Lose dose androgens like Oxandrolone can also be given in patients over the age of eight to help add a few centimeters in height. However, Oxandrolone can inhibit some breast development, even if given in small doses. Without hormone therapy, Turner syndrome females will have no breast tissue or pubic hair; they will also be at a higher risk of bone loss. If by the age of 12 there is no breast development, estrogen therapy in the form of transdermal estradiol should be initiated, but oral micronized progesterone may be needed the last ten days of the to start menstruation (Fechner, 2018) Follow-up Care Close monitoring is needed by a cardiologist due to the high risk of congenital cardiovascular disease, and premature death is Turner syndrome (Burns et al., 2017). Congenital
TURNER SYNDROME 4 heart defects affect up to 77% of females with Turner syndrome and can benign or fatal (Mortensen, Gopalan, Nørgaard, Andersen, & Gravholt, 2016). Also, if pregnancy is desired with Turner syndrome, a reproductive endocrinologist will be needed to perform in-vitro fertilization, and a cesarean section will be needed for delivery. Lastly, breast implants, psychotherapy, support groups, and stress-relief may be beneficial for coping females with Turner syndrome due to self- esteem and psycho-emotional stress (Buchstein and Stark, 2013). Effect of Culture on the Care of Turner Syndrome Due to advancing technology of ultrasounds and prenatal care, there have been more prenatal diagnoses of Turner syndrome. Unfortunately, that has led to more abortions or ended pregnancies due to Turner syndrome. Knowledge and education about the disorder can be very beneficial in preventing these abortions. Since the brain of the patient is not affected by the disorder, a child born with Turner syndrome can lead a very normal life if properly managed.
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- Spring '18
- X chromosome, Y chromosome, Turner syndrome