Stage Female Male

Age Breast growth Pubic hair growth Other changes Age Testes growth Penis growth Pubic hair growth Other changes
range range
(years) (years)

I 015 Pre-adolescent None Pre-adolescent 015 Pre-adolescent Pre-adolescent None Pre-adolescent

testes
(2.5 cm)

II 815 Breast budding Long downy pubic Peak growth 1015 Enlargement of Minimal or no Long downy hair, Not applicable
(thelarche); areolar hair near the labia, velocity often testes; enlargement often appearing
hyperplasia with often appearing with occurs soon pigmentation of several months after
small amount of breast budding or after stage II scrotal sac testicular growth;
breast tissue several weeks or variable pattern noted
months later with pubarche

III 1015 Further Increase in amount Menarche 116.5 Further Significant Increase in amount; Not applicable
enlargement of and pigmentation of occurs in 2% of enlargement enlargement, curling
breast tissue and hair girls late in especially in
areola, with no stage III diameter
separation of their
contours

IV 1017 Separation of Adult in type but not Menarche Variable: Further Further Adult in type but not Development of axillary hair and
contours; areola in distribution occurs in most 1217 enlargement enlargement, in distribution some facial hair
and nipple form girls in stage especially in
secondary mound IV, 13 years diameter
above breasts tissue after thelarche

V 12.518 Large breast with Adult in distribution Menarche 1318 Adult in size Adult in size Adult in distribution Body hair continues to grow and
single contour occurs in 10% (medial aspects of muscles continue to increase in
of girls in stage thighs; linea alba) size for several months to years;
V. 20% of boys reach peak growth
velocity during this period