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Turning a Turner to a twin mother
  1. Monishaa Rajsekher and
  2. Palaniappan Narayanan
  1. Obstetrics and Gynecology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Monishaa Rajsekher; drrmonishaa{at}gmail.com

Abstract

Women with Turner syndrome (TS) are subfertile due to premature ovarian insufficiency. Most women require hormone replacement therapy for attaining menarche and assisted reproductive technology (ART) using donor oocytes, autologous oocytes or in-vitro fertilisation for conception. Irrespective of the karyotype, monosomy X (45, X) or mosaic pattern, women with TS hold a very high risk for pregnancy due to high mortality rate secondary to aortic dissection and severe pre-eclampsia. Such high-risk pregnancies mandate extensive prepregnancy counselling, the need for multidisciplinary teams, close surveillance and follow-up to attain a successful outcome. In this article, we report one such case of pregnancy in a woman with TS carrying a twin gestation following ART with donor oocyte.

  • pregnancy
  • reproductive medicine
  • hypertension
  • obstetrics
  • gynaecology and fertility
  • endocrinology

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Footnotes

  • Contributors PN and MR were both involved in patient care. MR curated the data, formatted them for the publication and drafted the manuscript. PN critically revised and approved the final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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