PUBERTY AND BODY IMAGE

Michael P. Goldman, MD Sandhya Brachio, MD

Ryan A Gise MDLiz Seashore, MD

Do Now

Why do you think it is important for doctors to be able to talk about puberty without getting embarrassed?

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Objective #1:

Changes during puberty

Changes during PubertyBothBoys Girls

Changes during PubertyBoth

Breasts grow

More body fat

Menstrual periods

Release eggs

Boys

Penis and testicles grow

Stronger muscles

Voice changes

Breasts may grow

Make sperm

Grow taller Body odor Acne (pimples) More body hair Mood swings More aware of

what other people think

Crushes or attraction to others

Girls

Objective #2:

Timing of Puberty, Tanner Staging and

Growth Charts

Timing of PubertyBoys

Testicles start to grow 10-13yrs

Body hair starts to grow 10-15yrs

Penis starts to grow 11-13yrs

Growth spurt 14yrs

Breasts start to grow 8-13yrs

Body hair starts to grow 8-14yrs

First menstrual period 10-16yrs

Growth spurt 12yrs

Girls

Development

Puberty in girls:

Puberty in boys:

GrowthThere is a growth spurt during puberty.

Your Turn!Plotting yourself on a growth curve

Objective #3: Body Image, Self-esteem, and

the Media

What is Body Image?

What is Self Esteem?

How someone feels about his or her own physical appearance.

How much someone values themselves for who and what they are.

Influences on body imageCulture (music, fashion)

Media (TV, internet, magazines)

Diet businesses

Peers, family, friends, relationships

Activities (sports, dance)

Why were they chosen?

How have these ads been changed?

Airbrushing and digital enhancement

Airbrushing

Can you spot the airbrushing mistakes in these images?

Dove commercialhttp://www.youtube.com/watch?v=qhib8XiDc9Y

Objective #4:

Talking about difficult topics…

What makes some topics difficult?

Topic may be: Examples:

What makes some topics difficult?

Topic may be:

Personal

Private

Embarrassing

Taboo

Gross

Examples: Puberty Sex Periods Poop/pee Gas Body odor Weight Illness Emotions

What Can Help?

What Can Help?Convince yourself you are not embarrassed.

Practice in a mirror.

Practice with other students.

Know the topic well.

Explain why you are asking: health reasons vs curiosity.

Use technical or medical terms.

Use visual aids.

Let’s practice!

What a face!Find a partner, have 1 person face the

powerpoint, and 1 sit with their back to it.

Practice saying the “easy” list and the “hard” list in front of your partner.

Have your partner write down what happens to your face, body language and voice when you say the “easy” list versus the “embarrassing” list.

Switch

Easy:

If a person gets a cut on the knee, they can use a bandage for the blood.

During middle school some boys start to play sports.

It is normal for teenagers to have best friends.

After eating a big meal a lot of people get full.

Hard:

When a girl gets her period, she can use a pad or a tampon for the blood.

During puberty some boys may grow breasts.

It is normal for teenagers to have fantasies or sexual dreams about someone.

After eating certain foods a lot of people get gas that may smell bad.

You’re the Doctor!Real world scenarios doctors deal with around

puberty and body image…

For Your Consideration:Write an email to an advertising company letting

them know how you would change the images they portray on TV/in a magazine/on a billboard, etc.