Tanner Sexual Maturity Rating: Female Pubic Hair Growth and Breast Development
| Developmental Stage | Pubic Hair | Breast |
|---|---|---|
| Stage 1 | Prepubertal: no pubic hair; fine vellus hair | Prepubertal: elevation of nipple only |
| Stage 2 | Sparse, long, straight, downy hair | Breast bud stage; elevation of breast and nipple as small mound, enlargement of areolar diameter |
| Stage 3 | Darker, coarser, curly; sparse over mons pubis | Enlargement of the breasts and areola with no separation of contours |
| Stage 4 | Dark, curly, and abundant on mons pubis; no growth on medial thighs | Projection of areola and nipple to form secondary mound above the level of breast |
| Stage 5 | Adult pattern of inverse triangle; growth on medial thighs | Adult configuration; projection of nipple only, areola receded into contour of breast |
