Uterine size in women with Turner syndrome after induction of puberty with estrogens and long-term growth hormone therapy: Results of the German IGLU follow-up study 2001

Helmuth G. Doerr, M. Bettendorf, B. P. Hauffa, Otto Mehls, C. J. Partsch, Elfriede Said, Sabine Sander, H. P. Schwarz, N. Stahnke, Heiner Steinkamp, Michael B. Ranke, H. I. Akkurt, W. Andler, M. Becker, H. J. Böhles, J. Brämswig, O. Butenandt, M. Bettendorf, H. G. Doerr, J. H.H. EhrichB. Erxleben, B. Griefahn, A. Grueters, K. Hartmann, B. P. Hauffa, F. Haverkamp, W. Hecker, U. Heinrich, G. K. Hinkel, O. Hiort, R. Holl, J. Homoki, G. Horneff, U. Irle, R. Johs, C. Jourdan, E. Keller, J. Kerstan, E. Korsch, J. Kreuder, H. P. Krohn, F. Krull, D. Kunze, M. Lakomek, D. Lenz, U. Leuthold, M. Mix, K. Mohnike, M. Morlot, R. Mühlenberg, H. Müller, C. J. Partsch, M. Pavlovic, K. Rager, M. B. Ranke, W. Rauh, H. J. Rickers, B. Schenk, D. Schnabel, E. Schönau, H. P. Schwarz, G. Skimic-Schleicher, W. G. Sippell, N. Stahnke, M. Teufel, W. Tillmann, B. Tittel, U. Tuschy, K. P. Ullrich, W. von Petrikowsky, H. P. Weber, K. Wesseler, R. P. Willig, J. Wintgens, M. Witsch

42 Citations (Scopus)

Abstract

Background: To evaluate the factors influencing uterine size in young adult women with Turner syndrome (TS) after long-term growth hormone (GH) treatment. Methods: Cross-sectional study. Out of 188 women with TS from 96 German centres, whose longitudinal growth was documented within KIGS (Pfizer International Growth Database), data on uterine size were collected voluntarily at a standardized follow-up visit: 75 TS women (ages: 15.8-30.8 years) with complete data were included. Classification according to karyotype: 45,X (78.6%), 45,X/46,XX (5.4%), 45,X/46,iXq (8%), 45,X/46,XY (8%). Puberty was induced with estrogens in all women. At follow-up, 66 were on cyclic estrogens and progestins. Results: 13/66 (19.6%) TS women who received estrogens had a reduced uterine length <5cm. Calculating the data in standard deviation scores (SDS), only women with 45,X/46,XX karyotype had normal median uterine length and volume of 0.6 and 1.59 SDS respectively. An incomplete breast development (Tanner stage B 3) was found in women with 45,X karyotype (n = 11; 18.6%) and with 45,X/46,XY (n = 2). Conclusions: Only TS women with karyotype 45,X/46,XX had normal uterine sizes, whereas 26% of the TS women with karyotype 45,X had a uterine length <-2 SDS, and 18% a volume <-2 SDS.

Original languageEnglish
JournalHuman Reproduction
Volume20
Issue number5
Pages (from-to)1418-1421
Number of pages4
ISSN0268-1161
DOIs
Publication statusPublished - 05.2005

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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