Reproductive endocrinology

Breast satisfaction in adult women with Turner syndrome—An international survey employing the BREAST‐Q questionnaire

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

TS women who received oestrogen replacement for pubertal induction self-report lower breast satisfaction scores and late menarche, suggesting that type, mode of delivery, dose and timing of hormone supplements merit prospective study.

Study context

Population
Adult women aged 18–45 years with self-reported turner syndrome (TS), recruited online through TS support groups; median age 32 years, 97% White Caucasian, 86% had pubertal induction therapy74 matched
Participants
97 women
Exposure
Women with TS vs matched normative controls
  • TSn = 74
Outcome
BREAST-Q scores (four domains), incl. 'Satisfaction with Breast'
Methodological detailsinternational online survey, matched on age, body mass index (BMI) and educational background to normative data
  • International online survey
  • Matched on age, BMI and educational background to normative data

Main finding

As reported in the abstract

BREAST-Q scores
  • TS vs Army of Women: P = 0.021
  • TS vs Army of Women: P < 0.0001
  • TS vs Army of Women: P < 0.0001

Observational data: associations, not effects.

Further findings

OutcomeP value
BREAST-Q scores by oestrogen replacement therapy in TSOestrogen therapy vs No oestrogen therapy · lower scores with oestrogen therapyP < 0.0001

Factors associated with breast satisfaction

Lower BMI and previous GH therapy were associated with lower breast satisfaction

Age at menarche and pubertal induction

Median age at menarche
15.5 years (12-34 years)
Received pubertal induction therapy as teenagers
86%

Original publication

Breast satisfaction in adult women with Turner syndrome—An international survey employing the BREAST‐Q questionnaire. Clin Endocrinol (Oxf). Published 25 May 2022. doi:10.1111/cen.14755

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