Journals / Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi / 2020 / Cilt: 2 - Sayı: 3

Fertility Status in Turner Syndrome and The Roles of The Infertility Nurse

Turner Sendromunda Fertilite Durumu ve İnfertilite Hemşiresinin Rolleri

Pages
158–174
Publication Date
2020-12-22
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Infertility nurses need to meet the information needs of individuals with Turner Syndrome who are treated with assisted reproductive techniques and direct them to the resources they can get necessary psychological and psychosexual support.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Turner Syndrome is a chromosomal disorder that develops as a result of the complete or partial loss of one of the X chromosomes in the gonosomes or the loss of the Y chromosome in fetuses with 46, XY chromosomes.
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Key Findings & Data:Approximately 50% of the syndromed cases have 45, X karyotype and premature ovarian failure may be present in most of these cases.
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Conclusion & Impact:Infertility nurses need to meet the information needs of individuals with Turner Syndrome who are treated with assisted reproductive techniques and direct them to the resources they can get necessary psychological and psychosexual support.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Fertilite · Gebelik · Hemşirelik

Abstract

Turner Syndrome is a chromosomal disorder that develops as a result of the complete or partial loss of one of the X chromosomes in the gonosomes or the loss of the Y chromosome in fetuses with 46, XY chromosomes. Approximately 50% of the syndromed cases have 45, X karyotype and premature ovarian failure may be present in most of these cases. It has been reported that spontaneous pubertal development can be completed in only 10% of the cases and spontaneous pregnancy can occur in 2%. Turner Syndrome is an important chromosomal abnormality that should be handled carefully considering its effects on the reproductive system and other systems. Depending on the type of the syndrome, spontaneous menarche and pregnancy can develop, as well as fertility can be achieved with the help of hormone replacement and/or assisted reproductive techniques. Infertility nurses need to meet the information needs of individuals with Turner Syndrome who are treated with assisted reproductive techniques and direct them to the resources they can get necessary psychological and psychosexual support.

Özet

Turner Sendromu, gonozomlardaki X kromozomlarından birinin tam veya kısmi kaybı ya da 46,XY kromozomlu fetüslerde Y kromozomu kaybı sonucunda gelişen kromozomal bir bozukluktur. Turner Sendromlu olguların yaklaşık %50’sinde 45,X karyotip bulunmaktadır ve bu olguların çoğunda prematür ovaryen yetmezlik durumu mevcut olabilir. Olguların sadece %10’unda spontan pubertel gelişimin tamamlanabildiği ve %2’sinde spontan gebeliğin oluşabildiği bildirilmiştir. Turner Sendromu, üreme sistemi ve diğer sistemler üzerindeki etkileri düşünüldüğünde dikkatli bir şekilde ele alınması gereken önemli bir kromozomal anomalidir. Sendromun tipine bağlı olarak spontan menarş ve gebelik gelişebileceği gibi hormon replasmanı ve/veya yardımcı üreme teknikleri yardımıyla da fertilite sağlanabilmektedir. İnfertilite hemşirelerinin, yardımcı üreme teknikleri ile tedavi gören Turner Sendromlu bireylerin bilgi ihtiyaçlarını gidermeleri ve bireyleri gerekli psikolojik ve psikoseksüel destek alabilecekleri kaynaklara yönlendirmeleri gerekmektedir.

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Cite This Article

ÖNGEN, M., BAŞAR, F. (2020). Fertility Status in Turner Syndrome and The Roles of The Infertility Nurse. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, Cilt: 2 - Sayı: 3, 158–174. https://ajindex.com/articles/740237

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References (13)

  1. Adachi, M., Tachibana, K., Asakura, Y., Muroya, K., & Ogata, T. (2000). Del(X)(p21.1) in a mother and two daughters: genotype-phenotype correlation of Turner features. Hum Genet, 106, 306-10.
  2. Al Alwan, I., Khadora, M., Amir, I., Nasret, G., Omair, A., Brown, L., et al. (2014). Turner Syndrome Genotype and phenotype and their effect on presenting features and timing of Diagnosis. Int J Health Sci, 8 (2), 195-202.
  3. Alvaro Mercadal, B., Imbert, R., Demeestere, I., Englert, Y., & Delbaere, A. (2011). Pregnancy outcome after oocyte donation in patients with Turner's syndrome and partial X monosomy. Hum Reprod, 26 (8), 2061-8.
  4. Balen, A. H., Harris, S. E., Chambers, E. L., & Picton, H. M. (2010). Conservation of fertility and oocyte genetics in a young woman with mosaic Turner syndrome. BJOG, 117 (2), 238-42.
  5. Bernard, V., Donadille, B., Zenaty, D., Courtillot, C., Salenave, S., Brac de la Perriere, A., et al. (2016). Spontaneous fertility and pregnancy outcomes amongst 480 women with Turner syndrome. Hum Reprod, 31 (4), 782-8.
  6. Birkebaek, N. H., Cruger, D., Hansen, J., Nielsen, J., & Bruun-Petersen, G. (2002). Fertility and pregnancy outcome in Danish women with Turner syndrome. Clin Genet, 61 (1), 35-9.
  7. Blair, J., Tolmie, J., Hollman, A. S., & Donaldson, M. D. (2001). Phenotype, ovarian function, and growth in patients with 45,X/47,XXX Turner mosaicism: implications for prenatal counseling and estrogen therapy at puberty. J Pediatr, 139 (5), 724-28.
  8. Blumenthal, A. L., & Allanson, J. E. (1997). Turner syndrome in a mother and daughter: r(X) and fertility. Clin Genet, 52 (3), 187-91.
  9. Bodri, D., Vernaeve, V., Figueras, F., Vidal, R., Guillén, J. J., & Coll, O. (2006). Oocyte donation in patients with Turner's syndrome: a successful technique but with an accompanying high risk of hypertensive disorders during pregnancy. Hum Reprod, 21 (3), 829-32.
  10. Boivin, J. (2003). A review of psychosocial interventions in infertility. Soc Sci Me, 57 (12), 2325-41.
  11. Bondy, C. A. (2007). Care of girls and women with Turner syndrome: a guideline of the Turner Syndrome Study Group. J Clin Endocrinol Metab, 92 (1), 10-25.
  12. Borgström, B., Hreinsson, J., Rasmussen, C., Sheikhi, M., Fried, G., Keros, V., et al. (2009). Fertility preservation in girls with turner syndrome: prognostic signs of the presence of ovarian follicles. J Clin Endocrinol Metab, 94 (1), 74-80.
  13. Broer, S. L., Broekmans, F. J., Laven, J. S., & Fauser, B. C. (2014). Anti-Mullerian hormone: ovarian reserve testing and its pot