Turning a Turner to a twin mother.

BMJ Case Reports
Monishaa Rajsekher, Palaniappan Narayanan

Abstract

Women with Turner syndrome (TS) are subfertile due to premature ovarian insufficiency. Most women require hormone replacement therapy for attaining menarche and assisted reproductive technology (ART) using donor oocytes, autologous oocytes or in-vitro fertilisation for conception. Irrespective of the karyotype, monosomy X (45, X) or mosaic pattern, women with TS hold a very high risk for pregnancy due to high mortality rate secondary to aortic dissection and severe pre-eclampsia. Such high-risk pregnancies mandate extensive prepregnancy counselling, the need for multidisciplinary teams, close surveillance and follow-up to attain a successful outcome. In this article, we report one such case of pregnancy in a woman with TS carrying a twin gestation following ART with donor oocyte.

References

Jul 9, 2004·The Journal of Clinical Endocrinology and Metabolism·Vladimir K BakalovCarolyn A Bondy
Mar 8, 2005·Fertility and Sterility·Sarantis LivadasCatherine Dacou-Voutetakis
Jul 20, 2006·The Journal of Clinical Endocrinology and Metabolism·Kirstine StochholmClaus Højbjerg Gravholt
Oct 19, 2006·The Journal of Clinical Endocrinology and Metabolism·Carolyn A Bondy, UNKNOWN Turner Syndrome Study Group
Jan 19, 2010·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Daynna J WolffUNKNOWN Working Group of the ACMG Laboratory Quality Assurance Committee
Jul 3, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Laure CabanesDelphine Zénaty
Dec 15, 2010·The Journal of Clinical Endocrinology and Metabolism·Nicolas ChevalierUNKNOWN French Study Group for Oocyte Donation
Jun 6, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·E C NwosuS A Walkinshaw
Sep 1, 2014·Obstetric Medicine·E ChurchN Naqvi
Jul 15, 2017·European Journal of Endocrinology·Claus H GravholtUNKNOWN International Turner Syndrome Consensus Group

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