Fifteen-minute consultation: Clinical pubertal assessment

Arch Dis Child Educ Pract Ed. 2022 Aug;107(4):253-256. doi: 10.1136/archdischild-2020-320386. Epub 2021 May 14.

Abstract

A pubertal assessment is an important part of the clinical examination of a young person. Clinicians must be empowered to do this confidently and in a sensitive manner. Tanner staging allows an objective measurement of pubertal status, including pubic and axillary hair growth, and breast or genital development. Alongside history, age and growth patterns, pubertal assessment can identify normal, precocious, delayed or arrested puberty and be suggestive of underlying pathology. This article aims to familiarise clinicians with the pubertal assessment, both the examination and interpretation.

Keywords: adolescent health; endocrinology.

MeSH terms

  • Adolescent
  • Breast
  • Hair
  • Humans
  • Puberty*
  • Referral and Consultation
  • Sexual Maturation*