Prepubertal appearance and size Occasional elevation of the nipple Enlarged mammary glands form a breast bud Slight increase in areolar diameter, nipple protrusion Further enlargement of mammary glands Breast bud extends beyond the areolar diameter Nipple and areola form a secondary mound which projects above the breast tissue Adult breas t Areola with projection of papilla only Prepubertal appearance and size of the testes, scrotum, and penis Testicular volume of 4 mL Larger scrotum Penile growth has not begun Scrotal skin darkens in color and texture Continued enlargement of the testes and scrotum Penile growth begins Testicular volume of 12 mL Scrotum growth Penile growth continues longer and wider penis Development of penis glans Testes, scrotum, and penis attain adult appearance and proportions Usually no pubic hair, vellus hair possible Sparse, lightly pigmented hair straight or curled on the labia base of the penis Dark, coarse, curly hair spreading over the pubic symphysis Adult pubic hair that does not extend to the inner thighs Adult pubic hair that extends to the inner thighs with horizontal upper border Further growth of pubic hair along linea alba in the direction of the umbilicus <a href=
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