📌According to UpToDate
Turner syndrome (TS)
Growth hormone therapy: offer growth hormone therapy to most patients with TS and short stature to maximize adult height and improve body composition. We initiate the therapy as soon as the height of a patient with TS falls below the 5th percentile for age on the growth chart for girls in the general population
Estradiol therapy : In most patients 11 to 12 years of age with absent, delayed, or stalled puberty and elevated gonadotropins, we initiate low-dose estradiol treatment. This approach allows puberty to begin at an age-appropriate time without compromising adult height.
Growth hormone and estradiol may be given together until epiphysial fusion occurs, after which we stop growth hormone.
June 30, 2026 4.2K 9
