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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I'm a med student on pediatric endocrine right now. We see lots of kids like this in clinic. They will do a bone age (xray of the hand) to see if his bone age matches his chronological age. If his bone age is younger than his real age that means more growing time aka the late bloomers. If his bone age and chronological age match he may just be on the shorter side. Boys have their big growth spurts after puberty starts, of in the middle of puberty is when they have their fastest growth velocity which is about 14-15 years for most males. [b]Facial hair and voice changes are later signs of male puberty.[/b][/quote]
You don't mean to say those are the signs they are near the end of their biggest growth spurt, do you?[/quote]

I would think that a boy with facial hair is close to the end of his growth spurt, but I'm sure everyone is different.[/quote]

I mean to say that facial hear and deepened voice occur towards the end of puberty. So after the most rapid growth has occurred typically. They can still grow after getting facial hair/deep voice but the most rapid growth is usually finishing up.[/quote]

I wonder what exactly describes "deepened voice"?  For example my DS's voice started to change noticeably this summer, it's deeper, definitely less child-like, but not that of an adult male yet.  He hasn't had his peak height growth yet, he's followed by a pediatric endocrinologist for constitutional delay and the dr. expects him to hit his peak height velocity this upcoming year (bone age is still behind chronological age, plenty of room shown in his growth plates).

So perhaps "deep voice" means the voice they'll end up with as an adult, rather than the start of the voice deepening?[/quote]

There's a chart here that might help. Changes in voice can happen at a wide range of points. Underarm hair is typically quite late in puberty, though it might be different for an individual male.

https://www.merckmanuals.com/home/men-s-health-issues/biology-of-the-male-reproductive-system/puberty-in-boys[/quote]\

The thing is, it's different for everyone.  My kids always got underarm hair (as did I and my husband) as the very first sign.  My son, turning 13, has had it for 1.5 years now and no other changes---no growth spurt, no voice change, etc.

I've come to learn we should just sit back and let nature take its course.  As long as the kids are getting sleep, exercise and eating relatively healthy, there is absolutely nothing we can do to change their future height (barring kids with actual endocrine deficiencies of course).  So, there is no need stressing out about it.  The farther along I get in parenting I realize how much wasted time and stress was spent on things that I had no control or didn't matter.[/quote]

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