Tanner Staging: Boys and Girls

Question 1

Female Pubic Hair (Tanner Stage 1)

• Typical Age
• Physical Exam findings

Answer 1

Age: pre-pubertal (< 8 yo)

PE: no pubic hair

Question 2

What is the typical age range for puberty in males and females?

Answer 2

Males: 9-14 years old

Females: 8-13 years old

Question 3

Female Pubic Hair (Tanner Stage 2)

• Typical Age
• Physical Exam findings

Answer 3

Age: 8-11.5 yo

PE: sparse, straight hair along lateral vulva

Question 4

Female Pubic Hair (Tanner Stage 3)

• Typical Age
• Physical Exam findings

Answer 4

Age: 11.5-13 years old

PE: hair darker, coarser, curlier; across mid pubis

Question 5

Female Pubic Hair (Tanner Stage 4)

• Typical Age
• Physical Exam findings

Answer 5

Age: 13-15 yo

PE: coarse, dark, adult-appearing hair; NOT on thigh

Question 6

Female Pubic Hair (Tanner Stage 5)

• Typical Age
• Physical Exam findings

Answer 6

Age: > 15 yo

PE: coarse, dark, adult-appearing hair; CROSSES mid thigh

Question 7

Female Pubic Hair (Tanner Stage 5)

• Typical Age
• Physical Exam findings

Answer 7

Age: > 15 yo

PE: coarse, dark, adult-appearing hair; CROSSES mid thigh

Question 8

Is a nipple the same as a papilla?

Answer 8

YES

Question 9

Female Breast Development (Tanner Stage 1)

• Typical Age
• Physical Exam findings

Answer 9

Age: pre-pubertal (< 8 yo)

PE: no palpable breast tissue

Question 10

Female Breast Development (Tanner Stage 2)

• Typical Age
• Physical Exam Findings

Answer 10

Age: 8-11.5 yo

PE: breast bud forms, elevated nipple, enlargement of areolar diameter

Question 11

Female Breast Development (Tanner Stage 3)

• Typical Age
• Physical Exam Findings

Answer 11

Age: 11.5-13 yo

PE: breast enlargement; NO separation of areola contour from breast

Question 12

Female Breast Development (Tanner Stage 4)

• Typical Age
• Physical Exam Findings

Answer 12

Age: 13-15 yo

PE: papilla AND areola project from breast; “mound on mound”

Question 13

Female Breast Development (Tanner Stage 5)

• Typical Age
• Physical Exam Findings

Answer 13

Age: > 15 yo

PE: areola matches breast contour; papilla projects beyond contour of breast/areola

Question 14

Male Penis/Hair Development (Tanner Stage 1)

• Typical Age
• Physical Exam Findings

Answer 14

Age: pre-pubertal (< 8-9 yo)

Penis: pre-pubertal

Hair: no hair

Question 15

Male Penis/Hair Development (Tanner Stage 2)

• Typical Age
• Physical Exam Findings

Answer 15

Age: (9-11.5 yo)

Penis: enlargement of testes/penis; scrotum reddens and changes texture

Hair: sparse/straight; along base of penis

Question 16

Male Penis/Hair Development (Tanner Stage 3)

• Typical Age
• Physical Exam Findings

Answer 16

Age: 11.5-13 yo

Penis: penis lengthens; further growth of testes

Hair: hair darker, coarser, curlier; over mid pubis

Question 17

Male Penis/Hair Development (Tanner Stage 4)

• Typical Age
• Physical Exam Findings

Answer 17

Age: 13-15 yo

Penis: penis widens with glans development; scrotum enlarges and darkens

Hair: adult-appearing; NOT on thighs

Question 18

Male Penis/Hair Development (Tanner Stage 5)

• Typical Age
• Physical Exam Findings

Answer 18

Age: > 15 yo

Penis: adult genitalia

Hair: adult-appearing; ON thighs

Question 19

Male Penis Development (Tanner Stage 5)

• Typical Age
• Physical Exam Findings