18 year old girl with primary amenorrhea having a karyotype of 45X0 has an infantile uterus on USG. What should be done next?
45 XO = Turner syndrome (Most common form of gonadal dysgenesis) The growth of uterus depends on estrogens In turner syndrome there are streak ovaries so less estrogen ; leading to infantile uterus. So leads to non bleeding of uterus So H is given to induce pubey. Features of turner's syndrome: - 1) B/L streak gonads 2) Webbing of neck 3) Low posterior hair line 4) Widely spaced nipple (as breast is absent) 5) Shield shaped chest 6) sho 4th metacarpal 7) Cubitus valgus 8) CVS anomalies: M/c - Bicuspid aoic valves (coarctation of aoa) 9) Most common renal anomaly: - horse shoe shaped kidney
H to induce pubey
Vaginoplasty
Clitoroplasty
B/L gonadectomy
Mullerian Abnormalities