La secuencia resultante de cambios somticos y fisiolgicos da lugar a la escala de madurez sexual SMR, del ingls Sexual Maturity Rating , o estadios de Tanner. Las fases de Tanner no estn perfectamente sincronizadas, por ejemplo, el desarrollo genital SMR2 puede preceder al del vello pbico SMR2. En nias, el primer signo visible de pubertad y la piedra angular del SMR2 es la aparicin de los botones mamarios, a los aos de edad. La menarquia suele aparecer en media a los 12 aos de edad intervalo normal de 10 a 15 aos , durante el SMR, alrededor del momento del estirn de altura. Los cambios menos evidentes comprenden aumento de tamao de ovarios, tero, labios mayores y menores, y cltoris y engrosamiento del endometrio y la mucosa vaginal. En nios, el primer signo visible de la pubertad y la piedra angular del SMR2 es el agrandamiento testicular, que comienza ya a los 9 o 10 aos.

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Estagiamento de Tanner: um estudo de confiabilidade entre o referido e o observado. Adolesc Saude. Abstract: Tanner staging is an instrument of daily practice for professionals who deal with adolescents. It is very useful in determining the puberal stage in which the patientis is, enabling correlation with the clinic. The objective of this study was to asses reliability, through the kappa coefficient, of adolescent testimonials when they refer to themselves according to the different phases of Tanner as compared to the classification made by specialist doctors conducted during the physical exam.


Escala de Tanner


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