Health Questions and Answers

Question: What is Tanner staging?

Answer:

Dr. J.M. Tanner proposed a five-stage system to grade breast and pubic hair development in girls and genital and pubic hair development in boys.

TANNER STAGES OF PUBERTAL DEVELOPMENT IN GIRLS

Breast Development

Pubic Hair Development

Elevation of papilla only

No pubic hair

Breast budding

Scattered labial hair

Enlargement of breasts without
areola separation

Hair spreading to mons pubis

Slight lateral spread

Secondary mound formed by areola

Hair on medial thighs

Mature breast with single
contourof breast and areola

Reference:

  • Marshall WA, Tanner JM: Variations in pattern of pubertal changes in girls. Arch Dis Child 44:291, 1969. Medline Similar articles
  • Mishell DR, Stenchever MA, Droegenmueller W, Herbst AL (eds): Comprehensive Gynecology, 3rd ed. St. Louis, Mosby, 1997.

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