Turner syndrome: reproductive health concerns

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Takeaway

  • Women with Turner Syndrome (TS) have a short reproductive lifespan and pregnancy is considered high risk.

Study design

  • Literature search on the management and fertility in women with TS.
  • Funding: Source of funding not disclosed.

Key results

  • Fertility preservation with ovarian tissue cryopreservation can be considered.
  • Preconception care includes counseling on various options for attaining pregnancy, body mass index, screening for hypertension, PAP testing, thyroid function testing, fasting blood glucose, vitamin D levels, liver funtion tests (LFTs), renal function tests, echocardiography, Maternal-fetal medicine consultation, nutrition counseling, renal ultrasound, hepatic ultrasound if LFTs are abnormal, pelvic ultrasound, echocardiogram, bone mineral density.
  • Risks during pregnancy include increased risk for miscarriage (29%), fetal death (2%), small for gestaional age (18%-28%), prematurity (12%), thyroid dysfunction (22%), gestational diabetes (15%-17%), preeclamp...