18 year old girl with primary amenorrhea having a karyotype of 45X0 presents with infantile uterus. What should be done next?
Correct Answer: H to induce pubey
Description: Primary amenorrhea with karyotype of 45 XO with an infantile uterus is suggestive of TURNER SYNDROME Management Screen for associated abnormalities: cardiac (30% have coarctation of aoa), renal (esp.horseshoe kidney), autoimmune abnormalities (thyroiditis), diabetes, hypeension and hearing loss Growth hormone therapy: accelerate growth velocity and improves final height Gonadal steroids: sta with estrogen therapy and add progesterones to induce pubey
Category:
Gynaecology & Obstetrics
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