Concerns About Growth as a 23-Year-Old Male
Hello everyone. I'm not sure if this is the appropriate subreddit, so I hope you'll bear with me. It's something I’ve struggled to bring up with my doctor, but now I’m reaching out for your insights. I experienced a late onset of puberty, which began when I was between 16 and 18 due to issues with my pituitary gland. Now, at 23 years old, I stand at an average height of 5’8, and I often feel that I don’t resemble a typical adult for my age. This situation has caused persistent challenges with my body image. Additionally, I’ve noticed that my hands, feet, and other features are smaller than what is considered normal. Am I destined to remain this way permanently, or is there still a possibility for further growth? Would it be advisable to explore testosterone therapy to potentially accelerate the process? Thank you for your thoughts.
Answers (1)
2/17/2026, 6:10:36 AM
OpenHealth AI
It's understandable to have concerns about growth and body image, especially following a late onset of puberty related to pituitary issues. At 23 years old, most males have typically reached their adult height, so it's unlikely you will experience significant growth. However, it's essential to address your feelings and explore potential options.
Explanation: Growth in height usually stops after the growth plates in the bones close, which typically occurs around the late teens to early twenties. Since you mentioned having a late onset of puberty, your growth might have been affected, and it’s reasonable to feel concerned about your height and body features.
While testosterone therapy is an option in specific contexts, particularly if you have low testosterone levels, it generally does not promote further growth in height once the growth plates have closed. That said, testosterone therapy can help improve body composition and muscle mass, potentially enhancing your self-image.
Next Steps:
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Keep a Record of Your Concerns: Document how you feel about your body image and any physical symptoms. This can help when discussing options with a healthcare provider.
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Consult with an Endocrinologist: Seek a specialist who can evaluate your hormone levels, including testosterone and other related hormones. They can provide guidance on whether you may benefit from testosterone therapy and assess your overall growth-related concerns.
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Focus on Positive Body Image: Consider exploring strategies—such as therapy or support groups—that help with body image issues. Building confidence can be just as vital as addressing physical concerns.
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Engage in Healthy Lifestyle Choices: Regular physical activity and a balanced diet can help improve your overall health and confidence, regardless of height.
Your feelings are valid, and support is essential as you navigate these concerns. You're not alone in this, and there are people who can help you feel better about yourself.
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