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Numbers below the bars indicate the ranges in age within which certain changes occur. (Redrawn from Marshall WA, Tanner JM: Variations in the pattern of pubertal changes in girls. Arch Dis Child 45:22, 1970)

Numbers below the bars indicate the ranges in age within which certain changes occur. (Redrawn from Marshall WA, Tanner JM: Variations in the pattern of pubertal changes in girls. Arch Dis Child 45:22, 1970)

The external examination of adolescent female genitalia proceeds in the same manner as for the school-aged child. If it is necessary to complete a full pelvic exam on an adolescent, the actual technique is the same as that used for an adult. A full explanation of the steps of the examination, demonstration of the instruments, and a gentle, reassuring approach is necessary because the adolescent is usually quite anxious. An adolescent's first pelvic examination should be performed by an experienced health care provider.

SEX MATURITY RATINGS IN GIRLS: PUBIC HAIR

Stage 1

Preadolescent—no pubic hair except for the fine body hair (vellus hair) similar to

that on the abdomen

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