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Roth, Christian

Journal of Pediatric Endocrinology and Metabolism

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Just Accepted


Evaluation of self-assessment of pubertal maturation in boys and girls using drawings and orchidometer

Lena Rollof
  • Department of Clinical Sciences, Pediatric Unit, Lund University, Skane University Hospital, Lund, Sweden
/ Maria Elfving
  • Department of Clinical Sciences, Pediatric Unit, Lund University, Skane University Hospital, Lund, Sweden
  • Email:
Published Online: 2011-12-20 | DOI: https://doi.org/10.1515/jpem.2011.440


Background: Self-assessment of puberty has been reported to correlate well with staging by a physician. No previous study has evaluated the use of an orchidometer to assess testicular size in boys.

Study design: This study included 44 girls and 56 boys, 10–16 years old, with assessed Tanner staging. The boys also used an orchidometer. The correlation with a professional’s staging was analyzed using percentage agreement (PA).

Results: For girls, the PA for breast development was 52%, and for pubic hair, 64%. There was no case of the difference being greater than one stage. For boys, the PA for pubic hair was 75%. For testicular volume, the PA was 36%; in 95%, the difference was only one size.

Conclusions: We found pubertal self-assessment, including the use of an orchidometer for boys, to be a useful method. However, if the purpose is to determine exact pubertal onset, the assessment should be made by a trained professional.

Keywords: adolescents; children; orchidometer; pubertal self-assessment; Tanner stages

About the article

Corresponding author: Maria Elfving, MD, PhD, Department of Clinical Sciences, Pediatric Unit, Lund University, SE-221 85 Lund, Sweden Phone: +46-46-171000, Fax: +46-46-175459

Received: 2011-10-26

Accepted: 2011-11-16

Published Online: 2011-12-20

Published in Print: 2012-02-01

Citation Information: Journal of Pediatric Endocrinology and Metabolism, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/jpem.2011.440. Export Citation

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