with arrows pointing out from both hips. Periods start, low in the abdomen where the uterus is. Armpit hair, under the arm. Pubic hair, just above the fork of the legs. Growth spurt, on a leg. Labels: breasts grow, hips widen, periods start, armpit hair, pubic hair, growth spurt.breastsgrowhipswidenperiodsstartarmpithairpubichairgrowthspurt
Changes for girls. The breasts grow and the hips get wider. Periods start. A later chapter explains periods.
A young man standing, seen from the front, with the larynx showing at the front of the throat. The changes of puberty for boys are named, each with a line to its place. Face hair, on the lower face. Voice deepens, at the throat, where the larynx grows. Shoulders widen, with arrows pointing out from both shoulders. Armpit hair, under the arm. Pubic hair, just above the fork of the legs. Penis grows and testes grow, at the fork of the legs. Growth spurt, on a leg. Labels: face hair, voice deepens, shoulders widen, armpit hair, pubic hair, penis grows, testes grow, growth spurt.facehairvoicedeepensshoulderswidenarmpithairpubichairpenisgrowstestesgrowgrowthspurt
Changes for boys. The testes and the penis grow, the voice gets deeper, and hair grows on the face. The shoulders get wider.

Boys start to have erections. An erection is when the penis fills with blood and gets stiff for a while. It can happen for no reason at all. Some boys have wet dreams. Semen is a fluid with sperm in it. A wet dream is when semen comes out of the penis during sleep. Both are a normal part of growing up.

Some changes can look worrying, but they are normal. Breast buds can feel tender, and one breast often grows faster than the other. Many boys' chests swell a little for a while, then flatten again. One testis usually hangs lower than the other. A boy's voice may crack, jumping high and low, before it settles deeper.

From puberty, girls may find a little clear or white fluid in their underwear. It is called discharge. It comes from the vagina and keeps it clean, and it is normal.

Many people touch their own genitals in private. This is common and normal, and it does no harm to the body. It is a private matter, and nobody should make you feel ashamed of your body. A child's genitals are private. No older person may touch them. A health worker who explains why and asks first is different. So is a carer washing a baby. Chapter 8 says what to do if someone does.

A few people are born with a body that is not the usual female or male pattern. Sometimes it is only the parts inside. This is a natural difference. A health worker can explain it.

Puberty starts at different times for different people. It can start some years earlier or later than for a friend. There is no right time. Each body has its own timetable.

Doctors know the usual spans. In girls, the breasts usually start to grow between about 8 and 13 years. The first period most often comes between about 10 and 15 years. In boys, the testes usually start to grow between about 9 and 14 years. So for many girls puberty starts a little earlier than for boys.

A table of when three changes usually start, in years. Breasts start to grow: about 8 to 13. First period: about 10 to 15. Testes start to grow: about 9 to 14. Labels: change, starts at, breasts grow, 8 to 13 years, first period, 10 to 15 years, testes grow, 9 to 14 years.changestarts atbreasts grow8 to 13 yearsfirst period10 to 15 yearstestes grow9 to 14 years
The usual spans, from medicine. They are wide on purpose: anywhere inside them is normal.

The changes then take a few years. Most girls have finished by about 14 to 16 years. Most boys have finished by about 16 to 18 years. Anywhere inside these wide spans is normal.

A table of four friends from one class and how far puberty has gone for each. Amina: many changes. Ravi: a few changes. Mei: a few changes. Kofi: none yet. Labels: friend, changes so far, Amina, many, Ravi, a few, Mei, a few, Kofi, none yet.friendchanges so farAminamanyRavia fewMeia fewKofinone yet
Four friends in one class. All four are normal. Kofi's changes will come on his own timetable.

See it three ways

With things

Mei marked her height on a door frame every half year. In the middle of puberty the marks moved apart faster.

As a picture

A bar chart of how many centimetres Mei grew in each half year, for five half years in a row: 2, 2, 4, 4, 2 cm. The two middle bars are twice as tall as the others: the growth spurt. Labels: 1, 2, 3, 4, 5, cm grown each half year.024612345cm grown each half year

In words

For a while, Mei grew twice as fast. That is her growth spurt. Then her growth slowed down again.

In symbols

148 cm − 144 cm = 4 cm

Try it

Measure your height on a door frame

You need: a door frame, a pencil, a flat book, a tape measure, or a string and a ruler.

  1. Stand straight with your back to the door frame, with no shoes on. Ask someone at home to lay a book flat on your head and mark under it.
  2. Measure from the floor to the mark. Write the height and the date beside it.
  3. Do it again every few months, on the same frame. Work out how much you grew each time.

What you will see: Over time the marks move apart. In a growth spurt they move apart faster.

If you cannot try it, this is what happens.
A table of Mei's height marks, half a year apart: 140, 142, 144, 148, 152, 154 cm. Labels: mark, height in cm, 1, 2, 3, 4, 5, 6, 140, 142, 144, 148, 152, 154.markheight in cm114021423144414851526154

A wrong idea many people have

If my body has not changed yet, something is wrong with me.

Why it feels right: Friends of the same class may already look older, and it is natural to compare.

The test that breaks it: Ask any adults you trust when their own changes came. Their answers will be spread out, some early and some late.

What is true: Puberty starts at different times for different people. Starting later, or earlier, is normal.

Key words

puberty
the time when a child's body changes into an adult's body.
hormones
chemical messengers, carried in the blood, that tell parts of the body to change.
growth spurt
a time of growing much faster than before.
genitals
the sex organs on the outside of the body.
erections
times when the penis fills with blood and gets stiff.
wet dreams
times when semen comes out of the penis during sleep.

Back to your guess

The answer is C: Puberty is a time of body changes, and it starts at different times for different people.

Puberty changes a child's body into an adult's. It comes to everyone, girls and boys, but each body starts on its own timetable.

Check yourself

Try each one before you look. A wrong answer tells you where to go next.

  1. Which changes happen to girls in puberty?

    Tap your answer.
    1. Yes, that is right. Hormones from the ovaries make the breasts grow, the hips widen and periods start.

    2. Not this one. Those are changes for boys. Girls' voices change only a little. Go to S3.4.2. Try another.

    3. Not this one. Puberty happens in the adolescent stage, before adult life. Go to S3.4.2. Try another.

    See the answer

    The breasts grow, the hips widen and periods start

    Hormones from the ovaries make the breasts grow, the hips widen and periods start.

    • If you chose B: Those are changes for boys. Girls' voices change only a little. Go to S3.4.2.
    • If you chose C: Puberty happens in the adolescent stage, before adult life. Go to S3.4.2.
  2. Which changes happen to boys in puberty?

    Tap your answer.
    1. Not this one. Periods come from the uterus, and boys do not have one. Go to S3.4.2. Try another.

    2. Yes, that is right. Hormones from the testes make the genitals grow, the voice deepen and hair grow on the face.

    3. Not this one. Boys have a growth spurt in puberty. They grow faster for a while. Go to S3.4.2. Try another.

    See the answer

    The testes and penis grow, and the voice deepens

    Hormones from the testes make the genitals grow, the voice deepen and hair grow on the face.

    • If you chose A: Periods come from the uterus, and boys do not have one. Go to S3.4.2.
    • If you chose C: Boys have a growth spurt in puberty. They grow faster for a while. Go to S3.4.2.
  3. Which changes come to both girls and boys?

    Tap your answer.
    1. Not this one. Those are changes for girls. Go to S3.4.2. Try another.

    2. Not this one. Wet dreams are for boys. Semen is made by the male system. Go to S3.4.2. Try another.

    3. Yes, that is right. These changes come to everyone in puberty.

    See the answer

    Hair under the arms and on the pubic area, more sweat, and a growth spurt

    These changes come to everyone in puberty.

    • If you chose A: Those are changes for girls. Go to S3.4.2.
    • If you chose B: Wet dreams are for boys. Semen is made by the male system. Go to S3.4.2.
  4. Joseph's friends' voices have changed, but his has not. What does this mean?

    Tap your answer.
    1. Not this one. There is no right time. Puberty starts at different times for different people. Go to S3.4.2. Try another.

    2. Yes, that is right. Puberty can start some years earlier or later than for a friend. Both are normal.

    3. Not this one. Puberty comes to almost everyone, sometimes later. If it is very late, a health worker can check and help. Go to S3.4.2. Try another.

    See the answer

    Puberty starts at different times. Joseph's body will change on its own timetable.

    Puberty can start some years earlier or later than for a friend. Both are normal.

    • If you chose A: There is no right time. Puberty starts at different times for different people. Go to S3.4.2.
    • If you chose C: Puberty comes to almost everyone, sometimes later. If it is very late, a health worker can check and help. Go to S3.4.2.
  5. What starts the changes of puberty?

    Tap your answer.
    1. Not this one. Food gives you energy to grow, but it does not start puberty. Hormones do. Go to S3.4.2. Try another.

    2. Not this one. Sport is good for you, but it does not start puberty. Hormones do. Go to S3.4.2. Try another.

    3. Yes, that is right. Hormones carry the message to change round the body in the blood.

    See the answer

    Hormones, chemical messengers carried in the blood

    Hormones carry the message to change round the body in the blood.

    • If you chose A: Food gives you energy to grow, but it does not start puberty. Hormones do. Go to S3.4.2.
    • If you chose B: Sport is good for you, but it does not start puberty. Hormones do. Go to S3.4.2.
  6. Ravi wakes up and finds a little sticky fluid in his bed. It came from his penis while he slept. What is it?

    Tap your answer.
    1. Yes, that is right. Semen can come out of the penis during sleep. This is a wet dream, and it is normal.

    2. Not this one. A wet dream is not an illness. It is a normal part of puberty, and nothing to hide or be ashamed of. Go to S3.4.2. Try another.

    3. Not this one. Urine is watery. Semen is a thicker fluid with sperm in it. A wet dream is semen. Go to S3.4.2. Try another.

    See the answer

    A wet dream. It is normal in puberty.

    Semen can come out of the penis during sleep. This is a wet dream, and it is normal.

    • If you chose B: A wet dream is not an illness. It is a normal part of puberty, and nothing to hide or be ashamed of. Go to S3.4.2.
    • If you chose C: Urine is watery. Semen is a thicker fluid with sperm in it. A wet dream is semen. Go to S3.4.2.
  7. Mei's height mark was at 144 cm. Half a year later it was at 148 cm. How much did she grow?

    See the answer

    4 cm

    Take the first height from the second. 148 − 144 = 4.

  8. From an earlier chapter

    Which stage of life is puberty part of?

    Tap your answer.
    1. Not this one. A baby is far from puberty. It still feeds on milk. Go to S3.4.1. Try another.

    2. Yes, that is right. The adolescent stage is between child and adult. Puberty happens in it.

    3. Not this one. An elder went through puberty long ago, as an adolescent. Go to S3.4.1. Try another.

    See the answer

    Adolescent

    The adolescent stage is between child and adult. Puberty happens in it.

    • If you chose A: A baby is far from puberty. It still feeds on milk. Go to S3.4.1.
    • If you chose C: An elder went through puberty long ago, as an adolescent. Go to S3.4.1.

Keep it

Copy this into your exercise book.

Hormones start puberty. Girls: breasts grow, hips widen, periods start. Boys: testes and penis grow, voice deepens, face hair. Everyone: body hair, sweat, spots, a growth spurt. It starts at different times. No time is wrong.

Draw: Draw a person and label three changes that come to everyone.

Reading with a child? A short page for the adult: what this chapter teaches and three questions to ask.

No internet tomorrow? Save the whole book as one file (932 KB). It opens on any phone.