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reproductive health services for adolescents - Pathfinder International

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Module 16/Transparencies<br />

Transparency 1.2: Changes During Adolescence<br />

Physical and Sexual Changes During Adolescence<br />

In Women In Men In Both Sexes<br />

• Growth of the<br />

penis, scrotum and<br />

testicles<br />

• Nighttime<br />

ejaculation<br />

• Morning erection<br />

• Development of<br />

back muscles<br />

• Appearance of<br />

pubic and<br />

underarm hair<br />

• Menarche<br />

• Development of<br />

breasts<br />

• Widening of hips<br />

• Appearance of<br />

pubic and<br />

underarm hair<br />

• Development of<br />

the vulva and<br />

pelvis<br />

• Accelerated<br />

growth<br />

• Increased<br />

perspiration<br />

• Presence of acne<br />

• Face with<br />

characteristics of<br />

young adult<br />

• Change in tone of<br />

voice<br />

• Activation of<br />

sexual desire<br />

• Initiation of sexual<br />

activities<br />

Psychological and Emotional Changes<br />

• Mood swings<br />

• Insecurities, fears, doubts<br />

• Behavioral expressions of emotion: withdrawal, hostility,<br />

impulsiveness, non-cooperation<br />

• Self-centeredness<br />

• Feelings of being misunderstood and/or rejected<br />

• Fluctuating self-esteem<br />

• Interest in physical changes, sex, and sexuality<br />

• Concern about sexual identity, decision-making, reputation<br />

• Need to feel autonomous and independent<br />

<strong>Pathfinder</strong> <strong>International</strong><br />

194<br />

Adolescent Curriculum

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