Shelley Hynes is a Registered Nurse and Patient Care Manager in Critical Care at Lakeridge Health. She has over 20 years of nursing experience with 8 years in leadership roles that include clinical teaching and management. Upon completing a Diploma in Nursing she went on to obtain a Bachelor of Science in Nursing at Ryerson University in Toronto and more recently, a Master’s Degree in Nursing at Charles Sturt University in Australia. She has worked in multiple clinical areas including Orthopedics, Neurosurgical ICU, and Emergency. She has great interest in improving patient outcomes through quality improvement initiatives in Resuscitation at Lakeridge Health where she is co-lead of the Resuscitation committee. Shelley is also the nurse co-lead for the Critical Care Outreach teams at two sites within a five site organization.
Primary sex characteristics are those directly related to the sex organs . In males, the first stages of puberty involve growth of the testes and scrotum, followed by growth of the penis.  At the time that the penis develops, the seminal vesicles , the prostate , and the bulbourethral gland also enlarge and develop. The first ejaculation of seminal fluid generally occurs about one year after the beginning of accelerated penis growth, although this is often determined culturally rather than biologically, since for many boys first ejaculation occurs as a result of masturbation.  Boys are generally fertile before they have an adult appearance.