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Pediatric Medicine
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Answer 4
- Testicular enlargement.
Testicular enlargement, which begins on average
at age 11.6 years, is the first physical sign of puberty in approximately 98%
of boys. Pubic hair development and then penile lengthening closely follow. The
timing of spermarche is widely variable, but it occurs on average at Tanner
stage II-III. In contrast to girls, in whom a height spurt is an early
pubertal event, the height spurt in boys is a late pubertal event and generally
lasts longer than in girls. For this reason, boys generally are shorter than
girls early in development but catch up and ultimately surpass them in final
adult height.
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