This document provides information to help young people navigate adolescence. It discusses the physical, psychological, and emotional changes that occur during puberty. Some key points include: - Puberty involves rapid changes and can be confusing without guidance. Proper information is important. - Physical changes in boys include growth of genitals and facial/body hair. In girls, changes include breast development and menstruation. - Psychological changes include mood swings and curiosity about sexuality. Managing stress through activities is important. - Issues like acne, masturbation, sexually transmitted infections, and relationships are covered. The document emphasizes making informed, responsible decisions about one's health and sexuality.

1. YOUNG
Girlz & Boyz
what you should know and do?
narendra malhotra
jaideep malhotra
www.rainbowhospitals.org

3. a girl child born should always be
welcomed

4. GROWING UP

5.  Growing process can be very
confusing with little or
no help & no one to turn to..
 Adolescents get information
about their bodies,
sexuality & sex from sources
such as friends,
servants, etc……..
 This information could be
incorrect, which could have
damaging effects.
Why are we meeting?

6.  Young people experience great deal of anxiety
emerging out of lack of knowledge of sexuality
-----
leading to myths & misconceptions.
 Lack of knowledge leads to
secret interest in pornography-
offering distorted view of
human sexuality.
Why are we meeting?

7. Concerns / Issues in boyz &
girlz
 Body Image & self esteem
 Acne
 Masturbation
 Why do I have to go through all these
changes?
 How to stay healthy?
 How to make right choices?
 Is it ok to talk about sex?
 Whom should I speak with?
Remember
There is always help available, provided
you are willing to talk about it!
First of all, let’s understand..

8. women education is a must
an educated girl is nation’s biggest
asset

9. ADOLESCENCE
Adolescence is a transition from Childhood to
Adulthood.
 It causes rapid physical, physiological and
emotional changes - “Exciting yet confusing”.
 Adolescence is a ‘DIFFICULT’ & IMPORTANT’
phase of growing up.
 Its important to be ‘AWARE’ & ‘ INFORMED’ of
what’s happening to you.
INDIA IS THE YOUNGEST CONTRY IN THE WORLD
25% OF OUR POPULATION IS ADOLESCENTS

10. WHAT IS PUBERTY ?
• our bodies are constantly changing
from the day we are born until we
die.puberty is the period of time when
children begin to mature biologically
,socially and cognitively.
• girls start to grow into women
• boys start to become men

11. Physical Changes
What separates a boy
from a girl?
Why boys are built
differently?

12. ADOLESCENT GROWTH
• PHYSICAL GROWTH
• MENTAL GROWTH
• EMOTIONAL GROWTH
• SEXUAL GROWTH

13. Adolescent changes
• 10-14 years
• Wt 15-55 pounds
• Ht 2-10 in
• Age of puberty in
females is 8-13
years
• 12-16 years
• Wt 15-65 pounds
• Ht 4-12 in
• Age of puberty in
males is 9.5 to 14
years

14. BOYS HOW THEY GROW ?

15. Changes in Males during Puberty
11yrs - 20yrs
12yrs - 18yrs
Growth of Facial Hair
Breaking of voice
Growth of Pubic Hair
11yrs - 20yrs
11yrs - 15yrs
Ext. Genital Growth
13yrs - 16yrs
Penile Erection
Growth spurt &
muscular appearance
12 yrs onwards
12yrs - 20yrs
Physical Changes

16. 8-10 YEARS
13 YEARS
15 YEARS
TOYS AND GAMES
DISNEY LAND,CARTOONS
READING,MUSIC
TV,MOBILE,GAMES
MUSIC,PHONE
GAMES,TV

17. ``````````

18. The Male Genital Tract
Physical Changes

19. Sperm
Physical Changes

20. INQUISITIVE ?
16 YEARS AND ABOVE

21. WHAT CAUSES THESE
CHANGES?
• hormones
• when the brain knows body is growing it
releases hormones
• these brain and pitutary hormones causes
growth of testes in males and ovaries in females
which secrete more hormones to cause changes

22. CHANGES
• BODY SHAPE
• HAIRS
• ACNE
• BODY ODOR
• VOICE CHANGES
• MENSTRUAL
CYCLE
• WET DREAMS
• EMOTIONAL
CHANGES

23. 16 YEARS CLOTHES,MUSIC,AFTERSHAVES,DEOS,MOVIES
FAST FOOD,GIRLS,MOBILES,ELECTRONIC GADGETS

24. DEVELOPMENT IN GIRLS

26. BREAST DEVELOPMENT

27. HAIR GROWTH

28. INTERNAL GENITAL ORGANS
External genitalia

32. FEMALE EGGS

34. YOUTH

35. Health & Hygiene
 During puberty adolescent boys tend to sweat more
underarms, on feet, in genital area –
It’s important to bathe & keep oneself clean to avoid
Body Odour & infections.
 Oil glands become more active during puberty.
So keep your skin clean to avoid Acne, pimples, etc..
 Avoid sharing shaving blades to keep infections at bay.
Physical Changes
To manage raging hormones & bodily
changes it’s very important to have
balanced diet & exercise regularly.

36. •take good diet
•lots of exercise
•give equal importance to studies and
games
•develop healthy relationship with
friends(boys and girls )
•keep away from bad company and bad
habits
WHAT SHOULD BE DONE

37. PROPER DIET

38. FOODS TO BE AVOIDED
• SPICY FOODS
• HOT DRINKS
• CAFFEINE
• ALCHOLIC DRINKS
• REFINED SUGAR
• TOBACCO
• PAN MASALA
• SMOKING

39. YOUTH
YOUTH
MUSIC,FUN,MOTORCYCLES
PARTIES,LATE NIGHTS,GIRLS
MOVIES,MOBILES,LAPTOPS,FACEBOOK
WHAT’SUP,GOOGLE etc etc etc
PROBLEMS IN ADLOLESCENTS

40. Infection
Lack of
Concentration
Weaknes
s
Irritability
Palpitatio
n
Fatigue
Dizzines
s
Symptoms
Anemia

41. Acne
 Acne is a skin condition, which is most common in
adolescents but may persist into late adult life.
 Acne results in pimples, redness, swelling &
scarring,
which could be painful & discomforting.
 In boys with acne, oil glands produce too much oil
(sebum) owing to hyperactive / imbalance in
hormone
levels.
 The trapped oil blocks pores causing infection,
leading
to pustules (pus spots) & pimple formation. Physical Changes
Acne cannot be avoided
BUT
can be controlled & managed.

42. Managing Acne
Lifestyle modification –
healthy balanced diet ensuring intake of required
Nutrients & plenty of water, good sleep, and protection
from UV rays can do wonders for your skin.
Good compliance -
Regular Skin Care Routine is extremely important &
helpful in managing Acne. Regular skin care will not only
ensure clean skin but will also help
 reduce sebum production
 presence of harmful bacteria
Physical Changes
To avoid scarring, it’s best not to squeeze Acne.

43. Managing Acne -Cleansing
 It is very important to keep Acne prone & oily skin clean.
Proper cleansing regime controls, manages & help avoid
occurrence of Acne & pimples.
 Dirt and oil on the surface of the skin
do not cause acne, but clogging of pore
openings.
 Warm water dissolves skin oil better
than lukewarm or cold water.
But avoid hot water.
Acne ARE NOT related to sexual thoughts / activity.
Physical Changes

44. Masturbation
Masturbation can lead to…
 Acne, insanity, TB, mental retardation - FALSE
 Impotence, homosexuality FALSE
 Changes in the angle of penis- FALSE
 Curved penis FALSE
However, Masturbation could pose
problems if it
 interferes with other day-to-day activities
 Done in public
 repeatedly in a day, etc…. Physical Changes

45. Myths & Misconceptions
 Circumcision is the only way to keep - FALSE
penis clean.
 Man with larger penis is sexually more- FALSE
potent than a man with a smaller one.
 Men are born with fixed quota of semen,- FALSE
which decreases with age & excessive dissipation.
 Absence or deficiency of sperms affects- FALSE
man’s potency.
Nocturnal emissions or ‘Wet dreams’ - FALSE
indicate sexual disorder.
Physical Changes

46. various advertisments of false
claims

47. Obesity The Present Day Menace

48. Definition
• Weight centile alone is useless as it does not
consider height
• Height for weight is better but does not
differentiate between increased muscle or fat
• BMI reflects the degree of fat content best
• BMI = Weight in Kgs / Height in m 2

49. Eating Disorders
• Age of onset 10 to 30 years of
age
• Incidence 1% of women
• Pathological eating is of two
types
 Anorexia nervosa
 Bulimia nervosa
• Commoner in white race and
middle and higher
socioeconomic strata

50. Psychological Changes
Apart from physical changes, adolescents also go through
psychological changes; experiencing various hues of
emotions ranging from
 Confusing emotions like;
getting easily upset to anxiousness for independence and still
needing /seeking support of parents, friends.
 Consciousness about one’s sexuality
 Curiosity to explore and know about sexuality &
other related topics…
 Anger & excited ness
Relax! This is natural…..
Psychological Changes

51.  Best way to manage ones emotional & psychological
changes during growing up years is to channelize one’s
energy.
 It’s a good idea to pursue extra curricular activities
along with your studies.
 Do spend good time on playground, gym, etc… Exercise /
play - sports are very important for one’s physical &
mental development.
Note –
All your friends are also going through the same phase. So
don’t GIVE IN TO PEER PRESSURE.
Managing Psychological
Changes
Psychological Changes

52. Youth Friendly
Services

53.  Before making decisions, it’s important to understand
your emotions.
 Try not to jump to conclusions when in doubt.
 Avoid taking rash decisions. They could have long term
impact. Make sure you do not harm yourself by a rash
decision!
 Would be a great idea to learn to differentiate between
– Affection / Love / Infatuation / Obsession
.
Understanding Yourself
Psychological Changes
Do learn to
Accept & Respect NO
from others and
Say NO to others if needed

54. Why Pay Attention?
• 1.2 billion adolescents - A fifth of the world’s
population
• 4 out of 5 live in developing countries
• They face dangers more complex than previous
generations faced, with less support

55. Why Pay Attention?
• Early puberty
• Nuclear families
• Effect of mass media
• Academic pressures
• Rat race
• Explosion of Technology
• Urbanisation
• Industrialization
• Globalisation
• Experimentation with Internet & mobile phones

56. Health Problems
• Malnutrition
• General Health Problems
• Menstrual problems
• Female genital mutilation
• Early & unprotected sex
• Addictive behaviour
 Accidents
 Violence
 Sexual abuse
 Mental Health
problems
 Scholastic
difficulties
 Eating disorders

57. Health Problems
• Premarital Sex
• Prevalence of RTIs / STIs
• Unsafe Abortions
• Unwanted pregnancies
• Minimal use of contraceptives

58. What should be Friendly?
Policies
Procedures
Healthcare providers
Supporting staff
Health facilities
Peer educators
Community involvement
Youth participation & inputs

59. ````````````````````````````````````
BAD HABITS
•RUNNING AWAY
FROM STUDIES
•INDULGING IN
SMOKING,PAN
MASALA,
ALCOHOL,DRUGS
•SEXUAL ACTIVITIES

61. Informed Choices
 Sexuality is natural & healthy part of living.
 Some young people think that most other people of
their age have had sex; it's often not true.
 Having sex is a personal decision & matter of choice.
Wait till you are mature to take right decision!
Don’t give in to peer pressure, only to regret later.
 Choose when you are ready & when you want to wait.
 Remember your safety is in your own hands.

62. Are you protected?
One needs protection because Unprotected sex could lead
to:
 Unwanted pregnancy
 Abortion
 Sexually Transmitted Infections / HIV
Practice – ABCD
A- Abstinence
B- Be faithful
C- Use Condoms
D- ??

63. Sexually Transmitted Infections
Warning Signs & Identification
Burning during urination
Itching, rashes, blisters or pain in the genital area
Discharge from the penis - Thick or watery, pus like,
smelly
Please Note:
All these symptoms could indicate some general
infection or problem also.
Don’t jump to conclusions. Consult your doctor.

64. Sexually Transmitted Diseases
There are more than 20 types of STDs caused by
bacteria, parasites & viruses. Like…
Chlamydia
Gonorrhea
Herpes Simplex
Syphilis
Hepatitis
Genital Warts
Chancroid
HIV AIDS, etc…..
Its advisable to beIts advisable to be
Safe than be sorry ..Safe than be sorry ..
PROTECT YOURSELF!PROTECT YOURSELF!

65. Sexually Transmitted Diseases ….
 Very Common conditions
 Most infections are curable & all are
PREVENTABLE.
 Delay in treatment could worsen the infection &
leave permanent damage.
 Permanent damage may mean inability to have baby
in future, prolonged sickness, weakness, getting
AIDS, continuous pain in lower abdomen, etc….
Sexually Transmitted Diseases

66. Sexual Abuse - any form of uncomfortable or unwanted
sexual act. Various kinds of sexual abuse:
 Molestation – includes kissing, hugging, petting, stroking,
squeezing parts of body WITHOUT the consent of the
person.
 Sexual harassment – includes leering, passing off
offensive remarks, cat calls, pinching, touching, brushing
past, eve teasing, etc….. Leading to unwanted sexual
attention & embarrassment.
 Incest –involves sexual intercourse (without victim’s
wish /consent) by a close family relative or member of
extended family, neighbour, domestic help, etc……
Sexual Abuse

67. ABORTIONS - IN THE
YOUTH

68. Youth at the highest risk
• Estimates of abortions in young girls
range from 1 to 4.4 million each year
in developing countries
• Young girls account for 53 - 74% of
septic abortions

69. Unwanted Pregnancy
Medical or Surgical Abortion ??

70. What to do?
 It’s important to get some help
 Don’t feel guilty for no fault of yours
 Talk to parents / sibling / teacher / any
senior – available immediately for some
emotional support & further guidance
 Do seek medical help at the earliest possible
Remember:
Most types of sexual abuse are punishable by law since
they infringe on another person’s right to safety &
security.

71. CONSEQUENCES OF BAD HABITS
remain uneducated
stunted growth
lots of diseases:tb
sexually tramnsmitted diseases:
syphlis,gonnorhoea,aids,
unwanted pregnancies|
cancers, infertility, etc.

72. WHAT IF YOU COMMIT A
MISTAKE ?
• REALISE IT
• SEEK HELP IMMEDIATELY
• DON’T HIDE IT ,IT MAY BE TOO LATE
• WHOM TO GO ?
• YOUR BEST FRIENDS ARE YOUR
PARENTS,TEACHERS,DOCTORS,
ELDERS.
• YOUTH FRIENDLY CLINIC

73. Growing up – well informed
 Sexual relationship should never be coercive or
exploitative.
 It should be based on mutual trust, honesty, commitment
& respect.
 Premature involvement in sexual activities poses risks.
 Sexual behaviour must be responsible & self –disciplined.
 You don't have to rush into anything - talk it over with
your friends or someone else you trust before going
further than you are comfortable.

74. Be informed about your body & how it works
Develop skills to cope with emotional
developments
Concentrate on attitude & value building
process
In short……..

75. DREAMS

76. DREAM OF
REACHING THE
TOP BY SHEER
DETERMINATION
AND HARDWORK
THERE IS NO
SHORTCUT TO
SUCCESS

77. In the end….
Relax !
All the adults you know have been through
the same growing up phase too…………
With little help, correct & adequate
knowledge you will do fine…….

78. THANK YOU
HAVE A GREAT LIFE AND GREAT FUTURE
QUESTIONS ARE WELCOME
mnmhagra3@gmail.com
n.malhotra@rainbowhospitals.org
drnarendra@malhotrahospitals.com