Pregnancies in women with Turner Syndrome: how do we counsel our patients?

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Authors:

Richard J. Paulson, M.D., M.S.

Abstract:

In this issue of Fertility and Sterility, the Fertile Battle debate focuses on the question of how best to counsel patients with Turner Syndrome (TS) regarding their options for pregnancy. Most patients with TS experience ovarian failure prior to menarche, but with egg donation, they can successfully conceive and carry the pregnancy to term, albeit with significantly increased obstetrical risks. The question is, are these risks so high that gestational surrogacy should routinely be advised? Are the risks so high that embryo transfer to the uterus of a TS patient should not even be considered? Are there screening methods that might divide the potential population into those individuals whose underlying cardiovascular risks are too high to allow pregnancy and those who might reasonably be monitored and guided by a skilled perinatologist through a high-risk pregnancy?


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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