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Papilla (nipple) development during female puberty

R D Rohn

    Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
    |March 1, 1982
    PubMed
    Summary

    Nipple diameter measurements correlate with Tanner stages of puberty. Significant nipple growth occurs after Tanner stage PH3 and B3, aiding in defining later pubertal development.

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    Area of Science:

    • Pediatrics
    • Endocrinology
    • Anthropology

    Background:

    • Secondary sexual maturation involves physical changes during puberty.
    • Breast development, specifically nipple growth, is a key indicator of sexual maturation.
    • Current criteria for breast staging may lack objective measurements for nipple development.

    Purpose of the Study:

    • To compare breast papilla (nipple) development with established criteria for secondary sexual maturation.
    • To establish objective measurements for nipple diameter in relation to pubertal stages.
    • To enhance the study of pubertal development through precise physiological event tracking.

    Main Methods:

    • Measurement of papilla (nipple) diameter in 168 girls aged 2-21 years.
    • Assessment of Tanner stages of pubertal development.
    • Correlation of nipple diameter with Tanner stages (PH and B) and menarcheal status.

    Main Results:

    • Minimal nipple development observed in early Tanner stages (PH1-PH3, B1-B3) and premenarche.
    • Significant nipple growth noted in later Tanner stages (PH4-PH5, B4-B5) and post-menarche.
    • Nipple diameters ranged from 2.91-4.08 mm (PH1-PH3) to 7.22-9.65 mm (PH4-B5 and post-menarche).

    Conclusions:

    • Nipple diameter is a quantifiable metric that correlates with pubertal progression.
    • Objective definitions for advanced breast stages (B4, B5) based on nipple diameter are feasible.
    • This research can improve the precision of studying late pubertal physiological events.

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