| Tanner stage | Breasts* | Standard | Pubic hair* | Standard | Growth | Other |
|---|---|---|---|---|---|---|
| 1 | Prepubertal, elevation of papilla only | Prepubertal, villus hair only | — | Basal: about 5.0 to 6.0 cm (2.0 to 2.4 in) per year | Adrenarche Ovarian growth | |
| 2 | Breast bud appears under enlarged areola (11.2 years) | Sparse growth of slightly pigmented hair along the labia (11.9 years) | Accelerated: about 7.0 to 8.0 cm (2.8 to 3.2 in) per year | Clitoral enlargement Labia pigmentation Uterus enlargement | ||
| 3 | Breast tissue grows beyond areola without contour separation (12.4 years) | Hair is coarser, curled and pigmented; spreads across the pubes (12.7 years) | Peak velocity: about 8.0 cm (3.2 in) per year (12.5 years) | Axillary hair (13.1 years) Acne (13.2 years) | ||
| 4 | Projection of areola and papilla forms a secondary mound (13.1 years) | Adult-type hair but no spread to medial thigh (13.4 years) | Deceleration: < 7.0 cm (2.8 in) per year | Menarche (13.3 years) Regular menses (13.9 years) | ||
| 5 | Adult breast contour with projection of papilla only (14.5 years) | Adult-type hair with spread to medial thigh but not up linea alba (14.6 years) | Cessation at about 16 years | Adult genitalia |