Turner syndrome and reproductive counseling

Abstract

Spontaneous fertility in Turner syndrome (TS) is rare, due to low or absent ovarian reserve. A greater number of ovarian follicules is present in the cases of gonadal mosaicism, although the accelerated pace of apoptosis remains. Thus, the early referral to reproductive counseling is advisable, ideally soon after diagnosis. The criopreservation of oocytes is one of the options for fertility preservation. The authors present a series of 7 patients with TS admitted in Reproductive Medicine Department between 2012 and 2015.These 7 cases illustrate the complexity of reproductive counseling in these patients. Early referral increases the probability of success in oocyte preservation. The ovarian reserve, structural cardiovascular disease and ethical problems condition the therapeutic options.