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CHAPTEK2 IRE .KNO\VUUlGE OF SEXUAJ, At""D EMOTIONAl, ll!lVELOPM:ENT AND REPRODUCTIVE SYSTEM OF TEENAGERS Children >Jged between nine a."ld eigh:-een years otd go tbrough a phase of rapid grm'II"Jl, development, and mailli<!l:ion. In Lite beginning of this process they are children and at the end of it they are physically, sexwlly, ar1d psychologically young adults. The renns of puberty and adoiescem:e are o:fu:n u ed confusingly, to describe this time of change. The word "puberty" describes the psychological and physical cha."Jges, while "adolescence" is the complete period of a P'"!1lon's phy4-hlical and psychological transition between childhood and adulthood. (Walker, 1996,p.47) Puberty changes physically during teen>Jgers, which also influence the psychological, in this case children begin to change into an adull Adoiescence is the whole process of changing until the children become adults. Adolescence coo be 11. difficult time, especially if children and their parents are not prepared for what is going to happen. Hurlock staicd thai teenage is the length of time thai fill with the endless argument, upset, and turmoil. Puberty-from Latin word is pubertas, meaning, ">Jge of manhood". (1999). JIA"anhood is ti}e time that people reach adulthood and become matllfe. As the body shape changes and develops sexually, so that emotions change and adolescents mature mentally. Although tb." ge eral patterns of adoiescence !l!"e tire llaille, no two individuals shmre the same experiences. During adolescence and puberty, 5 6 children b?gin to undernnmd themselves "!d one anoth'*", they tend to become less iocUsed Oil their flm:i!ies rn:!G P.l.Ofe focused Oll their friends. Puberty is happened in both sexes, man and woman, in a period of a rapid grovv1h; body reproductive shape changes; the m!lfuration pn;cess system and it is ended in sexual reproductive of the system completely. Puberty typically takes bet>veen two and five years, and proceeds a series of stages that vary in length from mdividual to the next (Vialker, 1996, p. 48) According to Hurlock (1999, p. 120) on average girls sta.'i, l!l1d complete, puberty· before boys. 111ese are the main physical changes that occur in both sexes during puberty: (Hurlock, 1999) L The body eJ<.-perience a period of rapid growth. Changes in body size and body proportions, increase in certain areas and decrease ill others, for exaraple, childh.ood the heart is small, veius md arteries are large, after puberty it reverse. 2. The primary sex orgru:(the testes in boys md ovaries in girls) are changed more active and start releasing more sex hormones. 3. The secondary sex organ characteristics appear, these are fe!lfures of adult body, iudic!lfe the matunrtion is under way. In girls, !he one that develop during puberty include breasts, pubic ood armpit hair, ood the changes to the vulva, and boys include pooic, facial, m:mpit hair, penis 7 ood t.sstes increas> in size, skin on the scrotum dark, the voice breaks and become deeper. However, the changes do not begin in the same age to everyone, and not take the sa.;ne amount of time. girls, !he sign that the body attaining sexual maturity is men!!rche, the first menstrual bleeding, while in boys, the size of testes increased and the ejaculation semen, often "wet dreams". But this does not mean they are comp!et.e!y sexua!iy mature. Puberty actually is the important proces:! in the human lives, we begin to el.1Jerience new feeling a.od changes of physics and mental. We are stepping to a new stage of live. According to Wal!rer (1996), it mey become a wom!erfu! time, starting to become adults. Every parent's attitude will irrfluence a vital part iu every aspect of a child's development, including sexual development It is important for the parents to he open, well informed !md have positive attitudes towards sexual matters to ensure that their child reaches adulthood with well-balanced and healthy perception about sex. (Walker, 1996, p. 43) Sexual development does not occur in isolation, but it is an integral part ofthe development of a gender role and personality (the clmrncteristic demand towm-ds the behavior of a persoa Man bas to act following certain behaviors that !ire made by the society (such as be should work and be strong, should not cry), so he will be called as male. Woman has to act 8 following Cii'rtairr behaviors (such as she sho;Aid stay at hom" and could cook), so she will be c3lied as female. their teenage, girls llilually more interested to themselves, they wmt to know more dearly about melh.'<truation, ruJd for boys most of them have already beard about it :from friends and other people who know about sex, wlti.ch surprise their parents. According to Wimpie Pmgkahila , if parents beru-d their children talk 2hout sex in a 'WTOllg perception or m negative way, they should give more explanation. (1998, p. 41) . When children are aware fu!li a topic of sexual subject is taboo, they will fee! inhibited so tl:tat they can uot talk freely about it Children also can understand iftheir parents do not waut to talk about sx and answer que!liion related to sex. Tins can affect the gender development ofthe children. Develop a habit to talk about sex in an easy way communication that pretty hard topic imo relax situation from time to time, rather than malcing a special time fur "aex education". Genernlly, el!Fiy or late maturmion appears to have greater effect on males than on female. Early maturing in boys makes them more confidence :md good use athletics, while girls, feel more secure less mxious, and more relrured, they are better adju..'>ted. Late matures ofbotb sexes are likely to have poorer self-concepts and fueling of being rejected (Hudgins, Phye, .:><!DI<W, Thessen, Am<"s, Ames, 1983, 120) order to minimize the psychological effects of !!lie m!liuratio!l, people arow:!CI them sll<mld treat adolescents suit as their age. Pm-ents should 9 inform their children by saying that slow maturation is normal and will reach iull physicaiaud seJ.'Ual matlll"ity. P2:rents become the role model in their teenager children development, including the sexual development Wheu the physical changes happened, then mental and emotional attribute> are chllnging too. There are so many worries for teenagers dming t.his time, such as seeking self-image; they can be so moody and argumentative with their family. They need much more privacy, do not close to their family <18 they were, and SOl!l$times form a group of dose friendship, at first with friends of their own, ai!d later with the opposite sex, these one may develop intc sexual relationship. &elf-image am:l body imag0 Adolescents are aware of !heir self-image, their own at!rn.ctiveness md others; this is connected with body image, how they see their bodies, worry about their body shape, weight and height They are concern with other peoples' opinion about the!118elves. If adolescent differ in any wey from their age-mares, they wonder if they are normal. (Hnrlock, 1999, 121) When the deve!opmeut of secondary sex chars£teristics are jnat the same with others they will feel accepted. For example, llllual!y girls are I!W'Me offueir breast development, the boys will also notice of girls' breast development far so many reliSO:Ill, both sexual znd social. n seems tlmi there 9 10 is a relationship be!:'#een personal <rttractiveuess with socilll acceptance during adolescence. (Walker, 1996, 68) Tncy are sr.arting to become aware of their self-image and people opinion about their appearance, especially the look and body. Cm: llmllmic til:!i!: with Parents Teenagers often characterized a. being egocentric ood seifish (Waiker, 19%, 69). The conflicHhai usuaily happened between parentll and children during adolescence bec2llSe of simple things, a different point of view on some things, for example, messy bedrooms and loud music, communication does not worked out Both parts should try to adjust to the changes, it is i!nportllnt for them to develop a worki.11g relatiollShip so the children grow up following the family mles. lt is important to let children having their own opinion !llld rights to discuss on something. Parents and teenagers almost all !he time argue about each other opiniollS, parents being strict md teenagers do things they want and '1/Wlt to have adventure without being brid!l;d J!.l'rie ddllps Adolescents feel thai ftieudship is very important and it allows them to have a different identity outside the :fumily, having new experiences, socialized with new environment Walker said !hat the first ftiendships during &1oiescence are ooually wilh the sam? sex. Good friends m:e people who shared 3nd U\'J.denllimd the similar things toge!her. (1996, p. 68-70) They are usually more dose v. th their ftiends than with their p&rents because they share almost the same experience dntiug puberty. 10 11 Sex is a word used to define whether a person is biologically male or female. A child with. male sex organs and male sex chromosomes, is a boy, and a child wilh female sex organs and few.ale sex chromosomes is a girL Gender involves a conveys .gender identily femaleness or maleness, behaviour that sociatly l!ll or female. (Walker, 1996) Sex is the difference between man and WOillllll gender is !he certain behaviour that demanded tow>£rds the society. outside, exrunple female biologically, and trulll and woman by should be strong and thought, never cry, work cook at home, gentle. 2.2.2. BecomiE:g a Sexu £f Reing Walki'r (1996, p. 41) stated ili<"re is a diffenmt point of view between the. 191h century and the 20u' century about becoming a se::rual being, which is when it is started. In the 19th, a person become a sexual being Wll<'ll they are fl!cing puberty, hut in 20th, since baby, a person is a sexual being, it is just that baby sex organ is not fully develop. We are called as t!!e sexual being since we are born, we already have our own sex organs even though they are no!completely develop. We are not sexual !l'.achines, but individuals eooll with our own sexual agenda, experience, ani.! expectation. 11 Reproductive orgcdlls :first appear in t'le developing embryo during the e?.r!iest weeks ofpregn&llcy. Initially they are identical L'! both nmle and female embryos, but as weeks pass, the reprocfuctive organs follovv separnre developmental routes for each sex. (Walker, 1996, 13) Femaie and male have two parts of reprodu<.-1ive system, the internal and the external reproductive orgllllil. Tne l1:J.temal Reproductive Organs A woman's reproductive organs are protected within bones ood pelvis. They consi.st of two ovaries, two fallopian rubes, the uterus, the cervix, and the vagina_ (Walker, 1996, p. 14-16} a. The ovaries The ovaries release eggs and produce sex hormones that cou!rols womait's fertility. They resemble almond in both size and shape, lie on each side of uterus. Each ovary releases one egg on alternate month. The ovaries stop relea.qing eggs around the time of menopa!ISe. b. The :fil!lopioo tubes These !lre the passageways that connect the owries to the uterus and along which an egg !ravels after avu!atiotL The fallopioo tubes are the site of fertilization, which may occur if egg me<:>ts a sperm wifuin 24 hours of ovulation. 13 c. Thuterus Th.e uterus is a hallow, pear-sli2ped ll!ld pear-sized organ that houses, protects, !llld nouri&'les the developing fetml during pregnancy. Its thick muscular walls stretch during pregnancy, if fertilization does not occur, the inner lining is shed during the wo!lllW's meustrual period, and grows again the following months. d. TI1o cervix lt is the lower pert ofthe uterus. e. The vagina. 111is muscular tube connect the cervix to the outside of the body, carries a r.: enstrual flow during the period, passageway for the baby during birth. TI1e Extern.al Reproductive Organs (Wclker, 1996, 16-18) a Tne mons pubic This pubic mound is the only pert of vulva clearly visible from the front At puberty, the mons becomes covered by pubic hair. b. The !abiamaJorn It enclosing :>..nd protecting the rest of tile external genital. c. The labia minora The inner lips oft. e "lrulva are hairless. d. The clitoris It is a small semlitive organ that has the same component as the penis though much smaller. 14 e. The vestibule It is behind the clitoris, lies inside a!ld bet\'leen th0 labia minora f Breru;ts Female breasts sta.rt to develop during p1berty. The explanation above is to give a brief difference sex organ between male and female, of course both of them are different in function, shape and placed. 2.3.2.The M:de Repmductive System The Internal Reproductive Organs (Walker, 1996, p. 23-24) a The epididymis This is a highly coiled tube thal: lies arowd part of each testis. Immature sperm pass from the testis, where they are !llil!lufactured, irtto the epididymis, where they m-e stored for about 20 days and reach maturity also start moving. b. The vas deferens Also lmov;m as •the ductus deferens, it is to carry sperm from the urethra and to store sper'm prior to ejaculation. c. The urethra It is the final part of lfre duct system that links the vas deferens to the outside. d. The semina! V<'sicies They produce a secretion -which forms about 60 percent of the semen. These secretions llll.d sperm mix together the vas deferens. 15 e. The prostate gland Prostate s cretions activate spern:L f The bulbourethal glands It is below me pros"cate gland. The External Reprodm:tive Symem a. The penis This tube-shaped organ consists of a root,. which anchors it inside the body, and a shaft, which hangs outside the body and which ends in an expanded tip call eel me glans. b. The testes and scrotum Evecy day, between puberty and old age, the testes manufacture million 2.3.3. Se:lrn'llilly Trammitted Dise:ue Se:rually 1rm:Jsmitted diseases (SIDs) are passed from one person to a11oilier by se:rual contact Specially, S'ID could be passed on to someone they are uncovered to infected body fluids, such as semen or vaginal fluid an.d blood during sexual intercolll"se. Some STDs coo be present, without any !>jl!lptoms, esp<>cially women. (Walker, 1996) a Hrv ood AIDS HIV {b.u!Wm immunodeficiency virus) is a virus !hat attacks the immune system which can eventually canse AIDS (ooquired immune deficiency syudrome), a syndrome that was fmrt identified in 1981. 16 e HIV commonly passed by sexual intercourse thmug:h blood, semen, and vagi!'.ai secretions, " and can be passed by injecting equipment (needles ood unsteri!ized syringes) sh!lled by drug users, infected blood in lrnnsfusions, from infected mothers oo new born babies, " and less commou pa;;sed by b1ood contact through open cuts. b. Chlamydia Tl>is is the gene <rl name for infection caused by the bacteria-like organism Chlamydia trachomatis, occur Oll men and women are mainly transmitted by sexual intercourse. c. Genitru herpes The virus, herpes simpiex can not be e!iminn:ted Not like other disease genital herpes sometimes does not give any symptom that only occur periodically. Blisters appeoc on fue penis or vulva, and burst open to leave painful ulcers t'ln:t wil.l heal within 10-2! deys. Sufferersmay experience a burning feeling during urination. Genital herpes passed from a mother oo her new born baby can coose severe illness and possibly death, so the mother should be delivl.'£ed lire baby by caesarem operation and give drug a£yciovir to the infant d. Gonorrhea Also imovrn as "the clap;' is highly infectious disease coosed by the bacterium Neisseria gonorrhoeae, wmch infected more men tha:l women wd prelllllen:t a.rnong teemgers and young adults, especially those with numerous sexual partners. e. Syphilis Syphilis is coosed oy the bacterium Treponema pallidwn, which is remain in the body indefinitely if not !readed, and it is c211sing a disease thai. foi!o N'E lhree district stages. Primary syphilis appears behveen 10 and 90 days after infection, is pai;IIess ulcer !hat appears at the site of exposure, on genitals or m-ound mouth and heals within 6-10 weeks. Secoudruy syphilis develops in the following weelrn, skin rnllhes, headache, sore throat, enlarge lymph nodes, mild fever, hair loss, and flattened, wart!ike growths tlmt occur on moist areas l'!rolllld the genitals and rums. After these symptoms disappear williin few weelrn or months, then a person moves into the latent, symptomless phase of the disease. If syphilis dillg!losed (by a blood test) in its primary, secondery, or latent stages, the disease can be treated by !llltibiotic penicilliiL The most dangerous STD is HIV, the cure lms not been found ll.!!d it attacks the peoples' immune, so they become weak and easily gat sick But other SIDs have !he same danger :if it does not handle in the specialist Genital herpes can not be cured too.