GuidelinesOther guideline
Appendix B: Tanner Staging for Female Sexual Development
Rainbow Clinic for Abused Children, April 2020
| Breast Development | |
| Stage 1 | Pre-pubertal elevation of the papilla only |
| Stage 2 | Breast bud stage: elevation of the breast and papilla as a small mound; and enlargement of the areola diameter |
| Stage 3 | Further enlargement and elevation of the breast and areola, with no separation of their contours |
| Stage 4 | Projection of the areola and papilla above the level of the breast |
| Stage 5 | Mature stage: projection of the papilla alone due to recession of the areola |
| Pubic Hair | |
| Stage 1 | Pre-pubertal, no hair |
| Stage 2 | Sparse growth of slightly pigmented, downy hair, chiefly along the labia |
| Stage 3 | Hair darker, coarser and more curled, spreading sparsely over the junction of the pubes |
| Stage 4 | Hair adult in type, but covering smaller area without spread to the medial surface of the thighs |
| Stage 5 | Adult quantity and type, with distribution of a horizontal pattern and spread to the medial surface of thighs |
Step by Step Guide to the Management of Child Abuse; Rainbow Clinic, RMMCH; Version: July 2023; Appendix B: Tanner Staging for Female Sexual Development