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Overview

Turner Syndrome: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Turner syndrome is a chromosomal disorder that affects females. It is a condition in which one X chromosome in a girl is fully or partially missing. It is a lifelong condition that cannot be cured. However, treatment and appropriate care can help the girl lead a happy and independent life. It can generally be detected before birth, during infancy or during early childhood. In some minor cases, the diagnosis may get delayed to adolescence or early adulthood. Turner syndrome can cause several medical and developmental problems like short height, failure of ovaries and heart defects. There are treatments like growth hormone therapy, estrogen therapy and pregnancy and fertility treatment that can assist the girl in remaining healthy even with the absence of one X chromosome.

How is the treatment done?

Growth hormone therapy is used to increase the height of the females suffering from turner syndrome. Recombinant growth hormone is given as injection to them every day. The earlier the treatment starts the more improvement will be done to bone and height growth. Doctors recommend oxandrolone hormone for girls with very short stature. It increases the body’s production of proteins resulting in the improvement of bone mineral density and increase in height. Estrogen is the hormone that helps in bone mineralisation, promotes breast development and improves the size or volume of uterus. Estrogen therapy is needed for a girl suffering from turner syndrome to start puberty. Combined with growth hormone, it also helps in increasing the height. This therapy should start at the age of 10-12 years and continue until the average age of menopause is reached. Most women suffering from tuner syndrome cannot get pregnant without fertility treatment. Therefore, it is very important to discuss your condition and reproductive goals with your doctor. You must consult a good doctor and discuss all the options in detail as women with this syndrome often face high risk pregnancies.

Who is eligible for the treatment? (When is the treatment done?)

Girls born with only one X chromosome must go for this treatment. You must look out for signs like broad chest with widely spaced nipples, swelling of hands and feet, slowed growth, cardiac defects, low hairline on the back of the head, failure to begin sexual changes expected during puberty and early end to menstrual cycle not due to pregnancy.

Who is not eligible for the treatment?

Sometimes, an individual may face above mentioned signs due to some other medical treatment she has been going through and not turner syndrome.

Are there any side effects?

Some injections may cause temporary redness, irritation and rashes in skin.

What are the post-treatment guidelines?

You must make regular appointments with your doctor to keep a check on the improvement in your condition. Make sure that you are consuming a healthy and nutritious diet filled with fresh fruits and vegetables, nuts, dairy products, pulses, fish, meat etc. Stay away from alcohol and tobacco. Exercise regularly to keep your body fit and active.

How long does it take to recover?

Turner syndrome is a lifelong condition i.e. can never be fully cured.

What is the price of the treatment in India?

Growth hormone therapy costs around ₹30000 per injection depending on your condition. Costs of other therapies vary with the severity of your condition.

Are the results of the treatment permanent?

Turner syndrome cannot be cured fully. It can just be made manageable through different treatments.

What are the alternatives to the treatment?

There are no alternatives to these treatments.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: High Time For Recovery: High Price Range:

Rs 25,000 - Rs 30,000

Popular Health Tips

Premature Menopause - Signs and Causes

MBBS, MD
Gynaecologist, Delhi
Premature Menopause - Signs and Causes

Although most women experience menopause between the age of 45 and 55, but when women experience the menopause before they reach 40, it is termed a premature or early menopause. It is also known as premature ovarian failure.
This may be due to primary ovarian insufficiency in which there is decreased activity in ovaries and the periods spontaneously stops. It may be result of chemotherapy treatment for cancer or it can be surgically induced menopause when the ovaries are removed. Premature menopause can also be caused by treatments for cancer or other conditions that involve chemotherapy or radiation therapy for the pelvis. These treatments can damage the ovaries and result in ovarian failure. The chances of premature menopause depend on the type and amount of chemotherapy as well as the age of the patient

Removal of both ovaries by surgery causes menopause right away. Menstruation stops after this surgery, but the hormones of women facing such condition drop quickly. They experience strong menopausal symptoms such as hot flashes and diminished sexual desire

Chromosome defects like Turner’s syndrome can lead to premature menopause. In this condition, the female is partly or completely missing an X chromosome due to which the ovaries does not form normally leading to early menopause. Women with a family history of premature menopause are more likely to have the same themselves. Autoimmune diseases like Thyroid disease and rheumatoid arthritis that attack the body's immune system may mistakenly effect the ovaries thus preventing them from making hormones.

One should visit a gynaecologist, if the period stops or changes before the age of 40. Menopause is confirmed when a woman does not have her period for 12 months in a row. Blood tests for measurement of oestrogen and related hormones, like follicle-stimulating hormone determines if one has reached premature menopause

Women have premature menopause can be observed as physical problems, emotional disturbances or problems associated with sexual functioning. Women experience sudden waves of mild or intense body heat commonly known as hot flashes and can also experience profuse sweating called as night sweats and have difficulty in sleeping. They experience vaginal dryness and the sexual drive or the libido also decreases. The bone density decreases leading to osteoporosis and fractures. In addition to physical symptoms, there are emotional symptoms like anxiety, mood swings, loss of focus and difficulty in concentration. Women who want to conceive and go through premature menopause may feel extremely upset. The sexual symptoms include dryness and thinning of walls of vagina, thus causing pain or discomfort during sexual intercourse.

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Popular Questions & Answers

I have Turner syndrome . I have diagnosed with hypo plastic overy and utres. Is there any chance for me to get pregnant.

MBBS
General Physician, Mumbai
In my opinion, We can use your ovum and fertilise it with your husband spermatozoa and plan for surrogacy to continue pregnancy for a child

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Hello Everybody!

This is Dr. Muffi from Digestive Health Institute. I wanna speak about metabolic syndrome, diabetes surgery and its good value for money and why we should be doing it. Diabetes surgery up to now people call it that most people with high sugar, should not get operated. And today's surgeon across the world reconstructed metabolic surgery to treat diabetes. Your high sugar which stops medications like insulin and various others. So, how is this transition occurs? Something which is called as bariatric surgery which is actually meant for weight loss or people who are very obese, surgeon realize that suddenly sugar has come under control, cholesterol seems to come down.

And therefore, 3 main prone of metabolic syndrome which is diabetes, type 2 diabetes, hypertension and cholesterol. And that's how surgery called bariatric surgery need to do metabolic surgery. Now we know that weight causes a lot of problem across the world. So, the weight causes the problem from head to toe, hypertension, thyroid problems, respiratory problems, sleep apnea and heart failure. It causes a problem in the stomach which are like hernia reflux disease, gallstones, hepatitis, obesity, pancreatitis, development of hernia because of obesity. Obesity is the cause of infertility. A lot of pain like osteoarthritis and high uric acid levels. So, all these things are because of diabetes. 40 different cancers are directly linked to obesity. So in men, there are high chances of prostate cancer and lung cancer. Much higher chances of uterine cancer and breast cancer. So the preventions are the best form of cure.

So, what happen when your BMI is more than 37.5 or it is above 32.5 and with uncontrolled diabetes, with the most conservative association across the world that such as American Diabetes Association, The International Diabetes, if your sugar is not under control with medications, at best you can go for metabolic surgery or bariatric surgery. You can't stick with good sugar control. A chronic diabetic would have the vessels of his heart, his eyes, his kidneys, kidney damage, heart failure because of diabetes, you can have blindness because of diabetes or loss of sensation in the foot in diabetic neuropathy. The best way to get treated with metabolic surgery. What happens with type 1 diabetes. In this bariatric surgery does not cure. But if you are obese, reduce your weight so that the insulin level comes down and other complications will also come down. For all those who want to get in touch with me, consult me, seek an appointment, please do consult me through lybrate.com.
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Hello friends, main Dr.(major) Vipin Kakar. I am an ENT surgeon. Aaj main aapko kuch aise tips batauga hearing loss ke baare mein, bachho aur bado mein jo aapke bahut kaam aa sakte hai aur aap uspe amal karke uska faida utha sakte hai. Aajkal hearing loss navjaat shishu, jo ek din ka paida hua bachha, usme bhi pata chal jata hai ke hearing loss hai ya nahi hai. Ab hum hearing loss ki kyun baat kar rahe hai? Kyunki hearing loss ek bahut hi common janam jaat problem hai jo ki 1 lakh mein se 250-400 bachho mein paayi jaati hai.

Agar hum thyroid ki problem ko socho toh wo 1 lakh mein se sirf 40 bachho mein hai, jab ke hearing loss 250-400 bachho mein hai. Toh videsho mein toh koi bhi discharge nahi ho sakta hospital se bina hearing ki jaach karaye. Toh ab hum 1 din ke bachhe ka hearing test karke ye pata laga lete hai ki usko aage treatment ki zarurat hai ya nahi. Ab hume ye jaanna hai ki hum kyun itna jaldi pata lagana chahte hai? Agar treatment hoga utna hi bachhe ko faida hoga. Jo janam se suntan aur bolta nahi hai, wo bachhe ka agar ilaaj der mein karayege toh results bilkul aadhe ho jayege. Aaj ki date mein hearing loss ka ilaaj sambhav hai. Ab hearing loss alag alag cheezon se hota hai toh aap agar apne kisi bachhe mein aapko lagta hai ki hearing loss hai ya wo theek tarah se aawazo pe response nahi de raha hai toh aap kripya karke apne ENT surgeon ke paas jayiye. Hearing loss ki treatment ke liye jis tarah ki bimaari hogi jis wajah se hearing loss hoga use treat kiya jaa sakta hai.

In case, agar usko hearing loss 90% se zada hai jisme hum koi dawai se nahi thik kar sakte toh unke liye aajkal humlog Cochlear implant bhi kar rahe hai. Cochlear implant ke liye ek surgery hai jisme do tarah ki machine lagti hai, ek sir ke andar jo surgery se lagayi jaati hai aur ek machine bahar lagti hai. Bahar wali machine aawaz ko catch karti hai aur andar wali machine ko bhejti hai. Toh kuch saal, therapy ke baad bachha ekdum normal bolne lag jaata hai. Main aapko Cochlear implant ka ek demonstration dena chahta hu. Jo machine andar lagti hai wo toh surgery madhyam se andar lag jayegi lifelong, dusri machine jo bahar lagti hai wo ye ek coin ke jitni hoti hai. Ye coin taqreeban itna bada hota hai aur ye sir mein baalon mein chup jaata hai. Bas itna hi aur ye aawaz catch karke andar wale implant ko bhejta hai aur therapy ke baad aapka bachha, agar aapne timely ilaaj karwaya hai toh woe k normal school mein jaane laayak ho jaata hai.

Kuch bachhe toh itna acha karte hai ke aap pata nahi laga sakte ki unka implant bhi hua hai ya nahi. Lekin har case mein implant nahi ho sakta hai. Kuch hearing loss simple kaan ki machine se bhi thik ho jaate hai aur kuch jinme kaano mein paani bhar jata hai. Toh paani nikaalne se bachha normal sunne lag jata hai. Ab main aapko kuch aisi cheezein videos mein dikhana chaahuga jisse aap dekh kar aapko vishwaas bhi ho jayega ki bachha implant ke baad ek normal school mein jaane laayak ho jata hai aur aapko ye pata lagana bahut hi mushkil hai ke kis bachhe ko implant hua hai aur kaunsa bachha normal hai.
(Another person in a video) Swar clinic mein ek choti si class thi ya conference tha usme bataya gaya ke Bilateral implantation bahar hone shuru ho gaye hai aur agar aap chaahe toh aap apne bachhe ka .aap aayiye, aap suniye ke kya kaha jaa raha hai aur aap decide kijiye. Toh humne wo class attend ki, then and there after the conference, we decided that we will go for this Bilateral Implantation. Aur Bilateral implant 2 saal baad hua, first implant and the second implant, mtlb 4 saal aur 6.5 saal uski age thi jab ye implant hua.

(The kid who got the implant) I thank cochlear implant company and Swar clinic, it is because of the innovation of Cochlear Implant Company and efforts of Swar clinic that I can hear and speak like other children. I am very happy that I am studying in a regular school and talk to my friends comfortably. I am thankful to Dr. Vipin uncle and Dr. Suneeta aunty for their efforts and making me what I am today. I would like to add that I have two implants, with two implants I have no problem in school and I have no fears also. I request all parents to go for Bilateral implant for their children. Thank you.

(Dr. Vipin Kakar in the video again) ab in cheezon ke baad agar aapko apne bachhe mein ya parivaar mein agar aapko koi sunne se related queries hai toh aap Lybrate ke through aap mujhe contact kar sakte hai.
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