Puberty normally follows a sequence of events which makes staging possible
Tanner staging for pubic hair
Both sexes:
- Pre-pubertal: no pubic hair
- Some downy hair at the base of the penis in males or over the labia majora in females
- Coarser, thicker and curlier hair that spreads laterally to cover more of the pubis
- Adult hair, not spreading to the thighs
- Adult hair, spread to the medial thighs
Tanner staging for females
Breast changes:
- Prepubertal
- Breast bud
- Juvenile with smooth contour
- Areola and papilla project above breast
- Adult contour
Tanner staging for males
Male genital changes: