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J Hum Reprod Sci



v.8(2); Apr-Jun 2015



PMC4477452






J Hum Reprod Sci. 2015 Apr-Jun; 8(2): 70–74.
Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
1 Department of Psychiatry, Institute of Human Behavior and Allied Sciences, New Delhi, India
Address for correspondence: Dr. Sujita Kumar Kar, Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India. E-mail: moc.liamg@atijusrd
Received 2015 Apr 18; Revised 2015 May 1; Accepted 2015 May 4.
Copyright : Β© Journal of Human Reproductive Sciences
This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
This article has been cited by other articles in PMC.
KEY WORDS: Adolescence, development, puberty, sexuality
1. DeLamater J, Friedrich WN. Human sexual development. J Sex Res. 2002; 39 :10–4. [ PubMed ] [ Google Scholar ]
2. Brown RT. Adolescent sexuality at the dawn of the 21 st century. Adolesc Med. 2000; 11 :19–34. [ PubMed ] [ Google Scholar ]
3. Resource Centre for Adolesent Pregnancy Prevention. An Overview of Adolescent Development Education, Training and Research Associates. 2003. [Last accessed on 2015 Jan 06]. Available from:
http://www.etro.rg/recapp/theories/adolescent development/overview.htm .
4. US Census Bureau International Data Base (IDB) World Population by Age and Sex. 2014. [Last accessed on 2014 Jul 27]. Available from:
http://www.census.gov/cgi-bin/broker .
5. Hindin MJ, Fatusi AO. Adolescent sexual and reproductive health in developing countries: An overview of trends and interventions. Int Perspect Sex Reprod Health. 2009; 35 :58–62. [ PubMed ] [ Google Scholar ]
6. UNFPA. New York: UNFPA; 2008. Generation of Change: Young People and Culture, 2008, Youth Supplement to UNFPA's State of the World Population Report. [ Google Scholar ]
7. Sales JM, Smearman EL, Brody GH, Milhausen R, Philibert RA, Diclemente RJ. Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents. Sex Health. 2013; 10 :512–21. [ PMC free article ] [ PubMed ] [ Google Scholar ]
8. Sandberg DE, Gardner M, Cohen-Kettenis PT. Psychological aspects of the treatment of patients with disorders of sex development. Semin Reprod Med. 2012; 30 :443–52. [ PMC free article ] [ PubMed ] [ Google Scholar ]
9. Merrick J, Tenenbaum A, Omar HA. Human sexuality and adolescence. Front Public Health. 2013; 1 :41. [ PMC free article ] [ PubMed ] [ Google Scholar ]
10. Harris AL. Media and technology in adolescent sexual education and safety. J Obstet Gynecol Neonatal Nurs. 2011; 40 :235–42. [ PubMed ] [ Google Scholar ]
11. Kanuga M, Rosenfeld WD. Adolescent sexuality and the internet: The good, the bad, and the URL. J Pediatr Adolesc Gynecol. 2004; 17 :117–24. [ PubMed ] [ Google Scholar ]
12. Dave S, Dave A. Psychosexual development and human sexuality. In: Kar N, Kar GC, editors. Comprehensive Textbook of Sexual Medicine. 2nd ed. Jaypee Publishers: New Delhi; 2014. pp. 42–53. [ Google Scholar ]
13. Ott MA. Examining the development and sexual behavior of adolescent males. J Adolesc Health. 2010; 46 (4 Suppl):S3–11. [ PMC free article ] [ PubMed ] [ Google Scholar ]
14. National Research Council. Washington, DC: National Academics Press; 2002. Community Programs to Promote Youth Development. [ Google Scholar ]
15. Garn SM. Physical growth and development. In: Friedman SB, Fischer M, Schonberg SK, editors. Comprehensive Adolescent Health Care. St Louis: Quality Medical Publishing; 1992. [ Google Scholar ]
16. Susman EJ, Dorn LD, Schiefelbein VL. Puberty, sexuality and health. In: Learner MA, Easterbrooks MA, Mistry J, editors. Comprehensive Handbook of Psychology. New York: Wiley; 2003. [ Google Scholar ]
17. β€œParents & teachers: Teenage Growth and Development, years 15-17” Palo Alto Medical Foundation. [Last retrieved on 2015 Apr 8]. Archived from the Original on 26 February, 2009. Availabel from:
http://www.pamf.org/parenting-teens/health/growth-development/growth.html .
18. Mangrulkar L, Whitman CV, Posner M. Washington, DC: PAHO; 2001. Life skills approach to child and adolescent healthy human development. [ Google Scholar ]
19. UN Department of Economic and Social Affairs. New York, NY: UN Department of Economic and Social Affairs; 2004. World Youth Report 2003: The Global Situation of Young People. [ Google Scholar ]
20. McIntyre P. Oxford, England: WHO, UNAIDS, UNFPA; 2004. Seen but not heard: Very young adolescents 10-14 years. [ Google Scholar ]
21. Halpern CT, Waller MW, Spriggs A, Hallfors DD. Adolescent predictors of emerging adult sexual patterns. J Adolesc Health. 2006; 39 :926e1–10. [ PubMed ] [ Google Scholar ]
22. Fortenberry JD, Schick V, Herbenick D, Sanders SA, Dodge B, Reece M. Sexual behaviors and condom use at last vaginal intercourse: A national sample of adolescents ages 14 to 17 years. J Sex Med. 2010; 7 (Suppl 5):305–14. [ PubMed ] [ Google Scholar ]
23. Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behavior in the United States: Results from a national probability sample of men and women ages 14-94. J Sex Med. 2010; 7 (Suppl 5):255–65. [ PubMed ] [ Google Scholar ]
24. Upchurch DM, Mason WM, Kusunoki Y, Kriechbaum MJ. Social and behavioral determinants of self-reported STD among adolescents. Perspect Sex Reprod Health. 2004; 36 :276–87. [ PubMed ] [ Google Scholar ]
25. Kaestle CE, Halpern CT, Miller WC, Ford CA. Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. Am J Epidemiol. 2005; 161 :774–80. [ PubMed ] [ Google Scholar ]
26. Haydon AA, Herring AH, Halpern CT. Associations between patterns of emerging sexual behavior and young adult reproductive health. Perspect Sex Reprod Health. 2012; 44 :218–27. [ PMC free article ] [ PubMed ] [ Google Scholar ]
27. O’Donnell L, O’Donnell CR, Stueve A. Early sexual initiation and subsequent sex-related risks among urban minority youth: The reach for health study. Fam Plann Perspect. 2001; 33 :268–75. [ PubMed ] [ Google Scholar ]
28. Edwards S, Carne C. Oral sex and the transmission of viral STIs. Sex Transm Infect. 1998; 74 :6–10. [ PMC free article ] [ PubMed ] [ Google Scholar ]
29. Edwards S, Carne C. Oral sex and transmission of non-viral STIs. Sex Transm Infect. 1998; 74 :95–100. [ PMC free article ] [ PubMed ] [ Google Scholar ]
30. Stone N, Hatherall B, Ingham R, McEachran J. Oral sex and condom use among young people in the United Kingdom. Perspect Sex Reprod Health. 2006; 38 :6–12. [ PubMed ] [ Google Scholar ]
31. Leichliter JS, Chandra A, Liddon N, Fenton KA, Aral SO. Prevalence and correlates of heterosexual anal and oral sex in adolescents and adults in the United States. J Infect Dis. 2007; 196 :1852–9. [ PubMed ] [ Google Scholar ]
32. Halperin DT. Heterosexual anal intercourse: Prevalence, cultural factors, and HIV infection and other health risks, Part I. AIDS Patient Care STDS. 1999; 13 :717–30. [ PubMed ] [ Google Scholar ]
33. Auslander BA, Rosenthal SL, Blythe MJ. Understanding sexual behaviors of adolescents within a biopsychosocial framework. Adolesc Med State Art Rev. 2007; 18 :434–48. v. [ PubMed ] [ Google Scholar ]
34. Pettifor AE, van der Straten A, Dunbar MS, Shiboski SC, Padian NS. Early age of first sex: A risk factor for HIV infection among women in Zimbabwe. AIDS. 2004; 18 :1435–42. [ PubMed ] [ Google Scholar ]
35. Dixon-Mueller R. Starting young: Sexual initiation and HIV prevention in early adolescence. AIDS Behav. 2009; 13 :100–9. [ PubMed ] [ Google Scholar ]
36. Dixon-Mueller R. How young is β€œtoo young”. Comparative perspectives on adolescent sexual, marital, and reproductive transitions? Stud Fam Plann. 2008; 39 :247–62. [ PubMed ] [ Google Scholar ]
37. Lindberg LD, Jones R, Santelli JS. Noncoital sexual activities among adolescents. J Adolesc Health. 2008; 43 :231–8. [ PubMed ] [ Google Scholar ]
Articles from Journal of Human Reproductive Sciences are provided here courtesy of Wolters Kluwer -- Medknow Publications
1. DeLamater J, Friedrich WN. Human sexual development. J Sex Res. 2002; 39 :10–4. [ PubMed ] [ Google Scholar ] [ Ref list ]
2. Brown RT. Adolescent sexuality at the dawn of the 21 st century. Adolesc Med. 2000; 11 :19–34. [ PubMed ] [ Google Scholar ] [ Ref list ]
3. Resource Centre for Adolesent Pregnancy Prevention. An Overview of Adolescent Development Education, Training and Research Associates. 2003. [Last accessed on 2015 Jan 06]. Available from:
http://www.etro.rg/recapp/theories/adolescent development/overview.htm . [ Ref list ]
4. US Census Bureau International Data Base (IDB) World Population by Age and Sex. 2014. [Last accessed on 2014 Jul 27]. Available from:
http://www.census.gov/cgi-bin/broker . [ Ref list ]
5. Hindin MJ, Fatusi AO. Adolescent sexual and reproductive health in developing countries: An overview of trends and interventions. Int Perspect Sex Reprod Health. 2009; 35 :58–62. [ PubMed ] [ Google Scholar ] [ Ref list ]
6. UNFPA. New York: UNFPA; 2008. Generation of Change: Young People and Culture, 2008, Youth Supplement to UNFPA's State of the World Population Report. [ Google Scholar ] [ Ref list ]
7. Sales JM, Smearman EL, Brody GH, Milhausen R, Philibert RA, Diclemente RJ. Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents. Sex Health. 2013; 10 :512–21. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
8. Sandberg DE, Gardner M, Cohen-Kettenis PT. Psychological aspects of the treatment of patients with disorders of sex development. Semin Reprod Med. 2012; 30 :443–52. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
9. Merrick J, Tenenbaum A, Omar HA. Human sexuality and adolescence. Front Public Health. 2013; 1 :41. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
10. Harris AL. Media and technology in adolescent sexual education and safety. J Obstet Gynecol Neonatal Nurs. 2011; 40 :235–42. [ PubMed ] [ Google Scholar ] [ Ref list ]
11. Kanuga M, Rosenfeld WD. Adolescent sexuality and the internet: The good, the bad, and the URL. J Pediatr Adolesc Gynecol. 2004; 17 :117–24. [ PubMed ] [ Google Scholar ] [ Ref list ]
12. Dave S, Dave A. Psychosexual development and human sexuality. In: Kar N, Kar GC, editors. Comprehensive Textbook of Sexual Medicine. 2nd ed. Jaypee Publishers: New Delhi; 2014. pp. 42–53. [ Google Scholar ] [ Ref list ]
13. Ott MA. Examining the development and sexual behavior of adolescent males. J Adolesc Health. 2010; 46 (4 Suppl):S3–11. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
14. National Research Council. Washington, DC: National Academics Press; 2002. Community Programs to Promote Youth Development. [ Google Scholar ] [ Ref list ]
15. Garn SM. Physical growth and development. In: Friedman SB, Fischer M, Schonberg SK, editors. Comprehensive Adolescent Health Care. St Louis: Quality Medical Publishing; 1992. [ Google Scholar ] [ Ref list ]
16. Susman EJ, Dorn LD, Schiefelbein VL. Puberty, sexuality and health. In: Learner MA, Easterbrooks MA, Mistry J, editors. Comprehensive Handbook of Psychology. New York: Wiley; 2003. [ Google Scholar ] [ Ref list ]
17. β€œParents & teachers: Teenage Growth and Development, years 15-17” Palo Alto Medical Foundation. [Last retrieved on 2015 Apr 8]. Archived from the Original on 26 February, 2009. Availabel from:
http://www.pamf.org/parenting-teens/health/growth-development/growth.html . [ Ref list ]
18. Mangrulkar L, Whitman CV, Posner M. Washington, DC: PAHO; 2001. Life skills approach to child and adolescent healthy human development. [ Google Scholar ] [ Ref list ]
19. UN Department of Economic and Social Affairs. New York, NY: UN Department of Economic and Social Affairs; 2004. World Youth Report 2003: The Global Situation of Young People. [ Google Scholar ] [ Ref list ]
20. McIntyre P. Oxford, England: WHO, UNAIDS, UNFPA; 2004. Seen but not heard: Very young adolescents 10-14 years. [ Google Scholar ] [ Ref list ]
21. Halpern CT, Waller MW, Spriggs A, Hallfors DD. Adolescent predictors of emerging adult sexual patterns. J Adolesc Health. 2006; 39 :926e1–10. [ PubMed ] [ Google Scholar ] [ Ref list ]
22. Fortenberry JD, Schick V, Herbenick D, Sanders SA, Dodge B, Reece M. Sexual behaviors and condom use at last vaginal intercourse: A national sample of adolescents ages 14 to 17 years. J Sex Med. 2010; 7 (Suppl 5):305–14. [ PubMed ] [ Google Scholar ] [ Ref list ]
23. Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behavior in the United States: Results from a national probability sample of men and women ages 14-94. J Sex Med. 2010; 7 (Suppl 5):255–65. [ PubMed ] [ Google Scholar ] [ Ref list ]
24. Upchurch DM, Mason WM, Kusunoki Y, Kriechbaum MJ. Social and behavioral determinants of self-reported STD among adolescents. Perspect Sex Reprod Health. 2004; 36 :276–87. [ PubMed ] [ Google Scholar ] [ Ref list ]
25. Kaestle CE, Halpern CT, Miller WC, Ford CA. Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. Am J Epidemiol. 2005; 161 :774–80. [ PubMed ] [ Google Scholar ] [ Ref list ]
26. Haydon AA, Herring AH, Halpern CT. Associations between patterns of emerging sexual behavior and young adult reproductive health. Perspect Sex Reprod Health. 2012; 44 :218–27. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
27. O’Donnell L, O’Donnell CR, Stueve A. Early sexual initiation and subsequent sex-related risks among urban minority youth: The reach for health study. Fam Plann Perspect. 2001; 33 :268–75. [ PubMed ] [ Google Scholar ] [ Ref list ]
28. Edwards S, Carne C. Oral sex and the transmission of viral STIs. Sex Transm Infect. 1998; 74 :6–10. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
29. Edwards S, Carne C. Oral sex and transmission of non-viral STIs. Sex Transm Infect. 1998; 74 :95–100. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
30. Stone N, Hatherall B, Ingham R, McEachran J. Oral sex and condom use among young people in the United Kingdom. Perspect Sex Reprod Health. 2006; 38 :6–12. [ PubMed ] [ Google Scholar ] [ Ref list ]
31. Leichliter JS, Chandra A, Liddon N, Fenton KA, Aral SO. Prevalence and correlates of heterosexual anal and oral sex in adolescents and adults in the United States. J Infect Dis. 2007; 196 :1852–9. [ PubMed ] [ Google Scholar ] [ Ref list ]
32. Halperin DT. Heterosexual anal intercourse: Prevalence, cultural factors, and HIV infection and other health risks, Part I. AIDS Patient Care STDS. 1999; 13 :717–30. [ PubMed ] [ Google Scholar ] [ Ref list ]
33. Auslander BA, Rosenthal SL, Blythe MJ. Understanding sexual behaviors of adolescents within a biopsychosocial framework. Adolesc Med State Art Rev. 2007; 18 :434–48. v. [ PubMed ] [ Google Scholar ] [ Ref list ]
34. Pettifor AE, van der Straten A, Dunbar MS, Shiboski SC, Padian NS. Early age of first sex: A risk factor for HIV infection among women in Zimbabwe. AIDS. 2004; 18 :1435–42. [ PubMed ] [ Google Scholar ] [ Ref list ]
35. Dixon-Mueller R. Starting young: Sexual initiation and HIV prevention in early adolescence. AIDS Behav. 2009; 13 :100–9. [ PubMed ] [ Google Scholar ] [ Ref list ]
36. Dixon-Mueller R. How young is β€œtoo young”. Comparative perspectives on adolescent sexual, marital, and reproductive transitions? Stud Fam Plann. 2008; 39 :247–62. [ PubMed ] [ Google Scholar ] [ Ref list ]
37. Lindberg LD, Jones R, Santelli JS. Noncoital sexual activities among adolescents. J Adolesc Health. 2008; 43 :231–8. [ PubMed ] [ Google Scholar ] [ Ref list ]

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Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
1 Department of Psychiatry, Institute of Human Behavior and Allied Sciences, New Delhi, India
1 Department of Psychiatry, Institute of Human Behavior and Allied Sciences, New Delhi, India
Adolescence, derived from the Latin word β€œadolescere” meaning β€œto grow up” is a critical developmental period. During adolescence, major biological as well as psychological developments take place. Development of sexuality is an important bio-psycho-social development, which takes an adult shape during this period. During adolescence, an individual's thought, perception as well as response gets colored sexually. Puberty is an important landmark of sexuality development that occurs in the adolescence. The myriad of changes that occurs in adolescents puts them under enormous stress, which may have adverse physical, as well as psychological consequences. Understanding adolescent sexuality has important clinical, legal, social, cultural, as well as educational implications.
Growth and development are continuous processes, which bring a change in an individual, every moment. Development of sexuality starts as early as in intrauterine life following conception and continues through infancy, childhood, adolescence, adulthood till death.[ 1 ] During infancy, there is no awareness of gender. The child acknowledges its gender in early childhood as early as by 3 years. Self-awareness about sexuality (gender role, gender identity) evolves during the childhood.[ 2 ] Biological research evidences are suggestive of the definite role of androgens in deciding the gender sensitive roles and gender-specific b
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