Fertility, pregnancy, and medical management of Turner syndrome in the reproductive years

Turner syndrome results in infertility in most cases. Fertility preservation through the cryopreservation of oocytes or ovarian tissue may be an option for some girls with Turner syndrome. Oocyte donation results in high pregnancy rates (PR). Those women who plan to pursue pregnancy need comprehensive screening and counseling before and after conception. Pregnancies conceived with either autologous or donated oocytes are at high risk of maternal death from aortic dissection/rupture and are at high risk of serious hypertensive disorders. Reproductive age women with Turner syndrome require ongoing screening for associated medical conditions unrelated to reproduction. (Fertil Steril (R) 2012;98:787-91. (c) 2012 by American Society for Reproductive Medicine.)