Assessment of Sexual Maturity Stagesin Girls and Boys

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Assessment of Sexual Maturity Stages in Girls and Boys Authors/Principal Investors: Marcia E. Herman-Giddens, PA, DrPH; Carlos J. Bourdony, MD, FAAP; Steven A. Dowshen, MD, FAAP; Edward O. Reiter, MD, FAAP American Academy of Pediatrics Department of Marketing and Publications Staff. Copyright © 2011 by the American Academy of Pediatrics About Authors Table of Contents Foreword Acknowledgments Assessment of Sexual Maturity Stages in Girls Introduction Breast Maturity Ratings: The Tanner Photographs Pubic Hair Ratings: The Tanner Photographs Breast Maturity Ratings: The van Wieringen Photographs Pubic Hair Ratings: The van Wieringen Photographs Staging Breast Development Breast Stage 1 Breast Stage 2 Breast Stage 3 Breast Stage 4 Breast Stage 5 Staging Pubic Hair Development Pubic Hair Pubic Hair Stage 1 Pubic Hair Stage 2 Pubic Hair Stage 3 Pubic Hair Stage 4 Pubic Hair Stage 5 Staging Axillary Hair Development Axillary Hair Stage 1 Axillary Hair Stage 2 Axillary Hair Stage 3 Examination Techniques The Influence of Breast Types on Assessment of Stage of Development Assignment of Stages for Breast and Pubic Hair Development Assessment of Sexual Maturity Stages in Boys Introduction Genital Maturity Ratings: The Tanner Photographs Genital Maturity Ratings: The van Wieringen Photographs Staging Genital Development Genital Stage 1 Genital Stage 2 Genital Stage 3 Genital Stage 4 Staging Pubic Hair Growth Pubic Hair Stage 1 Pubic Hair Stage 2 Pubic Hair Stage 3 Pubic Hair Stage 4 Pubic Hair Stage 5 Examples of Subtleties of Staging Staging Axillary Hair Development Axillary Hair Stage 1 Axillary Hair Stage 2 Axillary Hair Stage 3 Examination Techniques Anatomy: A Brief Review Anomalies and Conditions That May Be Encountered When Assessing Pubertal Maturation in Males Examination of Breasts, Genitalia, and Pubic and Axillary Hair Assignment of Stages for Genital andPubic Hair Development Observation of Voice Change, Facial Hair, and Acne Using the Orchidometer References References, continued Back Cover