Although present in both men and women, the
mons pubis tends to be larger in women.
[2][7] Before puberty, the mons pubis is relatively flat and hairless. Its fatty tissue is sensitive to
estrogen, causing a distinct mound to form with the onset of female
puberty.
[5][7][8][9] This pushes the forward portion of the labia majora out and away from the pubic bone. Increased
androgen activity can cause the skin of the mons pubis to be covered with coarse
pubic hair. During
menopause, the pubic hair can thin out and the mons pubis decreases in size.