Certified Pediatric Nurse (CPN)

What is the first sign of puberty in males?

1. Testicular enlargement

2. Pubic hair development

3. Growth spurt

4. There is no specific order of events

The correct answer is: Testicular enlargement

The first sign of puberty in males is testicular enlargement. This initial change signifies the beginning of spermatogenesis and the body's preparation for eventual fertility. Typically, this process starts between the ages of 9 and 14 and is accompanied by hormonal changes, primarily involving an increase in testosterone levels. Testicular enlargement is a distinct and observable change that marks the onset of secondary sexual characteristics and the entire maturation process. Following this first sign, other developments like the growth of pubic hair and a growth spurt often occur, but they are considered secondary changes following the enlargement of the testes. Recognizing testicular enlargement as the first sign helps nursing professionals and caregivers monitor normal development during puberty.